Journal of Vocational Rehabilitation - Volume 10, 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: Since the passage of the Americans with Disabilities Act of 1990, little has changed regarding the employment of people with disabilities. This article will review and analyze data from many sources regarding the employment of people with disabilities. Included in this analysis is employment data, compliance data collected by the Equal Employment Opportunity Commission and data regarding the attitudes of employers complying with the ADA. This analysis reveals that the ADA has had minimal impact on changing patterns of discrimination that decrease the employment opportunities for individuals with disabilities. Finally, the author makes specific recommendations that may change attitudes that…lead to discrimination against people with disabilities.
Keywords: Title I, Americans with Disabilities Act, Employment, Disability, Equal Opportunity Employment Commission, Civil rights, Discrimination
Abstract: Adolescents with chronic illness present unique challenges to healthcare providers, educators and rehabilitation professionals. As they approach adulthood, their needs place them at increased risk for health, emotional, social and vocational problems, but they often confront barriers in accessing coordinated transition services. The purpose of this article is to: (1) explore the overlooked needs of this population; and (2) recommend strategies for addressing those needs through an interdisciplinary approach to transition planning that promotes the autonomy of the adolescent.
Abstract: The article describes an empirical investigation of the factors associated with job satisfaction among employed people with chronic illnesses (n=41). Results indicated that job satisfaction is a function of the number of job mastery and accessibility/performance of essential function barriers occurring in the workplace. Hence, reduction of workplace barriers is an important post-employment service goal for employees with chronic illnesses. High priority post-employment services include (a) objective assessment of barriers to productivity in the workplace and (b) job accommodation and career counseling interventions to reduce or remove the barriers.
Abstract: Due to an enhanced understanding of the HIV disease process and the advent of more effective medical and pharmacological interventions, people with HIV and AIDS are living longer than ever before. Accordingly, HIV disease is being redefined as a chronic, long-term medical condition rather than an inevitably terminal disease. Current biological, neurological and psychological aspects of HIV disease are discussed in this article as they apply to the rehabilitation practitioner working with individuals with HIV and AIDS. Functional limitations, employment-related issues and areas of future research are also discussed from a rehabilitation perspective.
Abstract: The article presents findings from a career re-entry project for people with multiple sclerosis (MS). The effects of two job placement strategies on accommodation self-efficacy, employability maturity and employment status were compared. At a 16-week follow-up, 11 of the 37 participants (all of whom were unemployed at the inception of the project) had re-entered the labor force, an outcome that compares favorably with the 25% nationwide employment rate reported by people with MS.
Keywords: Multiple sclerosis, Chronic illness, Job placement interventions, Career development
Abstract: Rheumatoid arthritis (RA) is a chronic, systemic disorder which primarily affects the joints. Although advances in its health treatment are being made, the disorder continues to be disabling. Rates of disease-related work loss are high, but few persons receive VR services. Since decline in function is gradual, the opportunity to prevent work disability exists. Useful vocational rehabilitation strategies are those that help individuals: (a) better manage disease symptoms and reduce overall energy demand; (b) retain their current jobs through obtaining reasonable accommodations; (c) identify jobs suited to current or future limitations and the training needed to obtain them; and Cd)…enhance their ability to advocate for their own needs.
Abstract: In this article, we describe how five resilient individuals coped with career problems created by chronic illnesses. Using a variety of ‘work enhancers’ to maintain employment, each individual in the study is a positive role model for other employed people in similar circumstances. At the same time, the employees with chronic illnesses in this study have serious concerns about their ability to retain employment. These concerns are discussed as well, with particular reference to the need for systematic and intermittent post-employment support from rehabilitation professionals.
Keywords: Retention, Post-employment, Accommodations, Chronic illness, Barriers, Career maintenance strategies
Abstract: The article describes an empirical investigation of prospective rehabilitation counselors' (n=46) employment-relevant attitudes toward people with insulin-dependent diabetes mellitus. Participants were matched into pairs based on similarities in age, gender, familiarity with diabetes mellitus and whether they had taken graduate coursework in medical information. They were then randomly assigned to two groups. One group was asked to read a profile of a fictitious job applicant whose disability status was not mentioned and evaluate the applicant's credentials using the Employment Expectations Questionnaire (EEQ). The other group read and evaluated the packet in the same fashion, but the applicant was described as…having insulin-dependent diabetes mellitus. Results indicated that the diabetes label had no significant effect on participants' ratings of the job applicant, indicating that ratings were formulated without respect to the illness.
Keywords: Diabetes mellitus, Employment expectations, Attitudes toward people with disabilities