A Vocational Rehabilitation Intervention Framework for People With Rheumatoid Arthritis

2020 ◽  
Vol 51 (1) ◽  
pp. 16-30
Author(s):  
Phillip D. Rumrill ◽  
David R. Strauser ◽  
Chelsea Greco ◽  
Mykal J. Leslie

This article presents the Illinois Work and Well-Being Model (IW2M) as a framework that can be applied to facilitate vocational rehabilitation interventions for people with rheumatoid arthritis (RA). The model encompasses the interaction of contextual and career development domains to improve participation in the areas of work, society, community, and home. A discussion of the model's implications regarding vocational rehabilitation service and research is offered, with the overall goal of reinforcing career development as the foundation of vocational rehabilitation services for people with RA and other emerging age-related disabling conditions.

2019 ◽  
Vol 82 (6) ◽  
pp. 337-347 ◽  
Author(s):  
Kate Hayward ◽  
Bilal A Mateen ◽  
E Diane Playford ◽  
Gail Eva

Introduction This study aimed to understand existing vocational rehabilitation service provision in one locality in London (population 3.74 million), identify any gaps and explore reasons for this, to support service development. Method Using soft systems methodology to guide the research process, semi-structured interviews were completed with nine participants, who were clinicians and managers providing vocational rehabilitation within a National Health Service context. Data were analysed thematically to build a ‘rich picture’ and develop a conceptual model of vocational rehabilitation service delivery. Findings were then ratified with participants at an engagement event. Results The findings indicate a spectrum of vocational rehabilitation service provision for long-term neurological conditions with differing levels of funding in place. Vocational rehabilitation often takes place ‘under the radar’ and therefore the true vocational rehabilitation needs of this population, and the extent of service provision, is not known. There is inconsistency of understanding across the services as to what constitutes vocational rehabilitation and outcomes are not routinely measured. Conclusion For vocational rehabilitation services to develop they require appropriate funding, driven by government policy to commissioners. Clear definitions of vocational rehabilitation, collecting and sharing outcome data and effective communication across services are needed at a local level. This is expressed in a conceptual model of vocational rehabilitation service delivery.


2019 ◽  
Vol 25 (2) ◽  
pp. 110-121
Author(s):  
David R. Strauser ◽  
Phillip D. Rumrill ◽  
Chelsea Greco ◽  
D. George Strauser

AbstractThis article presents the Illinois Work and Well-Being Model as a framework that can be applied to facilitate the career development of people with diabetes mellitus. The model emphasizes the interaction of contextual and career development domains to improve participation in the areas of work, society, community, and home. This article provides a brief discussion of the potential implications of vocational rehabilitation research, service, and policy, with the overall goal of reinforcing career development as the foundation of vocational rehabilitation services for adults with diabetes mellitus and other chronic health conditions.


2016 ◽  
Vol 22 (2) ◽  
pp. 93-103 ◽  
Author(s):  
Vanette McLennan ◽  
Natalie Taylor ◽  
Amanda Rachow ◽  
Grant South ◽  
Kelsey Chapman

This article reviews the research evidence on vocational rehabilitation services and rehabilitation counselling practice with Indigenous Australians. It applied a context sensitive, cultural safety and reflexivity approach to construct salient themes from the research evidence. Findings suggest Indigenous Australians with disabilities experience significant ‘double-disadvantage’, and that vocational rehabilitation service providers lack the knowledge and skills in culturally safe practice in order to enhance the opportunities for social and economic inclusion of Indigenous Australians. A whole-of-profession approach, incorporating and ensuring Indigenous client equity and cultural safety in vocational rehabilitation, is critically and urgently needed.


2007 ◽  
Vol 13 (9) ◽  
pp. 1183-1189 ◽  
Author(s):  
J. Sweetland ◽  
A. Riazi ◽  
S.J. Cano ◽  
E.D. Playford

Background The NSF for Long-term Neurological Conditions highlights the need for vocational rehabilitation services. Although the barriers to work for people with MS (pwMS) have been clearly identified, there has been little research that identifies the type of support required. Objective To identify what pwMS require from a vocational rehabilitation service in terms of content and service delivery. Design of study Four focus groups of pwMS, currently in employment, were convened. These were audio-taped and content analysed using a constant comparison method. Results People with MS identified two key needs; managing performance and managing expectations. Performance difficulties could be managed either by treating symptoms, by changing the environment, or by altering the demands of the job. PwMS highlighted the need for counselling to help them, and advocacy to help their employers have appropriate expectations. Conclusion PwMS need support in the workplace in two distinct ways. First, by managing the interaction between the impairments caused by MS, the physical environment, and the demands imposed by the work. Second, by providing expert knowledge about the employment environment and the needs of employers, an awareness of the relevant legislation and counselling in supporting people to adapt, adjust and resolve complex issues. Multiple Sclerosis 2007; 13: 1183—1189. http://msj.sagepub.com


