Vocational Rehabilitation Services and Psychiatric and Substance Use Disorders

2010 ◽  
Author(s):  
Nathalie D. Mizelle ◽  
Chandra M. Donnell
2008 ◽  
Vol 39 (2) ◽  
pp. 25-29 ◽  
Author(s):  
David Hollar

Vocational rehabilitation (VR) services can be challenging for certain persons with disabilities, particularly persons with mental illness, traumatic brain injury (TBI), and substance use disorders (SUD). This study focused on successful (status 26) and unsuccessful (status 28) closures contained in the Longitudinal Study of the Vocational Rehabilitation Services Programs (LSVRSP). Individuals with ADHD, mental illness, physical disabilities, SUD, and learning disabilities had the lowest successful closure rates (43.2%, 45.5%, 50.6%, 51.3%, and 51.4%, respectively). Consumers reported a need for additional services, lack of job availability, family problems, discrimination, and transportation issues as leading reasons for unsuccessful closure. The results indicate a need for more comprehensive services directed towards persons with behavioral disabilities.


2008 ◽  
Vol 39 (3) ◽  
pp. 48-52 ◽  
Author(s):  
David Hollar ◽  
Mary McAweeney ◽  
Dennis Moore

Vocational rehabilitation (VR) services can be challenging for certain persons with disabilities, particularly persons with mental illness, traumatic brain injury (TBI), and substance use disorders (SUD). This study focused on successful (status 26) and unsuccessful (status 28) closures contained in the Longitudinal Study of the Vocational Rehabilitation Services Programs (LSVRSP). Individuals with ADHD, mental illness, physical disabilities, SUD, and learning disabilities had the lowest successful closure rates (43.2%, 45.5%, 50.6%, 51.3%, and 51. 4%, respectively). Consumers reported a need for additional services, lack of job availability, family problems, discrimination, and transportation issues as leading reasons for unsuccessful closure. The results indicate a need for more comprehensive services directed towards persons with behavioral disabilities.


Author(s):  
Olayemi A. Akinola ◽  
Euchay Ngozi Horsman ◽  
Lisa Dunkley

Abstract Youth with co-occurring mental illness and substance use disorders are at higher risk for vocational rehabilitation exclusion. This study aimed to (a) explore the personal factors associated with vocational outcomes of youth with co-occurring mental illness and substance use disorders and (b) highlight services that have shown the greatest promise for this population in the state-federal rehabilitation program in the United States. Our analytic sample was extracted from the Rehabilitation Services Administration’s Case Service Report data set for 2013, 2014, and 2015 fiscal years. Multiple regression analyses results identified personal factors such as gender, race/ethnicity, level of education, and severity of disability as predictors of the achievement of competitive employment, hours worked, and income. The receipt of vocational rehabilitation services such as job search support, job placement assistance, vocational training, and on-the-job support are significantly associated with the achievement of competitive employment, higher work hours, and income. These finding have implications for vocational rehabilitation practice as they highlight who is at higher risk for poor outcomes, effective services, and additional factors to consider when working with youth with co-occurring mental illness and substance use disorders.


2016 ◽  
Vol 30 (3) ◽  
pp. 243-258
Author(s):  
Stephanie L. Lusk ◽  
Lynn C. Koch ◽  
Teresia M. Paul

Purpose:In this article, we examined how individuals with co-occurring psychiatric disabilities and substance use disorders encounter numerous challenges when it comes to the vocational rehabilitation (VR) process.Method:A comprehensive review of the literature demonstrated barriers to service delivery (e.g., access to services, exclusionary eligibility requirements) and hindrances to VR planning (e.g., lack of training of VR counselors, lack of work-related skills) which all serve to create obstacles through which they must navigate. This article provides a brief overview of (a) the challenges that these individuals face in treatment and VR and (b) general considerations for providing more recovery-oriented VR services to increase their participation in the VR process, facilitate recovery, and improve VR outcomes.Results:Our review highlighted that VR participation and successful outcome rates among this group as a whole are much lower than the rates of those with other types of disabilities. Researchers have suggested a myriad of strategies that have proven advantageous when working with these individuals all of which serve to increase rates of sustained recovery and employment success.Conclusion:Additional research is still needed to substantiate the barriers to service delivery for this underserved VR population, evaluate how to implement more recovery-oriented practices within the VR system, and determine if such changes do indeed lead to improved outcomes for consumers with co-occurring disabilities.


2003 ◽  
Vol 47 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Charles E. Drebing ◽  
Robert Rosenheck ◽  
Russell Schutt ◽  
Wesley J. Kasprow ◽  
Walter Penk

1978 ◽  
Vol 72 (9) ◽  
pp. 374-376
Author(s):  
Frederick A. Silver

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.


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