Background and objectives:People with acquired brain injury (ABI) have traditionally experienced low employment rates, compared with the national average and others with disability in Australia. To positively impact mainstream economic participation following ABI, a co-design approach was used to investigate open employment pathways available and consider necessary pathway features to enable employment for people with ABI.Method:A qualitative focus group methodology was used with four groups: people with ABI; health professionals working with this group; employers providing work for people with ABI and social and injury insurers funding employment services. The project was delivered in two phases: (1) review existing work pathways in Australia and gather knowledge about enablers and barriers to employment following ABI and (2) use ABI lived experience, employers’ experience and allied health and social insurer expertise to develop a new pathway to mainstream employment.Results:Co-design helped to identify enablers and barriers to employment of people with ABI, as well as practical strategies to facilitate workplace diversity and inclusion. Enablers included replacing interviews with an onsite assessment to meet key staff and trial work tasks, employer education on ABI, the use of compensatory cognitive aides and graded on-the-job support. This guided the development of a new employment pathway, tailored for people with ABI, called ‘Employment CoLab’.Conclusions:The Employment CoLab pathway, when coupled with person-centred collaborative and effective social disability insurance approaches, offers opportunities to build inclusive, sustainable and scalable economic participation and mainstream wages for people with ABI.

中文翻译：

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一种共同设计的方法来检查和开发为患有后天性脑损伤的人开放就业的途径

背景和目标：与澳大利亚全国平均水平和其他残疾人相比，获得性脑损伤 (ABI) 患者的就业率历来较低。为了对 ABI 之后的主流经济参与产生积极影响，采用协同设计方法来调查可用的开放就业途径，并考虑必要的途径特征以使 ABI 患者能够就业。方法：对四个群体使用定性焦点小组方法： ABI; 与该小组合作的卫生专业人员；为患有 ABI 的人提供工作的雇主以及为就业服务提供资金的社会和伤害保险公司。该项目分两个阶段交付：(1) 审查澳大利亚现有的工作途径，并收集有关 ABI 后就业的推动因素和障碍的知识，以及 (2) 利用 ABI 的生活经验、雇主的经验以及相关的健康和社会保险公司的专业知识来开发一条通往主流就业的新途径。结果：协同设计有助于确定 ABI 患者就业的推动因素和障碍，以及促进工作场所多样性和包容性的实用策略。促成因素包括用现场评估代替面试以满足关键员工和试验工作任务、雇主对 ABI 的教育、使用补偿性认知助手和分级的在职支持。这指导了为 ABI 患者量身定制的新就业途径的开发，称为“就业 CoLab”。结论：就业 CoLab 途径，