bluuebunny/crossref_metadata_2025 huggingface dataset:
Investigating the mental health status of infertile women
Authors: Hamzehgardeshi Zeinab , Yazdani Fereshteh , Elyasi Forouzan , Moosazadeh Mahmood , Peyvandi Sepideh , Samadaee Keshvar , Shahidi Maryam
Published: June 2019

Letter to Editor
The stressful experience of infertility is associated with a wide range of psychological damage (1), so infertility affects people’s mental health and all aspects of an individual’s life (2). Since women in the family are considered to be the main pillars of the community and they are also more vulnerable to illnesses, therefore consideration of their health is also very important (3). The objective of the current letter is investigating the mental health status of infertile women and its related factors as predictors of mental health ininfertile women. This is a descriptive study conducted on 100 infertile women referred to the infertility treatment centers in Mazandaran province, North of Iran. The General Health Questionnaire was provided to the infertile women. The questionnaire is a self-reporting questionnaire that is used clinically to track those who are prepared for mental illness(4).Based on the findings, Total Scale of General Health Questionnaire was 33.18 ± 10.27 that was according to the cut-off point of 22, 85% of the infertile women in this study are in the disorder condition. Also, in terms of subscales: physical complaints was 8.65 ± 3.97, anxiety and insomnia was 8.69 ± 5.58, disruption of social function was 12.73 ± 3.34, and depression was 3.10 ± 3.79. The most common disorder was related tosocial disorder subscale and the least common subscale was related to the depressiondisorder. The subscales of physical symptoms and sleep disturbance and anxiety areranked almost at one level, and they are classified between the two subscales that werealready mentioned. Therefore, based on our findings and the level of women’s mental health, there isa need for a psychologist or midwifery counselor in the infertility treatment centers to improve the mental health of women. In addition, since the mental disease may also affect the outcome of the treatment, attention to the mental health of infertile women is really importance.
Os dilemas do desenvolvimento: um olhar para o rural
Authors: Silva Monica Nardini da , Souza Eduardo Garcia , Anjos Flávio Sacco dos
Published: June 2019

A definição e a aplicação do desenvolvimento não é um consenso no meio acadêmico e político, ao contrário, é um tema muito amplo e polêmico. O objetivo deste artigo foi o de abordar essas diferentes concepções, atreladas ao meio rural brasileiro, buscando vincular as abordagens a alguns exemplos práticos. Para tanto, discutiu-se sobre alguns dos principais enfoques do desenvolvimento lançando mão de referenciais teóricos. Percebe-se que apesar de ser um tema bastante discutido há décadas no meio acadêmico, ainda não há uma aplicação prática efetiva, com algumas poucas exceções, de políticas que realmente favoreçam o desenvolvimento rural, territorial e sustentável.
The assessment of specialized otorhinolaryngological care quality
Authors:   Saint-Petersburg Institute of Ear, Nose, Throat and Speech, the Ministry of Healthcare of Russia,  Saint Petersburg, 190013, Russia, Yanov Yu. K. , Krivopalov A. A. ,   Saint-Petersburg Institute of Ear, Nose, Throat and Speech, the Ministry of Healthcare of Russia,  Saint Petersburg, 190013, Russia, Tuzikov N. A. ,   Botkin Saint Petersburg Infectious Diseases Hospital,  Saint Petersburg, 191167, Russia, Shnaider N. A. ,   Bekhterev National Medical Research Psychoneurological Center,  Saint Petersburg, 192019, Russia, Nasyrova R. F. ,   Bekhterev National Medical Research Psychoneurological Center,  Saint Petersburg, 192019, Russia, Shcherbuk A. Yu. ,   Saint-Petersburg State University,  Saint Petersburg, 199034, Russia, Shcherbuk Yu. A. ,   Saint-Petersburg State University,  Saint Petersburg, 199034, Russia, Shardanov Z. N. ,   Mechnikov North-Western State Medical University, the Ministry of Healthcare of Russia, Saint Petersburg, 191015, Russia, Artyushkin S. A. ,   Mechnikov North-Western State Medical University, the Ministry of Healthcare of Russia, Saint Petersburg, 191015, Russia
Published: June 2019

