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  1. Book: Community reintegration, participation, and employment issues in veterans and service members with traumatic brain injury

    Dillahunt-Aspillaga, Christina

    (Archives of physical medicine and rehabilitation ; volume 99, no 2, supplement 1 (February 2018))

    2018  

    Author's details archives supplement guest editors Christina Dillahunt-Aspillaga, PhD, CRC, CVE, CLCP, CBIST; Gail M. Powell-Cope, PhD, ARNP, FAAN
    Series title Archives of physical medicine and rehabilitation ; volume 99, no 2, supplement 1 (February 2018)
    Collection
    Language English
    Size S93 Seiten, Illustrationen
    Publisher Elsevier
    Publishing place New York, NY
    Publishing country United States
    Document type Book
    HBZ-ID HT019657425
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: The Unique Function and Value of a Certified Rehabilitation Counselor for People With Disabilities and Chronic Illnesses.

    Chiu, Chungyi / Rumrill, Stuart / Ahonle, Zaccheus J / Wertheimer, Jeffrey / Henderson, Kristina / Dillahunt-Aspillaga, Christina

    Archives of physical medicine and rehabilitation

    2024  

    Language English
    Publishing date 2024-02-28
    Publishing country United States
    Document type Practice Guideline
    ZDB-ID 80057-0
    ISSN 1532-821X ; 0003-9993
    ISSN (online) 1532-821X
    ISSN 0003-9993
    DOI 10.1016/j.apmr.2024.01.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Return to School Outcomes among Adults with TBI One Year After Rehabilitation Discharge: A TBIMS Study.

    Ahonle, Zaccheus James / Tucker, Mark / Degeneffe, Charles Edmund / Romero, Sergio / Dillahunt-Aspillaga, Christina

    Brain injury

    2022  Volume 36, Issue 8, Page(s) 1000–1009

    Abstract: Objective: To examine return to school outcomes 1 year after traumatic brain injury (TBI) rehabilitation discharge.: Design: Longitudinal observational study using Traumatic Brain Injury Model Systems National Database (TBIMS-NDB) data at 1-year post- ...

    Abstract Objective: To examine return to school outcomes 1 year after traumatic brain injury (TBI) rehabilitation discharge.
    Design: Longitudinal observational study using Traumatic Brain Injury Model Systems National Database (TBIMS-NDB) data at 1-year post-TBI.
    Setting: Inpatient rehabilitation centers using follow-up telephone calls.
    Individuals: Individuals (
    Main measures: Return to school, categorized as in a postsecondary setting at first follow-up (reported hours in school greater than zero at one-year follow-up).
    Results: Using an alpha level of 0.05 binary logistic regression analysis identified four predictive variables. Significant predictors of return to school include being of lower age, possessing a higher level of functioning at discharge, reporting lower ratings of disability at discharge, and being able to use a vehicle independently for transportation.
    Conclusion: Pursuit of higher education is a viable means of community reintegration after TBI. Some individuals with TBI face a myriad of barriers and challenges when returning to school. Study findings may facilitate understanding of how TBI affects return to school and community reintegration outcomes.
    MeSH term(s) Adolescent ; Adult ; Brain Injuries/rehabilitation ; Brain Injuries, Traumatic/epidemiology ; Brain Injuries, Traumatic/rehabilitation ; Humans ; Middle Aged ; Patient Discharge ; Return to School ; Schools ; Young Adult
    Language English
    Publishing date 2022-08-02
    Publishing country England
    Document type Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 639115-1
    ISSN 1362-301X ; 0269-9052
    ISSN (online) 1362-301X
    ISSN 0269-9052
    DOI 10.1080/02699052.2022.2105952
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Enhancing Veteran Community Reintegration Research (ENCORE): Protocol for a Mixed Methods and Stakeholder Engagement Project.

