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PubMed1981

Training vocational rehabilitation counselors who work with chronic mental patients.

Because of the inefficacy of disparate psychiatric and rehabilitative approaches to psychosocial restoration of chronic mental patients, the authors designed the New England Psychiatric Rehabilitation Training Program for vocational rehabilitation counselors who work with these patients. The program extends Erikson's epigenetic sequence to development of work capacity and emphasizes a comprehensive, multiaxial approach to psychopathology and vocational rehabilitation. After 6 weeks of seminars, clinical work, and supervision, counselors return to their agencies and receive an additional 8 weeks of part-time support from field faculty instructors.

Chronic Disease↗
PubMed2001

Effects of disability compensation on participation in and outcomes of vocational rehabilitation.

OBJECTIVE: The authors sought to determine the relationship between receipt of disability compensation and participants' success in a vocational rehabilitation program. METHODS: Administrative data for 22,515 individuals who participated in the Veterans Health Administration compensated work therapy program between 1993 and 1998 were analyzed. Six dependent variables were compared between participants who were receiving disability compensation and those who were not: duration of participation in compensated work therapy, number of hours worked per week, mean hourly earnings, total income from compensated work therapy, dropout rate, and competitive employment status at discharge. Regression equations were determined for each dependent variable to assess associations with the degree of disability, the amount of disability compensation, and the type of compensation program. RESULTS: Participants who were receiving disability benefits worked fewer hours in compensated work therapy each week, earned less income, had a higher dropout rate, and were less likely to be competitively employed at discharge. The amount of compensation and the type of program were modestly but significantly associated with participation in compensated work therapy and with outcome. CONCLUSIONS: Unintended effects of disability compensation programs discourage full participation in vocational rehabilitation and result in poorer rehabilitation outcomes.

Adult↗
PubMed2005

Outcomes-based funding for vocational services and employment of people with mental health conditions.

OBJECTIVE: This study explored the likelihood of and identified the factors related to securing and sustaining jobs for people with psychiatric disabilities in New York State who received vocational services through an outcomes-based reimbursement program. METHODS: Quantitative and qualitative data were collected over two years to characterize placement and retention through the performance-based contracting demonstration. Seven social service agencies located statewide were contracted by the New York State Office of Mental Health to provide vocational services to people with mental health conditions through the performance-based contracting milestone structure, which established incremental steps toward the goal of sustained integrated competitive employment at which providers were reimbursed. Intake was continuous throughout the demonstration period, from December 2000 to December 2002. Key outcomes included placement in employment, time to placement, and job retention. RESULTS: Data were examined for the 171 participants who were still active in the demonstration at the end of the study period. A total of 108 participants (63 percent) were successful in securing jobs. Among those placed, 79 (73 percent) retained work at the end of the demonstration, a rate comparable to other best-practice models. Factors related to these outcomes included number of provider hours spent assisting consumers weekly, length of time to placement, consumer enrollment in the state's rehabilitation services program, and quality of the jobs developed. CONCLUSIONS: Outcomes funding was associated with successful employment for people with psychiatric disabilities. The performance-based funding structure may encourage providers to work more intensively with consumers early in the placement process, find jobs that consumers want to keep, and coordinate more effectively with the state rehabilitation agency.

Adult↗
PubMed1992

Grading secondary vocational education students with disabilities: a national perspective.

A nationwide purposive sample of secondary vocational educators completed a questionnaire that examined practices and perceptions toward grading students with disabilities. A variety of grading methods was reportedly used, but over two-thirds of respondents included a competency-based grading component. An overwhelming majority believed that student effort should be used to determine grades. Two-thirds of vocational educators had never been involved in their students' IEP development. The most common changes teachers have made over time in their grading practices included becoming more flexible and individualized in grading. Overall, teachers displayed moderately positive attitudes toward grading students with disabilities.

Adult↗
PubMed1987

Standardized performance tests and their impact on the decisions determining the type of rehabilitation program. A health service case study from a vocational rehabilitation clinic.

In the health and social sectors, many diagnostic and prognostic tests are carried out without a constant watch on (1) what influence the test results have on decisions, and (2) the impact of these decisions on every day clinical work. Consequently, it is not known whether the additional information gained, if any, justifies the expenditure necessary for resources involved in a testing procedure. In fact, the net impact of testing in every day clinical work may be negative. By carrying out a testing procedure, under the before mentioned conditions, resources would be wasted. Since the early 1970's a battery of standardized performance tests have been used at the Vocational Rehabilitation Clinic in Aarhus, Denmark. Originally, the aim of the tests was to identify and give an early discharge to those clients, that were, in any case, shown to be fit for a social pre-term pension. An early discharge of these clients would enable the Clinic to counsel a greater number of clients who were suited to vocational rehabilitation. The test period lasts two weeks, and the average stay in the Clinic amounts to about 3 months. During the years 1981 to 1983, a total of 607 clients were discharged from the Clinic. Out of the 607, 379 had been given the battery of tests. Those tested stayed 16 days longer at the clinic than the rest of the clients. A few clients got an early discharge. The associations between the test results and case closure status were weak. Furthermore, these weak associations occurred in 6 out of 51 tests.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed2004

Relationship marketing and disadvantaged health care segments: using internal marketing to improve the vocational rehabilitation process.

