Journal of Vocational Rehabilitation - Volume 1, issue 3
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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: The literature on employment outcomes for persons with severe mental illness is updated, suggesting seven problem areas needing research attention. Basic questions such as the availability of vocational programs and their efficacy have been incompletely answered. Conceptual and methodological problems relating to sample definition, program implementation, and measurement of outcome continue to impede comparison between studies. The supported employment movement has helped rejuvenate interest and optimism in the vocational potential of persons with severe mental illness, while posing new research questions. A process perspective is offered as one framework for research.
Abstract: This article reports on a multisite, longitudinal study of participants in three psychosocial rehabilitation centers. Two hundred seventy-five subjects who identified themselves as having a vocational goal were studied over a three-and-one-half-year period. Demographic and clinical variables were examined, as were vocational outcomes. Subjects who became employed were compared to those who did not, on a variety of demographic and clinical indicators; surprisingly, there were few differences. Base-rate vocational outcomes are suggested for participants in psychosocial rehabilitation centers. Implications of these findings are discussed.
Abstract: Participation in paid work in competitive industry through placement in supported employment is compared and analyzed for two populations: 212 persons with a primary psychiatric disability and 1,588 persons with a non psychiatric primary disability. Results are organized in two areas: service patterns through an analysis of types of interventions, and outcomes from supported employment services. Results indicate differences in the types and amounts of interventions provided, with the majority of interventions for both populations studied provided at the job site. Persons with a psychiatric disability consistently earn higher wages across a variety of service models than do persons in…the other group. Differences between the two populations were also found in types of jobs, job retention, and reasons for separation from employment. Results represent an expansion of the limited data base available to evaluate the design and effectiveness of supported employment services for persons with a psychiatric disability.
Abstract: Impetus for the promotion of interagency collaboration between the vocational rehabilitation system and the mental health system came about after the signing of the joint National Institute for Mental Health/Rehabilitation Services Administration Interagency Agreement in 1978, drawing particular attention to the needs of persons with long-term mental illness. As a result of this federal agreement, joint demonstration projects and cross-agency training grants were funded in order to facilitate collaborative activities between the MH system and the VR system on state and local levels. The efforts of one such federally funded interagency training program conducted by faculty and staff from the…University of Pittsburgh throughout the six states of RSA Region III are detailed. Recommendations are made with respect to facilitating interagency collaborative efforts based on these training experiences.
Abstract: The rehabilitation alliance refers to the mutual respect, trust, and seriousness of purpose that are essential for relationships that plan and support coordinated treatment-rehabilitation programming. It is considered in depth in the relationship between client and practitioner and among members of the rehabilitation team. Special mention is made of the vocational dimension of the rehabilitation process and the vocational rehabilitation practitioner as a member of the team.
Abstract: This article challenges human service organizations to empower consumers by involving them at all levels in service-delivery systems. Historically, professional staff have held the dominant role, but this is changing. A powerful consumer movement of people with psychiatric disabilities is spreading across the United States. The potential impact of this new consumer revolt is best understood in the context of the more general consumer movement, which, over three decades, has literally changed how America does business. The author outlines the rise of consumerism in the United States and draws parallels with the evolving consumer movement of people with psychiatric…disabilities. Management gurus and leaders in the psychiatric consumer movement are quoted with examples of consumer involvement to support the author's contention that people with psychiatric disabilities themselves must have a dominant role in the development and delivery of services.
Abstract: The four reviews contained in this issue sample the range of information available for individuals who assist people in their recovery process. Anthony, Cohen, and Farkas (1990) describe the philosophic foundation of rehabilitation services as well as systematic procedures for initiating and sustaining quality support services. Haas (1990) provides an insightful account of his experiences as a beginning professional in a mental health institute. His comments may not be welcome news to many service providers. Millet (1990) takes the reader on an historical journey as she copes with rebuilding her life as a recipient of services. Finally, Sher and Gottlieb…(1989) provide excellent suggestions for the development of success teams to support each of us in our quest for quality-of-life outcomes. My sincere appreciation is extended to two of my colleagues, Pat Harder and Sue Tharnish, for their excellen1 contributions to this issue.