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  Abstracts from the Journal of Rehabilitation

Vol. 68, No. 3
July/August/September 2002

Traumatic Brain Injury
Trends in Vocational Rehabilitation: 1978, 1988, 1998


Richard T. Walls
Sita Misra
Ranjit K. Majumder
International Center for Disability Information
West Virginia University

ABSTRACT:
National data for State-Federal Vocational Rehabilitation referrals were analyzed for 1978 (N = 856,400), 1988 (N = 606,193), and 1998 (N = 596,266). The number of people rehabilitated remained relatively constant in 1978 (N = 229,909), 1988 (N = 218,413), and 1998 (N = 223,691). The percentage of rehabilitants who were receiving public benefits at intake increased from 22% in 1978 to 39% in 1998. The percentages of clients receiving diagnostic, restoration, and maintenance services tended to decrease, and case service cost for rehabilitants tripled (costs adjusted for inflation also are provided). Competitive employment as a rehabilitation outcome increased from 71% in 1978 to 82% in 1988 to 88% in 1998. The findings reflect strong performance of public vocational rehabilitation agencies in enhancing the employability of individuals with severe disabilities. Implications for other rehabilitation programs and a variety of rehabilitation personnel are considered.

TWWIIA Initiatives and Work Incentives: Return-to-Work Implications

Richard T. Roessler
University of Illinois

ABSTRACT:
The Ticket to Work and Work Incentives Improvement Act of 1999 (TWWIIA) provides supports and incentives designed to increase the return-to-work rates of Social Security beneficiaries and recipients. The legislation introduces supports such as the ticket to work and benefits planning and assistance and work incentives such as expedited reinstatement of benefits and extension of Medicare and Medicaid coverage. Whether these TWWIIAA initiatives are successful or not can be measured by the impact they have on the benefit and return-to-work rates of beneficiaries and recipients.

Assessing Readiness of Clients with Disabilities to Engage in Job Seeking Behaviors

Thomas J. Mannock
Rhode Island Office of Personnel Administration

Deborah A. Levesque
Janice M. Prochaska
Pro-Change Behavior Systems, Inc.

ABSTRACT:
The Transtheoretical Model (TTM, also known as the "stage model") offers an empirically based approach to conceptualizing and assessing readiness to return to work following a disabling injury. The development and validation of the University of Rhode Island Change Assessment-Vocational Counseling (URICA-VC), a three-dimensional stage measure, is described. At a state rehabilitation center, 155 clients completed a 48-item assessment at intake. Cluster analysis found three stage clusters: Reluctant, Reflective, and Participative. Findings provide preliminary evidence of the validity of the URICA-VC. For example, individuals in the Participative cluster were three times as likely as individuals in the earlier clusters to return to work. These findings support the applicability of the TTM to vocational counseling and provide an impetus for future efforts to develop stage-matched interventions that can guide rehabilitation professionals in their work.

Vocational Rehabilitation and Older Adults: Patterns in Participation and Outcome

Charles E. Drebing
Boston University School of Medicine

Marylee Losardo
Alice Van Ormer
Christopher Krebs
Walter Penk
Elizabeth Nasser
Bedford VA Medical Center

Heidi Ray
Amherst College

Catherine Seibyl
Robert Rosenheck
Yale School of Medicine

ABSTRACT:
Archival data from 27,799 adults entering the Veterans Health Administration's (VHA) Compensated Work Therapy (CWT) program, were analyzed to identify differences in vocational rehabilitation participation and outcome as a function of participants' age. Nine percent of participants were over the age of 55 and the annual percentage of participants over the age of 55 increased steadily from 1994 to 1999. Significant age-related differences were noted with respect to amount of non-work related income, clinical problems at the time of admission, participant goals, length of stay in rehabilitation, earnings, work placements, and treatment outcome. The results suggest that participants over the age of 55 are very different than their younger counterparts in a range of variables relevant to rehabilitation, indicating that programmatic efforts are needed to adequately address their differing needs.

Vocational Rehabilitation Counselor Perceptions of the General Educational Development Test

Karen J. Weston
James R. Koller
University of Missouri-Columbia

Mardis D. Dunham
Murray State University

ABSTRACT:
Research has shown that most persons with learning disabilities in the vocational rehabilitation system do not have a high school diploma. The General Educational Development (GED) provides one avenue for obtaining the high school credential. Although GED testing accommodations are often available for persons with disabilities, only a fraction of those eligible for accommodations request them. The purpose of the study was to solicit information about vocational rehabilitation counselors' opinions and understanding of the GED and its accommodations application process. Ideally, this knowledge should guide VR counselor training efforts and ultimately increase the number of persons with disabilities requesting accommodations. Using a questionnaire administered to all VR counselors in one state agency (N = 153), it was determined that although the counselors perceived the GED to be an important step toward vocational success, there was considerable lack of understanding about the accommodations referral process, available accommodations, and the GED test itself. Recommendations for VR counselor training are provided.

Using E-mail for Clinical Supervision in Practicum: A Qualitative Analysis

Noreen M. Graf
Syracuse University

Mark A. Stebnicki
East Carolina University

ABSTRACT:
With the emergence of electronic communication and its increasing role in distance education, it is important for counselor educators and clinical supervisors to consider the effects of using E-mail as a primary supervision technique. Controversy exists regarding the feasibility and efficacy of using E-mail for clinical supervision purposes. This study examined the use of electronic communication in the supervision of rehabilitation practicum students. A qualitative analysis of student E-mail communications yielded information regarding students' focus and developmental progression in the areas of consumer relations, site-supervisors relations, and self reflections.

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Issue Abstracts

2005
Vol. 71, No. 1

2004
Vol. 70, No. 1
Vol. 70, No. 2
Vol. 70, No. 3
Vol. 70, No. 4

2002
Vol. 68, No. 1
Vol. 68, No. 2
Vol. 68, No. 3
Vol. 68, No. 4

2001
Vol. 67, No. 1
Vol. 67, No. 2
Vol. 67, No. 3
Vol. 67, No. 4

2000
Vol. 66, No. 1
Vol. 66, No. 2
Vol. 66, No. 3
Vol. 66, No. 4


 
 
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