Characteristics and experiences of Youth who are Deaf-Blind

Authors: 
McGilloway, S., & Donnelly, M.
Year Published: 
2017
Pages: 
1-38
Publisher: 
The NRTC on Blindness & Low Vision
Background: 

According to the National Center on Deaf-Blindness' (NCDB) there have been 8,937 individuals from age 3 to 21, identified with deaf-blindness. Approximately two thirds of transition-age youth with deaf-blindness have participated in state vocational rehabilitation (VR) programs. However, very limited research exists that gives an accurate depiction of the deaf-blind community's experience.

Purpose: 

This report describes deaf-blind youth in a sample from 2001 to 2009 and examines the population's characteristics, secondary school experiences, academic achievements, postsecondary school attendance, and employment experiences. The perspective of this report is from that of parents/guardians, youth, and teachers.

Setting: 

Data for this report come from the National Longitudinal Transition Study-2 (NLTS2) from 2001 to 2009. Data for this sample were collected via mail surveys and interviews of youth and their parents/guardians, surveys of school personnel, and district assessments.

Sample: 

Participants included young adults who identified as having visual and auditory loss as a primary disability.

Data Collection: 

Data collection used in this NLTS2 sample were conducted every two years with a total of five waves from 2001 to 2009 with the largest sample size occurring during Wave 1 (170).

Intervention: 

There was no intervention.

Control: 

There was no control group.

Findings: 

A detailed description of the school and employment experience of young adults who are deaf-blind is included in this report. However several commonalities presented themselves within this sample including that the majority of respondents (92% or more), lived with their parent(s) or other relatives, received transition planning for adult life, received special services from their school, and most had one or more accommodation identified on their individualized education program (IEP).

Conclusions: 

Although this dataset has been used to represent transition aged youth with disabilities in the past, this report is the first for young adults who are deaf-blind in the United States at a national level. These data are somewhat dated and it would be beneficial to continue this research with a more recent sample.

URL: 
http://www.blind.msstate.edu/docs/characteristicsAndExperiencesOfYouthWhoAreDeafBlind.pdf
NIDILRR Funded: 
Research Design: 
Peer Reviewed: 
No

Rehab rounds: Supplementing supported employment with workplace skills training.

Authors: 
Wang, P., Simon, G., Avorn, J., Azocar, F., Ludman, E., McCulloch, J., Petukhova, M., & Kessler, R.
Year Published: 
2004
Publication: 
Psychiatric Services
Volume: 
55
Number: 
5
Pages: 
513-515
Publisher: 
American Psychiatric Publishing
Background: 

Supported Employment for persons with serious and persistent mental illness has been termed Individual Placement and Support. In two randomized controlled trials clients who received Individual Placement and Support services were more likely to obtain at least one job in the competitive sector and to work more hours, and to have a higher total income than their counterparts who received more traditional types of vocational rehabilitation. However, individual placement and support did not improve the length of time the employed participants kept their jobs.

Purpose: 

The purpose of this report is to present the preliminary results of a randomized comparison of the workplace fundamental skills module's effects on job retention, symptoms, and community functioning when coupled with individual placement and support.

Setting: 

The setting was a community mental health center and various places of employment.

Sample: 

The study sample included 42 individuals with a diagnosed mental health disorders.

Data Collection: 

Data was collected about job acquisition, hours worked, wage and job retention.

Intervention: 

The intervention was Work skills training and Individual Placement and Support.

Control: 

The control condition was Individual Placement and Support only.

Findings: 

Thirty-four individuals, 17 in each group were employed during the project. There was no significant difference in the hours worked or the earnings for the two groups. The control group held significantly more jobs than the group receiving both modalities indicating there was significantly more job turnover in the group that received individual placement and support only.

Conclusions: 

The most relevant finding from the study was the greater job retention among the participants who received the combination of individual placement and support and the workplace fundamental skills module.

