scholarly journals Successful vocational rehabilitation innovations: Building a better toolbox

2020 ◽  
Vol 53 (3) ◽  
pp. 257-260 ◽  
Author(s):  
Susan M. Foley ◽  
Gina Livermore
Keyword(s):  
Vocational Rehabilitation ◽  
Current Practice ◽  
Experimental Designs ◽  
Team Approach ◽  
Vocational Rehabilitation Services ◽  
Effective Strategies ◽  
Research Activities ◽  
Rigorous Research ◽  
Randomized Control ◽  
Social Security Disability

BACKGROUND: Kentucky Office of Vocational Rehabilitation (OVR) and Minnesota Vocational Rehabilitation Services (VRS) successfully participated in a randomized control trial of an intervention designed in partnership with more than 100 VR personnel and twenty state VR agencies to identify effective practices for increasing earnings outcomes of Social Security Disability Insurance (SSDI) beneficiaries receiving VR services. OBJECTIVE: This paper introduces articles in the Special Issue to tell the story of the SGA Model Demonstration from design, testing, and impact evaluation. METHODS: The SGA Model Demonstration began reviewing administrative data, collecting expert opinion, and exploring current practice in eight state VR agencies. After an eighteen-month period of capacity building, two state VR agencies randomized local offices and implemented a rapid coordinated team approach. RESULTS: State VR agencies are successfully participating in rigorous research activities including model demonstrations with experimental designs. CONCLUSIONS: Model demonstrations that include experimental designs are effective strategies to improve knowledge and build a better practitioner toolbox to advance employment outcomes of VR clients.

Phase I development of the SGA Model: Use of administrative data and expert opinion to identify key components of the SGA Model

2020 ◽  
Vol 53 (3) ◽  
pp. 261-272 ◽  
Author(s):  
Susan M. Foley ◽  
Kelly Haines ◽  
Linda Mock
Keyword(s):  
Vocational Rehabilitation ◽  
Administrative Data ◽  
Rehabilitation Services ◽  
Team Approach ◽  
Vocational Rehabilitation Services ◽  
Rehabilitation System ◽  
Key Informant ◽  
Disability Income ◽  
Social Security Disability

BACKGROUND: The SGA Model Demonstration tested a coordinated team approach that integrated specific components of vocational rehabilitation services to determine if the model would increase earnings outcomes of Social Security Disability income beneficiaries who sought VR services in Kentucky and Minnesota. OBJECTIVE: This paper provides details on the first phase of development of the SGA intervention. METHODS: Researchers combined a Delphi process, key informant interviews, and administrative data review to identify practices that were high priority for inclusion in the model. RESULTS: Researchers reached a consensus on the high priority components to construct a testable intervention under the control of the vocational rehabilitation system. CONCLUSIONS: The SGA Project team identified three practice domains to guide an intensive case study for Phase II development of the intervention. These included pacing of services, work incentives counseling, and strategies for employment service delivery.

Deaf-Blind Clients and Vocational Rehabilitation: Practical Guidelines for Counselors

1994 ◽  
Vol 88 (2) ◽  
pp. 117-127 ◽  
Author(s):  
C.L. Ingraham ◽  
A. Carey ◽  
M. Vernon ◽  
P. Berry
Keyword(s):  
Vocational Rehabilitation ◽  
Educational Programs ◽  
Rehabilitation Services ◽  
Rehabilitation Process ◽  
Vocational Rehabilitation Services ◽  
Effective Strategies ◽  
Practical Guidelines ◽  
Optimal Rehabilitation ◽  
Blind Individuals

This article presents suggestions and proved effective strategies for determining the eligibility of, conducting diagnostic workups for, and providing vocational rehabilitation services to deaf-blind individuals. It emphasizes that the optimal rehabilitation process for such clients begins before the clients transfer from educational programs.

Who Refers Alcoholics to Vocational Rehabilitation?

1976 ◽  
Vol 6 (2) ◽  
pp. 166-171
Author(s):  
Richard T. Walls ◽  
M.S. Tseng ◽  
Harold N. Zarin
Keyword(s):  
Vocational Rehabilitation ◽  
Acceptance Rate ◽  
Public Welfare ◽  
Rehabilitation Services ◽  
Health Organizations ◽  
Public And Private ◽  
Vocational Rehabilitation Services ◽  
Disability Determination ◽  
State Employment ◽  
Social Security Disability

The purpose of the present investigation was to explore possible relations between location and identification of alcoholic clients and his/her progress toward vocational rehabilitation. Data for 33,196 “alcoholic” referrals were examined. Analyses indicated that alcoholic referrals from chronic hospitals or sanatoriums, mental hospitals, other public and private health organizations, and physicians generally have a higher than average acceptance rate for Vocational Rehabilitation services as well as greater than average prospects for rehabilitation. In contrast, referrals from public welfare, social security disability determination units, state employment service, and general hospitals are poorer than average prospects for acceptance and rehabilitation.

