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: 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.