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Price: EUR 250.00Authors: Rumrill, Jr., Phillip D.
Article Type: Other
DOI: 10.3233/WOR-131630
Citation: Work, vol. 45, no. 2, pp. 237-240, 2013
Authors: Arikawa, Mayumi | Goto, Hideki | Mineno, Kazuhito
Article Type: Research Article
Abstract: The present report uses two cases to provide an overview of employment support by occupational therapists for people with developmental disabilities and investigates the roles occupational therapists should play and the support they should give. Case A was a man in his 30s with Asperger disorder who used a trial employment program and received on-the-job training, leading to regular employment. Case B was a man in his 40s with intellectual disability who used outreach supported employment …and achieved financial stability through sheltered employment. These two cases suggest that occupational therapists can help people with developmental disabilities acquire stable employment by accelerating their adaptation to the workplace through the following steps: assessing the occupational performance of the individual and the work environment; understanding the characteristics of the job by experiencing the job first-hand; and adjusting or improving the work environment to match the capabilities of the individual. Show more
Keywords: Vocational rehabilitation, work capacity assessment, cooperation with local enterprises
DOI: 10.3233/WOR-131590
Citation: Work, vol. 45, no. 2, pp. 245-251, 2013
Authors: Iwane, Tatsuro | Yoshida, Aya | Kono, Makoto | Hashimoto, Hiroko | Yamamoto, Seiji
Article Type: Research Article
Abstract: OBJECTIVES: The purpose of this paper is to review the methods and the activities of occupational therapists (OTs) in the field of work support for persons with mental disabilities in Japan. METHODS: Necessary information is gathered through review of literatures. RESULTS: Japanese OTs are working in myriad locations across a number of areas in the field of mental disabilities, including medical institutions, self-support facilities, public employment security offices, employment and life support …centers for persons with disabilities, public health centers, and vocational rehabilitation centers. Work support has been implemented in each setting, and there is a diverse range of implementations. In discussing work support in Japan, it is important to note that it is still often implemented in a conventional way – that is to say, through a gradual-support methodology, based on the working-readiness model. However, some of the work support initiatives have begun to embrace cutting-edge approaches, such as network-oriented implementation. CONCLUSION: It is necessary for OTs in Japan to implement work support using the most effective means available. Repeating such efforts will drive a paradigm shift facilitating a transition from the outdated working-readiness model, andhelp persons with disabilities to have decent jobs. Show more
Keywords: Occupational therapy, paradigm shift, networking
DOI: 10.3233/WOR-131591
Citation: Work, vol. 45, no. 2, pp. 253-260, 2013
Authors: Matsui, Ryosuke
Article Type: Research Article
Abstract: OBJECTIVE: This paper intends to review the historical development and related issues involved in the employment of persons with disabilities under the Law on Employment Promotion of Persons with Disabilities in Japan in light of the UN Convention on the Rights of Persons with Disabilities (CRPD). METHODS: The actual situations of the special subsidiary company system, which was established by the Law to assist large-sized enterprises in achieving their legally mandated quota, were analyzed, …based on the relevant data and materials published by the government and other sources. CONCLUSIONS: The targeted enterprises could achieve the highest employment rates of persons with disabilities through the establishment of special subsidiary companies. However, various studies on these companies have revealed that more effort is needed to improve the quality of employment of their workers with disabilities in light of the UN Convention on the Rights of Persons with Disabilities (CRPD). Show more
Keywords: Quality of employment of persons with disabilities, normalization and inclusion, realization of rights to work of persons with disabilities,
DOI: 10.3233/WOR-131592
Citation: Work, vol. 45, no. 2, pp. 261-265, 2013
Authors: Saito, Yoko | Mineo, Mai | Yaeda, Jun
Article Type: Research Article
Abstract: The number of Japanese working age persons who have experienced a stroke is significantly increasing. In such cases work support is an urgent issue. Although an active cooperation between medical institutions and work support agencies is critical, it has been insufficient, due to an absence of key coordinators with sufficient knowledge in both occupational therapy and work support or vocational rehabilitation. The present paper introduced two case studies to illustrate the importance of the cooperation between …medical institutions and work support agencies and discussed reasons why medical institutions have difficulties in supporting persons who have experienced a stroke in their return to work. Show more
Keywords: Higher brain dysfunction, occupational therapy, hospital, pre-vocational support
DOI: 10.3233/WOR-131593
Citation: Work, vol. 45, no. 2, pp. 267-272, 2013
Authors: Watanabe, Shu
Article Type: Research Article
Abstract: OBJECTIVE: To report on functional outcomes of clients with traumatic brain injury (TBI) admitted to a sub-acute rehabilitation hospital and rehabilitation facility in Japan. PARTICIPANTS: The subjects included 300 adults with TBI who underwent a rehabilitation in-patient program at the hospital at the Kanagawa Rehabilitation Center. METHODS: Individual and group programs were designed for TBI clients using an interdisciplinary teamwork model including supported employment. All clients were evaluated by the Barthel Index, …WAIS-R, and social outcome. RESULTS: Overall, at discharge from the hospital, 46.4% of 300 clients were placed in gainful employment or returned to the school they had attended previously. CONCLUSIONS: Despite a high prevalence of cognitive and behavioral disorders after moderate-to-severe TBI, long-term functional improvement is likely to occur in clients with TBI. Greater gains in both physical and cognitive functions are made through a multidisciplinary, wide-ranging, comprehensive approach to rehabilitation. Show more
Keywords: Multidisciplinary comprehensive rehabilitation, supported employment, vocational outcome
DOI: 10.3233/WOR-131594
Citation: Work, vol. 45, no. 2, pp. 273-277, 2013
Authors: Yaeda, Jun | Kundu, Madan | Nishimura, Shuji
Article Type: Other
Abstract: OBJECTIVE: The purpose of the study was to assess the self-perceived knowledge and skills of Japanese job coaches and to examine whether their knowledge and skills differed across employment settings. PARTICIPANTS: The 479 job coaches at Work Support Centers or Work Support Agencies comprised the study population. METHODS: A Japanese version of the 80-item Self-Assessment for Students or Counselors (SASC-J) was mailed to all the Work Support Centers and Agencies. RESULTS: There was no …significant difference on any of the SASC-J 8 subsystems mean scores between Work Support Agencies and Work Support Centers. The highest mean score of these 2 employment settings was the "Placement Personal" (2.30 and 2.31), and the lowest was the "Education" (1.40 and 1.46). The overall mean score of the SASC-J was 1.82 (SD=0.63). A significant relationship was found between the years of experience and the SASC-J (r=0.30, p < 0.01). CONCLUSIONS: Since the average below 3.0 on the SASC would mean that "you need to read a textbook on placement and/or a course in Placement", the result of the current study suggested that Japanese job coaches, regardless of the employment settings, need to learn more about the systematic placement technique. Further studies are encouraged to assess the training outcome of the job coach. Show more
Keywords: Supported employment, training, education, systems approach to placement
DOI: 10.3233/WOR-131595
Citation: Work, vol. 45, no. 2, pp. 279-285, 2013
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