Working with acquired brain injury (ABI): how MSWA can help you navigate employment and your return to work

An acquired brain injury (ABI) can change the course of a person’s life in an instant. Whether the result of a stroke, trauma, infection or tumour, the impact often extends beyond the physical — affecting cognition, communication, behaviour and emotional regulation.   

For many, returning to work after an acquired brain injury is one of the biggest milestones in recovery. At MSWA, we support Western Australians living with ABI to take this next step, whether that means revisiting a previous job, exploring new opportunities or simply starting the conversation about what’s possible.  

With the right planning, support and mindset, meaningful employment can be part of your future. 

At MSWA, we understand that returning to work after an ABI is often a major step in regaining independence, identity and financial stability. But it’s not always a straight line — it requires time, patience and the right level of support. 

Here’s what to keep in mind: 

• Timing matters. There’s no universal timeline for returning to work. Some people return within months, while others take years or decide not to return at all. The decision should be based on medical advice, personal readiness and the availability of support systems. A gradual return, starting with a few hours or days a week, is often the most successful approach. This allows time to monitor fatigue, stress levels and cognitive demands without becoming overwhelmed. 
   
• Know your strengths and limitations. It’s important to understand how your acquired brain injury has affected your abilities. MSWA’s Allied Health Team can work with you to assess: 
  • Memory and attention 
  • Executive functioning (planning, organising) 
  • Communication and language 
  • Physical stamina and mobility 
     
• Emotional regulation. Identifying your strengths and limitations will help to shape realistic goals and determine whether your previous job remains suitable or if a new role might be a better fit. 
   
• Seek the right support. Returning to work after ABI often requires a multidisciplinary approach. At MSWA, we bring together a team of specialists – including Occupational Therapists, Speech Pathologists and Neurological Employment Support Consultants – to help you return to work when the time feels right.   

Our Specialist Neurological Employment Support Service provides: 

• Personalised assessments
• Workplace readiness training
• Practical strategies and tools tailored to your strengths and needs 

Because we are backed by clinical expertise, we have a deep understanding of neurological rehabilitation and can recommend appropriate supports to help you stay employed and well regardless of your industry. 

Importantly, our services are delivered through the government funded Disability Employment Services (DES) program at no cost to you or your employer. 

When it comes to working with ABI, small workplace adjustments can make a big difference. MSWA can help you and your employer identify practical changes including: 

Modified hours and workload. Fatigue is a common symptom after ABI. Reducing hours, taking frequent breaks or avoiding peak-demand periods can help manage energy levels. 

Physical and cognitive aids. Assistive technology such as screen readers, speech-to-text software, memory aids or checklists can boost focus and memory, while ergonomic furniture or mobility aids may help with physical limitations.  

Clear communication. People with ABI may find it challenging to process complex or ambiguous information. Clear instructions, written follow-ups and regular check-ins can support successful task completion. 

Quiet workspace. Noise and overstimulation can be overwhelming. A quiet or private work area can help reduce distractions and stress. 

Job redesign or role changes. If a return to your previous position isn’t feasible, some employees may transition into a different role within the same organisation or retrain for new work. 

If needed, MSWA can help you with access workplace modification funding through the DES.  

1. Communicate openly. You’re not required to disclose your ABI to an employer but open communication can help in negotiate necessary adjustments. Consider what you’re comfortable sharing and focus on how support can help you to perform your role effectively.
2. Know your rights. In Australia, people with ABI are protected under the Disability Discrimination Act 1992 which means employers must make reasonable adjustments to accommodate your needs. You may also qualify for support through programs like NDIS if you meet the criteria.
3. Be kind to yourself. It’s normal to feel frustrated, anxious or overwhelmed during the transition back to work. Set realistic expectations, celebrate small wins and seek emotional support – either from your loved ones or through MSWA’s peer support groups and Counsellors.  

Learn more about MSWA’s Employment Support Services and how we can assist you in building a brighter, more independent future. Let’s work together to find a path forward that fits you — at your pace and on your terms.