Job Retention Services for Employees with Spinal Cord Injuries: A Critical Need in Vocational Rehabilitation

2001 ◽  
Vol 32 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Richard T. Roessler

Provision of job retention services is a critical need in vocational rehabilitation. With on-the-job check-ups from rehabilitation professionals, individuals with severe disabilities such as spinal cord injuries can experience improved job retention rates and decrease the risk of lapsing into the sick role. Provided by a career development specialist, job retention services include such steps as early identification of workers at risk, specification of barriers and accommodations, employee preparation to initiate the accommodation request and counter employer resistance, and evaluation of the utility of the accommodation plan. A rationale for such career services and further information on the steps involved is presented with particular focus on the needs of employees with spinal cord injuries.

2007 ◽  
Vol 14 (7) ◽  
pp. 299-305 ◽  
Author(s):  
Thilo Kroll ◽  
Melinda T Neri ◽  
Suzanne L Groah ◽  
Brenda Gilmore ◽  
Matthew W Elrod ◽  
...  

2021 ◽  
Author(s):  
Ntsikelelo Pefile ◽  
Joyce Diphale Mothabeng ◽  
Saloshni Naidoo

Abstract Background Unemployment among persons with spinal cord injury (PWSCI) is high and often leads to poverty (including their families). Modifiable and unmodifiable factors that influence employment among PWSCI are known and are addressed throughout the rehabilitation process. The overall aim of rehabilitation of PWSCI is quality of life and community integration (including employment). Interventions that seek to improve employment outcomes among PWSCI are well documented. However, no integrated reviews clearly describe the resources utilised, interventions utilised, duration of interventions and the outcomes (and tools used) to improve employment outcomes among PWSCI. Policymakers and rehabilitation professionals require this information to develop models or strategies to improve employment outcomes for PWSCI. This review aims to map evidence on interventions and approaches that aim to enhance the employment of PWSCI. Methodology This review will map evidence on interventions that improve employment outcomes among PWSCI, using the Arksey and O'Malley framework and the Donabedian model as the guiding lens. The first stage includes the development of the research question and will be reviewed throughout the review process. The PCC framework will be utilised to determine the inclusion and exclusion criteria and develop the search terms. Peer-reviewed primary studies will be identified using the Boolean search terms on PubMed, MEDLINE, Ebscohost, Google Scholar, CINAHL, Cochrane databases. Two independent reviewers will identify primary studies and charting data, and one reviewer will act as a supervisor and arbitrator. Data charting tool will be utilised to gather the required information from the selected studies. Nvivo software version 25 will be used to develop themes for summarising and reporting the data. The quality of the courses selected will be evaluated using the Mixed Methods Appraisal Tool (MMAT). DiscussionData from the selected studies will be discussed in relation to the research questions and the Donabedian model. Information gathered from this scoping review will enable policymakers, rehabilitation professionals and other stakeholders to use this as a foundation in an attempt to develop strategies or models that seek to improve employment outcomes among PWSCI. Moreover, a gap in current practice will be identified, and further research needed in the field will be described.


1979 ◽  
Vol 10 (4) ◽  
pp. 200-203 ◽  
Author(s):  
Steven Kaplan

This article is a summary of a comprehensive literature search in the area of sexual counseling for persons with spinal cord injuries. It presents and analyzes some of this literature on the basis of historical significance of the various writings from 1948 to 1978 and specific counseling techniques advocated by these writings. A critique of the literature, focusing on the lack of research in this field, the lack of literature directed at the counseling of women with spinal injuries, and the lack of training for rehabilitation professionals in the sexual adjustment of the person with a spinal injury is given. Recommendations for improvements in this field are outlined. The publications cited in this article directly apply to the counseling of the spinal injured client for sexual adjustment, and focus on the psychosocial aspects of sexuality as it relates to this client group. An extensive bibliography is included.


BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e014331 ◽  
Author(s):  
Alexander Moreno ◽  
Diana Zidarov ◽  
Chandhana Raju ◽  
Jill Boruff ◽  
Sara Ahmed

IntroductionThere is fragmented information about the different needs following a spinal cord injury (SCI). Expressed SCI needs can be met or unmet, they change along the rehabilitation continuum (eg, acute, rehabilitation and reintegration into the community) and can be different for traumatic and non traumatic SCI. The general objective of this scoping study is to evaluate and integrate the needs of individuals with traumatic and non-traumatic SCI, their family caregivers and those reported by rehabilitation professionals from the time of rehabilitation admission to community reintegration. The specific objectives are to: (A) synthesise the needs of individuals with SCI as perceived by themselves, their family caregivers and rehabilitation professionals using two theoretical models, (B) classify needs as met and unmet, (C) explore the evolution of met/unmet needs from the time of rehabilitation admission to community reintegration and (D) provide recommendations to improve SCI care.Methods and analysis(A) identifying the most frequent met and unmet needs reported by adults with traumatic and non-traumatic SCI, their family caregivers and their rehabilitation professionals from the time of rehabilitation admission to community reintegration; (B) identifying relevant studies with a search in electronic databases; (C) charting the data based on categories refined and adjusted with a stakeholder group; (D) collating, summarising and reporting the results using two analytical frameworks (Maslow's hierarchical model of human needs and the Ferranset al's model of health-related quality of life) and (E) a stakeholder consultation phase.Ethics and disseminationThe results of this scoping study will allow understanding SCI needs from the time of rehabilitation admission to community reintegration from the perspective of different stakeholders. An integrated master report combining the needs of individuals with SCI from the perspectives of different stakeholders from the time of rehabilitation admission to community reintegration will follow the consultation meetings.


2020 ◽  
pp. 1-7
Author(s):  
Chithra Adams ◽  
Anthony Lobianco ◽  
Emily Moseley ◽  
Calisa Fitzpatrick

BACKGROUND: Obtaining and retaining employment for persons with spinal cord injury (SCI) is frequently a greater challenge than it is for the non-SCI population. It is particularly difficult during COVID-19 because all the barriers to employment are compounded for people with SCI as they have to take extra precaution to protect their health and wellbeing. OBJECTIVE: The objective of the study was to understand how isolation related to COVID-19 has had an effect on the employment experiences for persons living with SCI. METHODS: Three virtual focus groups were conducted with Kentuckians who had SCI. RESULTS: The major themes were: the impact of disruption in routine on physical and mental health, importance of having the right accommodations, working from home as an accommodation, and the uncertainty of work. CONCLUSIONS: Accommodations are a critical component for people with SCI to be retained in the workforce. Employers should be proactive in offering various inclusive and accessible accommodations to employees so that people do not have to bear the additional burden of asking for accommodations. Rehabilitation professionals would serve the SCI population well by finding ways to help clients better advocate for themselves, provide adaptive home therapeutic equipment, and help identify diverse employment skill sets.


2011 ◽  
Vol 5 (1) ◽  
Author(s):  
Oeyvind F. Standal

Peer learning involves processes whereby inexperienced persons learn from persons with more experience. Previous research has shown the benefit of peer learning to the rehabilitation process of people with spinal cord injuries and others using a wheelchair, yet discussions of problematic aspects are scant. Thus, the purpose of this article is to highlight two problems with peer learning. By presenting a vignette elaborated from a phenomenologically oriented case study of a wheelchair skills program at a Norwegian rehabilitation unit, the problem of a naive view of empathy and the danger of inflicting symbolic violence are reflected upon. These reflections, though tentative, draw attention to the ethical responsibility of rehabilitation professionals who use peer learning as a part of their intervention.


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