bluuebunny/crossref_metadata_2025 huggingface dataset:
An Overview of Rehabilitation Considerations for Persons with Head Injuries
Authors: Ostwald Steven W.
Published: June 2019

Each year, 400,000 to 600,000 individuals suffer traumatic head injury. Of these, approximately 30,000 to 50,000 will encounter long-term disability. The prevalence of head injury and the myriad of problems associated with it, make it critical that rehabilitation professionals possess basic knowledge of the problems and deficits encountered by head injured clients. This article addresses those aspects of head injury which are felt to be pertinent to the rehabilitation of the head injured client. Common deficits, resulting behavior, and suggestions are discussed as they relate to left and right cerebral damage. Communication and visuospatial deficits are important considerations when serving a head injured client. The head injured client's fatigability, memory deficits, loss of competence, increased anxiety, and motivation are examined from the rehabilitative perspective. Successful rehabilitation of the head injured client, although possible, is complicated by numerous factors not always encountered with other disabling conditions.
Psychological Impact of Abuse as it Relates to Transvestism
Authors: Goodwin Larry J. , Peterson Robert G.
Published: June 2019

A sample of 50 male and 1 female transvestites was studied with the goals of testing hypotheses related to child abuse as an etiological factor of transvestism, the onset of transvestite behavior, and sex role Identification of transvestites.
When An Anthropologist Supervises Human Services Field Placements
Authors: Warden Therese Dillon
Published: June 2019

A strategic use of modified ethnography by Human Service field placement students' functions to raise the students' awareness regarding the existence, as well as characteristics and purposes of values and value systems in Human Services Organizations. The advent and growth of thousands of Human Service agencies in every community in the U.S., in conjunction with the paraprofessional movement in the sixties, has necessitated the parallel development of a corresponding career ladder. Field placements or internships have evolved as an integral part of education for individuals entering the Human Services field. Their philosophical and pragmatic development has been influenced in all phases by individuals from a multitude of disciplines. Social anthropologists have a great deal to offer the Human Services field and, in this instance, input into a rational protocol for a field placement regimen.
The Interaction Between Disability Status and the African American Experience: Implications for Rehabilitation Counseling
Authors: Alston Reginald J. , Mngadi Simphiwe
Published: June 2019

This article provides information that is useful to rehabilitation counselors and human service professionals providing services to African Americans with disabilities. The potential double bias of being African American and disabled is examined in the article. Special focus is on the similarities in stigmas experienced by persons with disabilities and members of the African American community and how the interaction between minority race status and disability status effects the delivery of rehabilitation services to African Americans. The client-centered approach is described and suggested as a theoretical orientation to be adopted by rehabilitation counselors to lessen the impact of a double stigma on this population.
Carpal Tunnel Syndrome: Considerations for Rehabilitation
Authors: Lynch Ruth Torkelson , Rodriquez Arthur
Published: June 2019

Carpal tunnel syndrome is becoming one of the most frequently reported work injuries. It is a major health problem which has the potential for prevention through workplace and work practice changes. Even though identification and prevention are critical to public health efforts, rehabilitation counselors are faced with clients who are already experiencing the economic, social, and vocational effects of carpal tunnel syndrome. Prevention recommendations emerging from public health and ergonomics can be very effectively used in career planning and job placement however. This article will highlight the findings from the medical/surgical, public health, and industrial engineering research literature which have an impact on rehabilitation assessment, counseling and placement for clients with carpal tunnel syndrome.
Responding to Employer Concerns About the ADA and Job Applicants with Disabilities
Authors: Satcher Jamie
Published: June 2019

The provisions of title I of the Americans with Disabilities Act of 1990 (ADA) are described. Possible questions that employers may have regarding job applicants with disabilities are posed and employers' obligations under the ADA are explored. The role of the rehabilitation counselor when working with employers having job applicants with disabilities is proposed.
A Spirituality of Being: Women with Disabilities
Authors: Lane Nancy J.
Published: June 2019

This paper explores why women with disabilities need to learn and understand their stories as part of the spiritual journey. Spirituality teaches us to live into our stories, where we find empowerment and freedom to transcend disability and re-create a positive self-image. Negative self-images contribute to the myths about who we are. As we come to know the myths we have lived with, we are enabled to shatter them and change our lives. The spiritual journey teaches us to live with rather than suffer from disability. We learn to Be who we are with our disability, while also Becoming all we are created to be by discovering our gifts and full potentiality.
Cross-Cultural Rehabilitation: What Americans Can Learn From Their Foreign Peers
Authors: Lam Chow S.
Published: June 2019

