Supported Decision-Making: Implications from Positive Psychology for Assessment and Intervention in Rehabilitation and Employment
- 436 Downloads
Purpose This article reviews existing literature on positive psychology, supported decision-making (SDM), employment, and disability. It examines interventions and assessments that have been empirically evaluated for the enhancement of decision-making and overall well-being of people with disabilities. Additionally, conceptual themes present in the literature were explored. Methods A systematic review was conducted across two databases (ERIC and PsychINFO) using various combination of keywords of ‘disabilit*’, work rehabilitation and employment terms, positive psychology terms, and SDM components. Seven database searches were conducted with diverse combinations of keywords, which identified 1425 results in total to be screened for relevance using their titles and abstracts. Database search was supplemented with hand searches of oft-cited journals, ancestral search, and supplemental search from grey literature. Results Only four studies were identified in the literature targeting SDM and positive psychology related constructs in the employment and job development context. Results across the studies indicated small to moderate impacts of the assessment and interventions on decision-making and engagement outcomes. Conceptually there are thematic areas of potential overlap, although they are limited in the explicit integration of theory in supported decision-making, positive psychology, disability, and employment. Conclusion Results suggest a need for additional scholarship in this area that focuses on theory development and integration as well as empirical work. Such work should examine the potential utility of considering positive psychological interventions when planning for SDM in the context of career development activities to enhance positive outcomes related to decision-making, self-determination, and other positive psychological constructs.
KeywordsSupported decision-making Positive psychology Rehabilitation Employment Disability
Valuable assistance and comments were received from Peter Blanck and Meera Adya. The research reported here was supported by the U.S. Department of Health and Human Services, Administration on Community Living, Administration on Intellectual and Developmental Disabilities, through Cooperative Agreement #90DM0001-01-00, National Resource Center for Supported Decision Making, awarded to Quality Trust, with a subcontract to the University of Kansas. The research was also supported by the U.S. Department of Health and Human Services, Administration on Community Living, National Institute on Disability, Independent Living, and Rehabilitation Research through Grant 90DP0076-01-00 awarded to Syracuse University with a subcontract to the University of Kansas. The opinions expressed are those of the authors and do not represent views of the U.S. Department of Health and Human Services. This line of study was also supported in part by Grants from the Administration on Community Living (ACL) and the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR), in the U.S. Department of Health & Human Services for the NIDILRR Southeast ADA Center Grant #90DP0090-01-00, the NIDILRR Community Living and Supported Decision-Making DRRP Grant #90DP0076, and the NIDILIRR Americans with Disabilities Act Participatory Action Research Consortium (ADA-PARC) Grant # H133A120008; and, by the Office for Disability and Employment Policy (ODEP), in the U.S. Department of Labor. For additional information on these projects and related funding, see http://bbi.syr.edu. This paper includes results from analysis of secondary data which were not collected by the authors.
Compliance with Ethical Standards
Conflict of interest
Hatice Uyanik, Karrie Shogren, and Peter Blanck declare that they have no conflict of interest.
For this type of study formal consent is not required.
- 1.United Nations. Convention on the Rights of Persons with Disabilities. 2008. https://www.un.org/development/desa/disabilities/convention-on-the-rights-of-persons-with-disabilities.html. Accessed 1 May 2017.
- 3.Shogren KA, Wehmeyer ML, Palmer SB, Forber-Pratt A, Little TJ, Lopez SJ. Causal agency theory: reconceptualizing a functional model of self-determination. Educ Train Autism Dev Disabil. 2015;50(3):251–263.Google Scholar
- 6.Dinerstein R. Implementing legal capacity under article 12 of the UN Convention on the Rights of Persons with Disabilities: the difficult road from guardianship to supported decision making. Hum Rights Br. 2012;19(2):8–12.Google Scholar
- 10.Seligman ME. Flourish: a visionary new understanding of happiness and well-being. New York: Free Press, Simon and Schuster; 2011.Google Scholar
- 14.The Grey Literature Report. What is grey literature? 2017. http://www.greylit.org/about. Accessed 2 Mar 2017.