The lecture is devoted to the content and assessment of the quality of medical care in general and specialized otorhinolaryngological care in particular. The lecture provides the basic concepts of medical care in general, its main types and forms of provision. The authors define the concept of specialized otorhinolaryngological care from the viewpoint of regulatory documents of the Ministry of Healthcare of Russia and current regulatory documents, its role in the system of medical care of our country, providing the routing of the patients at all its stages. The lecture presents the approaches to assessing the quality of specialized otorhinolaryngological care. The authors determine the concept of mistake and defect, their main types and causes, their effect on the safety and efficacy of specialized otorhinolaryngological care. The work covers the legal aspects of assessment of provided otorhinolaryngological care quality, pointing out the important problem of the absence of a single approach to such assessment in otorhinolaryngology. The authors substantiate the necessity of original and multipurpose system of expert assessment of quality of provided otorhinolaryngological care based on automatic quality evaluation technology as a prototype. The next work will be devoted to its peculiarities as well as to the problems existing in clinical otorhinolaryngology.
Congenital deafness etiologic spectrum and its importance in cochlear implantation
Authors:   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech,  the Ministry of Healthcare of Russia, Saint Petersburg, 190013, Russia, Kalyapin D. D. , Sugarova S. B. ,   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech,  the Ministry of Healthcare of Russia, Saint Petersburg, 190013, Russia, Kuzovkov V. E. ,   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech,  the Ministry of Healthcare of Russia, Saint Petersburg, 190013, Russia, Lilenko A. S. ,   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech,  the Ministry of Healthcare of Russia, Saint Petersburg, 190013, Russia, Preobrazhenskaya Yu. S. ,   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech,  the Ministry of Healthcare of Russia, Saint Petersburg, 190013, Russia
Published: June 2019

Congenital deafness plays a special part in the present-day otorhinolaryngology, its importance is globally recognized. In the recent years, medicine has greatly succeeded in the treatment and rehabilitation of patients born deaf. However, even such advanced surgical and rehabilitation methods as cochlear implantation performed in early childhood, in some situations, does not make it possible to achieve optimal results of oral speech, psychological, social rehabilitation of patients, to meet all their requirements and expectations. The heterogeneity of the results is explained by the etiological diversity of congenital deafness. According to our foreign colleagues, infectious and genetic factors are the most significant in the etiology of congenital deafness. However, in our country there is no reliable information about etiological profile of the patients born deaf who seek cochlear implantation. In July 2018, a study of congenital deafness etiology in the candidates for cochlear implantation of toddlers was started in the premises of Saint Petersburg Research Institute of Ear, Throat, Nose and Speech. In this article, we present the first results of our etiological search.
Paratonsillitis. The present-day state of the problem according to Rostov Clinic of Ear, Nose, Throat Diseases
Authors:   Rostov state medical University, the Ministry of Healthcare of the Russia,  Rostov-on-don, 344000, Russia, Kondrashov P. A. , Volkov A. G. ,   Rostov state medical University, the Ministry of Healthcare of the Russia,  Rostov-on-don, 344000, Russia, Zolotova T. V. ,   Rostov state medical University, the Ministry of Healthcare of the Russia,  Rostov-on-don, 344000, Russia
Published: June 2019

Paratonsillitis is one of the most common urgent diseases of ENT organs. The objectives of the study included a retrospective analysis of patients’ complaints about acute exacerbation of chronic tonsillitis and its complications, as well as the study of the specific features of microbial spectrum of paratonsillitis pathogens and its changes at various stages of the disease. The authors analyzed the out-patient encounters logs for a 10-year period. In parallel, bacteriological studies of the contents of the cavities of paratonsillar abscesses in 76 outpatient patients treated for this pathology were conducted. It has been found that anginas and paratonsillitis occupy a significant position in the structure of urgent pathology of ENT organs, with a steady increase of the number of visits. At the same time, the statistics of planned surgical interventions for chronic tonsillitis and its complications indicate an insufficient use of surgical treatment methods The predominant paratonsillitis pathogens were: Streptococcus-β-haemolythicus, Streptococcus pneumoniae and Staphylococcus aureus, which had high levels of colonization. Cephalosporins and penicillins used as monotherapy, in most cases, did not completely suppress the growth of pathogenic microflora in the focus of inflammation. The authors revealed high level of non-clostridial anaerobic flora (in more than 20% of cases). Anaerobic flora was found in primary and repeated smears in the equally high percentage of cases, which indicates its resistance to the standard antibiotics used for the treatment of this pathology.
Morphological characteristics of various types of polypous rhinosinusitis
Authors:   Paсifiс State Medical University, the Ministry of Healthcare of the Russia  Primorsky Krai, Vladivostok, 690002, Russia, Pavlush D. G. , Dyuizen I. V. ,   National Scientific Center of Marine Biology of the Far Eastern Branch of the Russian Academy of Sciences, Vladivostok, 690041, Russia
Published: June 2019

