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Vocational Rehabilitation Services and Employment Outcomes for People with Disabilities: A United States Study

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Abstract

Introduction This study examined the effect of vocational rehabilitation services on employment outcomes of people with sensory/communicative, physical, and mental impairments in the United States. Methods The sample frame includes 5,000 clients for each of the three disability groups whose cases were closed as either rehabilitated or not rehabilitated by state vocational rehabilitation agencies in the fiscal year 2005. The dependent variable is employment outcome. The predictor variables include a set of personal history variables and vocational rehabilitation service variables. Results Sixty-two percent of the clients in this study were gainfully employed after receiving vocational rehabilitation services. Individuals with sensory/communicative impairments had the highest success rate (75%) compared to 56% for the physical impairments group and 55% for those with mental impairments. Logistic regression analyses identified job placement, on-the-job support, maintenance, and other services (e.g., medical care for acute conditions) as significant predictors of employment success across all impairment groups. In addition, diagnostic and treatment (D&T) services (odds ratio [OR] = 1.57; 95% CI: 1.35–1.82) and rehabilitation technology services (OR = 1.97, 95% CI: 1.67–2.33) were found to uniquely contribute to employment outcomes for the sensory impairments group as well as the physical impairments group (D&T services: OR = 1.31, 95% CI: 1.15–1.48; RT services: OR = 1.41, 95% CI: 1.13–1.75), but not the mental impairments group. Substantial counseling was associated with employment outcomes for the physical (OR = 1.16, 95% CI: 1.02–1.32) and mental impairments groups (OR = 1.18, 95% CI: 1.03–1.35). Miscellaneous training (OR = 1.31; 95% CI: 1.09–1.49) was specifically associated with employment outcomes of the mental impairments group. Conclusion This study provides some empirical support documenting the association between vocational rehabilitation services and employment outcomes of people with disabilities.

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References

  1. Chan F, Leahy M, Saunders J. Case management for rehabilitation health professionals (volume 1): foundational aspects. Osage Beach, MO: Aspen Professional Services; 2005.

    Google Scholar 

  2. Bruffaerts R, Sabbe M, Demyttenaere K. Effects of patient & health-system characteristics on community tenure of discharged psych inpatients. Psychiatr Serv (Washington DC). 2004;55:685–90. doi:10.1176/appi.ps.55.6.685.

    Google Scholar 

  3. Dooley D, Fielding J, Levi L. Health and unemployment. Annu Rev Public Health. 1996;17:449–65. doi:10.1146/annurev.pu.17.050196.002313.

    Article  PubMed  CAS  Google Scholar 

  4. Dooley D, Catalano R, Wilson G. Depression and unemployment: panel findings from the epidemiologic catchment area study. Am J Community Psychol. 1994;22(6):745–65. doi:10.1007/BF02521557.

    Article  PubMed  CAS  Google Scholar 

  5. Dooley D, Catalano R, Hough R. Unemployment and alcohol disorder in 1910 and 1990: drift versus social causation. J Occup Org Psychol. 1992;65:277–90.

    Google Scholar 

  6. Fawber HL, Wachter JF. Job Placement as a treatment component of the vocational rehabilitation process. J Head Trauma Rehabil. 1987;2:27–33. doi:10.1097/00001199-198703000-00006.

    Article  Google Scholar 

  7. Kasl SV, Rodriguez E, Lasch KE. The impact of unemployment on health and well-being. In: Dohrenwend B, editor. Adversity, stress and psychopathology. New York: Oxford University Press; 1998. p. 111–31.

    Google Scholar 

  8. Lennon MC. Work and unemployment as stressors. In: Horwitz A, Scheid T, editors. A handbook for the study of mental health: social contexts, theories and systems. New York: Cambridge University Press; 1999. p. 287–94.

    Google Scholar 

  9. Linn MW, Sandifer R, Stein SS. Effects of unemployment on mental and physical health. Am J Public Health. 1985;75(5):502–6.

    PubMed  CAS  Google Scholar 

  10. Van Dongen CJ. Quality of life and self-esteem in working and non-working persons with mental illness. Community Ment Health J. 1996;32:535–48. doi:10.1007/BF02251064.

    Article  PubMed  Google Scholar 

  11. Marrone J, Golowka E. If you think work is bad for people with mental illness, then try poverty, unemployment, and social isolation. Psychiatr Rehabil J. 2000;23(2):187–93.

    Google Scholar 

  12. Chan F, Wong DW, Rosenthal DA, Kundu MM, Dutta A. Eligibility rates of traditionally underserved individuals with disabilities revisited: a data mining approach. J Appl Rehabil Counsel. 2005;36(3):3–10.

    Google Scholar 

  13. Chan F, Reid C, Roldan G, Kaskel L, Rahimi M, Mpofu E. Vocational assessment and evaluation of people with disabilities. Phys Med Rehabil Clin N Am. 1997;8:311–25.

    Google Scholar 

  14. Rubin S, Roessler R. Foundations of the vocational rehabilitation process. 5th ed. Austin, TX: Pro-Ed; 2001.

    Google Scholar 

  15. U.S. Government Accountability Office. Vocational rehabilitation: better measures and monitoring could improve the performance of the VR program (GAO-05-865), Washington, DC; 2005.

  16. Bellini J, Bolton B, Neath J. Rehabilitation counselors’ assessments of applicants’ functional limitations as predictors of rehabilitation services provided. Rehabil Counsel Bull. 1998;41(4):242–59.