- 15.U.S. Department of Labor, Office of Disability and Employment Policy (OSEP). 2017. Customized employment. https://www.dol.gov/odep/documents/2e984b1d_f2de_40dd_b3c4_3b4073b67ca5.pdf. Accessed 1 Apr 2017.
- 16.U.S. Department of Labor, Office of Disability and Employment Policy (OSEP). 2013. Self-employment for people with disabilities. https://www.dol.gov/odep/pdf/2014StartUp.pdf. Accessed 1 Apr 2017.
- 18.Lusk SL, Cook D. Enhancing career exploration, decision making, and problem solving of adolescent girls with disabilities. J Vocat Rehabil. 2009;31(3):145–153.Google Scholar
- 22.Soresi S, Nota L, Ferrari L, Sgaramella TM. Career development and career thoughts. In: Wehmeyer ML, editor. The Oxford handbook of positive psychology and disability. New York: Oxford University Press; 2015. p. 239–264.Google Scholar
- 24.Fritzsche BA, Dhanani LY, Spencer JM. Empowerment through employment: job satisfaction theories and research. In: Strauser DR, editor. Career development, employment, and disability in rehabilitation. New York: Springer; 2014. p. 139–159.Google Scholar
- 25.Wehman P, Brooke V, Lau S, Targett P. Supported employment. In: Wehmeyer ML, editor. The Oxford handbook of positive psychology and disability. New York: Oxford University Press; 2015. p. 338–364.Google Scholar
- 26.Palmer C, Schriner K, Getch Y, Main D. Working for yourself: how people with disabilities choose self-employment. J Appl Rehabil Couns. 2000;31(3):30–37.Google Scholar
- 27.Rizzo DC. With a little help from my friends: supported self-employment for people with severe disabilities. J Vocat Rehabil. 2002;17(2):97–105.Google Scholar
- 29.Kregel J, O’Mara S. Work incentive counseling as a workplace support. J Vocat Rehabilit. 2011;35(2):73–83.Google Scholar
- 32.Enright MS. The relationship between disability status, career beliefs, and career indecision. Rehabil Couns Bull. 1996;40(2):134–152.Google Scholar
- 37.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 Couns. 2005;36(3):3–10.Google Scholar
- 39.Condon E, Callahan M. Individualized career planning for students with significant support needs utilizing the Discovery and Vocational Profile process, cross-agency collaborative funding and Social Security Work Incentives. J Vocat Rehabil. 2008;28(2):85–96.Google Scholar
- 40.O’Brien D, Ford L, Malloy JM. Person centered funding: using vouchers and personal budgets to support recovery and employment for people with psychiatric disabilities. J Vocat Rehabil. 2005;23(2):71–79.Google Scholar
- 43.Blanck P. eQuality: the right to the web. In: Blanck P, Flynn E, editors. Routledge handbook of disability law and human rights. London: Routledge; 2017. p. 166–194.Google Scholar
- 48.Shogren KA, Wehmeyer ML, Uyanik H, Heidrich M. The development of the Supported Decision Making Inventory System. Intellect Dev Disabilit (in press).Google Scholar
- 49.Jeste D, Eglit G, Palmer B, Martinis J, Blanck P, Saks E. Supported decision-making by people with serious mental illnesses: an overview. Psychiatry (in press).Google Scholar
- 52.Flannery KB, Slovic R, Treasure T, Ackley D, Lucas F. Collaboration and partnership to improve employment outcomes. J Vocat Rehabilit. 2002;17(3):207–215.Google Scholar
- 54.Arstein-Kerslake A, Watson J, Browning M, Martinis J, Blanck P. Future directions in supported decision-making. Disabil Stud Q. 2017. https://doi.org/10.18061/dsq.v37i1.5070
- 55.Blanck P. Disability in prison. Univ South Calif Interdiscip Law J. 2017;26(2):309–322.Google Scholar
- 56.Blanck PD. The Americans with Disabilities Act and the emerging workforce: employment of people with mental retardation. Washington, DC: American Association on Mental Retardation; 1998.Google Scholar