The publication presents the results of morphological study of patients with chronic polypous rhinosinusitis (ChPR). ChPR is characterized with a chronic productive type of inflammation of the nasal mucosa and paranasal sinuses, with the formation and growth of polyps. In this study, we examined 70 people (50 patients in the study group and 20 patients in the control group). In this work, the authors found the polypous changes in the tissue, three types of the nasal cavity polyps. 1. Edematous polyps – histological signs: an edematous polyp stroma containing a small number of fibroblasts and connective tissue fibers, due to which the intercellular space has a spongy, loose appearance. In the depth of the polypous tissue there are areas containing single glands, cysts. 2. Allergic (eosinophilic) polyps – histological signs: the presence of infiltrates with a significant number of eosinophils, alongside with monocytes and mast cells. 3. Fibrous (fibrous-vascular, fibrocystic, fibrous-glandular) polyps – histological signs: the stroma has dense compact structure, it is made of a great number of fibroblasts and surrounding connective tissue fibers. The stroma has a large number of various caliber vessel profiles.
Reducing Health Disparities to Promote Health Equity through Policy Research
Authors: Perez-Stable Eliseo J. , Sayre Michael
Published: June 2019

Health policy research aligns with the vision, mission, and strategic goals of the National Institute on Minority Health and Health Disparities (NIMHD). Understanding the effects of a policy change at a local, state or national level that impacts health requires setting up data collection or accessing existing data to evaluate impact at a population health level. The translational work in  the current special supplement issue of Ethnicity & Disease is a powerful and essential approach in optimizing scientific inquiry that supports increasing awareness and selected strategies for cultivating the lives of vulnerable and underserved individuals, families, and communities.
Strategies for Achieving Health Equity: Concern about the Whole Plus Concern about the Hole
Authors: Jones Camara P. , Holden Kisha B. , Belton Allyson
Published: June 2019

Health equity is a process, assurance of the conditions for optimal health for all people, which requires valuing all individu­als and populations equally, recognizing and rectifying historical injustices, and providing resources according to need. At the heart of health equity is concern about the whole of society, not just a single individual or group. Also, at the heart of health equity is concern about the holes in society, about gaps of op­portunity and gaps of being valued that are experienced by many. Strategies to achieve health equity that reflect concern about the w(hole) require the examination of a practical roadmap that combines citizenship (WHOLE) with a gap analysis (HOLE). This shorthand of operationalizing health equity as concern about the (w)hole may prove to be useful in generating further strate­gies for achieving health equity.Ethn Dis. 2019;29(Suppl 2): 345-348. doi:10.18865/ed.29.S2.345
Health Policy Training for Health Equity Leaders
Authors: Heiman Harry J. , Smith L Lerissa , Respress Ebony , Roth Bayer Carey
Published: June 2019

Health professional training programs increasingly recognize the importance of health policy training. Despite integration of this training into health professional educa­tion, there have been limited published studies about health policy training and few studies that meaningfully measure and eval­uate learner outcomes. The Satcher Health Leadership Institute at Morehouse School of Medicine developed a multidisciplinary, post-doctoral, health policy fellowship program in 2009, uniquely focused at the intersections of health policy, health equity, and leadership development. The program curriculum was intentionally designed with desired learner outcomes, aligning train­ing and learner experiences with these outcomes, and meaningfully capturing and measuring outcomes in program evaluation. We present our training approach as well as results from an alumni survey assessing learner outcomes one to five years post fel­lowship completion. To our knowledge, this is the first study that evaluates the longitu­dinal impact of health policy training on the career trajectories of program graduates. We believe this offers a number of opportunities for replication and translation across health professional training programs.Ethn Dis. 2019;29(Suppl 2): 405-412. doi:10.18865/ed.29.S2.405
Evaluating the Availability and Quality of HIV/AIDS Services and Supports for Individuals with Intellectual and Developmental Disabilities
Authors: Roach Andrew T. , Dispenza Franco , Zeligman Melissa , Stair Anne , Kelly Breanna
Published: June 2019

We used a community-based participatory research (CBPR) framework to conduct a needs assessment of the availability and quality of human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) services for persons with intellectual and developmental disabilities (PWIDD) in the Atlanta metropolitan area. We present the findings of a three-phase research project. Findings from the research informs organizations and policymakers on how to provide persons with disabilities better access to HIV/AIDS care. Ethn Dis. 2019;29(Suppl 2):435-440; doi:10.18865/ed.29.S2.435
The Psychological Assessment of Vocational Functioning
Authors: Field Timothy F.
Published: June 2019

A model for the assessment of psychological functioning for vocational planning is discussed. The responsibilities of both the referring counselor and the psychologist are delineated. A common set of constructs is proposed with an emphasis upon vocationally relevant worker traits. A worksheet is included as a guide for psychological referrals.
Behavioral Assessment of Client Problems in a Comprehensive Rehabilitation Center
Authors: Roessler Richard T. , Greenwood Reed , Marr John N.
Published: June 2019

