Return to work for individuals with TBI and a history of substance abuse

The highest incidence of TBI is among young adult males who also have the h ighest incidence of substance abuse [1]. Since these individuals have long life expectancies, it is important that they are productive post injury; ho wever, the employment rate is extremely low. This is understandable, given the fact that a person with either a TBI or substance abuse disorder would have difficulties with work. Naturally, the combination of the two compound s the problem and further complicates matters. This article provides an ove rview of how a Supported Employment approach can be used to assist persons with a TBI and substance abuse problems with returning to work.