Jessica Smith, Rosanne DiZazzo-Miller, Christine Kivlen
BackgroundMeaningful employment is essential to recovery, self-esteem, and life satisfaction for individuals with traumatic brain injuries (TBIs), particularly those who are high-functioning. Engagement in purposeful work can foster emotional and functional gains during rehabilitation.ObjectiveThis single-case retrospective study explored how meaningful employment impacted one client with TBI and examined how transportation barriers limited access to work.MethodsData were collected from December 2022 through March 2023 using the Canadian Occupational Performance Measure, Beck Depression Inventory, and daily SOAP notes during a three-month occupational therapy intervention.ResultsThe client showed significant improvements in mood, occupational performance, and satisfaction when supported in accessing meaningful work.ConclusionsOccupational therapists and interdisciplinary teams play a critical role in facilitating vocational engagement. Structural transportation barriers should be addressed as part of rehabilitation planning to support access to meaningful employment, overall well-being, and long-term community participation.