2010 ◽  
Vol 41 (4) ◽  
pp. 11-20 ◽  
Author(s):  
Dawna M. Thomas ◽  
William Sanchez ◽  
M. Joanne Maniche

Although Cape Verdeans have a long history in the U.S., members of this community with disabilities continue to be underserved and culturally misunderstood by vocational rehabilitation service providers. This article discusses how Cape Verdeans with disabilities and their families perceive the concept of disability and how that perception may differ from views held by mainstream service providers. The article also outlines some of the barriers to the provision of services and provides recommendations for enhancing culturally-relevant service delivery.


1995 ◽  
Vol 26 (1) ◽  
pp. 3-8
Author(s):  
Amy Melick ◽  
James T. Herbert

Due to the lack of adequately trained and experienced rehabilitation counselors for the deaf, the majority of vocational rehabilitation services will be provided by counselors with general caseloads. For those counselors who are assigned deaf clients, information is provided to facilitate greater awareness of the cultural, communication, assessment, and career development needs of this clientele.


2003 ◽  
Vol 12 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Amanda E. Young ◽  
Gregory C. Murphy

Traumatic spinal cord injury (SCI) has a dramatic effect on the lives of those affected. As those injured are typically relatively young adults, the interruption to careers and vocational plans is often significant. While return to work following SCI has been well investigated, little is known about the process by which people regain employment post-injury. This investigation aimed to study participants' perceptions regarding the adequacy of the vocational rehabilitation services they received. Data was collected through personal interview with 168 persons with a SCI who were employed at the time of their injury. Participants were asked if they believed they could have been assisted by additional services provided with the aim of facilitating their return-to-work attempts. More than half of the participants believed they would have benefited from additional services. The most commonly requested additional services were: more discussion of vocational options and alternatives, and the timely follow-up of vocational issues. Analysis of subgroup differences indicated that rural-based study participants had clear and precise ideas for how vocational rehabilitation services might be improved.


2003 ◽  
Vol 12 (1) ◽  
pp. 36-48 ◽  
Author(s):  
Nicholas Buys ◽  
Sharon Hensby ◽  
Jocelyn Rennie

The traditional job placement approach to vocational rehabilitation service delivery is no longer sustainable in terms of delivering meaningful employment outcomes for people with disabilities. For vocational rehabilitation to be relevant in the current labour market to the needs and aspirations of this population, a conceptual shift is required in the focus of service delivery. This paper suggests that an approach focused on career development is warranted, and to this end, a model of career development for vocational rehabilitation underpinned by systems theory is presented. The application of the model is illustrated through the use of a case study and the implications of the model for rehabilitation practice are explored.


2019 ◽  
Vol 50 (4) ◽  
pp. 286-299
Author(s):  
Jill Meyer ◽  
Vanessa Hinton ◽  
Jinhee Park ◽  
Lindsay Portela ◽  
Christine Fleming ◽  
...  

In recent years there has been a visible shift in societal norms surrounding milestones that were once associated with one's transition to adulthood due to contemporary economic and social changes. Most young adults may experience some degree of adversity, yet experiences of transitioning to adulthood can be more challenging among youth with disabilities due to an impact of disability on development, additional educational and vocational barriers, and societal attitudes toward individuals with disabilities. This manuscript explores the re-conceptualized process of development from adolescence to adulthood, known as “emerging adulthood,” while also exploring resilience, and the delivery of vocational rehabilitation services. Specifically, the purpose of this study was to examine self-esteem and satisfaction with life (i.e., well-being) in emerging adults with and without disabilities, and discuss how vocational rehabilitation services can be administered while improving resiliency for youth and young adults with disabilities. Findings and implications are discussed.


2005 ◽  
Vol 99 (5) ◽  
pp. 303-315 ◽  
Author(s):  
Michele E. Capella-McDonnall

In this study, four variables were found to have a significant association with competitive employment outcomes for blind and visually impaired consumers of vocational rehabilitation services. These variables were the receipt of education as a rehabilitation service that resulted in an educational certificate or degree, having worked since the onset of the disability, reason for applying to vocational rehabilitation related to obtaining a job, and the relationship between the counselor and the consumer being rated as high quality.


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