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Vocational Rehabilitation

QUEST BRAIN INJURY SERVICES Fleur Colohan Vocational Instructor. Elaine Armstrong Head of Brain Injury Services. Vocational Rehabilitation. Purpose Statement. Our services aim to provide training and support for people with acquired Brain Injury in the following areas: Personal Development

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Vocational Rehabilitation

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  1. QUEST BRAIN INJURY SERVICES Fleur Colohan Vocational Instructor Elaine Armstrong Head of Brain Injury Services Vocational Rehabilitation

  2. Purpose Statement Our services aim to provide training and support for people with acquired Brain Injury in the following areas: • Personal Development • Community Integration • Further Training/Education • Vocational Opportunities

  3. Model of Service Delivery • Assessment & Planning • Direct Training/Rehabilitation • Community Based Vocational Case Management

  4. Assessment & Planning • Referral • An agreed pathway for referral either from a specific community brain injury team or a range of sources. • Assessment • Sourcing relevant information to identify social and vocational aspirations and support needs • Individual Action Plan • Documenting what will be delivered, within a specific timescale, with responsibilities allocated and a review schedule agreed

  5. Direct Training/Rehabilitation Delivered in one to one support sessions or small groups to develop & practice skills for community integration: • Brain Injury Awareness • Cognitive Rehabilitation • Behaviour Management • Communication/Interpersonal skills • Independent Living skills • Learning skills and strategies • IT and administrative skills • Preparation for Work (career exploration, job seeking, interview skills, work related behaviour) • Travel Training • Stress Management • Essential Skills (literacy & numeracy)

  6. Community Based Vocational Case Management Training: • Vocational Training • Education Courses • Hobby Courses & Interest Groups Vocational: • Vocational profiling & job matching • Work Experience Placements • Job Retention (linking with previous employers) • Voluntary Work Support: • Personal goal setting/career development planning • Job support on site • Brain Injury Awareness Training on-site

  7. QUEST TRAINING CENTRE • Location: Galway city retail park • Staff: Co-ordinator, Psychologist & 4 Instructors (2 F/T, 2 P/T) • Access to counsellor • Clients: 17 Clients (F/T) • Outreach & Aftercare Service (30 clients)

  8. ROLE OF VOCATIONAL INSTRUCTOR • Profiling and assessment • Work attitudes • Job Seeking skills • Career Exploration • Work Experience Placement

  9. COMMUNITY & WORK EXPERIENCE PLACEMENTS • Profiling, job Matching • Early placement (where possible) • Continued linkage with the Team and Centre • Utilisation of external agencies e.g. Fas etc. • Support on site • Employer education

  10. Cedar Foundation Vocational Rehabilitation • Regional Service • 8 services across Northern Ireland • Staff resource: • 2 full-time staff posts, with admin support • Clients: • 20 service users • 2 year programme (+2 year follow up contact) • Delivered in partnership with Health & Social Services Brain Injury specialist staff • (neuropsychology, social work, OT, physiotherapy, speech & language)

  11. Cedar Foundation Vocational Rehabilitation • Vocational Rehabilitation Officer • Pre-vocational skills training • Application of learning to community placements • Vocational Case Manager • Preparation for work • Securing and supporting training courses and work placements in local educational, community and employment settings • Employer support and training

  12. Entry Criteria • An acquired or traumatic Brain Injury • Be resident within the funding region • Aged between 16 – 65 years • Permit access to all relevant information • Have the ability, motivation and potential to benefit from the programme • Be medically stable • Be free from alcohol & drugs, which would prevent full participation in the programme • Be able to access the centre

  13. Vocational Rehabilitation -Benefits • Improved health and social well-being • A personal development/career plan • Enhanced vocational skills • Vocational qualifications • Relevant work experience • Improved job search & interview techniques • A support network facilitating inclusion

  14. Vocational Rehabilitation – General Challenges I At programme level: • Lack of awareness of brain injury among employers • Insurance issues • Benefits/welfare challenges • Compensation Claim process • Sourcing host placement companies – competition from other agencies

  15. Vocational Rehabilitation – General Challenges II At strategic level: • Recognising and measuring progress for funders/service users/families (eg measuring ‘softer outcomes’) • Sustainability of outcomes – lack of funding/resources for follow up • Long term vs time limited programmes

  16. Vocational Rehabilitation – Personal Challenges Brain Injury Related issues that relate to sustainability of outcomes: Irritability Memory Fatigue Impulsivity Concentration Mobility Motivation Insight Social Skills Reasoning Epilepsy Depression Speed of Information Processing Stress Management External Factors Family concerns & expectations Financial implications Access to transport

  17. Management Solutions Employer related tips: • Approach by phone or face to face • Leave a leaflet of BASIC information • Explain supports available and the benefits the experience will afford both the employer and employee • Liaise closely with family, relevant professionals and support networks • Be honest with both employer and client • Actively support the client to apply compensatory strategies to the work context • Keep close contact with co-workers

  18. Management Solutions General Tips: Clear, agreed Personal Action Plans Specific targeted feedback that is solutions focused Giving a safe environment to reality test new compensatory strategies or roles Develop natural supports

  19. Success Factors • Partnership working • Pre-vocational preparation • Active application of learning • Specialist Staff training • Brain Injury Awareness Training • Solutions Focus • Peer support • Maximising opportunities to utilise residual skills • Monitoring & Review • Structure, Routine and Consistency

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