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Cognitive remediation and vocational rehabilitation for schizophrenia.

Cognitive deficits are a central and debilitating aspect of schizophrenia and other major mental illnesses. Although they are largely refractory to pharmacotherapy, multiple studies have now shown that large and lasting improvements in cognition can result from behavioral interventions. We will review our work over the past 10 years demonstrating that cognitive remediation treatment together with work therapy or supported employment can lead to large, lasting, and clinically relevant improvements in cognition and work functioning. While we will make some references to the work of others in these same areas, this is not a general review of these areas of research. Instead, the goal is to provide the rationale for the progression of our studies, describe the methods, and summarize the results, so that readers may understand, critique, and improve upon what we have done.

Cognition Disorders↗

Vocational reentry following TBI: an enablement model.

OBJECTIVE: To illustrate the importance of environmental factors for optimizing return to work following traumatic brain injury (TBI) using illustrative case examples. DESIGN AND PARTICIPANTS: Three case studies are presented that were selected from an overall sample of 57 TBI survivors. SETIING: Postacute, outpatient TBI rehabilitation program. MAIN OUTCOME MEASURES: Outcome was essentially descriptive and focused on factors associated with successful return to work. RESULTS AND CONCLUSIONS: These case examples point out the necessity of specialized treatment that not only focuses on the specific strengths and weakness of the individual, but also on extant environmental factors, including degree of structure or distractions that either reinforce or preclude optimal performance.

Adolescent↗