    Besterman-Dahan, Karen / Hahm, Bridget / Chavez, Margeaux / Heuer, Jacquelyn / Melillo, Christine / Lind, Jason / Dillahunt-Aspillaga, Christina / Ottomanelli, Lisa

    JMIR research protocols

    2023  Volume 12, Page(s) e42029

    Abstract: Background: Veteran community reintegration (CR) has been defined as participation in community life, including employment or other productive activities, independent living, and social relationships. Veteran CR is a Veterans Health Administration ... ...

    Abstract Background: Veteran community reintegration (CR) has been defined as participation in community life, including employment or other productive activities, independent living, and social relationships. Veteran CR is a Veterans Health Administration priority, as a substantial proportion of veterans report difficulties with veteran CR following discharge from military service.
    Objective: Enhancing Veteran Community Reintegration Research (ENCORE) is a project funded by Veterans Health Administration's Health Service Research and Development Service. The goal of ENCORE is to maximize veteran and family reintegration by promoting innovative research and knowledge translation (KT) that informs and improves equitable Department of Veterans Affairs (VA) policies, programs, and services. Overall, 2 strategic objectives guide ENCORE activities: mobilize veteran CR research and promote innovation, relevance, and acceleration of veteran CR research and KT.
    Methods: ENCORE uses a mixed methods and stakeholder-engaged approach to achieve objectives and to ensure that the KT products generated are inclusive, innovative, and meaningful to stakeholders. Project activities will occur over 5 years (2019-2024) in 5 phases: plan, engage, mobilize, promote, and evaluate. All activities will be conducted remotely owing to the ongoing COVID-19 pandemic. Methods used will include reviewing research funding and literature examining the gaps in veteran CR research, conducting expert informant interviews with VA program office representatives, and assembling and working with a Multistakeholder Partnership (MSP). MSP meetings will use external facilitation services, group facilitation techniques adapted for virtual settings, and a 6-step group facilitation process to ensure successful execution of meetings and accomplishment of goals.
    Results: As of December 2022, data collection for ENCORE is ongoing, with the team completing interviews with 20 stakeholders from 16 VA program offices providing veteran CR-related services. ENCORE developed and assembled the MSP, reviewed the VA funding portfolio and veteran CR research literature, and conducted a scientific gap analysis. The MSP developed a veteran CR research agenda in 2021 and continues to work with the ENCORE team to prepare materials for dissemination.
    Conclusions: The goal of this program is to improve the impact of veteran CR research on policies and programs. Using a stakeholder-engaged process, insights from key stakeholder groups are being incorporated to set a research agenda that is more likely to result in a relevant and responsive veteran CR research program. Future products will include the development of an effective and relevant dissemination plan and the generation of innovative and relevant dissemination products designed for rapid KT.
    International registered report identifier (irrid): DERR1-10.2196/42029.
    Language English
    Publishing date 2023-03-14
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2719222-2
    ISSN 1929-0748
    ISSN 1929-0748
    DOI 10.2196/42029
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Community Reintegration, Participation, and Employment Issues in Veterans and Service Members With Traumatic Brain Injury.

    Dillahunt-Aspillaga, Christina / Powell-Cope, Gail

    Archives of physical medicine and rehabilitation

    2018  Volume 99, Issue 2S, Page(s) S1–S3

    Abstract: Traumatic brain injury (TBI) has been called the signature injury of the post-9/11 wars in Iraq, Afghanistan, and neighboring countries. Although similarities exist between veterans and service members with TBI, levels of severity and different ... ...