A study visit funded by the World Rehabilitation Fund was conducted in 1990. The purpose of the study visit was to understand vocational rehabilitation development in Hong Kong and compare its practices to those of the United States. This article describes current vocational rehabilitation development in Hong Kong with emphasis on social, cultural, and economic factors that shape the development. Implications for the United States in areas of vocational training, rehabilitation personnel preparation, and cross-cultural rehabilitation were provided.
Certification in Rehabilitation Counseling: History and Process
Authors: Leahy Michael J. , Holt Eda
Published: June 2019

The history and current processes of rehabilitation counseling certification are discussed.
Wellness Models and Sexuality Among Women with Physical Disabilities
Authors: Nosek Margaret A. , Howland Carol A. , Young Mary Ellen , Georgiou Doris , Rintala Diana H. , Foley Catherine C. , Bennett Jama L. , Smith Quentin
Published: June 2019

This article considers sexuality among women with physical disabilities from a wellness perspective by presenting the results of the first phase of a 3-year, NIH-funded study. This phase was a qualitative study using semi-structured interviews with 31 women with a variety of physical disabilities, representing diverse racial and ethnic minorities and socioeconomic levels. Analytic induction and constant comparison were used for data analysis. Preliminary results show that, from a wellness perspective, the areas of sexuality identified in the data analysis can be grouped into 5 domains: 1) having a positive sexual self-concept, 2) having sexuality information, 3) having positive, productive relationships, 4) managing barriers (social, environmental, emotional, physical, and sexual abuse), and 5) maintaining optimal health and physical sexual functioning. These findings are compared to the various components Of wellness models, including physical, psychological, spiritual, developmental, and sociocultural, with a discussion of implications for scientific research and policy-making.
Analysis of Variables Related to Referral of Injured Workers to Rehabilitation Services
Authors: Elias Jeffrey A. , Dunn Patrick , Growick Bruce S.
Published: June 2019

This study investigated the relationship of variables to referral to rehabilitation of injured workers. Univariate analysis identified seven variables (geographical area, age, medical costs, indemnity costs, legal costs, total costs, and injury type) that related significantly to referral to rehabilitation. A discriminant analysis, utilizing variables of compensation, geographical region, medical costs, injury type, age, sex, and hazard group was successful in predicting referral status of injured workers in approximately 76% of all cases. The results of this research are discussed in the context of business practices which relate to workers' compensation and rehabilitation programming, and the need for future cost/benejit studies in industrial rehabilitation is stressed.
A Model for Assessing Rehabilitation Needs of the Elderly American Indians Who Are Visually Impaired and Living on Reservations
Authors: Saravanabhavan R.C. , Martin William E. , Saravanabhavan Sheila
Published: June 2019

The purpose of the article is to present a research model for assessing rehabilitation needs of elderly American Indians who are visually impaired or blind and living on reservations. The article describes the research design, methodology, andfindings of a recent study which assessed the rehabilitation needs of the elderly American Indians who were visually impaired or blind and living on the Hualapai reservation in Arizona. The article includes a review of literature as regards the elderly American Indians in order to emphasize the need/or assessing rehabilitation needs of those who are visually impaired or blind among them.
Homophobia: Are Rehabilitation Counselors in the Closet?
Authors: Stuart Charles K.
Published: June 2019

The dearth of rehabilitation literature on homophobia suggests a need to examine assumptions about sexual orientation of clients. Common myths about homosexuality are discredited. The prevalence of symptoms of homophobia both in society as well as among rehabilitation professionals is described. Suggestions are presented for increasing sensitivity to persons with disabilities who may be lesbian or gay.
The Use of a Job Task Analysis in Assessing the Perceptions of Human Resource Managers on the Role of the Rehabilitation Counselor in Industry
Authors: Scorzelli James F.
Published: June 2019

The purpose of this study was to assess the perceptions of a group of human resource managers on the roles and functions of rehabilitation counselors in business. A sample of 150 companies in Massachusetts were selected, and a job task analysis questionnaire was mailed to the human resource mangers of these companies. Based on a return rate of 41.5%, those job tasks rated the highest pertained to helping “troubled employees maintain their jobs with the company.” The results of this study appear to reconfirm the importance of vocational counseling and occupational placement courses in rehabilitation counseling training curriculum, and clearly identified the field experience as the most useful tool for developing links with business and industry.
Rehabilitation Service Providers: A Minority Perspective
Authors: Sheppard Carole , Bunton James , Menifee Sylvia , Rocha Gloria
Published: June 2019

The Multi-Cultural Issues Task Force is a work group of the Michigan Rehabilitation Association and the Michigan Association of Multi-Cultural Rehabilitation Concerns. In 1993, members of the Task Force used focus group methodology to gather information on the perceptions of minority group members who have disabilities regarding rehabilitation service providers. The findings support earlier research on the topic, but also provide consumer-based operational definitions of behaviors valued
by minority consumers. Rehabilitation service providers can incorporate these desired behaviors as one method of enhancing their effectiveness.
Future Methods and Practice in Vocational Assessment
Authors: Vander Kolk Charles J.
Published: June 2019

