Accountability in Vocational Rehabilitation: Difficulties with the “26 Closure” as a Criterion

1976 ◽  
Vol 7 (2) ◽  
pp. 67-75
Author(s):  
Robert E. Thomas ◽  
Raymond Henke ◽  
Donald A. Pool

The authors draw on their experience in vocational rehabilitation and as continuing educators to look at the task of accountability in vocational rehabilitation. The “26 closure” is recognized as a usual criterion in State V. R. agencies. While not suggesting that the “26 closure” is a completely ineffective criterion, the authors see it as a problem and look at the various aspects and implications of the problem for counselors. The problem is also analyzed from the standpoint of those who must deal with it, namely administrators, supervisors, and educators. Many, often unwittingly, contribute to the problem because of legislative pressures, trends to measure and demon state effectiveness, and differing philosophical points of view. The authors conclude by offering some ameliorative approaches that include employing better-chosen terms; more open communication that explains agency, counselor, and client needs; in-service and continuing education to foster better understanding and improving practice skills; and the development of a multiple-measure system that would reflect a counselor's quantitative performance by counting the number of clients found eligible or ineligible, the number started in rehabilitation service programs, the number rehabilitated, and the number served but not rehabilitated. The multiple criteria for effective counseling would measure the client's movement through the case process rather than merely reflect the completion of the process as a rehabilitated client.

2019 ◽  
Vol 43 (1) ◽  
pp. 29
Author(s):  
Erin L. Caruana ◽  
Suzanne S. Kuys ◽  
Jane Clarke ◽  
Sandra G. Brauer

Objective Australian weekend rehabilitation therapy provision is increasing. Staff engagement optimises service delivery. The present mixed-methods process evaluation explored staff perceptions regarding implementation of a 6-day physiotherapy service in a private rehabilitation unit. Methods All multidisciplinary staff working in the rehabilitation unit were surveyed regarding barriers, facilitators and perceptions of the effect of a 6-day physiotherapy service on length of stay (LOS) and patient goal attainment at three time points: before and after implementation, as well as after modification of a 6-day physiotherapy service. Descriptive statistics and thematic analysis was used to analyse the data. Results Fifty-one staff (50%) responded. Before implementation, all staff identified barriers, the most common being staffing (62%) and patient selection (29%). After implementation, only 30% of staff identified barriers, which differed to those identified before implementation, and included staff rostering and experience (20%), timing of therapy (10%) and increasing the allocation of patients (5%). Over time, staff perceptions changed from being unsure to being positive about the effect of the 6-day service on LOS and patient goal attainment. Conclusion Staff perceived a large number of barriers before implementation of a 6-day rehabilitation service, but these did not eventuate following implementation. Staff perceived improved LOS and patient goal attainment after implementation of a 6-day rehabilitation service incorporating staff feedback. What is known about this topic? Rehabilitation weekend services improve patient quality of life and functional independence while reducing LOS. What does this study add? Staff feedback during implementation and modification of new services is important to address potential barriers and ensure staff satisfaction and support. What are the implications for practitioners? Staff engagement and open communication are important to successfully implement a new service in rehabilitation.


2018 ◽  
Vol 24 (2) ◽  
pp. 103-114
Author(s):  
Mahoro Ishihara ◽  
Jun Yaeda ◽  
Mayu Fujikawa ◽  
Nobuko Sunami ◽  
Isao Wakabayashi ◽  
...  

The purpose of this study was to validate the Vocational Rehabilitation-Service-Related Stress Scale (VRSS) with a sample of 429 vocational rehabilitation (VR) service personnel in Japan. Exploratory factor analysis was employed to determine the structure of the VRSS, and confirmatory factor analysis showed that the four-factor model had a good model fit. The internal consistency reliability of the VRSS, as measured by Cronbach's alpha, was .90. Results indicated that the VRSS is a valid and reliable measure that can be used to examine occupational stress in VR personnel. Work-related stress and quality assurance issues that pertain to the delivery of VR services are discussed.


2006 ◽  
Vol 37 (1) ◽  
pp. 3-12 ◽  
Author(s):  
James Schaller ◽  
Nancy K. Yang ◽  
Audrey Trainor

Differences in rates of case closure, case service cost, hours worked per week, and weekly wage between White males and females with Attention Deficit/Hyperactivity Disorder were examined using the Rehabilitation Service Administration national data base of 2002. Females had statistically significantly higher case service costs than males. Using logistic regression, the customer demographic variable related to successful competitive employment for males was age. Case service variables related to successful competitive employment for males were vocational rehabilitation counseling, job search assistance, and job placement. The customer case service variable related to successful competitive employment for females was job search assistance. Implications for rehabilitation professionals and for future research on vocational rehabilitation outcomes with consumers with ADHD are provided.


2019 ◽  
Vol 82 (6) ◽  
pp. 337-347 ◽  
Author(s):  
Kate Hayward ◽  
Bilal A Mateen ◽  
E Diane Playford ◽  
Gail Eva

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.


2002 ◽  
Vol 33 (3) ◽  
pp. 26-34
Author(s):  
Keith B. Wilson ◽  
Tyra Turner ◽  
Jiawei Liu ◽  
Debra A. Harley ◽  
Reginald J. Alston

The purpose of this study was to examine whether African Americans, European Americans, and other races and ethnicities with disabilities differed in perceived job placement efficacy of vocational rehabilitation (VR) services in the United States. Binary logistic regression was employed to predict how African Americans, European Americans, and other races and ethnicities would view VR services in assisting them to get Jobs. The test statistic revealed that race/ethnicity and perceived VR service efficacy among VR customers were not statistically significant. However, as the number (answering yes on the NIHS) of African Americans, European Americans, and other races and ethnicities increased, they perceived that the VR services they received did not assist them in getting a Job. Future research considerations for VR administrators and counselors are discussed.


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