Personal, environmental, and service-delivery determinants of employment quality for state vocational rehabilitation consumers: A multilevel analysis

2016 ◽  
Vol 45 (1) ◽  
pp. 5-18 ◽  
Author(s):  
Fong Chan ◽  
Chia-Chiang Wang ◽  
Sandra Fitzgerald ◽  
Veronica Muller ◽  
Nicole Ditchman ◽  
...  
Keyword(s):  
Service Delivery ◽  
Vocational Rehabilitation ◽  
Multilevel Analysis ◽  
Employment Quality

Timeliness of Service Delivery in Vocational Rehabilitation Agencies

1976 ◽  
Vol 7 (3) ◽  
pp. 142-148
Author(s):  
Paul Cooper ◽  
Reed Greenwood
Keyword(s):  
Service Delivery ◽  
Vocational Rehabilitation ◽  
Research Study ◽  
Case Review ◽  
Review Procedure ◽  
Provision Of Services ◽  
State Region ◽  
Status Data

In an attempt to establish feasible methodology for determining the extent of undue delay in the provision of services by state vocational rehabilitation agencies, a research study was planned and conducted by the program evaluators of a five state region. Two methods of assessing the extent of undue delay were investigated—one based on a case review procedure and one based on the collection of time-in-status data. The two methods are discussed with respect to their relative advantages and compared with respect to the agreement in the identification of unduly delayed cases. The findings of the case reviewers with respect to the incidence and causes of undue delay are presented.

Recovery-Oriented Vocational Rehabilitation Services for Individuals With Co-Occurring Psychiatric Disabilities and Substance Use Disorders

2016 ◽  
Vol 30 (3) ◽  
pp. 243-258
Author(s):  
Stephanie L. Lusk ◽  
Lynn C. Koch ◽  
Teresia M. Paul
Keyword(s):  
Substance Use ◽  
Service Delivery ◽  
Vocational Rehabilitation ◽  
Substance Use Disorders ◽  
Psychiatric Disabilities ◽  
Successful Outcome ◽  
Vocational Rehabilitation Services ◽  
Work Related ◽  
Barriers To Service ◽  
Eligibility Requirements

Purpose:In this article, we examined how individuals with co-occurring psychiatric disabilities and substance use disorders encounter numerous challenges when it comes to the vocational rehabilitation (VR) process.Method:A comprehensive review of the literature demonstrated barriers to service delivery (e.g., access to services, exclusionary eligibility requirements) and hindrances to VR planning (e.g., lack of training of VR counselors, lack of work-related skills) which all serve to create obstacles through which they must navigate. This article provides a brief overview of (a) the challenges that these individuals face in treatment and VR and (b) general considerations for providing more recovery-oriented VR services to increase their participation in the VR process, facilitate recovery, and improve VR outcomes.Results:Our review highlighted that VR participation and successful outcome rates among this group as a whole are much lower than the rates of those with other types of disabilities. Researchers have suggested a myriad of strategies that have proven advantageous when working with these individuals all of which serve to increase rates of sustained recovery and employment success.Conclusion:Additional research is still needed to substantiate the barriers to service delivery for this underserved VR population, evaluate how to implement more recovery-oriented practices within the VR system, and determine if such changes do indeed lead to improved outcomes for consumers with co-occurring disabilities.

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.

Employed Vocational Rehabilitation Applicants with Visual Disabilities: Factors Associated with Timely Service Delivery

2020 ◽  
Vol 114 (1) ◽  
pp. 31-42
Author(s):  
Adele Crudden ◽  
Zhen Sui ◽  
Emily Lund
Keyword(s):  
Service Delivery ◽  
Vocational Rehabilitation ◽  
Career Advancement ◽  
State Level ◽  
Job Retention ◽  
Disability Benefits ◽  
Visual Disabilities ◽  
Individual Level ◽  
Survey Responses ◽  
Rehabilitation Need

Introduction: Employed applicants for vocational rehabilitation need timely services to improve the likelihood of their successful job retention or career advancement. Little research exists that examines timeliness of services among employed applicants, particularly for applicants with visual disabilities. This study investigated time from vocational rehabilitation application to a signed Individualized Plan for Emplolyment (IPE) for employed applicants with visual disabilities. Method: The sample of 5,096 competitively employed vocational rehabilitation applicants from the FY2015 RSA-911 report was combined with survey responses from 51 vocational rehabilitation agencies about services to persons with visual disabilities. Multilevel modeling was used to examine effects of state-level and individual-level characteristics and cross-level interactions on the length of waiting time from vocational rehabilitation application to signed IPE. Results: The time from application to IPE was shorter for employed applicants with visual disabilities who received services from separate vocational rehabilitation agencies compared to that of combined vocational rehabilitation agencies. Employed vocational rehabilitation applicants with visual disabilities waited longer if they were younger, non-White, or received disability benefits. Official job-retention policies in state vocational rehabilitation agencies appeared to reduce the delay of IPE implementation for persons with secondary disabilities, for applicants who received disability benefits, and for persons who worked more hours per week. Discussion: Additional research to determine how vocational rehabilitation can provide services to employed persons as soon as possible after application is indicated, particularly for persons applying to combined agencies. Implications for practitioners: Vocational rehabilitation providers should explore ways to expedite service delivery, particularly for persons who are younger, non-White, or receiving disability benefits. Implementing official vocational rehabilitation policies for addressing job-retention and career-advancement cases may be one avenue to expedite services to some employed applicants.

Reconceptualising the Vocational Rehabilitation Process Using a Career Development Approach

2003 ◽  
Vol 12 (1) ◽  
pp. 36-48 ◽  
Author(s):  
Nicholas Buys ◽  
Sharon Hensby ◽  
Jocelyn Rennie
Keyword(s):  
Career Development ◽  
Service Delivery ◽  
Vocational Rehabilitation ◽  
Systems Theory ◽  
Rehabilitation Service ◽  
Rehabilitation Process ◽  
Vocational Rehabilitation Service ◽  
Conceptual Shift ◽  
Development Approach

The traditional job placement approach to vocational rehabilitation service delivery is no longer sustainable in terms of delivering meaningful employment outcomes for people with disabilities. For vocational rehabilitation to be relevant in the current labour market to the needs and aspirations of this population, a conceptual shift is required in the focus of service delivery. This paper suggests that an approach focused on career development is warranted, and to this end, a model of career development for vocational rehabilitation underpinned by systems theory is presented. The application of the model is illustrated through the use of a case study and the implications of the model for rehabilitation practice are explored.

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