Factors Related to Employment Outcomes for Vocational Rehabilitation Consumers with Visual Impairments: A Systematic Review

2019 ◽  
Vol 113 (6) ◽  
pp. 518-537 ◽  
Author(s):  
Emily M. Lund ◽  
Jennifer L. Cmar

Introduction:The purpose of this article was to conduct a systematic review of peer-reviewed studies on factors related to employment in consumers who are visually impaired using Rehabilitation Services Administration (RSA-911) Case Service Report data.Methods:We used database, hand, and ancestral search strategies to systematically identify peer-reviewed studies published between 1990 and August 2018 where researchers used RSA-911 data to address the target question. All included articles were coded by two reviewers for study and participant characteristics, quality indicators, and outcomes.Results:Nine articles consisting of 14 analyses were included. Twelve analyses concerned employment outcomes; two concerned earnings. Researchers in most studies used large samples of 3,000 or more consumers and used multivariable analyses, most commonly multilevel logistic regression. Factors that consistently predicted lower employment across studies included presence of a secondary disability and legal blindness; higher education level consistently predicted higher employment, as did earnings and self-support at vocational rehabilitation application. Few analyses included state- or agency-level variables or specific vocational rehabilitation services.Discussion:These results indicate that certain groups of vocational rehabilitation consumers with visual impairments may be at greater risk of unsuccessful closures; researchers should examine specific strategies that may improve outcomes in these groups. These results also highlight the importance of education in securing employment among people with visual impairments. Researchers should examine state- and agency-level variables that may affect outcomes as well as the effects of specific services on outcomes. Additionally, researchers should analyze factors that may affect employment quality as well as employment outcomes.Implications for practitioners:Practitioners who are working with visually impaired people who do not have a postsecondary degree should encourage and assist their clients in obtaining one; practitioners may also wish to provide more targeted support for consumers from potentially high-risk subpopulations.

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.


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.


1981 ◽  
Vol 4 (4) ◽  
pp. 422-425 ◽  
Author(s):  
Paul J. Gerber

Historically, learning disabled (LD) individuals have been excluded from vocational rehabilitation services because of eligibility criteria that did not recognize learning disabilities as a mental or physical disability. Several significant events including the recognition of learning disabilities by the Diagnostic Statistical Manual III of the American Psychiatric Association, the World Health Organization's International Classification of Diseases, and the California Department of Rehabilitation created an atmosphere of acceptance in the rehabilitation community. After initial efforts to maintain the traditional posture towards learning disabilities in the rewriting of the Rehabilitation Comprehensive Services and Developmental Disabilities Amendments of 1978 (PL 95–602), the Rehabilitation Services Administration yielded to a new conceptualization which will now allow the severely learning disabled (SLD) access to rehabilitation services.


2016 ◽  
Vol 40 (3) ◽  
pp. 144-155 ◽  
Author(s):  
Charlotte Y. Alverson ◽  
Scott H. Yamamoto

Research has consistently documented poor employment outcomes for young adults with autism spectrum disorder (ASD). Vocational rehabilitation (VR) services provide substantial federal and state commitments to individuals with disabilities to obtain and maintain employment. To date, little research has examined the relationship between VR services and employment outcomes of clients with ASD. The purpose of this descriptive study was to better understand employment outcomes of individuals with ASD. Data spanning 10 years from the Rehabilitation Services Administration (RSA) 911 database were analyzed to identify characteristics of VR clients with ASD and the services they received. The percent of individuals who achieved competitive employment averaged 37% across the 10 years. Those who achieved an employment outcome participated in twice as many services as those who did not achieve an employment outcome.


2013 ◽  
Vol 19 (12) ◽  
pp. 1655-1664 ◽  
Author(s):  
Chung-Yi Chiu ◽  
Fong Chan ◽  
Malachy Bishop ◽  
Elizabeth da Silva Cardoso ◽  
John O’Neill

Background: Obtaining and maintaining suitable employment can be a significant challenge for people with multiple sclerosis (MS). Objective: The objective of this article is to identify what vocational rehabilitation (VR) services helped MS clients obtain and maintain employment, after controlling for the effect of demographic covariates and disability-related government benefits. Methods: We retrieved data from the Rehabilitation Services Administration (RSA) 911 database in the fiscal year (FY) 2009, and used VR services as predictors to predict employment outcomes of people with MS by hierarchical logistic regression. Results: A total of 924 out of 1920 MS clients (48.1%) were successfully employed after receiving VR services. Logistic regression analysis results indicated that cash benefits (OR =0.51, p < 0.001) and public medical benefits (OR =0.76, p < 0.01) were negatively associated with employment outcomes, whereas counseling and guidance (OR = 1.68, p < 0.001), job placement assistance (OR = 2.43, p < 0.001), on-the-job supports (OR = 1.62, p < 0.01), maintenance services (OR = 1.59, p < 0.01), and assistive technology services (OR =2.09, p < 0.001) were significant predictors of positive employment outcomes. Conclusion: VR services were found to be associated with employment status. MS patients experiencing problems obtaining or maintaining employment should be encouraged to pursue services from state VR agencies.


1984 ◽  
Vol 78 (7) ◽  
pp. 303-306
Author(s):  
Paul D. Cotten ◽  
John Philip Wade

We outline training programs for multiply handicapped, visually impaired persons who have historically been served by agencies not geared to address their special needs. A continuum of services designed to meet the living and employment training needs of multiply handicapped, visually impaired persons deemed ineligible for vocational rehabilitation services is presented. The Opportunities Unlimited Work Activities Center program is discussed along with the population it serves and the interagency mechanism around which it is designed.


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