Vocational rehabilitation resources from the perspective of people with spinal cord injury and service providers

BACKGROUND: Vocational rehabilitation for people with spinal cord injury (SCI) in Iran as one of the countries in the Middle East and North Africa region is under-studied. OBJECTIVES: The purpose of this study was to explore the perspective of people with SCI and service providers about vocational rehabilitation challenges. METHODS: We used an ethnographic methodology to collect data. Observation (2018 –2020) and semi-structured interviews with 21 persons with SCI and 11 service providers were the data collection methods, and a thematic analysis approach was used to analyze the data. RESULTS: Results demonstrate that career self-knowledge (knowledge about capabilities, aspirations, and interests) and career knowledge (the importance of career exploration, vocational support and job characteristics) were the main two vocational rehabilitation resources. CONCLUSIONS: Knowledge (about the self and careers) is the main resource mentioned by the participants regarding the vocational rehabilitation. Implications for professionals and policy makers are presented.

The employment policy and vocational activity support system for people with intellectual disabilities in Poland: emancipation policy or apparent actions?

This article presents problematics related to social policy and the system supporting the vocational activity of persons with intellectual disabilities in Poland. Analyses aimed at finding an answer to the question posed in the title are based on the results of a research project entitled Employment and disability. An analysis of the vocational experience of people with intellectual disabilities in Poland, which aimed at an exploration of the policy of the employment of persons with disabilities, practices in the area of employment services, and a reconstruction of the experience of subjects involved in the work situation: job coaches, persons with intellectual disabilities, and coordinators of employment projects. The methodological framework of the project was provided by the grounded theory set in social constructivism as presented in Charmaz’s works. The research material was collected in 25 workplaces employing persons with disabilities in various parts of Poland, mainly by means of in-depth interviews, observation, and field notes. The paper presents only a small fragment of the research results. The analyses focus on the presentation of the assumptions, goals, and trends of the employment policy, ways of functioning of the system of support of the vocational activity of persons with intellectual disabilities, and the confrontation of these systemic assumptions with the experience of persons involved in the implementation of this employment policy in the Polish reality. The article is therefore a critical analysis of the current policy of the employment of persons with intellectual disabilities, unmasking the existing paradoxes and apparent actions in the system of vocational support and the labour market

Determining needs and priorities of learners with special needs for support services in an open and distance learning context in Turkey

This study aims to identify needs and priorities of learners with special needs for support services in an open and distance teaching university in Turkey based on disability type. Exploratory sequential design was adopted. In the qualitative phase, semi-structured interviews were performed with six individuals from each group, including hearing impairment, visual impairment, and physical disability to determine the needs of the learners. Data were coded based on a thematic framework involving managerial, pedagogical, social, and technical support. To determine the priorities of the learners with special needs for support services in the quantitative phase, surveys were developed separately for three groups with disabilities based on the qualitative findings. A total of 703 learners took part in the surveys. The quantitative data were analyzed using descriptive statistics. Findings of the study revealed that learners with special needs require a wide variety of services regarding managerial, pedagogical, social, technical and vocational support. Existing support systems need to be improved and awareness for these systems should be increased to make services more inclusive.

Predicting and Assessing Work Performance of People with Limited Work Capacity (LWC): A Multi-Wave, Multi-Source Study

Purpose Occupational integration is vital for the health of all people, also for people with Limited Work Capacity (LWC). Therefore, participation in regular work is a legal right for people that are restricted in their work capacity due to a disability and/or lack sufficient education. Full and effective integration is dependent on the person-job fit, and adequate vocational support should focus on meeting performance standards, as is common practice in traditional personnel selection and development programmes. Despite the huge amount of valid instruments for personnel selection and development, these tests are not suitable people with LWC. Recently, an instrument was developed for assessment and development purposes specifically for this target group. That study provided evidence for reliability and dimensionality this instrument. In our study, we add criterion-related measures to this instrument to demonstrate that assessment at T1 predict performance at T2, thus validating the instrument. Method We conducted a four-source data study, two sources for independent and two for outcome variables, to test the predictive validity of this instrument in a multi-wave setup. Results This study largely supports the validity of the instrument in predicting work behaviour and task performance of people with LWC. More specific, when measures are tailored to this target group, this group is able to predict their work behaviour and task performance accurately just like the general population. Conclusion We conclude that this instrument contributes to science, vocational support practices, and the personal and professional development of people with LWC, which is required for sustainable work.

