This study aimed to understand the level of participation among transition-aged youth with traumatic brain injury (TBI) in the State/Federal Vocational Rehabilitation (VR) System in the context of the Workforce Innovation and Opportunity Act (WIOA). Case closures, case duration, and case expenditures in Federal fiscal years (FYs) 2014, 2015, and 2016 were examined among transition-aged youth (i.e., State VR clients under the age of 22 years at application) with TBI, autism spectrum order (ASD), and intellectual disability (ID), using a nonexperimental and descriptive design. A disproportionate number of transition-aged youth with ASD and ID had closed State VR cases compared with transition-aged youth with TBI. Alternatively, there were greater State VR case duration levels and case service expenditures for persons with TBI compared with those with ASD or ID. The disproportionate participation with State VR was consistent among these three groups via eligibility for services under the Individuals with Disabilities Education Act. This article highlights areas of attention concerning transition-aged youth with TBI and will hopefully stimulate future dialogue, research, and policy development concerning participation with State VR for this population.

这项研究旨在了解《劳动力创新与机会法案》背景下的州/联邦职业康复（VR）系统中患有颅脑损伤的过渡年龄青年（TBI）的参与水平（WIOA）。在2014、2015和2016联邦财政年度（FYs）的结案，结案时间和案件支出中，对患有过渡性自闭症，自闭症谱顺序的过渡年龄青年（即，申请年龄在22岁以下的州VR客户）进行了检查（ASD）和智障（ID），使用非实验性和描述性设计。与患有TBI的过渡时期青年相比，结案的VR患者中，有ASD和ID的过渡时期青年人数不成比例。另外，与具有ASD或ID的人相比，患有TBI的人的州VR案件持续时间水平和案件服务支出更高。在这三个群体中，通过获得《残疾人教育法》获得服务的资格，与州VR的参与程度不一。