Predicting client employment outcomes from personal history, functional limitations, and rehabilitation services
|Authors:||Bond, G. R. & Drake, R.|
|Publication||Rehabilitation Counseling Bulletin|
|Publisher||Rehabilitation Counseling Bulletin|
Since the 1950‚ rehabilitation research has been try to find out which variables influence or predict successful employment outcomes for rehabilitation clients. The rationale behind such an investigation is that if we understand the determinants of successful outcomes, we can intervene to increase the likelihood of success for vocational rehabilitation (VR) clients. Consequently, research on the prediction of rehabilitation outcomes has been extensive, including examinations of numerous demographic, psychological, social, and service variables for a wide variety of client populations. The VR process consists of three service phases: (a) referral, (b) diagnostic evaluation and rehabilitation planning, and (c) service provision, all of which lead to some type of vocational outcome at case closure. Despite the fact that rehabilitation outcomes have been extensively researched, very few studies have attempted to assess the predictability of outcomes from variable sets that reflect the multiple phases of the VR service process while controlling for the effects of disability. Ideally, a comprehensive, quantitative investigation of rehabilitation outcomes should include, at minimum, the following data elements: (a) personal history information collected using the application for services form (referral phase), (b) diagnostic information summarized in a functional limitations profile (evaluation and planning phase), and (c) specific rehabilitation services provided to clients as stipulated in the rehabilitation plan. Despite efforts not one single investigation of the prediction of vocational outcomes has been reported in the rehabilitation literature that used data from all three phases of the VR process.This study was the first.
The purpose of the study was to quantify the major phases of the VR service process, using large samples of clients that enabled control for the influence of disability and statistical analysis of all variables simultaneously, thereby quantifying the VR service system. The research questions were: How much variance in employment outcomes can be explained by three sets of predictor variables that represent the three major phases of the VR service process? Which variables made the largest contributions to the explanation of employment outcomes? The study assessed vocational outcome at closure in two ways (a) Competitively employed clients were compared to clients who were not working, and (b) weekly salary was analyzed for the competitively employed clients.
This study included individuals with disabilities served by the state of Arkansas' vocational rehabilitation agency in various settings.
Participants in this study were 25 predominantly Caucasian (n=18, 72%) females (n=19, 76%) between 18 and 64 years of age.
Four sets of variables: personal history, functional limitations, rehabilitation services and employment outcomes were measured. The Scale of Social Disadvantage, was developed to predict competitive employment for VR clients from information collected on the application form. The FAI, a behaviorally anchored, counselor rated tool was used to measure a client's functional limitations and key environmental factors that are relevant to VR service planning. Three categories of rehabilitation service variables were used. Two discrete services were job placement and personal adjustment training. Three aggregate service variables were vocational training, restoration, and maintenance. Two global measures of service intensity were time in rehabilitation and total service costs. Various service variables were excluded from the analysis like counseling, diagnosis, support and transportation. Two criteria related to employment success, competitive employment versus not working. Weekly salary for competitive employment were used. Clients closed in other work statuses (i.e.. workshop, student, homemaker etc.) were excluded from the analysis.
There was a comparison condition. The study compared outcomes across disability groups.
The combination of personal history items in the Scale of Social Disadvantage predicted competitive employment and salary at closure. Job placement services was by far the greatest contributing factor to achieving competitive employment. The authors expected that Functional Assessment Inventory factors would also predict employment outcomes for VR clients. However, this investigation did not uphold this finding. There was a minimal relationship between functional limitations and employment outcomes.
The study supported the following conclusions: 1) competitive employment is more predictable and thus more susceptible to improvement than salary at closure; 2) personal history information constitutes a quantitative basis for calculating an estimate of client case difficulty; 3) job placement services, the most important determiner of competitive employment, should receive greater emphasis in VR counselor education programs; and 4) functional limitations should continue to be evaluated by counselors in conjunction with the VR client diagnostic and service planning phase. The results should be used to improve counselor training and service delivery.
|Disabilities||Emotional disturbance | Intellectual disabilities | Orthopedic impairments | Specific learning disabilities|
|Populations||Male & Female | Black / African American | White / Caucasian|
|Outcomes||Employment acquisition | Return to work|