A cross-sectional/short-term longitudinal study utilizing a behavior-in-situation approach was conducted to identify the problems disabled clients experience while receiving services in a large rehabilitation facility. Based on a content analysis of the initial interview, client problems clustered in the following areas: medical service complaints (39% of sample), conflict with other students (38%), and detrimental staff attitudes and behavior (28%). With the exception of a decrease in problems with medical services, clients reported similar problems in a second interview three to four months later. New and experienced students reported similar types of problems at both initial and follow-up interviews. Implications of the problems for modification of Center programming and for client adjustment services are discussed.
Competency Evaluation in Rehabilitation (CEIR): Toward a Competency-Based Client-Outcome System
Authors: Harrison Don K.
Published: June 2019

Competency evaluation in rehabilitation (CEIR) is priposed as a conceptual framework for program evaluation in the State-Federal VR program. It parallels the case status flow system and considers multiple rehabilitation outcomes in addition to the single criterion of employment. Rehabilitation program evaluation rationale is based on the competencies and changes desired by clients, and their identification and measurement are proposed at: (a) specific points during the rehabilitation process, (b) the termination of rehabilitation services, and (c) intervals subsequent to case closure. CEIR relates tasks (processes) performed by rehabilitation personnel with changes (competencies) made in clients. Viewing the State-Federal VR program from a systems perspective, program evaluation is considered an integral part of program planning, developing, and implementing. Criteria for the CEIR are discussed.
Chronic Low Back Pain and the Rehabilitation Process: A Multiple Regression Analysis
Authors: Hollingsworth David K. , Watson Donald Duane
Published: June 2019

A random sample of 71 chronic low back pain (CLBP) patients was drawn from a Midwest Pain Clinic in 1977. Sociological and demographic information that is obtained early in the rehabilitation process was employed as independent variables of a predictor set in three multiple-regression analyses utilizing the first three clinician scales of the MMPI as dependent measures. An overall significant F ratio was obtained for the Hysteria scale, but not for either the Depression nor the Hypochondriasis scales. The patient's age and sex were the only significant members of the predictor set for all three of the clinician scales. The findings indicate that the rehabilitation of CLBP patients must include issues of social involvement and self control.
Vocational Rehabilitation Following Coronary Bypass Surgery: The Need for Counseling the Newly Well
Authors: Thurer Shari
Published: June 2019

This study demonstates that without counseling the vocational rehabilitation of heart surgery patients may be less than ideal despite good physical outcome. Twenty-one individuals underwent a vocational evaluation before, and four months after coronary bypass surgery. Test variables were subject to an Analysis of Variance and a correlational analysis. Patients showed a significant improvement in their physical condition. However, vocational adjustment did not improve. Post-operative adjustment was not related to pre-operative adjustment. A “holistic” approach to treatment geared to rehabilitation was suggested.
Disability Simulation as a Strategy for Attitude Change
Authors: Sawyer Horace W. , Clark W. Dave
Published: June 2019

A disability simulation experience was implemented to study its effect on attitude change toward various disabilities and concepts relative to individuals with handicapping conditions. The simulation experience involved a variety of assigned activities carried out by graduate students in rehabilitation who were simulating a physical disability. The results demonstrated the effectiveness of disability simulation as a medium for positive attitude change toward some disabilities and concepts relating to body image and perceptions of the handicapped individual. A follow-up assessment indicated that attitude change remained stable for a period of four months following the disability simulation experience. The implications point to the effectiveness of utilizing disability simulation in training programs for rehabilitation counselors and other professionals in rehabilitation. Further research was suggested to explore the impact of disability simulation on attitude and architectural barriers that have an impact on the disabled individual.
The Rehabilitation Crisis: The Impact of Growth
Authors: McCrory Dennis J. , Connolly Patricia S. , Hanson-Mayer Timothy P. , Landolfi Joanne M. Sheridan , Barone Faith C. , Blood Allen H. , Gilson Andrew B.
Published: June 2019

A team of vocational rehabilitation counselors, supervisors, and a psychiatric consultant has studied a phenomenon that occurs with surprising regularity and predictability: the client who suddenly appears to become overwhelmed, does poorly, or drops out of what had seemed to be a successful program. this often happens with the psychiatrically disabled, but may also happen with the physically disabled client. The authors have found that this phenomenon is often a product of the stress accompanying growth. We have termed this occurrence the “rehabilitation crisis.” We believe it can be anticipated, recognized, and often worked through to successful resolution instead of being perceived as a product of poor planning or client pathology, either of which often leads to a judgment of client infeasibility and unsuccessful case closure.
University-Agency Contracts: A Reality in Rehabilitation
Authors: Atkins Bobbie J.
Published: June 2019