The purpose of vocational rehabilitation (VR) is to provide disabled individuals with the training and support services needed to assimilate into the workforce. This study incorporates concepts developed in the relationship marketing and internal marketing literature to determine the factors that influence overall satisfaction of vocational training services. Results underscore the importance of social and structural bonds that develop among the multiple stakeholders involved in the VR process. Satisfaction is also influenced by the design and equipment used in the facilities and the efficiency of initiating VR services. A highly reliable instrument to measure VR participant satisfaction is presented.

Persons with Disabilities↗
PubMed2005

Participant satisfaction with the vocational rehabilitation process: a micro perspective of relationship dimensions.

This article is the last in a series of two that examines participant satisfaction with the vocational rehabilitation (VR) process. Disabled individuals face formidable challenges when entering the workforce. The VR process involves a complex series of interactions and relationships among participants, counselors, training professionals, ancillary service providers, and employers to help participants prepare for and find employment. In the first article, we identified six relationship dimensions that influence overall satisfaction with vocational training services and presented a highly reliable survey instrument. In part two, we look at the items within each dimension and identify those with the greatest impact on participant satisfaction. The findings show that the level of caring or concern demonstrated by the counselor, an element of the interpersonal social bond dimension, has the greatest affect on participant satisfaction with the entire VR process.

Consumer Behavior↗
PubMed2006

An exploration of the relationship between academic and experiential learning approaches in vocational education.

BACKGROUND: Research on individual learning approaches (or learning styles) is split in two traditions, one of which is biased towards academic learning, and the other towards learning from direct experience. AIMS: In the reported study, the two traditions are linked by investigating the relationships between school-based (academic) and work-based (experiential) learning approaches of students in vocational education programs. SAMPLES: Participants were 899 students of a Dutch school for secondary vocational education; 758 provided data on school-based learning, and 407 provided data on work-based learning, resulting in an overlap of 266 students from whom data were obtained on learning in both settings. METHODS: Learning approaches in school and work settings were measured with questionnaires. Using factor analysis and cluster analysis, items and students were grouped, both with respect to school- and work-based learning. RESULTS: The study identified two academic learning dimensions (constructive learning and reproductive learning), and three experiential learning dimensions (analysis, initiative, and immersion). Construction and analysis were correlated positively, and reproduction and initiative negatively. Cluster analysis resulted in the identification of three school-based learning orientations and three work-based learning orientations. The relation between the two types of learning orientations, expressed in Cramér's V, appeared to be weak. CONCLUSIONS: It is concluded that learning approaches are relatively context specific, which implies that neither theoretical tradition can claim general applicability.

Educational Status↗
PubMed2001

National estimates of vocational service utilization and job placement rates for adults with mental retardation.

Data from the 1994 and 1995 Disability Supplements of the National Health Interview Survey (NHIS) were used to estimate rates of utilization of vocational services and examine employment outcomes for adults with disabilities who have received vocational services. Those living outside the formal long-term care system, and who were self or proxy identified as having mental retardation, were compared with other adults with disabilities. Analyses suggest that compared to other working-age persons with disabilities, adults with mental retardation (a) have a different population profile, (b) receive different types of services, (c) experience similar levels of satisfaction, (d) have much lower rates of competitive employment, and (e) are much more likely to be employed in segregated work settings. Research and policy implications of findings are discussed.

Adolescent↗
PubMedDate not supplied

Enhanced cognitive-behavioral therapy for vocational rehabilitation in schizophrenia: Effects on hope and work.

To address the effects of dysfunctional cognitions on vocational outcome of people with schizophrenia spectrum disorders, we developed the Indianapolis Vocational Intervention Program (IVIP), a cognitive-behavioral program of group and individual interventions. Fifty participants with schizophrenia or schizoaffective disorder were offered 6-month work placements and randomized to receive IVIP (n = 25) or standard support services (n = 25). Hours worked were measured weekly, and work performance was assessed biweekly with the use of the Work Behavior Inventory. Hope and self-esteem were assessed at baseline and at 5 months with the Beck Hopelessness Scale and the Rosenberg Self-Esteem Schedule. Analysis of variance (ANOVA) revealed that the IVIP group worked significantly more weeks and had better average work performance than the standard support group. Repeated measures ANOVA of baseline and follow-up scores indicated that the IVIP group sustained baseline levels of hope and self-esteem through follow-up, while the standard support group experienced declines. Results provide initial evidence of the effectiveness of the IVIP.

Adult↗
PubMed2002

Duration-based measures of preference for vocational tasks.

We compared results from two preference assessments with data on extended performance of vocational tasks by 4 participants with developmental disabilities. All participants engaged in one task exclusively when seven tasks were available concurrently during a 5-min multiple-stimulus assessment. By contrast, all participants exhibited high levels of engagement in most tasks when the tasks were presented singly for 5 min, and these data showed a high degree of correspondence with those obtained during extended (60-min) vocational assessments.