Advances in vocational assessment will be largely driven by changes in technology, the workplace, and society. These changes and their impact on vocational rehabilitation, are presented. Counselors are given ways to prepare for advancements invocational assessment. Practical examples and specific illustrations of expected changes in assessment are found throughout the paper.
Shared Functions Approach to Rehabilitation
Authors: Harbach Robert L. , Markos Patricia A.
Published: June 2019

Workers' compensation is specialized insurance purchased by employers to provide services to injured workers or workers who acquire an occupational disease. Benefits to workers include medical care, disability compensation, and rehabilitation services. Across the nation compensation systems are experiencing tremendous difficulties, and the last few years have seen losses persistently run ahead of combined income received from premiums and investments. This article reports on a rehabilitation services delivery model developed and used by a private rehabilitation firm located in Las Vegas, Nevada.
Family Theories for Rehabilitation Practice: Their “Figures” and “Grounds”
Authors: Nochi Masahiro
Published: June 2019

Rehabilitation professionals are paying more attention to the family as an influential factor for rehabilitation of people with disabilities and as a recipient of professional services. This essay examines three common family theories that are often found in rehabilitation literature: stage theory, family systems theory, and family stress theory. Its primary purpose is to explore the implications of using each family theory as a tool for understanding families in the rehabilitation process. Every theory is certainly useful for providing professionals with information about some aspects of reality. Yet it may obscure other aspects, just as one cannot see the vase while seeing the two faces in Rubin's ambiguous figure. Rehabilitation professionals should consider whether the theory reveals the aspects that correspond to the goals of their practice.
The Rehabilitation Act Amendments of 1992: Initiatives and Issues
Authors: Schriner Kay
Published: June 2019

The Rehabilitation Act Amendments of 1992 represent significant changes in one of the oldest pieces of social legislation in the United States. The amendments present new statements of philosophy and purpose, revise the eligibility criteria and determination process, re-emphasize the use of the order of selection device, strengthen the requirements for consumer involvement, and strengthen the emphasis on the transition of youth with disabilities from school to adult life. However, the amendments leave several important issues unresolved. These include funding levels for basic rehabilitation services; the implications of the mandate to serve those with the most severe disabilities first; and the type, quality, and availability of community-based rehabilitation services.
Managed Care Administrators' Opinion of Vocational Reahbilitation Services
Authors: Gibbs Reginald L. , Dodd John M. , Hecimovic Anton , Nickoloff Elia
Published: June 2019

Rising health care insurance premiums have forced many businesses and institutions to examine cost-cutting measures to lower health care costs. Managed care is one measure that has become widespread throughout the United States. The problem was to learn how managed care administrators view the role and purpose of vocational rehabilitation services in their organizations and if these services will lower short-term and long-term use. A survey was sent to the administrators of fifty managed care organizations in the states of Arizona, Colorado, Oregon, and Washington. Twenty of the fifty administrators responded to the survey. Results show that only one of the managed care organizations offered vocational rehabilitation services to their enrollees. The results also show that three responded that short-term use and ten responded that long-term use of managed care programs would be reduced if vocational rehabilitation services were offered.
The Role of School District Interagency Transition Committees Within an Overall Collaborative Structure
Authors: Elliott Nancy E. , Alberto Paul A. , Arnold Susan E. , Taber Teresa A. , Bryar Marlene R.
Published: June 2019

Functional linkage between school and adult service agencies is an essential component of effective transition planning and service provision for students with intellectual disabilities. In order to provide effective outcome-based transition services, models for interagency cooperation were designed and written for state and local-level agencies which commit agency resources to realizing transition related outcomes. The purpose of this article is to present an overall three-tier interagency structure which provides a foundation for successful collaborative agency planning and service provision for students with intellectual disabilities.
Preparing a Journal Manuscript: A Guide for Rehabilitation Counselor Practitioners
Authors: Coelho Richard J. , La Forge Jan
Published: June 2019

Encouraging rehabilitation counseling practitioners to enter the arena of journal-writing is an ongoing concern of the profession. This article intends to help authors, especially practitioners who have not submitted previously, organize research materials for writing articles. A model of organizing standard components of a professional journal article is presented and discussed. The guidelines presented also provide a summary of the manuscript format and editorial review process. Suggestions presented provide a basis for assisting the rehabilitation counselor practitioner who is considering writing a journal article.
Substance Abusers' Perceptions of Factors Related to 30-day In-Patient Rehabilitation Treatment Programs
Authors: Billips Kathy , Marini Irmo , Stebnicki Mark A. , Slate John R.
Published: June 2019