    Abstract Traumatic brain injury (TBI) has been called the signature injury of the post-9/11 wars in Iraq, Afghanistan, and neighboring countries. Although similarities exist between veterans and service members with TBI, levels of severity and different constellations of coexisting comorbid conditions affect them differently. These conditions affect physical, cognitive, and emotional function, which in turn can complicate community reintegration (CR), or the ability to return to family, vocational, and community life. This special supplement of the Archives of Physical Medicine and Rehabilitation consists of articles written by accomplished teams from multiple disciplines, including anthropology, neuropsychology, nursing, occupational therapy, psychology, and rehabilitation sciences. Each article brings a different perspective to bear on what CR means for veterans and service members from examination of predictors and perceptions of veterans and service members and others to measurement studies. Collectively, this group of articles represents current thinking about CR and lays the groundwork for testing interventions to improve CR outcomes for veterans and service members (eg, employment, living situation, family life).
    Language English
    Publishing date 2018-10-11
    Publishing country United States
    Document type Research Support, U.S. Gov't, Non-P.H.S. ; Introductory Journal Article
    ZDB-ID 80057-0
    ISSN 1532-821X ; 0003-9993
    ISSN (online) 1532-821X
    ISSN 0003-9993
    DOI 10.1016/j.apmr.2017.04.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Provision of resource facilitation services for individuals with acquired brain injury across the United States: results of a 2018 resource facilitator provider survey.

    Ibarra, Summer / Parrott, Devan / Waldman, Wendy / Hammond, Flora M / Dillahunt-Aspillaga, Christina / Trexler, Lance

    Brain injury

    2020  Volume 34, Issue 6, Page(s) 732–740

    Abstract: Objective: Resource Facilitation is a lesser-known service line within the field of brain injury rehabilitation and has been described as similar to case management, care coordination, and neuronavigation. The purpose of this project was to evaluate ... ...

    Abstract Objective: Resource Facilitation is a lesser-known service line within the field of brain injury rehabilitation and has been described as similar to case management, care coordination, and neuronavigation. The purpose of this project was to evaluate current Resource Facilitation programs and provide a comprehensive summary of program characteristics to work toward a common definition of Resource Facilitation services and inform future program development and evaluation frameworks.
    Materials and methods: An online survey was sent to all known Resource Facilitation programs in the US (N = 70).
    Data collection: Completed through Survey Monkey including information related to program history, structure, population served, and outcomes measurement.
    Statisticalanalysis: Descriptive statistical analyses were applied.
    Results: Twenty-four of the 70 programs completed the survey, resulting in a 34% completion rate. This snapshot of the current definitions and activities demonstrated high variability across programs regarding structure, funding, eligibility, and data collection. Only 33% of programs reported having a program evaluation system.
    Conclusions: This project provided a comprehensive summary of Resource Facilitation program characteristics and associated outcome metrics. The findings may be used to begin the formulation of a common definition of Resource Facilitation services, a program evaluation framework, and aid in establishing a common data set across programs.
    MeSH term(s) Brain Injuries/therapy ; Case Management ; Humans ; Program Evaluation ; Surveys and Questionnaires ; United States
    Language English
    Publishing date 2020-04-20
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639115-1
    ISSN 1362-301X ; 0269-9052
    ISSN (online) 1362-301X
    ISSN 0269-9052
    DOI 10.1080/02699052.2020.1749931
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Evolution of Irritability, Anger, and Aggression after Traumatic Brain Injury: Identifying and Predicting Subgroups.

    Miles, Shannon R / Hammond, Flora M / Neumann, Dawn / Silva, Marc A / Tang, Xinyu / Kajankova, Maria / Dillahunt-Aspillaga, Christina / Nakase-Richardson, Risa

    Journal of neurotrauma

    2021  Volume 38, Issue 13, Page(s) 1827–1833

    Abstract: The current prospective, multi-center, longitudinal cohort study examined how veterans/service members (V/SM) changed in their irritability, anger, and aggression (IAA) scores from admission to discharge in post-acute rehabilitation settings. The goals ... ...