Adult↗
PubMedDate not supplied

Coping behavior and intelligence in the prediction of vocational rehabilitation of dialysis patients.

As part of an intensive psychiatric and psychological examination before starting hemodialysis, forty-seven patients with terminal renal failure, thirty-one men and sixteen women with an age range from the late teens to the mid fifties, had been administered with WBII and the Shanan Sentence Completion technique. The hypothesis was that coping style would predict adaptation to hemodialysis as assessed by vocational rehabilitation. Intelligence, level of education, and the tendency to perceive sources of conflict in the outer world rather than within oneself, were found predictive of subseuqent adaptations for the whole group. On all these variables, men and women showed different patterns of significant correlations between the different aspects of coping and vocational rehabilitation. Subsequent multiple step-wise regression showed women (percentage of explained variance: 75) to be more predictable than men (40%) with different variables contributing differentially to predictability. These findings, interpreted to support the general working hypothesis, are discussed in terms of their implications for treatment.

Adaptation, Psychological↗
PubMed2000

Vocational students' learning preferences: the interpretability of ipsative data.

A number of researchers have argued that ipsative data are not suitable for statistical procedures designed for normative data. Others have argued that the interpretability of such analyses of ipsative data are little affected where the number of variables and the sample size are sufficiently large. The research reported here represents a factor analysis of the scores on the Canfield Learning Styles Inventory for 1,252 students in vocational education. The results of the factor analysis of these ipsative data were examined in a context of existing theory and research on vocational students and lend support to the argument that the factor analysis of ipsative data can provide sensibly interpretable results.

Adolescent↗
PubMed2000

The factor structure of the Minnesota Satisfaction Questionnaire and participants of vocational rehabilitation.

This study investigated the factor structure of the Minnesota Satisfaction Questionnaire when used by individuals with psychiatric disabilities who are participating in vocational rehabilitation. The sample consisted of 87 respondents recruited from Columbus, Ohio, in 1996 who worked in noncompetitive employment. Factor analyses with varimax rotation conducted on the short-form of the questionnaire indicated three factors, an intrinsic factor and an extrinsic factor (as proposed by the Herzberg two-factor theory) as well as another pertaining to satisfaction derived from participating in vocational rehabilitation.

Adult↗
PubMed2002

Differential analysis of Social Security disability and vocational rehabilitation applicants.

An effort was made to differentiate the characteristics of clients who applied for Social Security Disability from those who applied for Vocational Rehabilitation. Psychological, diagnostic, intellectual, academic ability differences, and demographic factors of sex, age, and race between social security disability applicants and vocational rehabilitation applicants were examined. The latter were more intelligent and had higher academic functioning. Applicants for social security disability were less intelligent and tended to be functionally illiterate. Multiple discriminant analysis indicated that mathematics scores and differences in intelligence were the primary discriminants. Another difference appeared to be that rehabilitation clients tended to be diagnosed as substance abusers or learning disabled, while disability clients were more likely to be diagnosed as mentally retarded or having dementia.

Achievement↗
PubMed2004

Development and application of a brief measure of emotional intelligence for vocational high school teachers.

To develop a psychometrically sound, self-report measure of emotional intelligence and examine the scores of vocational high school teachers by sex and age, 375 Taiwanese vocational high school teachers (186 men, 189 women) completed the 25-item Emotional Intelligence Scale of five domains: Self-awareness, Managing Emotions, Self-motivation, Empathy, and Handling Relationships. Analysis indicated that these teachers reported higher scores on Self-awareness and Empathy but slightly lower on Managing Emotions. The women gave higher self-ratings on Self-awareness and Empathy than the men. There were also significant differences across age groups on Self-awareness, Self-motivation, Empathy and the Total score for the Emotional Intelligence Scale.

Adaptation, Psychological↗
PubMed2002

The trainee project: family-aided vocational rehabilitation of young people with schizophrenia.

This study explored the initial results of a family-aided vocational rehabilitation program for young people with schizophrenia in The Netherlands. Their parents act as 'job-finders" and traineeship providers. The traineeships obtained for the participants reflect their interests and capabilities, and the participants reported an increase in self-esteem. Some trainees entered paid employment within one year. The results suggest that family involvement, if it is tailored to individual possibilities and combined with key elements of the Individual Placement and Support model, can make a useful contribution to the vocational rehabilitation of young people with schizophrenia.

Adult↗
PubMed2004

The Working Alliance Inventory: modification and use with people with serious mental illnesses in a vocational rehabilitation program.

Sixty-four people with serious mental illness participating in a vocational rehabilitation program completed a modified version of the Working Alliance Inventory (WAI), an instrument designed to assess therapeutic alliance. Individuals and their providers completed parallel forms. Reliability data show that the modified instrument demonstrates fair to moderate test re-test reliability and modest internal consistency. Marked discrepancies in perceptions of the working alliance were reported by participants and providers. Implications for supervision of vocational providers are discussed, and suggestions are made for further investigation.

Employment, Supported↗