A non-random sample of 78 persons receiving 30-day substance abuse treatment within five different rehabilitation facilities In Arkansas were administered a modified version of the Alcohol Treatment Survey (Emner, 1993) to measure their perceptions and experiences of factors which lead to their substance abuse behaviors. Most respondents indicated that both family members and peers contributed to their substance abuse behaviors. Over 90% of participants reported they used drugs With other people to help them relax and cope with life's stresses. Establishing the perceived environmental conditions of persons who abuse drugs may enhance counselors' understanding of factors related to drug use and abuse.
Job Accommodations that Work: A Follow-up Study of Adults with Attention Deficit Disorder
Authors: Means Carol D. , Stewart Shirley L. , Dowler Denetta L.
Published: June 2019

This article discusses job accommodations as they relate to persons with Attention Deficit Disorder. The Job Accommodation Network database was searched and past callers were contacted regarding the job accommodations that were suggested by a Job Accommodation Network Consultant. Appropriate accommodations, employment history, cost of job accommodations, time for implementation, effectiveness of accommodations, and satisfaction with the accommodation were examined and discussed.
Journal Publication and Peer Review: Guidelines and Standards for Authors and Reviewers
Authors: Coelho Richard J. , Saunders Jodi L.
Published: June 2019

Peer review is the system used to determine what will be published in professional journals. This system is the heart of the publication process and the pathway to publication for most scholarly writing. Journal reviewers evaluate submitted manuscripts and make recommendations to the editor for publication. Both authors and peer reviewers have a responsibility to ensure that the integrity and ethical standards in writing and evaluation of scholarly submissions are upheld. To promote this endeavor, proposed standards that reviewers and authors should uphold are detailed. In addition, those facets of the journal writing process that reviewers typically consider when evaluating a manuscript for publication are discussed.
A Longitudinal Study of Health-related Quality of Life in Recipients of Heart Transplantations
Authors: Konstam Varda , Surman Owen , Hijjati Kamal H. , Konstam Marvin A. , Fierstein Jocelyn , Turbett Ann , Dec G. William , Keck Sally , Mudge Gilbert , Flavel Carol , McCormack Michele , Hurley Linda
Published: June 2019

Measurement of treatment outcome which considers physiologic data and patierits' health related quality of life (HRQL) currently guides clinical practice, particularly when evaluating innovative and costly procedures such as cardiac transplantation. The purpose of this study was to examine HRQL pre and post transplantation utilizing a longitudinal design. Twenty nine participants completed the Sickness Impact Profile (SIP) at five time intervals pre and post transplantation. Results revealed significant improvement of SIP Physical scores between four months pre and four months post transplantation and four months pre and one year post transplantation (p<.03, p<.05 respectively), while no significant differences were observed with respect to Psychosocial and Total SIP scores. Implications for the rehabilitation counselor are discussed.
The “Advocacy” Function of the Rehabilitation Counselor in Effecting Social Change
Authors: Taylor R. Dean
Published: June 2019

The concept of “social change agent” will serve only to further confuse the role of rehabilitation counselor, both for the counselor and to others who work with the counselor. Not that the counselor should not act to bring about change, but that he do so under the concept of “advocate.” The counselor should be guided by professional standards and by client needs. These aspects of attitude change, removal of architectural barriers and acting as a link to the larger society, the counselor could best meet the client's needs. As the concept of advocacy becomes classified and delineated the rehabilitation counselor will recognize the delimiting role of the therapist model or the coordinator model and will focus on client needs. The final goal of rehabilitation efforts is for the client to become an advocate for himself.
Characteristics of Female Alcohol and Drug Substance Users Engaged in Treatment Programs
Authors: Vines Jessica A. , Mandell Colleen J.
Published: June 2019

The primary purpose of this study was to identify characteristics of substance-using females engaged in chemical dependency treatment programs. A sample of 104 women involved in six treatment programs completed the “Participants' Background Information Survey” developed by the researchers and the “Revised Beck Depression Inventory” (Beck & Steer, 1993). The findings of this study indicate that female substance users in treatment face multiple challenges in addition to those associated with efficacious treatment outcomes, including parenting, assuming head-of-household roles and responsibilities, and physical and/or mental health issues. Implications of this study include the need for chemical dependency programs to develop collaborative relationships with other community agencies: vocational rehabilitation, children's services, early intervention, and mental health. Suggestions for prevention and intervention are discussed, as well as areas of further research.
“Its About Relationships:” Perspectives of People with Cerebral Palsy on Belonging in Their Families, Schools, and Rehabilitation Counseling
Authors: Schaller James , De La Garza Denise
Published: June 2019

