Vocational Rehabilitation and Return to Work After Spinal Cord Injury: A Comparative Policy Review of the U.S. and Canada

This scoping review examines federal vocational rehabilitation policies in the U.S. and Canada for individuals with spinal cord injury, analyzing 10 studies to identify barriers and facilitators to employment. Key findings include the 'benefits trap' (financial disincentives in social protection programs) as a major obstacle, while integrated interventions like Individual Placement and Support and assistive technology allocation show promise for improving return-to-work outcomes.