The Allied Health Professions Health and Work Report and the fit note: Perspectives of patients and stakeholders

Introduction Although the role of occupational therapists in the provision of vocational support is established, there has been little research into their role in issuing Allied Health Professions Health and Work Reports or their potential to complete fit notes. Method Employed patients ( n = 14) and stakeholders ( n = 12) took part in semi-structured telephone interviews and were questioned about occupational therapy-run vocational clinics, experiences of the Allied Health Professions Health and Work Reports and their views of occupational therapists completing fit notes. Results Most interviewees saw the Allied Health Professions Health and Work Report as a valuable tool in affecting return to work and even employers with access to in-house occupational health predominantly found it useful in corroborating recommendations. There was consensus, amongst patients and stakeholders, that completion of the fit note by the occupational therapist could reduce the burden on the general practitioner, and potentially provide more in-depth advice via the ‘may be fit’ option. However, stakeholders strongly believed that the profile of the Allied Health Professions Health and Work Report needed to be raised nationally. Conclusion The potential value of Allied Health Professions Health and Work Reports in primary care is recognised. However, in order to maximise this, its profile and utility needs to be raised nationally as a matter of urgency. There was also support for occupational therapists completing fit notes.

Examining What Works for Youth With Moderate Risk Involved With the Juvenile Justice System: Comparing the Effect of the Community Connections Program and a Vocational Support Program Over a 9-Year Time Period

Using administrative data from an urban juvenile probation department between January 2007 and August 2016, the study included youth who were placed on court-ordered postadjudication community supervision and who were deemed to have a moderate risk of reoffending by the department’s risk and needs assessment. The two programs evaluated include a vocational support program (VSP) and the Community Connections program (CC). Youth across both groups were matched using propensity score matching, creating a final sample of 301 individual youth per program. When examining the program effect of CC versus VSP across six time-to-event variables (i.e., time to second program, detention, out-of-home placement, another offense, violation of court order, and days in program), the findings were mixed. However, across both programs, analyses revealed youth with a successful discharge and longer time spent in their program had better outcomes.

Employment status three years after percutaneous coronary intervention and predictors for being employed: A nationwide prospective cohort study

Background: Vocational support is recommended for patients in cardiac rehabilitation (CR), as returning to work is important in patients social readjusting after an acute coronary event. Information is lacking on whether CR leads to higher long-term employment after percutaneous coronary intervention (PCI). Aims: The aims of this study were to determine employment status three years after PCI, to compare employment status between CR participants and CR non-participants and to assess predictors for employment. Methods: We included first-time PCI patients from the NorStent trial, who were of working age (<63 years; n = 2488) at a three-year follow-up. Employment status and CR participation were assessed using a self-report questionnaire. Propensity score method was used in comparing employment status of CR participants and CR non-participants. Results: Seventy per cent of participants who were <60 years of age at the index event were employed at follow-up and CR participation had no effect on employment status. Being male, living with a partner and attaining higher levels of education were associated with a higher chance of being employed, while being older, prior cardiovascular morbidity and smoking status were associated with lower chance of being employed at follow-up. Conclusion: Because a significant number of working-age coronary heart disease patients are unemployed three years after coronary revascularization, updated incentives should be implemented to promote vocational support. Such programmes should focus on females, patients lacking higher education and patients who are living alone, as they are more likely to remain unemployed.