This study investigated perceptions of nine people with cerebral palsy about relationships in their families, schools, and rehabilitation counseling. One participant was Hispanic, all others were Anglo-American. Audio-taped interviews were transcribed and analyzed using qualitative research methodology. Findings indicated that feelings of belonging were a major theme for all participants across the contexts of family, school, and rehabilitation counseling. Aspects of belonging within each context, implications for rehabilitation counseling service provision, and suggestions for future research are discussed.
Protections in Federal Rehabilitation Legislation for Persons with Alcohol and Other Drug Abuse Disabilities
Authors: Koch D. Shane
Published: June 2019

Alcohol and Other Drug Abuse (AODA) may present special challenges for rehabilitation counselors whether they are dealing with this problem as a primary or secondary disability. While rehabilitation counselors may be familiar with the legislative implications for other disability groups, alcohol and other drug abuse is a “special case” among the larger group of persons with disabilities due to the complexities surrounding interpretation of rehabilitation legislation. This paper reviews AODA as a disability, discusses the need for legislative protection of this population, and isolates specific issues which exist when interpreting and applying rehabilitation legislation in the case of persons with AODA disabilities.
Engaging the Africian American Family in the Rehabilitation Process: An Intervention Model for Rehabilitation Counselors
Authors: McKenna Maureen A. , Power Paul W.
Published: June 2019

This article focuses on how the African American family can be an important resource for assisting the family member with a disability to achieve vocational rehabilitation goals. The rehabilitation needs of the African American family will be identified and then an intervention model and needed counselor competencies will be suggested that could assist the rehabilitation counselor to work effectively with this culturally distinct family.
A Rehabilitation Counselor Education Program with a Specialization in Vocational Rehabilitation of People with Severe Mental Illness
Authors: Hilburger John
Published: June 2019

Because of the need for specific training in the vocational rehabilitation of, people with mental illness, the Rehabilitation Counselor Education Program of the Institute of Psychology at the Illinois Institute of Technology designed and implemented a specialization program in Psychiatric Rehabilitation. A three class track was. developed covering introduction to psychiatric rehabilitation, vocational issues, and use of groups in treatment. Each full time student also participates In a two semester internship at one community agency. The classes and internship are taken as a specialization Within the current 60 credit hour M.S. in Rehabilitation Counseling. In addition, professionals already working full time In the field may take the three courses and earn a certificate.
A Certificate of Graduate Study in Psychiatric Rehabilitation: Responding to a Multi-agency Need
Authors: Leech Linda L.
Published: June 2019

This article explores key areas for academic emphasis in the training of rehabilitation counselors and other professionals to work with individuals with severe, long-term mental illnesses. The author identifies a set of knowledge areas and skills for psychiatric rehabilitation professionals emerging from an extensive literature review. The rationale and course content of a Certificate of Graduate Study in Psychiatric Rehabilitation from the University of South Carolina is presented.
The Nature of Psychiatric Rehabilitation and Implications for Collaborative Efforts
Authors: Leech Linda L. , Holcomb John M.
Published: June 2019

This article highlights key characteristics of severe, long-term mental illness which present challenges for rehabilitation professionals. The authors discuss recovery, a biopsychosocial understanding of psychiatric disability, a three dimensional model for conceptualizing the course of severe, long-term mental illnesses, the rehabilitation process, and the role of the rehabilitation practitioner. The literature review points to the need for collaborative efforts to improve the quality and availability of rehabilitation services, including employment, for people with psychiatric disabilities. Authors present a call to action on key recommendations presented in literature across two decades.
Cross Cultural Counseling Issues of Males Who Sustain a Disability
Authors: Marini Irmo
Published: June 2019

This article explores the psychosocial adjustment issues faced by males from different cultures after sustaining a severe disability. Perceptions of disability and masculinity by different cultures impact a person's reaction to a severe acquired disability. Socially defined male roles and masculine traits as well as perceptions of disability are explored. Recommendations for counselors working with males with acquired disabilities from different cultural backgrounds are discussed.
Beliefs About the Ethics of Practice Among CRCs: A National Survey
Authors: Tarvydas Vilia M. , Leahy Michael J. , Saunders Jodi L. , Chan Fong , Thielsen Virginia A. , Murray Gerald
Published: June 2019

