||Polytrauma includes a complex constellation of
symptoms that may involve an array of interrelated cognitive,
physical, and psychological symptoms. According
to the United States Veteran’s Health Administration,
polytrauma is an “injury to the brain in addition
to other body parts or systems resulting in physical,
cognitive, psychological, or psychosocial impairments
and functional disability”.
Although problems post traumatic brain injury (TBI) can be challenging
many of these individuals remain employable. Rehabilitation specialists assisting persons with TBI with return to work need to understand
treatment protocols that could enhance the relationship with the individuals and thereby enhance their employment outcomes.
||This paper provided a brief review of the return to work literature and presented Bordin's working alliance model. A case example was used to illustrate the model.
||The setting for the study was an In/Out Patient Rehabilitation Center.
||The paper presents one case study.
||The intervention was the Working Alliance Model of Rehabilitation. Some limited research has highlighted the working alliance model’s benefit in
working with participants for whom issues of inclusion,
empowerment, and promotion of autonomy have
become central to the definition of a healthy counseling
One of the main benefits of the model is its dynamic, collaborative orientation. In essence, the sense of ownership a participant
gains given the model’s central tenet of shared power
and decision making within the professional relationship
provides a solid rationale for using this model in
Data collection and analysis:
||The case study provides a brief overview of the meetings between the client and his rehabilitation counselor.
||A treatment and rehabilitation program was developed for the individual with TBI using the Work Alliance model. This included: obtaining a neuropsychological evaluation, transitioning level of care to a day treatment program, continuing to work with his rehabilitation counselor using the Work Alliance model to construct realistic return to work plan and refer him to case manager to monitor his behavioral and psychological needs.
||The model may be able to strengthen the relationship between a person with TBI and a rehabilitation specialist.