Informal agreements between rehabilitation educators and agency personnel regarding quality practical experiences for students, have existed for years. Recent litigation and increased demands for accountability, however, have increased the need for formal agreements. University-agency contracts provide a valuable instrument for responding to the legality-accountability dilemma and for enhancing cooperation between rehabilitation employees, university personnel, and students. The author provides a discussion of: (a) the importance of practical experiences, (b) responsibilities of contract participants, (c) content of formal contracts, and (d) specific considerations for rehabilitation education and practice.
An Alternative Evaluation Tool for the Measurement of Vocational Rehabilitation Counselor Performance
Authors: Schenzinger August R.
Published: June 2019

Vocational Rehabilitation with its emphasis on the “26 closure” as a criterion of performance has failed to adequately investigate other alternatives for the evaluation and development of the counselor. This article presents one such alternative which measures a representative sample of counselor behaviour and is thus more reflective of performance throughout the entire rehabilitation process.
Expectancy Theory as An Approach To The Motivation Of Rehabilitation Counselors
Authors: Wilkins Ronnie D. , Alexander Elmore R.
Published: June 2019

Motivation is an important concern of rehabilitation administrators. This paper describes a new approach (expectancy theory) to understanding the work motivation of rehabilitation counselors. The theory is tested using data obtained on counselors in the State of Tennessee. The results of data analysis confirm the appropriateness of the expectancy theory model. The paper discusses the implications bf these results as well as the theory for those concerned with motivating rehabilitation counselors.
Vocational Rehabilitation Professionals in the Veterans Administration
Authors: Lemons Stephen L. , Sweeney Patrick
Published: June 2019

The professional positions of Counseling Psychologist and Vocational Rehabilitation Specialist in the Veterans Administration vocational rehabilitation program are described. The evolution of each position is traced from the program's inception in 1943 to the present time along with a brief description of the current organizational alignment of vocational rehabilitation within the VA. Professional duties and responsibilities of these staff positions are described in light of the recently enacted PL 96-466, and procedures for qualifying for employment under OPM standards are discussed. Finally, the need for a definitive study of the future relationship of the two positions is suggested.
Working With Chronic Low Back Clients In Rehabilitation: The Need For Early Intervention
Authors: Huneke Bonnie
Published: June 2019

Individuals disabled by chronic back pain compose a large percentage of clients on the rehabilitation rolls, especially in the private sector. This paper examines the issue of chronic back pain; specifically psychological overlay, stress, and reinforcers of pain. Early rehabilitation intervention alter onset of back injury is proposed as the tool to reduce the potential for chronicity. An overview of this approach within a railroad industry is presented as an example of how early intervention works successfully.
A Diagnostic and Rehabilitation Model
Authors: Crystal Ralph M. , Witten Barbara J. , Wingate Jane Ann
Published: June 2019

This article describes a project being implemented at the University of Kentucky to facilitate rehabilitation services for learning disabled individuals capable of entering a post-secondary education/training program. The project links public school systems and the Bureau of Rehabilitation Services in the state of Kentucky, as Well as the Special Education department and the Graduate Program in Rehabilitation Counseling at the University. The objectives of the project include assisting learning disabled individuals in understanding their educational and remedial learning needs, assisting clients in making post-secondary education and career choices, and assisting in providing counseling and remedial support services. Since the project is now being implemented, no evaluation data is available at this time.
Residual Learning Disabilities in Young Adults: Implications for Rehabilitation
Authors: Blalock Jane W.
Published: June 2019

The nature of residual learning deficits in 80 young adults diagnosed as having learning disabilities is described. Adults were evaluated in the Adult Clinic of the Northwestern University Learning Disabilities Center. Problems in oral language, reading, written language, nonverbal abilities, and thinking skills are described. The ways in which the residual deficits were reported to interfere with vocational and social learning are discussed suggesting possible implications for rehabilitation counselors.
Ethical Issues in Private-for-Profit Rehabilitation
Authors: Cottone R. Rocco
Published: June 2019

With the proliferation of private-for-profit rehabilitation, the issue of ethics in the practice of rehabilitation has a developed sense of urgency. The fact that private rehabilitation has grown so dramatically reveals that rehabilitation counseling is filling a need in the private sector. Nevertheless, the litigation process common to worker's compensation cases makes demands on the rehabilitation counselor which may be ethically compromising. This article specifically addresses what constitutes unethical practice in private-for-profit rehabilitation by applying the highly developed ethical guidelines applied in the profession of psychology.
The Roles and Functions of Rehabilitation Specialists in the Private Sector
Authors: Matkin Ralph E.
Published: June 2019

