Vocational Rehabilitation Needs of Individuals Dually Diagnosed with Substance Abuse and Chronic Mental Illness

1996 ◽  
Vol 27 (3) ◽  
pp. 3-10 ◽  
Author(s):  
A. Lisa Brown ◽  
Kathleen M. Saura
Keyword(s):  
Substance Abuse ◽  
Mental Illness ◽  
Vocational Rehabilitation ◽  
Dual Diagnosis ◽  
Rehabilitation Services ◽  
Chronic Mental Illness ◽  
Vocational Rehabilitation Services ◽  
Vocational Success ◽  
Barriers To Service ◽  
The Impact

Individuals who have a dual diagnosis of substance abuse and chronic mental illness pose unique challenges in the delivery of vocational rehabilitation services. Barriers to service provision include an underestimation of prevalence; agency classifications that require a separation of disability conditions into primary and secondary disability; a lack of counselors’ awareness of the unique needs of this population; and the impact of negative attitudes and stigma on vocational success. Although individuals with dual diagnosis can benefit from rehabilitation services and stable employment, changes in the traditional service delivery system are recommended. To address the unique needs of this population, rehabilitation practitioners are encouraged to seek specialized training and continuing education through regional training programs and interagency consultation.

The Relationship between Substance Use Disorders and Unsuccessful Case Closures in Vocational Rehabilitation Agencies

2008 ◽  
Vol 39 (2) ◽  
pp. 25-29 ◽  
Author(s):  
David Hollar
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Learning Disabilities ◽  
Vocational Rehabilitation ◽  
Substance Use Disorders ◽  
Physical Disabilities ◽  
Rehabilitation Services ◽  
Persons With Disabilities ◽  
Vocational Rehabilitation Services ◽  
The Relationship

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.

The Relationship Between Substance Use Disorders and Unsuccessful Case Closures in Vocational Rehabilitation Agencies

2008 ◽  
Vol 39 (3) ◽  
pp. 48-52 ◽  
Author(s):  
David Hollar ◽  
Mary McAweeney ◽  
Dennis Moore
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Learning Disabilities ◽  
Vocational Rehabilitation ◽  
Substance Use Disorders ◽  
Physical Disabilities ◽  
Rehabilitation Services ◽  
Persons With Disabilities ◽  
Vocational Rehabilitation Services ◽  
The Relationship

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.

Is Supported Employment Replacing Traditional Vocational Rehabilitation Services?

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
C. Lauber
Keyword(s):  
Mental Illness ◽  
Vocational Rehabilitation ◽  
Supported Employment ◽  
Bipolar Disorders ◽  
Daily Practice ◽  
Rehabilitation Services ◽  
Individual Placement And Support ◽  
Vocational Rehabilitation Services ◽  
Further Development ◽  
Individual Placement

The only study in Europe that compared traditional vocational rehabilitation with Individual Placement and Support (IPS) in people with psychotic and bipolar disorders clearly showed that IPS is more effective. Based on these data, this paper will review the current situation of vocational rehabilitation in Europe and analyse whether these or other research do influence the daily practice in vocational rehabilitation. Moreover, it will summarise potential for further development of Supported Employment in people with severe mental illness.

Can we measure need in the homeless mentally ill? Using the MRC Needs for Care Assessment in hostels for the homeless

1992 ◽  
Vol 22 (4) ◽  
pp. 1027-1034 ◽  
Author(s):  
Lorna I. Hogg ◽  
Max Marshall
Keyword(s):  
Mental Illness ◽  
Mentally Ill ◽  
Standardized Assessment ◽  
Rehabilitation Services ◽  
Chronic Mental Illness ◽  
Needs For Care ◽  
Homeless Mentally Ill ◽  
Care Assessment

SynopsisHostels for the homeless contain many who are disabled by chronic mental illness but have little access to rehabilitation services. One approach to solving this problem might be to measure the needs of hostel residents in a standardized way and use this information as a basis for planning interventions. This study attempted to use the MRC Needs for Care Assessment Schedule to measure the needs of 46 mentally ill residents of Oxford hostels. It aimed to determine if a standardized assessment could be used in these difficult settings and if the needs it identified could form a useful basis for planning future interventions. Although it was possible to use the schedule, and although the pattern of need identified appeared broadly to reflect conditions in the hostels, it was not felt that the information produced was of sufficient quality to assist in planning services. The authors postulate that underlying this deficiency is the failure of the schedule to take sufficient account of the views of staff and residents.

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