Objective

To provide an overview of the availability of and process involved in vocational rehabilitation (VR) services for people with acquired brain injury (ABI) provided in Dutch rehabilitation institutions.

Methods

A survey on the availability and characteristics of the VR intervention process for people with ABI was conducted in all Dutch rehabilitation centers and rehabilitation departments of general and academic hospitals (n = 120). Different domains of the VR intervention process were included in the questionnaire, the number (and percentage) of respondents giving a certain answer within a domain was reported.

Results

Fifty-five institutions replied (response rate 46%). VR services for ABI were provided in 34 (62%) of these, of which 20 (59%) used a VR protocol. The main similarities found among different organizations providing VR services were the involvement of different disciplines, determination of the gap between job requirements and the patient’s abilities, goal-setting for VR, involvement of external partners, timing, and source of funding. The main differences found concerned start and stop criteria, and coordination of the VR process.

Conclusions

Currently, at least 30% of the Dutch rehabilitation institutions offer VR services for people with ABI; there is variation in processes.

中文翻译：

---

在荷兰的康复机构中为获得性脑损伤的人提供职业康复服务。

目的

提供荷兰康复机构为患有后天性脑损伤（ABI）的人提供的职业康复（VR）服务的可用性和相关过程的概述。

方法

在荷兰的所有康复中心以及综合医院和学术医院的康复部门（n = 120）中对ABI患者进行VR干预过程的可用性和特点进行了调查。在问卷中包括了VR干预过程的不同领域，报告了在某个领域内给出特定答案的受访者的数量（和百分比）。

结果

五十五家机构答复（答复率为46％）。其中34（62％）为ABI提供了VR服务，其中20（59％）使用了VR协议。提供VR服务的不同组织之间的主要相似之处是不同学科的参与，确定工作要求与患者能力之间的差距，VR的目标设定，外部合作伙伴的参与，时间安排和资金来源。发现的主要差异涉及开始和停止条件以及VR过程的协调。

结论

目前，至少有30％的荷兰康复机构为ABI患者提供VR服务；流程各不相同。