    Abstract The current prospective, multi-center, longitudinal cohort study examined how veterans/service members (V/SM) changed in their irritability, anger, and aggression (IAA) scores from admission to discharge in post-acute rehabilitation settings. The goals were to identify trajectory subgroups, and explore if there were different predictors of the subgroups. V/SM (
    MeSH term(s) Adult ; Aggression/physiology ; Aggression/psychology ; Anger/physiology ; Brain Injuries, Traumatic/complications ; Brain Injuries, Traumatic/diagnostic imaging ; Brain Injuries, Traumatic/psychology ; Cohort Studies ; Female ; Humans ; Irritable Mood/physiology ; Longitudinal Studies ; Male ; Predictive Value of Tests ; Prospective Studies ; Rehabilitation Centers/trends ; Stress Disorders, Post-Traumatic/diagnostic imaging ; Stress Disorders, Post-Traumatic/etiology ; Stress Disorders, Post-Traumatic/psychology ; Veterans/psychology ; Young Adult
    Language English
    Publishing date 2021-02-24
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 645092-1
    ISSN 1557-9042 ; 0897-7151
    ISSN (online) 1557-9042
    ISSN 0897-7151
    DOI 10.1089/neu.2020.7451
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Development of the traumatic brain injury Rehabilitation Needs Survey: a Veterans Affairs TBI Model Systems study.

    Silva, Marc A / Finn, Jacob A / Dillahunt-Aspillaga, Christina / Cotner, Bridget A / Stevens, Lillian F / Nakase-Richardson, Risa

    Disability and rehabilitation

    2021  Volume 44, Issue 16, Page(s) 4474–4484

    Abstract: Purpose: To describe the development of the Rehabilitation Needs Survey (RNS) for persons in the chronic phase of traumatic brain injury (TBI) recovery.: Materials and methods: RNS items were generated following a literature review (January - March ... ...

    Abstract Purpose: To describe the development of the Rehabilitation Needs Survey (RNS) for persons in the chronic phase of traumatic brain injury (TBI) recovery.
    Materials and methods: RNS items were generated following a literature review (January - March 2015) on the topic of rehabilitation needs and revised
    Results: Eight studies examined rehabilitation needs and formed the initial item pool of 42 needs. This was reduced to form the 21-item RNS which was administered at year 1 (
    Conclusion: The RNS is a new measure of rehabilitation needs following TBI. Further investigation into its psychometrics and clinical utility is recommended.Implications for rehabilitationVeterans and Service Members with traumatic brain injury across the severity spectrum have ongoing rehabilitation needs during the chronic phase of recovery.The Rehabilitation Needs Survey is a standardized measure of rehabilitation needs following traumatic brain injury.Identification of unmet rehabilitation needs is important for raising awareness of service gaps and providing justification for resource allocation.
    MeSH term(s) Brain Injuries, Traumatic/rehabilitation ; Humans ; Longitudinal Studies ; Military Personnel/psychology ; Psychometrics ; Surveys and Questionnaires ; Veterans/psychology
    Language English
    Publishing date 2021-03-23
    Publishing country England
    Document type Journal Article ; Review ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 1104775-6
    ISSN 1464-5165 ; 0963-8288
    ISSN (online) 1464-5165
    ISSN 0963-8288
    DOI 10.1080/09638288.2021.1900930
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Demographic and Mental Health Predictors of Arrests Up to 10 Years Post-Traumatic Brain Injury: A Veterans Affairs TBI Model Systems Study.

    Miles, Shannon R / Silva, Marc A / Neumann, Dawn / Dillahunt-Aspillaga, Christina / Corrigan, John D / Tang, Xinyu / Eapen, Blessen C / Nakase-Richardson, Risa

    The Journal of head trauma rehabilitation

    2021  Volume 36, Issue 4, Page(s) E240–E248

    Abstract: Objective: Examine rates and predictors of arrests in Veterans and Service Members (V/SM) who received inpatient rehabilitation for traumatic brain injury (TBI).: Setting: Veterans Administration (VA) Polytrauma Rehabilitation Centers.: ... ...