A national survey was conducted in order to identify the roles and functions of rehabilitation specialists working in the private sector. Participants consisted of 155 randomly selected members of the National Association of Rehabilitation Professionals in the Private Sector (NARPPS) who employed or worked with an additional 695 rehabilitation specialists, such that, a total of 850 persons participated in the survey. Participants were mailed the Rehabilitation Specialist Task Inventory (RSTI) which was developed for this investigation. A total of 283 persons responded which yielded 254 usable questionnaires which represented responses from 84 graduates of accredited rehabilitation programs, 50 rehabilitation nurses, and 120 other private rehabilitation practitioners. Factor analysis of the RSTl revealed 122 tasks distributed across five major work role categories: (1) Planning and Coordinating Client Services, (2) Business and Office Management, (3) Job Development and Placement, (4) Diagnostic Assessment, and (5) Other Professional Activities. Rational sorting of the items contained in the first three work role categories yielded 15 sub-groupings; six in the first, four in the second, and five in the third category. Data were analyzed for the five work role categories, as well as for each task item, using one-way analysis of variance and Duncan's post hoc tests. Participants were also divided in terms of whether or not they were Certified Rehabilitation Counselors. The t statistic was used to compare responses between CRCs and Non-CRCs on the five work role categories. Results and their implications were discussed for the roles and functions of the three groups of private rehabilitation specialists, as well as for CRCs and Non-CRCs, relative to task importance and frequency of task performance.
Reaction and Adjustment to Spinal Cord Injury: A Descriptive Study
Authors: Dew Mary Amanda , Lynch Kathleen , Ernst Jeffrey , Rosenthal Robert
Published: June 2019

A comprehensive description of a sample of spinal cord injured individuals is provided in order to evaluate the extent to which injury affected their employment and financial situation, their interpersonal relationships and their opinions of themselves. Findings from structured interviews conducted with III patients are summarized and discussed in terms of their implications for several goals. These include (a) gaining increased understanding of the special problems faced by these individuals, (b) providing practitioners with information which can be used to guide treatment choices, and (c) defining new research questions and areas of inquiry.
Rehabilitation Counseling: A Case of Mistaken Identify
Authors: Jellinek Homs M. , Lynch Ross K.
Published: June 2019

Issues related to the professional identity of one area of counseling—rehabilitation—are presented. The study reported here demonstrates the lack of standardization and uniformity across three levels of rehabilitation education programs in terms of official program titles, professional titles, and degrees awarded. Findings show no global identifying credential which represents completion of a rehabilitation program curriculum from degree granting institutions. The need for a standard professional identity signifying uniformity in academic preparation for rehabilitation counseling across universities, and recognizable by the community, employers, and graduates alike is stressed.
Bridging A Culture in Counseling
Authors: Lowrey Leon
Published: June 2019

The Navajo Tribe is the largest and fastest growing Indian Tribe in the Continental United States. Somewhere near 180,000 Navajo people reside on the Navajo reservation located in three states: New Mexico, Arizona, and Utah. Tens of thousands more Navajo people live in cities throughout the United States.

Ability to work effectively with more traditional Navajo people will require of the counselor some background and respect for the ancient language and culture of the client.
Differences Between Public and Private Rehabilitation Services & the Professionals Who Staff Them
Authors: Howell Joanne C.
Published: June 2019

Historically master's level programs in rehabilitation counseling produced trained graduates, many of whom became employed in state Divisions of Vocational Rehabilitation. In recent years an increased number of these experienced public sector counselors have switched from public to private sector employment which offers better salary incentives, training opportunities, smaller caseloads and a new sense of professional esteem. Some difficulty in job adjustment was reported by the seven counselors interviewed because of the differing philosophies and practices found in private rehabilitation companies. Despite these detriments, the trend away from the public sector is expected to continue as government budgetary cutbacks progress. Public agencies may need to develop and re-emphasize employment incentives to stall the exodus of trained counselors from the public to private sector of rehabilitation.
Contributions of a Rehabilitation Counselor Education Advisory Committee
Authors: Berven Norman L. , McCracken Nancy , Jellinek Hollis M. , Doran Eric A.
Published: June 2019

Active rehabilitation counselor education (RCE) advisory committees can make important contributions to RCE programs, their students, and the local rehabilitation community. To demonstrate their potential value, the RCE Advisory Committee at the University of Wisconsin-Madison is described.
Counseling Perspectives of Chronic Pain Managemen
Authors: Tuck Marilyn
Published: June 2019

The profession of vocational rehabilitation counseling has a definite mission in the rehabilitation and return to work of chronic pain syndrome patients. Research and descriptive/theoretical articles are much needed to enable rehabilitation counselors to more effectively work with this population. The rehabilitation counselor has a valid and vital role as a member of a multidisciplinary pain,cmanagement team. The population of pain syndrome patients are complex and difficult to manage, but are certainly deserving of the very best of rehabilitation services. Discussion is made of the rehabilitation population of chronic pain syndrome patients, including the identified patient, hislher family and social system, goals of behavioral pain management, and specific counseling interventions.
Cancer and Chemotherapy: A Psychological Approach to Coping
Authors: Dolan John
Published: June 2019

