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Conclusions: It is important to consider postdischarge psychologic well-being, in conjunction with premorbid and acute factors, in vocational interventions after TBI.
However, this was often limited to advice and few actually delivered vocational interventions.
We regard the long time span of disability in itself as the main obstacle to a successful return to work, not the diagnosis or vocational interventions provided.
11, 12, 23 The psychosocial and vocational interventions were usually adapted to the needs of first-episode psychosis and offered on an 'as-required' basis.
For example, Kluger and DeNisi (1996) review the effectiveness of vocational interventions designed to inform recipients about ways to improve their performance on tasks, but exclude feedback related to interpersonal issues.
However, it can also be argued that providing excellent care and access to a range of appropriate and effective psychological, pharmacological and vocational interventions should be available at any stage of psychosis.
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This study involved secondary analysis of baseline data from a single blind, randomized controlled trial of vocational intervention for individuals with FES (N=91; age range: 15 25 years).
The multidisciplinary program was required to consist of a physician's consultation, in addition to a psychological, social, or vocational intervention, or a combination of these.
Multidisciplinary treatment includes a physician's consultation in addition to psychological, social or vocational intervention or a combination of these [ 13].
The 'Individual Placement and Support' (IPS) model which emphasises rapid and direct job placement and continuing support to patient and employer has proven to be the most effective vocational intervention programme.
The VTLFB was adapted for our study from an instrument developed by Dr Eric Latimer (Montreal site lead investigator) for earlier studies of the outcomes of a vocational intervention—Individual Placement and Supports (IPS) (see reference).
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