{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T14:31:21Z","timestamp":1790433081145,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001250","name":"Transport Accident Commission","doi-asserted-by":"publisher","award":["T002"],"award-info":[{"award-number":["T002"]}],"id":[{"id":"10.13039\/501100001250","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aus Occup Therapy J"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Early vocational rehabilitation has potential to achieve earlier return to work and mental health benefits following major traumatic injuries (spinal cord injury, traumatic brain injury and multitrauma orthopaedic injuries, including amputation), but clinicians seek guidance regarding delivery of early vocational rehabilitation. This study aimed to describe the activities and reflections of therapists within multidisciplinary teams providing early vocational rehabilitation for individuals with major traumatic injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The activities and perspectives of therapists implementing early vocational rehabilitation were explored through (1) quantitative analysis of frequency and time engaged in therapy activities using an adapted Case Management Taxonomy, (2) content analysis of free\u2010text therapist reflections of their early vocational rehabilitation sessions, and (3) thematic analysis of therapist interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Consumer and community involvement<\/jats:title>\n                    <jats:p>Participatory action research principles were used to engage key stakeholders, including peer support and advocacy groups, in guiding the development of the early vocational rehabilitation service components, associated consumer, and staff materials (e.g., interview questions), and provide ongoing monitoring and advice on the service implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The therapists responded to patients' employment concerns by providing practical and emotional support, for an average of 12 sessions, commencing on average 47\u2009days post\u2010injury. Core therapist activities included multidisciplinary team and employer liaison to exchange information and foster work connections, coordination, individualised work\u2010related activities, and monitoring to promote injury management and work capacity. Therapists reflected that wide\u2010ranging individual circumstances and injury\u2010related and psychological barriers impacted work capacity, but positive emotional responses facilitated return to work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Early vocational rehabilitation needs to be tailored to patient presentation and circumstances, injury\u2010related and psychological barriers, fostering hope, purpose, and employer connections.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1440-1630.70116","type":"journal-article","created":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T05:53:45Z","timestamp":1786773225000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Facilitating return to work after major traumatic injuries through early vocational rehabilitation: Therapists' activities and perspectives"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5640-4774","authenticated-orcid":false,"given":"Pamela","family":"Ross","sequence":"first","affiliation":[{"name":"Monash\u2010Epworth Rehabilitation Research Centre  Richmond Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Mealings","sequence":"additional","affiliation":[{"name":"Epworth HealthCare  Richmond Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5252-9916","authenticated-orcid":false,"given":"Penelope","family":"Analytis","sequence":"additional","affiliation":[{"name":"Monash\u2010Epworth Rehabilitation Research Centre  Richmond Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gillean","family":"Hilton","sequence":"additional","affiliation":[{"name":"Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9979-2201","authenticated-orcid":false,"given":"Linda","family":"Barclay","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy Monash University  Frankston Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8002-5763","authenticated-orcid":false,"given":"Ellie","family":"Fossey","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy Monash University  Frankston Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3126-6632","authenticated-orcid":false,"given":"Marina","family":"Downing","sequence":"additional","affiliation":[{"name":"Monash\u2010Epworth Rehabilitation Research Centre  Richmond Victoria Australia"},{"name":"School of Psychological Sciences Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2458-3267","authenticated-orcid":false,"given":"Yash","family":"Bedekar","sequence":"additional","affiliation":[{"name":"Monash\u2010Epworth Rehabilitation Research Centre  Richmond Victoria Australia"},{"name":"Epworth HealthCare  Richmond Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0430-125X","authenticated-orcid":false,"given":"Jennie","family":"Ponsford","sequence":"additional","affiliation":[{"name":"Monash\u2010Epworth Rehabilitation Research Centre  Richmond Victoria Australia"},{"name":"Epworth HealthCare  Richmond Victoria Australia"},{"name":"School of Psychological Sciences Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Agency for Clinical Innovation. 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