Providing effective early intervention vocational rehabilitation at the community level

Authors: 
Allaire, S. J., Niu, J., Zhu, Y., & Brett, B.
Year Published: 
2011
Publication: 
Rehabilitation Counseling Bulletin
Volume: 
54
Number: 
3
Pages: 
154-163
Publisher: 
Hammill Institute on Disabilities
Background: 

The National Council on Disability noted that the number of persons with disabilities in the United States is increasing and that this is because our population is aging, and rates of disability increase with age.

Purpose: 

The purpose of this study was to evaluate the translation of positive research findings about a job retention intervention for persons with chronic illnesses to rehabilitation practice.

Setting: 

The setting was various rehabilitation counseling agencies.

Sample: 

The study sample included 57 individuals with chronic illness.

Data Collection: 

Data was collected by telephone within two weeks of the last meeting with the counselor and again at 6 months.

Intervention: 

Job retention intervention that included: vocational counseling and guidance, job accommodation, and educational and self-advocacy.

Control: 

There was no control or comparison condition.

Findings: 

Follow-up data indicated that the interventions should be more individualized. Short term outcomes evaluated in this study showed that consumer participants experienced significant improvement in awareness and confidence in ability to manage health related work problems and took actions recommended by the counselors.

Conclusions: 

The results indicate that job retention interventions can be effective when carried out in practice at the community level.

URL: 
http://rcb.sagepub.com/content/54/3/154.full.pdf+html
Populations: 
Outcomes: 
NIDILRR Funded: 
Research Design: 
Peer Reviewed: 
Yes

Work resumption after vocational rehabilitation: A follow-up two years after completed rehabilitation

Authors: 
Ahlgren A, Bergroth A, Ekholm J, Schüldt K
Year Published: 
2007
Publication: 
Work: A Journal of Prevention, Assessment and Rehabilitation
Volume: 
23
Number: 
4
Pages: 
343-354
Publisher: 
IOS Press
Background: 

Sick leave absence and disability have become burdensome both socially and financially. The causes of sickness absence are numerous and so are the factors that, positively and negatively, are associated with successful rehabilitation defined as work resumption after vocational rehabilitation (VR) One of the key factors important for the outcome of VR services is early rehabilitation intervention.

Purpose: 

The primary objective of this study was to evaluate work resumption among individuals that were on sick leave and then participated in VR services. The aim of the follow-up was to assess the stability of the outcome of VR over time and to analyze factors of importance for clients that remained at work.

Setting: 

The setting was various vocational rehabilitation programs.

Sample: 

A review of 815 cases where the clients had taken part in vocational rehabilitation.

Data Collection: 

The data was case outcome reviews.

Intervention: 

The intervention was vocational rehabilitation services.

Control: 

There was no control or comparison condition.

Findings: 

Of the clients studied, 52.4% had attained full working capacity directly after completed VR. The proportion had decreased to 37.4% two years later. One factor that differed between those who resumed work and those who returned to sick leave was the duration of the previous sick-leave period. Those who returned to work had had shorter sick leave, had jobs to return to and had received job training as a vocational rehabilitation measure.

Conclusions: 

The clients with the best chances of being in work two years after completing vocational rehabilitation were those with short sick leave absence, had job training through vocational rehabilitation, between the ages of 16-29 and were employed in industry

URL: 
http://www.ncbi.nlm.nih.gov/pubmed/17522455
Disabilities: 
Populations: 
Outcomes: 
NIDILRR Funded: 
Research Design: