A new conceptual framework to facilitate return to paid work following a brain injury

Objectives: In Western industrialised societies and cultures paid work is valued and it is accepted that being employed is good for an individual's health. Paid work provides benefits such as a financial income, improved emotional wellbeing, increased self-esteem, independence and a sense of identity. Those unable to return to paid work are more likely to have poorer general and mental health and to become depressed. Only one third of the brain injury population currently return to paid work. Those that do return, do so at a lower level, on fewer hours and most for less pay. Due to current poor return to paid work success rates in England and the social and financial consequences for these individuals this warranted exploration. This PhD research explored the factors impacting the return to paid work of individuals following an acquired or traumatic brain injury with the objective of improving return to paid work rehabilitation.