URL: 
https://www.researchgate.net/publication/8576628_Rehab_Rounds_Supplementing_Supported_Employment_With_Workplace_Skills_Training
Disabilities: 
Populations: 
NIDILRR Funded: 
Peer Reviewed: 
No

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

Authors: 
Gentry, T., Kriner, R., Sima, A., McDonough, J., & Wehman, P.
Year Published: 
2005
Publication: 
Psychiatric Services
Volume: 
56
Number: 
11
Pages: 
1429-1435
Publisher: 
American Psychiatric Publishing
Background: 

Individuals with mental health condition have low employment rates. In order to promote better employment outcomes policy makers have investigated funding strategies. This includes outcomes funding paying the provider for milestones. However, there is limited evidence about this approach.

Purpose: 

The purpose of this study was to describe the employment experiences of individuals with psychiatric disabilities, who received services through an outcomes based funding program in New York. The study questions were What was the likelihood that participants in the performance based contracting demonstration secured a placement and retained work? And what factors were associated with securing a placement,time to secure a placement and job retention?

Setting: 

The settings for this study were seven non-profit social services agencies in New York state who submitted proposals for and were funded for an outcome-based service funding demonstration project.

Sample: 

Seven non profit social service agencies in New York State participated in the study. They represented various regions from city to rural. They also ranged in size from 40 to 2000 employees. Each offered vocational rehabilitation services. Some offered other types of services too like housing, mental health etc...

Data Collection: 

Data was reviewed for individuals who were still active at the end of the study period. The likelihood that placements retained their jobs was assessment using life tables. Logistic regression was used too. SPSS 12.0 was used to perform all analyses.

Intervention: 

The intervention was the implementation of a milestone-based reimbursement system for providing employment services to individuals with psychiatric disabilities.

Control: 

The study used a pre/post design with agencies serving as their own controls.

Findings: 

At the end of the demonstration, 171 of 310 consumers with mental illness remained active. The mean age of these individuals was 42 years, and most or 57% were male. Over a third or 35% lived in supported housing. Most receive federal income assistance. About half (47%) completed some or received a post secondary degree. Thirty three percent had a diagnosis of schizophrenia. This was followed by 23% other mood disorders, 22% bipolar and 14% schizoaffective disorder and 9% other. Among the 171 participants,70 were placed in a job and 38 were placed more than once. The most frequent type of job was administrative and sales at 24% each. At the end of the demonstration, 73% of the participants were employed and 54% had retained employment for 6 months. Factors related to outcomes included: number of hours provider expended assisting the consumer on a weekly basis, length of time to job acquisition, consumer enrollment with state vocational rehabilitation services, and quality of jobs developed.

Conclusions: 

Outcomes based funding leads to successful employment outcomes for individuals with mental illness. Rates of placement and retention are comparable to those of other vocational programs. More research is needed.

URL: 
http://www.ncbi.nlm.nih.gov/pubmed/16282263
Disabilities: 
Populations: 
Outcomes: 
NIDILRR Funded: 
Research Design: 
Peer Reviewed: 
No

A hybrid supported employment program for persons with schizophrenia in Japan

Authors: 
Gamble, D., & Moore, C. L.,
Year Published: 
2000
Publication: 
Psychiatric Services
Volume: 
51
Number: 
7
Pages: 
864-866
Publisher: 
Psychiatric Services
Background: 

Individuals with Schizophrenia remain hospitalized for extended periods of time in Japan even after their symptoms have lessened. There are few community rehabilitation programs for this group. Most return to live with families, who may not be prepared, to provide the support the individuals requires to remain in the community. Getting involved in work activities can help facilitate successful community reentry.

Purpose: 

This paper described an innovative hybrid program; that combined practices associated with transitional employment and supported employment models, to assist individuals with schizophrenia with employment.

Setting: 

The setting was a psychiatric hospital and various employment sites in Japan.

Sample: 

Charts were reviewed to determine social and vocational adjustment and rehospitalization rates of 52 individuals who had participated in the program and went to work. The average age of the participants at the time of the survey was 51 years. Thirty six were men and 16 were women who had been consecutively discharged between 1977 and 1990. The onset of mental illness was 23 years. All had a diagnosis of schizophrenia and on average had been hospitalized for 8.9 years prior to going to work.

