Managed Care Administrators' Opinion of Vocational Reahbilitation Services

1996 ◽  
Vol 27 (1) ◽  
pp. 42-44
Author(s):  
Reginald L. Gibbs ◽  
John M. Dodd ◽  
Anton Hecimovic ◽  
Elia Nickoloff
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Vocational Rehabilitation ◽  
The United States ◽  
Rehabilitation Services ◽  
Short Term ◽  
Managed Care Programs ◽  
Vocational Rehabilitation Services ◽  
Managed Care Organizations

Rising health care insurance premiums have forced many businesses and institutions to examine cost-cutting measures to lower health care costs. Managed care is one measure that has become widespread throughout the United States. The problem was to learn how managed care administrators view the role and purpose of vocational rehabilitation services in their organizations and if these services will lower short-term and long-term use. A survey was sent to the administrators of fifty managed care organizations in the states of Arizona, Colorado, Oregon, and Washington. Twenty of the fifty administrators responded to the survey. Results show that only one of the managed care organizations offered vocational rehabilitation services to their enrollees. The results also show that three responded that short-term use and ten responded that long-term use of managed care programs would be reduced if vocational rehabilitation services were offered.

scholarly journals Developing vocational rehabilitation services for people with long-term neurological conditions: Identifying facilitators and barriers to service provision

2019 ◽  
Vol 82 (6) ◽  
pp. 337-347 ◽  
Author(s):  
Kate Hayward ◽  
Bilal A Mateen ◽  
E Diane Playford ◽  
Gail Eva
Keyword(s):  
Service Delivery ◽  
Vocational Rehabilitation ◽  
Conceptual Model ◽  
Service Provision ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Vocational Rehabilitation Services ◽  
Vocational Rehabilitation Service ◽  
Neurological Conditions

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.

Vocational Rehabilitation and Cultural Competency for Latino Populations: Considerations for Rehabilitation Counselors

2000 ◽  
Vol 31 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Yolanda Quiñones-Mayo ◽  
Keith B. Wilson ◽  
Milagros V. McGuire
Keyword(s):  
Vocational Rehabilitation ◽  
Cultural Competency ◽  
Program Development ◽  
Past Research ◽  
The United States ◽  
Rehabilitation Counselors ◽  
Rehabilitation Services ◽  
Minority Populations ◽  
Theoretical Concepts ◽  
Vocational Rehabilitation Services

This article examines vocational rehabilitation services to Latinos with disabilities living in the United States. As the number of Latinos increases, cultural competence is a must for rehabilitation counselors seeking to facilitate access to needed vocational rehabilitation services. More so, based on past research, minorities (a) tend to earn less when successfully rehabilitated than non-minorities, (b) are more likely to be unsuccessfully rehabilitated, and (c) are less likely to be found eligible than their non-minority counterparts when seeking vocational rehabilitation services. Related theoretical concepts and comparative data between minority and non-minority populations are discussed. Approaches to practice and program development are presented.

Vocational rehabilitation services for people with multiple sclerosis: what patients want from clinicians and employers

2007 ◽  
Vol 13 (9) ◽  
pp. 1183-1189 ◽  
Author(s):  
J. Sweetland ◽  
A. Riazi ◽  
S.J. Cano ◽  
E.D. Playford
Keyword(s):  
Multiple Sclerosis ◽  
Vocational Rehabilitation ◽  
Expert Knowledge ◽  
Comparison Method ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Vocational Rehabilitation Services ◽  
Vocational Rehabilitation Service ◽  
Need Support

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

Vocational rehabilitation services and employment outcomes for adults with cerebral palsy in the United States

