Journal of Vocational Rehabilitation - Volume 6, issue 2
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Journal of Vocational Rehabilitation will provide a forum for discussion and dissemination of information about the major areas that constitute vocational rehabilitation.
Periodically, there will be topics that are directed either to specific themes such as long-term care or different disability groups such as those with psychiatric impairment. Often a guest editor who is an expert in the given area will provide leadership on a specific topic issue. However, all articles received directly or submitted for a special issue are welcome for peer review. The emphasis will be on publishing rehabilitation articles that have immediate application for helping rehabilitation counselors, psychologists and other professionals in providing direct services to people with disabilities.
Original research articles, review articles, program descriptions, and case studies will be considered for publication. Ideas for special topical issues are welcomed as well.
Abstract: This article explores the anticipated impact of the 1992 Amendments to the Rehabilitation Act, the Americans' with Disabilities Act (ADA) and the Individuals' with Disability Education Act (IDEA) on the service delivery system for a deaf-blind population that appears to be growing and changing. The impact of these laws and suggestions for service delivery systems are presented.
Keywords: Deaf-blindness, Legislation, Vocational rehabilitation, Education, Vision and hearing loss
Abstract: There has been a raging controversy of long standing in psychology and rehabilitation about how to predict occupational success and other important life outcomes (McClelland, 1973; Barrett and Depinet, 1991). Some practitioners are advocates of psychological tests (Barrett and Depinet, 1991); others argue instead for measures of competence or function (situational samples, job samples, etc.). Assessment is a dynamic process that is still emerging. This concept is often difficult to grasp when confronting the challenges of assessing persons who are severely, multiply impaired. A good illustration of this process may be found in the delivery of services to persons who…are deaf-blind. Traditional assessments (i.e. standardized tests) are not productive when used with persons who are deaf-blind. Results are limited because the norm-reference is invalid. Assessments have traditionally focused on predicting outcome. It is noted that there has been a shift from prediction to description in assessment when trying to assess persons who are impaired. This article reviews that process. It calls for the greater utilization of functional assessments which are used: (1) to identify critical behaviors that are present to some degree; (2) use assessments data to develop interventions; and (3) monitor progress over time using an ipsa lateral approach where the person serves as both subject and control.
Abstract: The topic of cochlear implantation for adults and children has stimulated a great amount of discussion over the past few years. The following article reviews the basic components of the cochlear implant, and discusses the evaluation procedures and criteria for candidacy. It is written for rehabilitation professionals who are not as yet familiar with the device and may have an opportunity, in the future, to work with an individual who was implanted. The experiences encountered by an individual who is deaf blind during the process of cochlear implantation is presented.
Keywords: Cochlear implant, deaf-blind, profound hearing loss, post lingual deafness, hearing loss
Abstract: In the mid 1960s, an epidemic of rubella, also known as German measles, swept across the country. Women who contracted rubella during the first trimester of pregnancy gave birth to babies with an array of problems including deafness, blindness, heart problems, and developmental disabilities. Of the thousands of children estimated to have been born with congenital rubella syndrome (CRS) during that time, many were born deaf-blind and with cognitive delays. As these children entered their adult years, there were reports that some were developing additional medical conditions. This article summarizes the results of a national survey conducted by the Helen…Keller National Center for Deaf-Blind Youths and Adults from 1989 to 1991. The goal of the survey was to determine the nature, scope and severity of late onset symptoms in those who are deaf-blind due to CRS. Results indicated that in addition to higher than expected incidences of glaucoma and diabetes, there were reports of hypo- and hyperthyroidism, hormone imbalances, premature aging, and esophageal and gastrointestinal problems.
Keywords: Deaf-Blind, Rubella, German Measles, Late Onset Medical Problems, Diabetes, Glaucoma
Abstract: The impact of the diagnosis of and limitations imposed by Usher syndrome, type 1, on adolescents is significant A review of early, middle, and late adolescence is given and then applied to teens who are ‘just deaf. This is extended by describing the impact of Usher on socialization, education, communication, and interaction for the teenager himself/herself; the educational system, and the family. All spheres of life are profoundly affected. There are suggestions about educational modifications, environmental modifications, communication adaptations, and service recommendations such as group meetings for teens with Usher and separate groups for families. The article is based on…interviews with 45 people with Usher syndrome, type 1, discussing their own adolescent periods.
Abstract: An overview of adaptive technology for individuals who are deaf-blind. The description includes different basic features that are available in particular types of equipment, including: braille access devices, braille embossers, braille translators, computer screen magnification systems, optical character recognition scanners, closed circuit televisions, and braille/print typing systems. Some additional descriptions of advanced features are discussed. Several hybrid adaptive aids are also described, including: Braille Lite, Telebraille III, Infotouch, Braille Telecaption System, Large Print TDD, Mountbatten Brailler, and Optacon II. A listing of manufacturers/distributors and other additional sources of information follows the article.
Abstract: In order to provide quality and effective orientation and mobility instruction to the student with Usher syndrome, it is crucial that the provider be cognizant of the significantly different needs of these students. This article will review the major differences between hearing-blind and deaf-blind O & M services, and will address the salient mobility issues that impact the Usher student.
Keywords: Deaf-blind, Orientation and mobility, Usher syndrome, Blindness, Community access
Abstract: Based on a mailed survey from 142 ASEB business managers, ASEBs are a viable employment support, vocational rehabilitation model that can be used by and for people with psychiatric disabilities in their recovery experience. ASEBs are a flexible rehabilitation model which assist individuals with developing a worker identity, specific skills and experience, a job reference, experience with job accommodations and opportunities with business development. ASEBs must be cautious in assuring career development, addressing the dual mission, and avoiding a sheltered employment model.