Journal of Vocational Rehabilitation - Volume 22, 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 paper provides a comprehensive overview of the most current medical, psychosocial, and vocational information on HIV/AIDS as it relates to vocational rehabilitation. Counseling strategies and suggestions are given for vocational rehabilitation professionals to use when working with this population.
Abstract: This paper details the development and implementation of employment and independent living services for people living with HIV/AIDS over year one of a three-year project. Specifically, we describe the ongoing collaborative process, based on participatory action strategies, that is being utilized in the development of this multi-faceted, intensive, personalized and coordinated program of services. Further, we provide preliminary results regarding the benefits of this model of service provision for addressing the employment needs…of individuals living with HIV/AIDS. We conclude with a detailed discussion of the challenges and successes of these efforts.
Abstract: New treatments introduced in the early to mid 1990s led to greatly improved health and quality of life for many people with HIV/AIDS, prompting some to consider workforce reentry. In this paper, we relate three projects we have undertaken since 1996 in which we have worked to develop an understanding of the workforce reentry process for people with HIV/AIDS. In the first, a survey of HIV/AIDS case management clients throughout Los Angeles County, we noted a…substantial need for workforce reentry assistance services, and noted six broad categories of workforce-reentry concern for people with HIV/AIDS. Our second project was designed as a demonstration project to assist people with HIV/AIDS in their efforts to return to work. We found, among other things, that significant obstacles unrelated to employment also thwarted workforce reentry efforts. Finally, in our current clinical-trials study, we continue to learn from participants in their efforts to rejoin the workforce. We discuss our cumulative results to date, and highlight certain future directions for research and service.
Abstract: Project KEEP, a 3-year Special Demonstration Project, was charged with identifying effective employment service strategies for people living with HIV/AIDS in Philadelphia, PA. Strategic outreach was done to ensure that participants would reflect the demographics of HIV/AIDS in urban settings. Individualized employment services, based in principles of psychosocial rehabilitation, were provided to 148 individuals. Longitudinal data were collected to track services, employment experiences, disclosure, self-reported health measures, and quality of life. This…paper discusses the results of the project, giving particular attention to the strong employment outcomes and the value of "rapid-attachment", intensive support once working, and the impact of work on self-reported quality of life. Implications for service delivery as well as directions for future services research are discussed.
Keywords: HIV/AIDS, employment, people of color, multiple barriers
Abstract: With increased efficacy of HIV antiviral medications and subsequent improvement in health status, many people with HIV face new decisions regarding work. The Client-Focused Model of Considering Work describes the interplay between four domains of influence (medical, financial/legal, psychosocial, and vocational). In each of these domains, persons with HIV can experience both pressures to make work related changes and barriers to making these changes. A nonlinear decision-making process is articulated in four phases. The authors…discuss and contrast this model with other rehabilitation models, describe its implications for planning and delivery of rehabilitation services, and cite research results from a career counseling program based on the model.