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Perceived persistence of problems in post-head-injury rehabilitation.

This study was an attempt to understand the relationship between provision of rehabilitation services and the perceived persistence of adjustment problems following services. Types of services provided by treatment facilities and patient ratings of presence of problems were identified. The results of the study strongly suggest that services provided by a single facility or a combination of facilities does little to reduce client-perceived persistence of adjustment problems. Severity of disability only accounts for small differences in identified problems. The relative constancy of post-treatment problems reflects the chronicity of disability. Results further suggest that post-acute care treatment by other facilities increases the number of perceived problems, especially following referral for vocational rehabilitation services.