Access and utilization of a new low-vision rehabilitation service

2008 ◽  
Vol 36 (6) ◽  
pp. 547-552 ◽  
Author(s):  
Patricia M O'Connor ◽  
Lisa C Mu ◽  
Jill E Keeffe
Keyword(s):  
Low Vision ◽  
Rehabilitation Service ◽  
Low Vision Rehabilitation ◽  
Vision Rehabilitation

scholarly journals The Low Vision Rehabilitation Service. Part Two: Putting The Program Into Practice

2005 ◽  
Author(s):  
Joseph Pizzimenti ◽  
Elysa Roberts
Keyword(s):  
Low Vision ◽  
Instructional Program ◽  
Daily Functioning ◽  
Rehabilitation Service ◽  
Collaborative Relationship ◽  
Psychosocial Status ◽  
Low Vision Rehabilitation ◽  
Vision Rehabilitation ◽  
Part Feature ◽  
Allied Health Professional

Low vision may affect a person's learning, daily functioning, and psychosocial status. Intervention in the form of vision rehabilitation has enabled many people to successfully meet and overcome the challenges posed by low vision. Part one of this two-part feature presented a four-phase, interdisciplinary model of low vision services that can be applied to any setting. This paper (part two) focuses on methods of assessing low vision, providing clinical services, and establishing an adaptive training and instructional program. The collaborative relationship between the patient/client, low vision physician (optometrist or ophthalmologist), and allied health professional (specifically, the occupational therapist) is described.

Depression screening in low vision rehabilitation services in Australia: exploring barriers and solutions to implementation using a theoretical framework

2014 ◽  
Vol 2 (3) ◽  
pp. 367
Author(s):  
Gwyneth Rees ◽  
Edith E Holloway
Keyword(s):  
Behaviour Change ◽  
Low Vision ◽  
Theoretical Framework ◽  
Depression Screening ◽  
Rehabilitation Service ◽  
Structured Interviews ◽  
Care Services ◽  
Primary Care Services ◽  
Low Vision Rehabilitation ◽  
Vision Rehabilitation

Rationale: Depression is commonly co-morbid with vision impairment yet often remains undetected and therefore untreated. This study aimed to use a theoretical framework of behaviour change to identify issues surrounding the implementation of depression screening in a low vision rehabilitation service in Australia. Evidence-based strategies to address barriers are highlighted.Method: Twenty-two low vision rehabilitation staff, who had undergone training in using a depression screening tool, took part in semi-structured interviews covering 11 theoretical domains of behaviour change. Interviews were audio-taped and transcribed. Two researchers independently coded the transcripts from each interview and assigned a score to determine whether the transcript showed evidence of poor, partial, or good implementation within each domain.Results: Major barriers to depression screening included lack of time, face-to-face contact with clients and private workspace. Limited referral options and concerns about the efficacy of referrals to primary care services were highlighted. Negative emotions anticipated during depression screening (e.g., feeling awkward, uncomfortable or nervous) and concerns that depression screening would have a detrimental impact on the client and client relationship were also barriers to depression screening in practice.Conclusions: Enhancing knowledge and skill around depression screening is not sufficient to create change. Practical-based training needs to be combined with the development of strong referral pathways to ensure implementation success. 

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