The Medical and psychological implications of cancer and its curative therapy were reviewed and discussed. In addition, current interventions demonstrating the efficacy of psychological approaches to alleviating two major sources of physical discomfort, i.e. pain and nausea were reviewed. Finally, a number of suggestions were offered to the rehabilitation service provider assisting cancer patients in an effort to optimize the cancer patient's rehabilitation.
Habilitation Services for Developmentally Disabled Persons
Authors: Flexer Robert W.
Published: June 2019

Developmental disabilities are reviewed from the standpoint of definition, service systems, and interventions. Definitions from relevant laws outline the characteristics of the population and of the services necessary to meet rehabilitative needs. Intensive, comprehensive, coordinated, on-going delivery mechanisms are emphasized, including vocational, residential, and generic services. Careful management of alternate settings and altered expectations and attitudes can maximize the developmentally disabled person's participation in the habilitation process and in society.
Ethnicity and Disability: Two Minority Statuses
Authors: Pape Deborah A. , Walker Gwendolyn R. , Qninn Fred H.
Published: June 2019

Various problems are described that may arise at each stage of the rehabilitation process when dealing with individuals of various ethnic minorities who are also disabled. Emphasis is placed on counselors acquiring a knowledge and understanding of cultural diversity factors as these relate to accurate problem identification, rehabilitation planning, and service provision.
Rehabilitation' Counselor Certification: The Path Toward Professional Recognition
Authors: Graves William H.
Published: June 2019

Recognition as a professional in the health care system of the U.S. has long been a goal of rehabilitation counselors: The role of the Commission on Rehabilitation Counselor Certification and the practicing rehabilitation counselors in the achievement of recognition is discussed in this article.
Characteristics of Older Successful VR Clients
Authors: Growick Bruce , McMahon Brian
Published: June 2019

This study investigated how older successful clients in the state-federal vocational rehabilitation program differ from successful clients in other age groups. Analysis of the data revealed that older clients tend to be different from younger and middle-aged clients on some personal characteristics, time spent receiving different services, and certain measures of outcome. Implications of the findings are discussed, and suggestions for future research are given.
Client Feedback in Rehabilitation Counselor Evaluation: A Field-based, Professional Development Application
Authors: Emener William G. , Mars Mary G. , Schmidt Joan F.
Published: June 2019

Based on recommendations from current rehabilitation literature, a supervising counselor and four rehabilitation counselors, with the assistance of a student intern, surveyed rehabilitation clients dosed “26” (rehabilitated) within a 12-month period. The 31 respondents (39.2% return rate) used the Emener and Placido (1982b) “Counselor Evaluation Form” to evaluate their counselors on 15 items. Client demographics and the Clients' evaluations are presented and discussed. With the assistance of a rehabilitation counselor educator, a professional development seminar with a focus on the utilization of the clients' feedback evaluations in facilitating rehabilitation counselor professional development was conducted. The supervising counselor's, rehabilitation counselors', student intern's, and the rehabilitation counselor educator's evaluations of the seminar are presented as well as recommendations for the field of rehabilitation and the profession of rehabilitation counseling.
Rehabilitation Counselors Working as Administrators: A Pilot Investigation
Authors: Riggar T.F. , Matkin Ralph E.
Published: June 2019

A pilot investigation was conducted among 100 randomly selected RCE graduates from four programs offered in three universities. The purpose of the study was to identify the percentage of those RCE graduates receiving their masters’ degrees between 1978 through 1982 who were performing administrative or supervisory duties, how soon after graduation those activities became part of their job, and how much time during a 40-hour work week they performed those functions. Based on a 72.5% return rate of an 11-item questionnaire, results indicated: (a) currently 74.2% are performing administrative/supervisory duties, whereas at the time of graduation only 36.4% were engaged in such activities; (b) the average length of time post-graduation before RCE graduates begin fulfilling managerial roles was 14.25 months; and (c) 54.6% of those performing such activities did so for 20 or more hours per week. Results of this study revealed a need for CORE to investigate further the need to include a Rehabilitation Administration and Supervision curriculum content area within RCE program accreditation standards.
Second-Order and Sub-Factoring Techniques as Complements to Factor Analysis Used Alone
Authors: Matkin Ralph E.
Published: June 2019

The purpose of this study was to reexamine the five duty factors containing 15 rationally sorted sub-categories identified by Matkin (1983) that have been viewed as the most descriptive investigation of private sector rehabilitation specialist role behavior. The data were reanalyzed using sub-factoring and second-order factor analytic techniques. Results of the sub-factoring procedure replicated the five duty factors, but reduced the previous 15 rationally derived sub-categories to eight. Results of the second-order analysis revealed a 2-factor solution described as: (1) case management and counseling; and (2) professional growth and office management. Implications of these results were discussed in terms of their potential effects on rehabilitation research, educational curricula, and credentialing efforts.
Graduates' Views of Instructional/Competency Areas in Rehabilitation Counselor Education Programs: A Hypotheses Generating Study
Authors: Janes Malisa W. , Emener William G.
Published: June 2019

