scholarly journals Rural and Urban Counties in Idaho: Differences in Vocational Rehabilitation Service Delivery and Outcomes

Author(s):  
Andrew Grey
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.


2003 ◽  
Vol 12 (1) ◽  
pp. 36-48 ◽  
Author(s):  
Nicholas Buys ◽  
Sharon Hensby ◽  
Jocelyn Rennie

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.


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.


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