Research and Training Center on Community Integration of Individuals with Traumatic Brain Injury .


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Branch of Restoration Prescription Mount Sinai Institute of Pharmaceutical New York City. Research and Preparing Center on Group Reconciliation of People with Traumatic Mind Harm.
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Bureau of Rehabilitation Medicine Mount Sinai School of Medicine New York City Research and Training Center on Community Integration of Individuals with Traumatic Brain Injury Supported by Grant No. H133B980013, from the National Institute on Disability and Rehabilitation Research, United States Department of Education.

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Program Without Walls: Evaluation of an Innovative Approach to State Agency Vocational Rehabilitation

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Overview of Presentation History and foundation of the Program Without Walls (PWW) PWW Model Evaluation information Case considers

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History and Background of PWW Model was created in Rochester New York by two State VR Counselors PWW administrations are steady with the administrations gave by high performing VR workplaces The Research and Training Center and the New York State VR organization (VESID) executed the PWW display in two lower performing VR workplaces: New York City and White Plains

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The Effectiveness of Vocational Rehabilitation (VR) Services for People with TBI in New York State In New York State there are high performing and low performing State VR workplaces High performing workplaces have restoration rates more prominent than half Low performing workplaces have recovery rates of under half

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Differential Service Patterns for People with TBI in High Performing and Low Performing VR Offices Services utilized all the more as often as possible by high performing VR Offices Community based assessment and preparing Higher instruction Psychosocial administrations

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Differential Service Patterns for People with TBI in High Performing and Low Performing VR Offices Services utilized all the more every now and again by low performing Offices Facility based assessment and preparing Neuropsychological administrations Medical assessment and treatment Psychological assessment and treatment

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The PWW Model State VR guide remains completely responsible instructors don\'t exchange obligation to offices State VR advisor enlists, prepares and directs a group of self employed entities or merchants

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The PWW Model Vendors give individual focused administrations in the group Some sellers are people with mind harm

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PWW Services Functional intellectual remediation at work, school, or in the home Situational appraisal Work based learning: temporary position, work tryouts Service coordination (e.g. lodging, benefits, therapeutic/psychiatric administrations)

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PWW Services Individual and family advising Job honing Job improvement and situation Tutoring

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Evaluation Design A sum of 42 VR members whose cases had been shut partook in the review. Twenty-one members got PWW administrations. Twenty-one members who got conventional VR administrations were coordinated with the PWW members on sexual orientation, age, ethnicity and training.

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Participants Characteristics Ethnicity White 42% (N=18) Diverse 58% (N=24) (I.e., Black, Asian) Gender Men 81% (N=34) Women 19% (N=9) Education Finished High School 14% (N=6) Did not Finish High School 48% (N=20) Some Postsecondary Education 38% (N=16)

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Outcomes in New York City and White Plains Higher rates of restoration for buyers served by the PWW versus the coordinated customers with cerebrum wounds who got conventional administrations. Higher week by week profit and hours worked every week for PWW shoppers versus coordinated purchasers with cerebrum wounds who got conventional administrations. Cost of the PWW is not fundamentally not the same as standard administrations gave to mind harmed customers.

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Out Comes for Consumers with Traumatic Brain Injury in New York City and White Plains PWW Matched Controls Rehabilitation Rates 57% 24% Weekly Earnings $328.70 $124.00 Hours Worked 32.02 17.80 Average Cost $3586.10 $3326.00 of Services

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First Case Example Introduction A 36 year old Latino who was shot in the head in 1990 Language : Spanish/English bilingual Consequences of TBI: memory, intellectual preparing and discourse deficiencies; right side hemiparesis, hemisensory misfortune and hemianopsia; endless torment in left arm Former work: possessed and worked two independent companies High school certificate in addition to one year of school Vocational objectives: Self business, security protect Participated in two office based analytic professional assessments (DVE) preceding accepting PWW administrations DVEs discovered shopper unemployable or not able to profit by further preparing

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First Case Example PWW Services Functional subjective remediation and administration coordination gave by a recovery advocate PWW Vendor Pursued preparing as a Kiosk administrator through Commission for the Blind however visual impedance was not sufficiently serious Coordinated medicinal perusing assessment to decide perusing levels since buyer needed to come back to school Coordinated administrations with group based clinical guide all through

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First Case Example PWW Services Functional psychological remediation and administration coordination gave by a restoration instructor PWW Vendor Pursued professional position choices by working straightforwardly with numerous business programs Tutored customer for security watch pre-work and post-business tests Outcome Working all day as a security monitor and has gotten one raise

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Implications The PWW is one method for serving a testing, underserved populace and enhance main concern VR results The PWW can enhance the viability of lower performing VR workplaces Best practices can be implanted into low performing VR workplaces by means of the PWW

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