    Abstract Objective: Examine rates and predictors of arrests in Veterans and Service Members (V/SM) who received inpatient rehabilitation for traumatic brain injury (TBI).
    Setting: Veterans Administration (VA) Polytrauma Rehabilitation Centers.
    Participants: A total of 948 V/SM drawn from the VA TBI Model Systems cohort with arrest data up to 10 years post-TBI.
    Design: Longitudinal cohort study; secondary analysis of pre-TBI characteristics predicting post-TBI arrests.
    Main measures: Disclosure of arrests pre-TBI and up to10 years post-TBI.
    Results: Thirty-six percent of the sample had been arrested prior to their TBI; 7% were arrested post-TBI. When considering all variables simultaneously in a multivariate model, pre-TBI mental health treatment (adjusted odds ratio [aOR] = 4.30; 95% confidence interval [CI]: 2.03-9.14), pre-TBI heavy alcohol use (aOR = 3.04; CI: 1.08-8.55), and number of follow-up interviews (aOR = 2.05; CI: 1.39-4.50) were significant predictors of post-TBI arrest.
    Conclusion: Arrest rates of V/SM prior to TBI were consistent with rates of arrest for people of similar ages in the United States. Post-TBI rates were lower for V/SM than published rates of post-TBI arrests in civilians with TBI. As part of rehabilitation planning for V/SM with TBI, providers should assess for preinjury mental health services and alcohol misuse to (1) identify those who may be at risk for postinjury arrests and (2) provide relevant resources and/or supports.
    MeSH term(s) Brain Injuries, Traumatic/diagnosis ; Brain Injuries, Traumatic/epidemiology ; Demography ; Humans ; Longitudinal Studies ; Mental Health ; United States/epidemiology ; United States Department of Veterans Affairs ; Veterans
    Language English
    Publishing date 2021-01-05
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 639221-0
    ISSN 1550-509X ; 0885-9701
    ISSN (online) 1550-509X
    ISSN 0885-9701
    DOI 10.1097/HTR.0000000000000640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Vocational Rehabilitation in the Veterans Health Administration Polytrauma System of Care: Current Practices, Unique Challenges, and Future Directions.

    Ottomanelli, Lisa / Bakken, Shana / Dillahunt-Aspillaga, Christina / Pastorek, Nicholas / Young, Cynthia

    The Journal of head trauma rehabilitation

    2019  Volume 34, Issue 3, Page(s) 158–166

    Abstract: Objective/purpose: Veterans and service members (V/SMs) with traumatic brain injury (TBI) and comorbid conditions are treated in the Veterans Health Administration (VHA) Polytrauma System of Care (PSC). These V/SMs comprise a unique population with ... ...

    Abstract Objective/purpose: Veterans and service members (V/SMs) with traumatic brain injury (TBI) and comorbid conditions are treated in the Veterans Health Administration (VHA) Polytrauma System of Care (PSC). These V/SMs comprise a unique population with distinct needs for restoring community reintegration, including participation in meaningful employment. Low employment rates after TBI vary and are influenced by many factors. Employment is a central aspect of the VHA priority of facilitating adjustment, and addressing vocational needs alongside healthcare is critical to community reintegration. The purpose of this article is to outline current practices of addressing vocational rehabilitation in the PSC, discuss the unique challenges in serving Veterans with polytrauma, and outline future directions to improve vocational services and outcomes.
    Methods: Briefly review literature on V/SM with TBI and employment, describe the PSC and VHA vocational programs for V/SM with polytrauma, and synthesize proceedings on vocational rehabilitation from the 2017 VHA "Community Reintegration in the Polytrauma System of Care" meeting.
    Conclusions: To advance and expand vocational services the following guidelines were recommended: (1) designing flexible services based on individualized needs, (2) increasing access to vocational services through communication and collaboration, (3) promoting cross-disciplinary education and engagement in vocational care, and (4) systematically tracking employment outcomes.
    MeSH term(s) Brain Injuries, Traumatic/psychology ; Brain Injuries, Traumatic/rehabilitation ; Humans ; Military Personnel/psychology ; Multiple Trauma/psychology ; Multiple Trauma/rehabilitation ; Practice Patterns, Physicians' ; Rehabilitation, Vocational ; United States ; Veterans/psychology
    Language English
    Publishing date 2019-05-07
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 639221-0
    ISSN 1550-509X ; 0885-9701
    ISSN (online) 1550-509X
    ISSN 0885-9701
    DOI 10.1097/HTR.0000000000000493
    Database MEDical Literature Analysis and Retrieval System OnLINE

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