Journal of Vocational Rehabilitation - Volume 10, 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: People experiencing functional loss related to spinal cord injuries frequently require help with activities of daily living, often referred to as attendant care or personal assistance services. There are several public policy issues related to how those services are developed and structured that impact community living and employment. Nationally and in many states, people with spinal cord injuries are advocating for services that they personally control, known as consumer-directed services. This article discusses problems with the traditional, medically-based services, consumer-directed personal assistance services in Virginia and related research findings on recipient outcomes.
Keywords: Independent living, Personal assistance, Attendant care
Abstract: Each year there are approximately 2000 children and adolescents who sustain spinal cord injuries (SCI) in the United States. The unique challenge of pediatric rehabilitation for these individuals and their families is, not only to provide efficient and effective rehabilitation after injury, but to guide these individuals throughout the years of childhood and adolescence. The ultimate goal is to assure that they are prepared for a smooth transition into adulthood. This article reviews the important transition issues of pediatric SCI for the patient and family. These issues include education, vocation, independence, sexuality, psychosocial development and long-term healthcare.
Abstract: Over 1000 cases from the Job Accommodation Network caseload that involved workers with spinal cord injury were examined in terms of the nature of the industry, job, career progression, job function and accommodation solutions suggested. The cases for those who reported the disability as paraplegia and quadriplegia were compared. Suggested accommodations and issues raised by the callers are also discussed.
Abstract: Radical and emerging changes in health care service delivery systems and steady increases in the number of chronic health conditions have shifted more responsibility to family caregivers of people with disabilities. These caregivers essentially operate as formal health care providers who receive little or no recognition, support, or preparation from health care systems. In this article, major societal and psychological issues in caregiving are discussed. We also explore interventions to prepare and assist caregivers that effectively integrate them into the rehabilitation process.
Keywords: Caregivers, Family, Rehabilitation, Physical disability, Health care providers
Abstract: Obtaining full-time employment following a spinal cord injury (SCI) can be a very difficult experience both for the individual with the SCI and for the vocational rehabilitation counselor assisting them. Maintaining full-time employment appears to generate a variety of negative long-term consequences in financial, physical and emotional areas. Alternatives are presented to remove or reduce the deleterious long-term effects in each of these areas. An expanded role for the counselor is suggested.
Abstract: Unfortunately, the vast majority of individuals with severe physical disabilities including spinal cord injury (SCI) are not part of the nation's workforce. Innovative approaches for improving and expanding the provision of existing vocational rehabilitation services to individuals with spinal cord injuries must be developed to facilitate the entry or re-entry by this group of individuals into competitive employment. This article describes one approach to identifying and providing workplace supports including supported employment and assistive technology services and devices.
Abstract: Spinal cord injury (SCI) results in catastrophic and lifelong neurologic and functional changes. This article discusses recent innovations in the management of individuals with SCI, such as: (1) cost-effective health services via ‘clinical pathways’ and ‘case management’ approaches over the continuum of care; (2) recent clinical research into key prognostic indicators for neurological recovery after SCI; (3) innovations in the care and treatment of medical complications resulting from SCI; (4) recent and future advances in electrical stimulation to muscles and nerves to assist movement and functional control; and (5) ongoing basic science and clinical research dealing with the repair and…cure of SCI. Exciting innovations are expected to continue in the research and in the management of individuals with SCI which will enhance the delivery of coordinated, comprehensive and cost-efficient care for this population.
Keywords: Spinal cord injury, Innovations, Recovery, Research
Abstract: This article examines transportation training and support methods for individuals with severe disabilities. Addressing transportation needs is critical for insuring consumer self-determination in employment, housing and social/recreational outlets. Case studies are presented that illustrate the various methods described.