Data Collection: 

Clinical records since the onset of illness were reviewed for each participant.

Intervention: 

The intervention was a hybrid model of vocational rehabilitation that included occupational therapy with an employer council.

Control: 

There was no control or comparison conditions.

Findings: 

Fifty two individuals worked from three months to seventeen years. The follow up survey indicated 20 individuals were employed and living in the community, 15 lived with families and were not working and 17 were hospitalized. On average participants were hospitalized an average of 1.5 times after supported employment as compared to 3.2 beforehand. Events associated with this included: more symptoms due to not taking medication and quitting a job. The time spent out of the hospital increased from 54% before supported employment to 68% afterwards.

Conclusions: 

The hybrid model of vocational rehabilitation helped many patients successfully integrate in to the community. Success rates at work were excellent for a population that typically experiences poor outcomes. There appears to be cross cultural validity in this approach.

URL: 
http://www.ncbi.nlm.nih.gov/pubmed/10875948
Disabilities: 
Populations: 
NIDILRR Funded: 
Research Design: 
Peer Reviewed: 
No

Factors associated with participation in employment for high school leavers with autism

Authors: 
Chiu, C., Chan, F., Strauser, D., Feuerstein, M., Ditchman, N.,Cardoso, E., O'Neill, J., & Muller, V.
Year Published: 
2013
Publication: 
Journal of Autism and Developmental Disorders
Volume: 
43
Number: 
8
Pages: 
1832-1842
Publisher: 
Springer US
Background: 

Research about what happens after students with autism leave high school is limited. Some research has focused on factors related to transitioning from school to work. In addition a few studies have investigated predictors of participation in employment for individuals with autism. Individuals with autism would like to be gainfully employed but many barriers exist. To help ensure a successful transition from secondary school to work more information about the factors associated with this process is needed.

Purpose: 

This study used a national representative data set to identify factors associated with employment.

Setting: 

The setting for this study is not described.

Sample: 

A secondary data analysis of NLTS2 longitudinal data set was performed. The sample included 830 secondary school students (ages 13 through 16) who had autism as a primary disability. The study sample was taken from currently available NLTS2 raw data from Institute of Educational Sciences.

Data Collection: 

This included data from the NLTS2 Waves 1 to Wave 4 parent/youth phone interview and/or mail survey data (Wave 1 was collected in the 2000–2001; Wave 2 was collected in the 2002–2003; Wave 3 was collected in the 2004–2005; and Wave 4 was collected in the 2006–2007 school years) and Wave 1 to Wave 2 school program survey data (Wave 1 was collected in the 2001–2002 and Wave 2 was collected in the 2003–2004 school years). The information was gathered for the first time in the 2000–2001 school year and last time in the 2006–2007 school year. SAS 9.2 was used for statistical analyses. All the data used had no missing values. The cases containing missing values were removed. Variables were described using descriptive statistics. Continuous variables, values were reported as means ± standard deviations (SDs). Categorical variables, values were reported as percents. A three-step process was used to determine the factors significantly associated with participation in employment for students with autism.

Intervention: 

There were several interventions. These included school based counseling and vocational services as well as contacting post secondary service providers.

Control: 

There was no control or comparison condition.

Findings: 

Among those students who left high school (weighted n = 4,167), 56 % (weighted n = 2,333)had participated in employment after exiting high school and 44 % (weighted n = 1,834) had not. The average age of those who went to work was 21 years. They worked in 29 different types of occupations. The top five job types included: material recording, scheduling, dispatching, and distribution (36.3 %), information and record clerks (12.9 %), building cleaning and pest control workers (8.5 %), retail sales workers (5.2 %), and other production occupations (5.1 %). The mean hourly wage was $7.90 with a range from $2.00 to $30.00, (SD = $22.00).

Conclusions: 

Family social status, student characteristics, and high school transition planning services were the significant factors that impacted whether or not individuals participated in employment.