2013 ◽  
Vol 55 (11) ◽  
pp. 1000-1008 ◽  
Author(s):  
I-Chun Huang ◽  
Jerome J Holzbauer ◽  
Eun-Jeong Lee ◽  
Julie Chronister ◽  
Fong Chan ◽  
...  
Keyword(s):  
United States ◽  
Cerebral Palsy ◽  
Vocational Rehabilitation ◽  
The United States ◽  
Employment Outcomes ◽  
Rehabilitation Services ◽  
Vocational Rehabilitation Services

scholarly journals An expert opinion: Vocational rehabilitation after stroke

2020 ◽  
pp. 13-15
Author(s):  
Siobhan Leary ◽  
◽  
Joanne Hurford ◽  
Niamh Shanahan ◽  
◽  
...  
Keyword(s):  
Return To Work ◽  
Vocational Rehabilitation ◽  
Expert Opinion ◽  
Service Provision ◽  
Rehabilitation Services ◽  
Rehabilitation Process ◽  
Vocational Rehabilitation Services

Less than half of people return to work following a stroke. For those who do, their return is often complicated by residual 'invisible' symptoms. It is important to ask about work and to provide intervention early in the rehabilitation process. Specialist vocational rehabilitation services can support more complex and long-term interventions, but there is a paucity of service provision which needs to be addressed.

Vocational rehabilitation services and outcomes for individuals with arthritis in the United States

2015 ◽  
Vol 42 (2) ◽  
pp. 131-139 ◽  
Author(s):  
George Mamboleo ◽  
Cahit Kaya ◽  
Lisa Meyer ◽  
Brian Kamnetz ◽  
Jill Bezyak ◽  
...  
Keyword(s):  
United States ◽  
Vocational Rehabilitation ◽  
The United States ◽  
Rehabilitation Services ◽  
Vocational Rehabilitation Services

The Future of Muslim Education in the United States: An Agenda for Research

2003 ◽  
Vol 20 (3-4) ◽  
pp. 46-82
Author(s):  
Fathi Malkawi
Keyword(s):  
United States ◽  
The United States ◽  
American Education ◽  
Future Trends ◽  
Muslim Community ◽  
Short Term ◽  
The Future ◽  
Muslim Education ◽  
Future Plans

This paper addresses some of the Muslim community’s concerns regarding its children’s education and reflects upon how education has shaped the position of other communities in American history. It argues that the future of Muslim education will be influenced directly by the present realities and future trends within American education in general, and, more importantly, by the well-calculated and informed short-term and long-term decisions and future plans taken by the Muslim community. The paper identifies some areas in which a wellestablished knowledge base is critical to making decisions, and calls for serious research to be undertaken to furnish this base.

scholarly journals Person-Centered Health Care: An Approach That Integrates Acute and Long-Term Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 704-704
Author(s):  
Yuchi Young ◽  
Barbara Resnick
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Systems ◽  
Long Term Care ◽  
The United States ◽  
World Population ◽  
Term Care ◽  
The Usa ◽  
Aged Society

Abstract The world population is aging. The proportion of the population over 60 will nearly double from 12% in 2015 to 22% in 2050. Global life expectancy has more than doubled from 31 years in 1900 to 72.6 years in 2019. The need for long-term care (LTC) services is expanding with the same rapidity. A comprehensive response is needed to address the needs of older adults. Learning from health systems in other countries enables health systems to incorporate best long-term care practices to fit each country and its culture. This symposium aims to compare long-term care policies and services in Taiwan, Singapore, and the USA where significant growth in aging populations is evidenced. In 2025, the aging population will be 20% in Taiwan, 20% in Singapore and 18 % in the USA. In the case of Taiwan, it has moved from aging society status to aged society, and to super-aged society in 27 years. Such accelerated rate of aging in Taiwan is unparalleled when compared to European countries and the United States. In response to this dramatic change, Taiwan has passed long-term care legislation that expands services to care for older adults, and developed person-centered health care that integrates acute and long-term care services. Some preliminary results related to access, care and patterns of utilization will be shared in the symposium. International Comparisons of Healthy Aging Interest Group Sponsored Symposium.

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