Phase II of the SGA Project: Development of the coordinated team approach intervention

2020 ◽  
Vol 53 (3) ◽  
pp. 273-285 ◽  
Author(s):  
Susan M. Foley ◽  
Kelly Haines ◽  
Linda Mock
Keyword(s):  
Social Security ◽  
Vocational Rehabilitation ◽  
Capacity Building ◽  
Phase Ii ◽  
Technical Assistance ◽  
Disability Insurance ◽  
Delphi Panel ◽  
Team Approach ◽  
Building Activities ◽  
Social Security Disability

BACKGROUND: The SGA Model Demonstration tested a coordinated team approach to determine whether a combination of vocational rehabilitation practices improve earnings outcomes of clients who also receive Social Security Disability Insurance. OBJECTIVE: This paper describes Phase II of the development of the intervention. METHODS: Researchers and policy fellows conducted site visits, interviewed personnel from 8 State Vocational Rehabilitation agencies and related partners, drafted a proposed intervention and submitted it for review to a Delphi panel. RESULTS: Delphi ratings supported the proposed intervention as likely leading to improved earnings outcomes and recommended that the SGA Project develop training, technical assistance, and capacity building activities to support implementation. CONCLUSION: The SGA Project invested 2 years developing an intervention by examining administrative data, consulting national experts, interviewing SVRAs directors and more than 100 practitioners across eight SVRAs. Pacing metrics were built into a team approach that included a vocational counselor, work incentives counselor, and a job development/job placement specialist with a business relations focus.

Consumer perspectives of vocational rehabilitation and return to work following acquired brain injury

2021 ◽  
pp. 1-21
Author(s):  
Kerrin Watter ◽  
Areti Kennedy ◽  
Vanette McLennan ◽  
Jessica Vogler ◽  
Sarah Jeffery ◽  
...  
Keyword(s):  
Brain Injury ◽  
Return To Work ◽  
Vocational Rehabilitation ◽  
Acquired Brain Injury ◽  
System Level ◽  
Structured Interviews ◽  
Post Injury ◽  
Vocational Rehabilitation Services ◽  
Workplace Supports ◽  
Vocational Goals

Abstract Introduction: Following acquired brain injury, the goal of return to work is common. While return to work is supported through different rehabilitation models and services, access to vocational rehabilitation varies within and between countries, and global rates of employment post-injury remain low. The literature identifies outcomes from vocational programs and experiences with return to work, yet little is known about individuals’ perceptions and experiences regarding rehabilitation to support their vocational goals and experiences in attempting to return to work. Method: This qualitative study investigated the experiences of community-living adults with acquired brain injury (n = 8; mean age 45 years; mean time post-injury of 5.5 years) regarding their vocational rehabilitation and return to work. Focus groups and semi-structured interviews were conducted, with data analyzed via thematic analysis. Results: Participants identified negative and positive experiences with vocational rehabilitation and return to work. Five overarching themes were identified: addressing vocational rehabilitation in rehabilitation; facilitators of recovery and return to work; the importance and experience of working again; acquired brain injury and identity; and services, systems and policies. Participants also identified five key areas for early vocational rehabilitation services: education; service provision; employer liaison; workplace supports; and peer mentors. Study findings inform current and future practice and service delivery, at a clinical, service and system level.

Vocational Rehabilitation for the Visually Impaired Diabetic

1978 ◽  
Vol 72 (9) ◽  
pp. 374-376
Author(s):  
Frederick A. Silver
Keyword(s):  
Vocational Rehabilitation ◽  
Visually Impaired ◽  
Rehabilitation Services ◽  
Visual Condition ◽  
Self Administration ◽  
Center Staff ◽  
Vocational Rehabilitation Services ◽  
Specialized Services

Describes the specialized services the visually impaired diabetic requires in addition to the usual vocational rehabilitation services. The diabetic must be trained in self-administration of insulin, in proper hygiene, and the correct diet must be made available. Counselor and rehab center staff must cooperate in handling the diabetic's unstable physical and visual condition and must be prepared to cope daily with new complications and possible emergencies.

Supporting work for people with multiple sclerosis

2014 ◽  
Vol 20 (6) ◽  
pp. 646-650 ◽  
Author(s):  
Catherine Doogan ◽  
E Diane Playford
Keyword(s):  
Multiple Sclerosis ◽  
Vocational Rehabilitation ◽  
Work Performance ◽  
Job Loss ◽  
Working Environment ◽  
Work Place ◽  
Future Research ◽  
Vocational Assessment ◽  
Related Factors ◽  
Vocational Rehabilitation Services

People with multiple sclerosis experience some of the highest rates of unemployment among groups of individuals with severe and chronic disabilities. While unpredictable relapses, physical and cognitive symptoms all may play a role in job loss, it is more likely that job loss can be attributed to a complex interaction between disease-related factors and contextual factors, such as the working environment, and employer attitudes. This interaction leads to the concept of work instability, that is, the mismatch between work demands and the individual’s capacity to meet these demands. Vocational rehabilitation services aim to provide people with multiple sclerosis vocational assessment, rehabilitation and support to enable them to find, regain or remain in work and access other occupational and educational opportunities. Such services consist of a multidisciplinary team with the ability to provide education around disclosure, and work-place accommodations, offer emotional support, maintain work performance, liaise with employers, and support to re-enter the workplace. Helpful interventions include early disclosure, proper workplace accommodation, education of employers, and government-funded initiatives to support disabled employees. Future research needs to agree on methods of recording outcomes and evaluate specific vocational rehabilitation interventions.

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