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Developing Consumer and System-Level Readiness for Effective Self-Advocacy: Perspectives from Vocational Rehabilitation Counselors Working With Deaf and Hard of Hearing Individuals in Post-Secondary Settings

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Abstract

Effective self-advocacy skills have been shown to positively influence lifetime outcomes of d/Deaf and Hard of Hearing (DHH) individuals. The literature suggests that many DHH individuals may be underprepared to effectively self-advocate in post-secondary settings due to a lack of effective training and opportunity. Vocational rehabilitation counselors (VRCs) who work with and serve DHH consumers are in a unique position to support their clients’ self-advocacy skill building, especially during the transition into the workforce and other post-secondary settings. The purpose of this qualitative study was to explore how VRC’s promote the self-advocacy knowledge and skills of their DHH consumers within post-secondary employment and educational contexts. Additionally, this study explored how VRC’s facilitated self-advocacy opportunities for their clients at broader systems-levels. Utilizing a grounded theory approach, data from semi-structured interviews with 10 VRCs working specifically with DHH clients was analyzed. Selective coding procedures revealed sixteen thematic strategies used by VRCs at both the individual and systems level, including defining of necessary self-advocacy skills, linguistic skill building, provision of full communication access, comprehension monitoring, both informal and formal self-advocacy assessments, direct modeling of advocacy skill, self-advocacy skills programming and counseling, an overall gauging of client ‘readiness to advocate’, identification of advocacy opportunity at the system-level, and employer education. Implications and future directions are discussed.

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Notes

  1. Many different terminologies for individuals who are deaf, Deaf, or hard-of-hearing are used across the research literature including “Deaf”, with a capital D (Padden and Humphries 1988), “individuals with a hearing loss”, “hearing-impaired”, “deaf”, and “hard-of-hearing.” In this paper, we refer to individuals who are deaf or hard of hearing broadly as including all variations in identification and language use. This manuscript uses person-first language and places the chosen label after the person, in this case ‘consumers who are deaf or hard of hearing (DHH)’ to place emphasis on the individual’s capacities rather than on deficits (Lane 1992).

  2. When the term deaf is used with a lowercase ‘d’ it refers to the audiological condition of not being able to perceive sound, while use of the uppercase ‘D’ Deaf, refers “to a particular group of people who share a language and a culture” (Padden and Humphries 1988, p. 2).

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Acknowledgments

The contents of this article were partially developed under a grant from the US Department of Education, (blinded for review). However, those contents do not necessarily represent the policy of the US Department of Education, and you should not assume endorsement by the Federal Government.

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Correspondence to Sarah Schoffstall.

Appendix 1

Appendix 1

Interview Questions

  1. 1.

    In your state and in your experience, at what point does VR become involved in the post-secondary planning for students who are DHH? Are VR specialists involved in the IEP meetings? If so, what is their role?

  2. 2.

    How do you determine who qualifies as ‘under-employed’ or ‘unemployed’? How does the client’s goals or aspirations fit into this definition?

  3. 3.

    Tell us about the process you use to make a match between individuals and potential jobs. What information do you share with potential employers if you have a good match, but the employers are reluctant about having a employee who is DHH?

  4. 4.

    What is the definition of a “successful case closure” in your state?

    1. a.

      When is a case closed? Under what scenario? What criteria are utilized?

    2. b.

      Where are the limitations of providing support and to what extent? Why?

  5. 5.

    On a related note, does VR have a revolving door policy? For example, if an individual loses their job that the VR helped set up, can they come back to VR to try again? After how much time does that ‘able to benefit from VR’ clause kick in?

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Schoffstall, S., Cawthon, S.W., Tarantolo-Leppo, R.H. et al. Developing Consumer and System-Level Readiness for Effective Self-Advocacy: Perspectives from Vocational Rehabilitation Counselors Working With Deaf and Hard of Hearing Individuals in Post-Secondary Settings. J Dev Phys Disabil 27, 533–555 (2015). https://doi.org/10.1007/s10882-015-9435-3

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  • DOI: https://doi.org/10.1007/s10882-015-9435-3

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