Aim: The aim of this study was to provide new insight into the factors that affect work participation by those with cognitive deficits following an acquired brain injury. Method: The study had a qualitative exploratory design, with three focus-group interviews used to collect data. The first group comprised workers with experience of cognitive deficits after a traumatic brain injury (TBI), anoxic brain damage and stroke, the second group professionals from specialist levels of social security service and the third professionals from specialised health care services. Transcribed interviews were analysed using a conventional approach to content analysis. Major findings: A broad range of factors affected work participation. Personal factors, the psychosocial adaptation process, injury-related consequences as well as factors in the working environment were found to inhibit work participation. Acceptance of a different level of functioning and a new role in working life was an important but time-consuming process. Significant working-environment barriers were workplace demands, the attitudes of employers and colleagues, complicated information, excessive bureaucracy, too little practice before going back to work and physical barriers. Optimism and being determined were found to be particularly important facilitating personal factors. Important resources provided by the working environment were social support, time-related flexibility, relevant tasks and accommodations.

An estimated 14,000 persons who are deaf (PWAD) reside in Barbados, many of whom are believed to live below the poverty line. Data on the employment status of PWAD in Barbados is sparse; this research seeks to fill a gap in the literature and inform social policy. Qualitative methodologies were utilized to understand how participation in the labour market influences the lives of PWAD in Barbados. The current research seeks to inquire into the phenomenological field of five persons who are deaf through a multiple case study strategy using focus group interviews. Data were analysed to derive themes common across participants and ecological systems theory was used to understand how PWAD cope in the world of work. The following research questions are addressed in an attempt to capture the unique perspectives of PWAD: (1) What are the experiences of persons who are deaf and employed? and (2) How does having a disability impact the lives of PWAD? The data revealed a relationship between environmental stressors such as attitudinal barriers and discrimination in the workplace and their psychological and behavioural impact in the form of resignation, frustration, isolation and creative coping among PWAD.