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Costs of operating a supported work program for traumatically brain injured individuals

by West, M., Wehman, P., Kregel, J., Kreutzer, J.

This paper presents a preliminary analysis of costs associated with a return-to-work program emphasizing a supported employment approach for persons who had sustained severe traumatic brain injuries. This analysis spans almost three years. Results indicated that a mean of 237.8 hours of staff intervention time was required to achieve job stabilization, at a cost of +6896. Ongoing follow-along and support services averaged 1.64 hours per week at a cost of +47.56. Over 68% of total staff time and costs were expended in job-site training and advocacy efforts. Application of these findings to state-level and agency-level policies should be weighed against individual characteristics and needs of clients, program design, and outcomes which clients achieve as a result of services.

MeSH Terms:
  • Adolescent
  • Adult
  • Aged
  • Brain Injuries/rehabilitation*
  • Child
  • Costs and Cost Analysis
  • Employment*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Occupational Therapy/economics*
  • Social Work/economics
Archives of Physical Medicine and Rehabilitation, 72(2), p. 127-231. 1991.


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