Journal of Vocational Rehabilitation - Volume 5, 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: This article provides an introduction to the issues surrounding the provision of long-term services and supports. The provision of supports beyond vocational rehabilitation case closure has played an important role in the success of supported employment. The attention that we focus on the up-front services involved in creating a successful supported employment placement has left us little time or energy to focus on the parameters and issues surrounding long-term services and supports. This article attempts to define the parameters of long-term services and supports. Additionally, issues such as increasing long-term support caseloads, training and staff development, interagency cooperation, and funding…mechanisms are reviewed. Finally, this article discusses changes and innovations that this field will need to consider in order to improve long-term services and supports.
Keywords: Long-term support, Supported employment, Disability policy, Human services, Advocacy
Abstract: Identifying sufficient resources for providing long-term support for every individual who needs and chooses to have supported employment jobs has been problematic since the inception of supported employment. This paper reviews the original development of a funding model for supported employment, and why that model does not meet current needs. A list of creative alternative strategies is presented to encourage individuals with disabilities, advocates, funders, service providers and others to seek out new possibilities for support. For some individuals, the answer to long-term support may be assembling and maintaining a patchwork of support resources that changes over time and as…support needs change. Despite, or perhaps because of, the dramatic changes that have occurred in the vision of supported employment, new coalitions are needed that can lead to redefinition of roles, new partnerships, shared resources, reduction in duplication of services, and increased incentives for using existing resources differently.
Keywords: Long-term support, Supported employment, Developmental disabilities, Financing, Work incentives
Abstract: A study was conducted to investigate the lives of people with developmental disabilities in the long-term support phase of supported employment in North Carolina. Data were gathered from a variety of sources including the supported employee, parents/family, support staff and employers. Results were used to describe the typical/average person in supported employment in North Carolina.
Abstract: This article draws upon information from several different sources, including case studies of organizations supporting people with disabilities, literature reviews on personal assistance, personal and community support services, interviews related to personal assistance services, and program evaluation research on the interaction between ‘innovative agencies’ and service users. The work on which this article is based was funded in part by the U.S. Department of Education, Office of Special Education Services through a subcontract with the World Institute on Disability and with the Center on Human Policy, Syracuse University. The opinions expressed in the article are solely those of the author,…and no endorsement of these parties should be inferred.
Keywords: Brain injury, Developmental disabilities, Psychiatric disabilities, Personal assistance services, Personal and community support services
Abstract: The initial phase of supported employment is structured by a framework that guides the provision of assessment, job development, job placement, and intensive training services. After fading, the job coach is left with little or no structure for providing long-term follow up services. This article describes how the implementation of a leisure education program can support both the goal of employment, as well as the broader purpose of community participation. Key elements of the leisure education program are described, with examples of how the elements were incorporated in two supported employment programs. Preliminary research findings are offered for generalization of…skills such as decision-making.
Keywords: Supported employment, Leisure and recreation, Developmental disabilities, Inclusion, Rehabilitation
Abstract: Supported employment has provided opportunities for individuals with extremely limited prior work experience to enter and succeed in community-based employment settings for the first time. However, persons with severe mental retardation represent only a small percentage of all individuals participating in supported employment. The present study investigates the demographic and functional characteristics of 161 individuals with severe mental retardation who have participated in supported employment programs. The employment outcomes of these individuals are then compared to other supported employment participants. Results indicated that despite apparent deficits in functional capacities and work-related behaviors, these individuals can significantly benefit from supported employment.…Future research should investigate administrative and attitudinal barriers that may be unnecessarily limiting access to supported employment by persons with severe mental retardation.
Abstract: This article provides a historical overview of the legislation creating financial work incentives, such as PASS, for use by people with disabilities. The PASS incentive, under the Social Security Administration, is described in detail. The primary intent of this article, however, is to provide the reader with case studies using the PASS incentive. The case studies present situations that vary by use of PASS savings, funds, financial status, and time1ines. This article concludes by offering the reader the current status of PASS usage and provides avenues to boost the beneficial use of PASS plans.
Abstract: The Javits-Wagner-O'Day Act, through NISH, currently provides employment for 22884 people with severe disabilities working on product and service contracts for the federal government, a majority taking place in integrated community settings. The program has grown steadily over the past decade, with a strong potential for greater growth. The mechanics of the program as well as its benefits and risks need to be understood in order for rehabilitation facilities to take advantage of the opportunities to create suitable employment for workers with severe disabilities.
Keywords: Javits-Wagner-O'Day Act, NISH, Severe disability, Integrated community settings, Rehabilitation facilities
Abstract: The article reviews the current status of the Medicaid HCB (home and community-based) waiver and the use of its supported employment provisions, outlining major factors involved in its low utilization, including: (a) lack of prior institutionalization in the histories of two-thirds of waiver participants, (b) the tendency of states to limit eligibility to individuals with the most extensive support and service needs, (c) delays in implementing the supported employment coverage option, (d) the fact that eligibility is limited to individuals who would otherwise require institutional care. (e) the fact that supported employment is defined as a sub-element of habilitation services…and applicable only to waiver participants with developmental disabilities, and (f) the general barriers to expanding supported employment services, particularly to individuals with severe disabilities. Unresolved federal policy issues are discussed and information on obtaining a more complete report are also included.