URL: 
http://www.ncbi.nlm.nih.gov/pubmed/23224594
Outcomes: 
NIDILRR Funded: 
Research Design: 
Peer Reviewed: 
No

Potential of mobile social networks as assistive technology: a case study in supported employment for people with severe mental illness

Authors: 
Zanis, D. A., Coviello, D., Alterman, A. I., & Appling, S. E.
Year Published: 
2008
Publication: 
10th international ACM SIGACCESS conference on Computers and accessibility
Pages: 
239-240
Publisher: 
ACM Digital Library
Background: 

Mobile social network services are being used to help individuals with mental illness travel to and from work and other places in the community. This prototype system may reduce the amount of time a job coach spends teaching a person a route to and from work and help reduce worries related to safe travel.

Purpose: 

This paper offers a case report about using the prototype.

Setting: 

The setting for this study is not described.

Sample: 

The case study describes a woman with an intellectual disability and epilepsy.

Data Collection: 

Field observations revealed none of the participants got lost. A number of scenarios were set up to test the advance functions of the system. An evaluation also took place. The information gained was used to convince job coaches to participate in upcoming trials and give feedback about how to improve the design.

Intervention: 

The intervention is mobile social networks.

Control: 

There was no control or comparison conditions.

Findings: 

The system takes both location and time into account. This makes it more useful to the end-user and caregivers.

Conclusions: 

Some individuals forget how to travel to work. Mobile social networks can help.

URL: 
http://dl.acm.org/citation.cfm?id=1414517
Disabilities: 
Populations: 
Outcomes: 
NIDILRR Funded: 
Research Design: 
Peer Reviewed: 
No

Critical strategies for implementing supported employment

Authors: 
Bond, G. R., Becker, D.R., Drake, R.E., Rapp, C.A., Meisler, N., Lehman, A.F., Bell, M.D., & Blyler, C.R.
Year Published: 
2007
Publication: 
Journal of Vocational Rehabilitation
Volume: 
27
Number: 
1
Pages: 
13-20
Publisher: 
IOS Press
Background: 

Supported employment is considered to be "the most effective approach to increase work opportunities for people with severe mental illness [3–5]" (p. 13). However, access to Supported Employment services is difficult to obtain.

Purpose: 

The paper offers "a review of experiences by six states and the District of Columbia in disseminating an evidence-based practice, supported employment (SE). Each jurisdiction had unique strengths and barriers to overcome to effectively implement supported employment services for people with severe mental illness" (p. 13).

Setting: 

"Project leaders from the original six states and the District of Columbia" provided information as to how they were able to increase "access to high-quality SE services in their areas" (p. 13).

Sample: 

Maryland, South Carolina, District of Columbia, Oregon, Vermont, Kansas, Connecticut

Data Collection: 

Seven states (including the District of Columbia) reported unique aspects of implementing supported employment. The approach used was similar to that of a case study.

Intervention: 

Individual Placement and Support (IPS) is a systematic approach to helping people with severe mental illness achieve competitive employment. It is based on eight principles: eligibility based on client choice, focus on competitive employment, integration of mental health and employment services, attention to client preferences, work incentives planning, rapid job search, systematic job development, and individualized job supports. Systematic reviews have concluded that IPS is an evidence-based practice

Control: 

Control conditions varied across the studies. Conditions included Group skills training, enhanced vocational rehabilitation, psychosocial rehabilitation, diversified placement, train-place, sheltered workshop, brokered vocational rehabilitation, and traditional vocational services.

Findings: 

"Diverse strategies were used to augment implementation of supported employment services: a) Instituting state-level administrative procedures and reconfiguration of local staffing to enhance collaboration between mental health and vocational rehabilitation; b) Promoting SE services through the media, online training, and training by early adopters; c) Hiring benefits specialists; d) Teaching outcome-based supervision; and e) Building capacity for supported employment fidelity reviews" (p. 13).

Conclusions: 

"Dissemination of evidenced-based supported employment was enhanced when six states and the District of Columbia addressed special aspects. Supported employment implementation included different pathways to good employment outcomes" (p. 13).

URL: 
http://www.worksupport.com/kter/documents/pdf/CriticalStrategies.pdf
Disabilities: 
NIDILRR Funded: 
Research Design: 
Peer Reviewed: 
No