Knowledge of the ethical beliefs of rehabilitation counselors and their level of confidence in these beliefs is important to understanding the professional culture of rehabilitation counseling. The purpose of this study was to determine the specific beliefs of a national sample of CRCs about whether particular behaviors are ethical, the degree to which there is a consensus about the ethical nature of these behaviors, and which behaviors involve a high degree of controversy. Results indicated that of the 104 behaviors, 13% (n=14) appear to be clearly identified as ethical, 22% (n-23) clearly unethical, and 16% (n=17) as controversial. In addition, the level of confidence of rehabilitation counselors demonstrated in their judgments and difficult judgment items also is discussed along with the participants' ratings of the effectiveness of various resources regarding ethics.
Enhancing the Career Advancement of Workers with Hearing Loss: Results from a National Follow-up Survey
Authors: Schroedel John G. , Geyer Paul D.
Published: June 2019

This article attempts to fill a void in the professional literature about career advancement of workers with disabilities. It reports on the results of a study of 240 deaf and hard-of-hearing college graduates, most of whom were supported by vocational rehabilitation when they were students. The success of these alumni 15 years into their careers was reflected in their overall satisfaction with their careers, prospects for promotions, and relations with their supervisors. These findings exemplify that career enhancement and productivity skills can be obtained and used by workers with disabilities. Implications for rehabilitation consumers and counselors are discussed.
Spirituality and Addiction Recovery for Rehabilitation Counseling
Authors: Sherman Jo , Fischer Jerome M.
Published: June 2019

Spirituality can be experienced as appreciating the totality of life through fellowship with others, reflecting on the meaning of all aspects of our experience, and viewing our existence from a vantage point outside everyday happenings. The purpose of this study was to determine whether a relationship exists between spirituality, modality of recovery of people with chemical addictions, and length of abstinence from chemicals. The Spirituality in Recovery Questionnaire (SRQ) was used to gather data from 81 respondents in a Northwest community in three modalities of recovery: outpatient treatment with a spiritual program, residential treatment with a spiritual program, and outpatient treatment without a spiritual program. A 2 × 3 factorial analysis-of-variance analyzed the data obtained from the SRQ. Results determined that people more than nine months in recovery from chemical dependency had significantly higher scores on the SRQ. This study suggests that people with chemical addictions can enhance their spirituality through abstinence.
School-to-Work Transition Planning for School-Aged Children with HIV
Authors: Feist-Price Sonja , Khanna Neena
Published: June 2019

With the modern advances of medicine, school-aged children with Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) are afforded the opportunity to live long and productive lives. However, their ability to attain a life of normalcy is minimized if proper services are not made available. One of the mechanisms that can contribute to school-aged children living normal and productive lives beyond their high school years is school-to-work transition planning. The school setting has proved to be an environment that has not only sparked learning, but has also provided a safe and nurturing haven where students could meet many of their psychosocial needs of adjustment and development.
Enhancing the Rehabilitation Counseling Process: Understanding the Obstacles to Asian Americans' Utilization of Services
Authors: Chen Roy K. , Jo Song-Jae , Donnell Chandra M.
Published: June 2019

Improving rehabilitation services for Asian Americans with disabilities through the rehabilitation counseling process remains as an ongoing challenge. Despite being the fastest growing ethnic group in the United States, past studies have reported low utilization rates of vocational rehabilitation and mental health services among this population. This article (a) describes Asian American views on disabilities from religious, philosophical, and spiritual perspectives; (b) reviews factors that may contribute to their being underserved in the rehabilitation; (c) discusses the influence of family dynamics on the rehabilitation process; (d) underscores unique employment challenges facing the Asian Immigrant community; and (e) draws out the implications of such an analysis for rehabilitation counseling.
Information for Rehabilitation Counselors on Guardianship and Alternatives to Guardianship for Persons with Traumatic Brain Injuries
Authors: McGraw-Hunter Michelle
Published: June 2019

As the number of persons with traumatic brain injury has increased in the United States, the focus placed on whether or not guardianship is appropriate for such individuals has expanded. The purpose of this paper is to provide knowledge for rehabilitation counselors on the issues of guardianship and to explore other, less intrusive methods to meet the needs of individuals with traumatic brain injuries while maximizing their independence. Issues such as competency and independence need to be addressed in order to determine the necessity of guardianship. The level of restriction that guardianship imposes on the individual must also be considered in regards to what is most appropriate for the person with a traumatic brain injury, with consideration given to alternatives to guardianship that are less restrictive and invasive. Alternatives to guardianship include designating a representative payee, choosing a durable power of attorney, or creating a trust for the person with a traumatic brain injury. Rehabilitation counselors should be knowledgeable of the issues surrounding guardianship and alternatives to guardianship in order to have a strong knowledge base regarding issues that may affect their clients with traumatic brain injuries and to be able to provide the highest quality of services to their clients.
Dual Diagnosis: Effective Treatment and Barriers to Recovery
Authors: Palmieri Christine D. , Accordino Michael P.
Published: June 2019

