Race differences in a sample of vocational rehabilitation clients with traumatic brain injury.
OBJECTIVE: To evaluate race differences in demographics, injury severity, and vocational outcomes for persons with TBI. PARTICIPANTS: Seventy-five individuals with TBI (13 African American, 62 Caucasian) who requested services from the Missouri Division of Vocational Rehabilitation (VR) over a 2-year period. MEASURES: Demographics (i.e. age, race, level of education), injury severity (i.e. LOC, PTA, length of hospitalization, neuropsychological test scores), VR services provided (e.g. transportation, maintenance, on-the-job training, etc.), and VR outcomes (successfully vs unsuccessfully employed; cost per case). PROCEDURE: All participants completed a standard neuropsychological evaluation and completed VR services (i.e. were followed from enrollment to case closure). HYPOTHESES: African Americans and Caucasians would not differ in demographics or injury severity, although fewer African Americans would be successfully employed through DVR. ANALYSES: Chi-squares and non-parametric MANOVAs to evaluate race differences in terms of demographics, injury severity, vocational services provided and vocational outcomes. RESULTS: As hypothesized, there were few race differences in demographics or injury severity, although African Americans received significantly more transportation services (62 vs 21%). Contrary to hypotheses, there was no difference in the number of successfully employed African Americans (23%) vs Caucasians (18%). CONCLUSIONS: African Americans and Caucasians with TBI achieve similar vocational successes if they receive state VR services.[1]References
- Race differences in a sample of vocational rehabilitation clients with traumatic brain injury. Johnstone, B., Mount, D., Gaines, T., Goldfader, P., Bounds, T., Pitts, O. Brain injury : [BI]. (2003) [Pubmed]
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