    Google Scholar 

  17. Bolton B, Bellini JL, Brookings JB. Predicting client employment outcomes from personal history, functional limitations, and rehabilitation services. Rehabil Counsel Bull. 2000;44:10–21. doi:10.1177/003435520004400103.

    Article  Google Scholar 

  18. Capella-McDonnall ME. Predictors of competitive employment for blind and visually impaired consumers of vocational rehabilitation services. J Visual Impair Blind. 2005;99(5):303–15.

    Google Scholar 

  19. Chan F, Cheing G, Chan JYC, Rosenthal DA, Chronister JA. Predicting employment outcomes of rehabilitation clients with orthopedic disabilities: a CHAID analysis. Disabil Rehabil. 2006;28:257–70. doi:10.1080/09638280500158307.

    Article  PubMed  Google Scholar 

  20. Gamble D, Moore CL. The relation between VR services and employment outcomes of individuals with traumatic brain injury. J Rehabil. 2003;69:31–8.

    Google Scholar 

  21. Kaye HS. Vocational rehabilitation in the United States. Disabil Stat Abstr. 1998;20:1–4.

    Google Scholar 

  22. Rosenthal DA, Chan F, Wong DW, Kundu M, Dutta A. Predicting employment outcomes based on race, gender, disability, work disincentives, and vocational rehabilitation service patterns. J Rehabil Adm. 2006;29:229–43.

    Google Scholar 

  23. Hennessey JC. Factors affecting the work efforts of disabled worker beneficiaries. Soc Secur Bull. 1997;60:3–20.

    PubMed  CAS  Google Scholar 

  24. Atkins BJ, Wright GN. Vocational rehabilitation of Blacks: the statement. J Rehabil. 1980;46(2):42–6.

    Google Scholar 

  25. Dziekan KI, Okocha AG. Accessibility of rehabilitation services: comparison by racial-ethnic status. Rehabil Counsel Bull. 1993;36:183–9.

    Google Scholar 

  26. Herbert J, Martinez MY. Client ethnicity and vocational rehabilitation case service outcome. J Job Placement. 1992;8(1):10–6.

    Google Scholar 

  27. Feist-Price S. African Americans with disabilities and equity in vocational rehabilitation services: one state’s review. Rehabil Counsel Bull. 1995;39(2):119–29.

    Google Scholar 

  28. Wilson KB. Predicting vocational rehabilitation acceptance based on race, education, work status, and source of support at application. Rehabil Counsel Bull. 2000;43(2):97–105. doi:10.1177/003435520004300205.

    Article  Google Scholar 

  29. Wilson KB. Exploration of VR acceptance and ethnicity: a national investigation. Rehabil Counsel Bull. 2002;45(3):168–76. doi:10.1177/003435520204500306.

    Article  Google Scholar 

  30. Wilson KB. Vocational rehabilitation closure statuses in the United States: generalizing to the Hispanic/Latino ethnicity. J Appl Rehabil Counsel. 2005;36(2):4–11.

    Google Scholar 

  31. Ross MG, Biggi IM. Critical vocational rehabilitation service delivery issues at referral (02) and closure (08, 26, 28, 30) in serving select disabled persons. In: Walker S, Belgrave F, Banner AM, Nicholls RW, editors. Equal to the challenge: perspective, problems, and strategies in the rehabilitation of the nonwhite disabled: Proceedings of the National Conference. Howard University, Washington DC; 1986. p. 39–50.

  32. Cardoso E, Romero M, Chan F, Dutta A, Rahimi M. Disparities in vocational rehabilitation services for Hispanic consumer. J Head Trauma Rehabil. 2007;22(2):85–94.

    Article  Google Scholar 

  33. Main L, Haig J. Occupational therapy and vocational rehabilitation: an audit of an outpatient occupational therapy service. Brit J Occup Therapy. 2006;69(6):288–92.

    Google Scholar 

  34. Horn W, Yoels W, Barolucci A. Factors associated with patients’ participation in rehabilitation services: a comparative injury analysis 12 months post-discharge. Disabil Rehabil. 2000;22(8):358–62. doi:10.1080/096382800296601.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This study was supported in part by funding from the Rehabilitation Research Institute for Underrepresented Populations (National Institute on Disability and Rehabilitation Research Grant #H133A031705) at Southern University, Baton Rouge, Louisiana.

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Authors and Affiliations

  1. Department of Rehabilitation and Disability Studies, Southern University, 229 A. C. Blanks Hall, Baton Rouge, LA, 70813, USA

    Alo Dutta

  2. Department of Rehabilitation Psychology and Special Education, University of Wisconsin, Madison, WI, USA

    Robert Gervey, Fong Chan & Nicole Ditchman

  3. Stout Vocational Rehabilitation Institute, University of Wisconsin, Stout, WI, USA

    Fong Chan

  4. Department of Special Education, Rehabilitation, and School Psychology, University of Arizona, Tucson, AZ, USA

    Chih-Chin Chou

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  1. Alo Dutta
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  2. Robert Gervey
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  5. Nicole Ditchman
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Correspondence to Alo Dutta.

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Dutta, A., Gervey, R., Chan, F. et al. Vocational Rehabilitation Services and Employment Outcomes for People with Disabilities: A United States Study. J Occup Rehabil 18, 326–334 (2008). https://doi.org/10.1007/s10926-008-9154-z

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  • DOI: https://doi.org/10.1007/s10926-008-9154-z

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