Traditional treatments for persons with serious mental illness and substance abuse disorders have historically not been fully effective. Because there is a high prevalence of substance abuse among people with mental illness, new treatment approaches have been developed to target this population specifically. Integrated approaches to treatment are considered to be more effective. In the following review of literature, the authors have described traditional treatment approaches and why they have been ineffective in facilitating recovery for individuals with dual diagnosis. Integrated treatment approaches are described and reviewed as to their efficacy in facilitating recovery and their cost-effectiveness. Characteristics of people who benefit most from integrated treatment are also presented. Finally, barriers to recovery for persons with dual diagnosis and implications for Rehabilitation Counselors are also examined.
International Exchange in Disability and Social Inclusion: American Educators' Perspectives
Authors: Fabian Ellen S. , Madsen Mary K.
Published: June 2019

This article describes the U.S. and Brazilian exchange in rehabilitation and disability supported by the Fund for the Improvement of Post Secondary Education (FIPSE) in America, and the Ministry of Education in Brazil. The purpose of the program is to enable U.S. and Brazilian students to complete a semester of coursework and field experiences at one of the four partner universities in order to strengthen rehabilitation-related links among the partners, and to enable participating students to acquire cross-culture knowledge and skills in this area. Our program, funded in 2004, has offered opportunities for several students and faculty members to learn more about rehabilitation and disability, and to continue to participate in on-going scholarly projects around these issues.
One Veteran Counselor's Take on the Future of Rehabilitation Counseling
Authors: McMahon Brian T.
Published: June 2019

One counselor argues that rehabilitation counseling has a bright future that will be better still if it recommits to vocational services, achieves organizational unity (not just coordination), remains true to its core values, and increases collaboration with cross-disability organizations.
Comments
Authors: Asaro Vincent
Published: June 2019

This section is reserved as an outlet for brief professional expressions pertaining to issues concerning the handicapped, the field of rehabilitation counseling, and/or reactions to previously P1lblished JARC articles.
Psychosocial Characteristics of Aging Persons with Psychiatric Disabilities Seeking VR
Authors: Bernacchio Charles , McReynolds Connie , Falvo Donna , Stevens Jeff , Cimera Robert , Hogan Ebony
Published: June 2019

The occurrence of psychiatric conditions among people 55 years and older ranges from dementia, cognitive disorders, depression/mood and anxiety disorders, to severe mental illness (i.e., schizophrenia, bipolar disorders) and substance abuse disorders. The National Institute of Mental Health (2009) identified depression as the major mental health concern for older citizens in general. Attention to the older vocational rehabilitation (VR) population with psychiatric conditions is relatively recent, and evidence suggests that middle-aged and older people with mental illness are understudied and underserved in the field of vocational rehabilitation. This article presents a description of the 50 to 69 year old cohort of persons with psychiatric conditions who were served by VR from 2002 to 2006 nationally as compared to North Carolina (NC) state VR data for the same period of time, discusses public funding for mental health treatment of this group and the role of health insurance parity, and addresses potential implications and needs for future research for this population.
Effects of Sociocultural Background and Disability on Occupational Competence of Adolescent Girls
Authors: Most Tova , Weisel Amatzia , Brand Devora
Published: June 2019

The effect of sociocultural environment on self-evaluated occupational competence was examined among 81 Jewish high school girls with hearing loss (HL) or normal hearing in four groups: ultra-orthodox (UO) with HL, secular with HL, and two matched hearing groups. Participants completed questionnaires on occupational competence. Findings showed that participants with HL rated highly prestigious occupations that require communication as less suitable for them than did hearing participants. UO participants rated less prestigious occupations as more suitable for them than did secular participants. A significant interaction emerged for highly prestigious – low communicative occupations. UO participants with HL rated them as more suitable than did their hearing peers, whereas secular participants with HL rated them as less suitable than did their hearing peers. The results emphasize the need for occupational counseling to account for a disability as well as for social context.
Racial Identity and Perceptions of People with Disabilities as Romantic Partners: A Pilot Study
Authors: O'Sullivan Deirdre , Notaro Stephen J.
Published: June 2019

This study explored the relationship between racial groups, racial identity, and attitudes toward dating a person with a physical disability. It was hypothesized that African Americans would have higher levels of racial identity than Caucasian Americans. Furthermore, it was hypothesized that because of shared minority group status, African Americans would have more positive attitudes than Caucasians toward dating someone described as having a physical disability. African American participants were found to have higher levels of racial identity than Caucasian participants, but had significantly more negative attitudes regarding dating a person with a physical disability than Caucasians. A discussion of racial identity, as well as implications for rehabilitation counselors, is included.
The Impact of Humor on Attitudes toward Persons with Disabilities
Authors: Grist Virginia L. , Ebener Deborah J. , Smedema Susan Miller
Published: June 2019

