Ch 24: Return To Work Flashcards
Factors that contribute to poor employment outcomes
More severe of an injury
Older age at time of injury
Being male
Lower levels of pre-injury educational or occupational status
Lack of social support
Significant physical, psychosocial, or cognitive impairments
Being a member of a minority race
Hx of substance abuse
Comprehensive integrated day treatment- return to work model
Individual and group therapy, as well as vocational trials and supported employment.
Employment rates as high as 50% and 75-85%
Vocational case coordination- return to work model
Integrated medical-vocational case coordination
Early ID and hospital based VCC, early medical and vocational rehab interventions, work trials, employer education, temporary work support, and supported employment
80%+ of individuals who received VCC were employed in the community
Earlier interventions= better outcomes.
Rehab gains were maintained by all at 1 year f/u
Psychiatric comorbidities might be achieved through early vocational interventions
Resource facilitation (RF)- Return to work model
Partnerships that help people and communities choose, get and keep info, services and supports to make informed choices and meet their goals
Provide education and advocacy
Supported employment
Emphasizes the use of a vocational rehab professional (employment specialist or job coach) to provide intensive individualized assistance to help him or her with gaining and maintaining employment in a real job for real pay
**not returning to pre-injury job
What are the services offered by an employment specialist or job coach following Wehman’s model?
Assessment
Job development
On the job training and support
Case management
Long term follow along
State vocational rehab services
Provides federal grants to states to operate comprehensive programs of VR services to persons with disabilities.
**need to pay for long term supports? 90 days?
State VR services continuum
Minimal intervention
Education and preparation
Advocacy level services
Workplace supports
Discreet————> intrusive
What are the four interventions for return to work?
comprehensive day treatment model, case coordination model, resource facilitation, supported employment
What do state vocational rehab services provide?
assessment for determining eligibility of services; vocational counseling, guidance, referral services; vocational training; personal assistance services; rehab technology services; job placement services; supported employment services