The purpose of this study was to determine the impact of humor on attitudes as measured by the Modified lssues of Disability Scale (MIDS) by comparing the effects of a humorous and a serious video designed to reduce negative attitudes toward persons with disabilities. Ninety-three undergraduate students at a southeastern university volunteered to. participate in the study. The participants were randomly assigned to one of three treatment groups. The first group viewed a serious video concerning disability, the second group viewed a humorous video concerning disability, and the third group viewed no video. A one-way model analysis of variance design was applied to the MIDS scores (dependent variable). Results revealed no significant differences between the attitude scores of the three groups. The results of the study highlight the need for further research on the impact of humor on attitudes toward persons with disabilities.
Combining Ethical Virtues and Principles
Authors: Davis Alan , Jahner Robert
Published: June 2019

Rehabilitation counselors are committed to upholding high standards of ethics. To solve complicated dilemmas, counselors must practice ethical reflection on development of virtues and principles. Reflection on insights into ethics developed by historically significant contributors can help counselors articulate a robust ethical perspective. Counselors are recommended to search for basic principles they would like to see applied universally as standards of behavior, and reflect regularly on the questions “How should I be?” and “What should I do?”
Treatment Planning for Individuals with Lupus: Case Conceptualization Using the DOACLIENTMAP Framework
Authors: Agarwal Neelam , Barnes Erin F. , Kumar Vinod
Published: June 2019

Rehabilitation counselors may not be prepared to address the needs of individuals living with lupus, unless they are familiar with the medical, functional, and vocational implications of lupus as impediments to employment. Currently, the rehabilitation counseling literature involving working with lupus appears scant. The current article aims to address this deficit by offering data-driven recommendations and an applied approach for conceptualizing a client living with lupus. The authors use a case study based on the lived experience of an individual with lupus as a means to provide anecdotal information about specific areas to consider when providing services to individuals living with this condition. The authors will then integrate this information into the treatment planning process using the DOACLIENTMAP model (Seligman, 1990).
Does the Purpose for Using a Service Dog Make a Difference in the Perceptions of What it Takes to Create Successful Outcomes in the Workplace?
Authors: Glenn Margaret , Thorne Kendra
Published: June 2019

The objective of this article is to determine if there are perceptual differences regarding the importance of elements deemed imperative for successful service dog partnerships in the workplace (Glenn, 2013) between those who have experience with dogs for mobility/stability and those for medical alert/response. Thirty individuals completed this online survey (mobility/stability: n = 18; medical alert/response: n = 12). Participants rated the importance of elements in response to the question, “How important to do you think this item is in the OVERALL process?” The mobility/stability group rated the Co-Worker Preparation and Legal Knowledge clusters as significantly more important than the medical alert/response group. This opens up a need for research on the unique needs of subgroups of the population of people using service dogs. Differences may exist because of the size of dogs and the issues around privacy for the person with the disability seeking accommodations on the job.
Thinking Outside the Box: Maximizing Vocational Outcomes Post-Traumatic Brain Injury through Rehabilitation Counseling and Recreation/Leisure Activities
Authors: Thomas Leah Cox , Burker Eileen J. , Kazukauskas Kelly A.
Published: June 2019

Traumatic brain injury (TBI) is a disability that is becoming more common and post-injury many individuals with TBI have difficulty returning to employment for extended periods of time. Despite the success of traditional vocational rehabilitation programs, many individuals still struggle to maintain long-term employment. The purpose of this paper is to suggest the use of recreation and leisure activities (RLA) as a complementary treatment modality that can be utilized in conjunction with traditional employment programs to maximize vocational outcomes and increase overall life satisfaction. Benefits and barriers to RLA participation are discussed as well as specific attributes necessary for participation in both vocational pursuits and RLA. Recommendations for rehabilitation counselors are also provided.
Participants with Disabilities Satisfaction with the Job Placement Process in State of Utah
Authors: Nebeker Gerald , Bown Marilyn , Todhunter Sunny
Published: June 2019

To identify variables that lead to a successful experience and employment for people with disabilities referred to a private provider in Utah, 40 participants who sought employment between March 2011 and May 2014 were interviewed. The interviews were conducted over the phone using semi-structured questions. A case-study design was employed, and responses were categorized into themes. While RISE's program resulted in 81% of the participants gaining employment, simply getting a job did not necessarily create satisfaction with the process. The data indicated that the interaction between client and support worker, regardless of whether the caseworker was employed by a provider or the state, was vitally important. Dedicated support workers, who took the time to get to know the person, developed a genuine interest in the person, and performed tasks that went well beyond minimal involvement, were closely associated with increased satisfaction. Employee turnover, doing the minimum, and treating participants in an indifferent manner contributed to dissatisfaction.