A response sample of 194 recent rehabilitation counselor education (RCE) graduates (24.4% return rate) from eight cooperating institutions rated the extent to which each of 12 RCE instructional/competency areas were and should be emphasized within RCE programs and are currently being utilized in their employment. The 12 RCE instructional/competency areas, from The 1981 Rehabilitation Education Survey (Emener & Rasch, 1981), were: (a) Basic Principles; (b) Counseling Theories and Techniques; (c) Medical Aspects; (d) Psychosocial Aspects; (e) Occupational Information and Job Analysis; (f) Evaluation; (g) Case Management; (h) Community Organization and Resources; (i) Job Development and Placement; (j) Fieldwork; (k) Research, and, (l) Professional Issues. Results, comparing the RCE graduates' actual, preferred, and utility ratings across these 12 areas, and Cross-comparisons with the Emener and Rasch (1981) RCE educators' actual and preferred ratings, are presented in the generation of critical research hypotheses in need of empirical investigation.
Clinical Practice Seminar: A Model for Training Rehabilitation Counselors As Supervisees
Authors: Esibill Nancy
Published: June 2019

The seminar component of the clinical practice experience in graduate level rehabilitation education can be approached in a variety of ways. The author describes a format that focuses on the intern's experience as a supervisee and documents the benefits of this model to interns, supervisors, field agencies, and the graduate program.
Deafness and Hearing Impairment: A Review and Proposal
Authors: Ostby Steven , Thomas Kenneth R.
Published: June 2019

The medical, social, and psychological aspects of deafness and hearing impairment are reviewed in this article. Recommendations for rehabilitation practice and research with this population are also provided.
Basic Approaches to Adjustment Services in Rehabilitation
Authors: Couch Robert H.
Published: June 2019

Work acclimation, problem solving, personal growth and development, and education are described as four basic approaches to the treatment/training process known as Adjustment Services in Rehabilitation. Techniques common to each approach are discussed for rehabilitation counselors and facility professionals. Although not mutually exclusive, the separate treatment of each approach illustrates the current state of the art of adjustment services.
Professional Perspectives and Planning
Authors: Wright George N.
Published: June 2019

Background and strategies for future planning for professional rehabilitationists are presented along with obstacles to and opportunities for growth and development. Sections cover role identification as a counselor-rehabilitationist, professional preparation and specializations under the broad umbrella of psychology, the multifaceted growth of associations, the cohesive force of a common technology, and organizing for strategic planning to achieve professional goals – including the ten-year objectives sets forth in articles which follow on areas of contemporary practice.
Rehabilitation Counselors In School Settings
Authors: Szymanski Edna Mora
Published: June 2019

The history of linkage between vocational rehabilitation, special education, and vocational education is described through a review and disucssion of literature. The framework of discussion introduces four historical eras: The Pioneer Era, The Workstudy Era, The Era of Enabling Legislation and Expanded Opportunity, and The Era of Diminishing Resources. The central focus is on the function of rehabilitation counselors in public school settings. Some administrative benefits to the state vocational rehabilitation agency are discussed. Recommendations are made for the inclusion of rehabilitation counselors in the educational service delivery system.
Rehabilitation of the Vietnam Veteran: Systems Resource Mobilization Approach
Authors: Scorzelli James F.
Published: June 2019

A significant proportion of Vietnam veterans have a multiplicity of emotional, behavioral and vocational problems, and for the most part, have been unable or unwilling to obtain assistance from the traditional rehabilitation and social service agencies. As a result of this situation, the Outreach Centers for Vietnam era veterans were developed by the Veterans Administration. Although these Centers, with their use of peer support, have been extremely helpful, their focus appears to be more directed at treating the emotional or psychological scars caused by the war. Therefore, there has really never been a development of a comprehensive rehabilitation program for the Vietnam veteran. With this in mind, a rehabilitation model will be proposed that would involve a maximum utilization of agencies and resources that would assist the veteran towards readjustment. This system resource mobilization concept would involve more than simply agency referral or coordination, but would require a resource specialist to advocate and to follow through with the veteran.
Employee Assistance Programs: A Place for Rehabilitation Counselors?
Authors: Hastings Mary Ann
Published: June 2019

A questionnaire containing sixty statements about skills considered important to rehabilitation counseling was sent to fifty companies thought to have Employee Assistance Programs. The purpose of the survey was to determine whether or not persons working in EAP's thought skills rehabilitation counselors possessed were applicable to the EAP field. Although most of the thirteen respondents agreed that skill correspondence was high, there was some indication that they saw the advocacy role of rehabilitation counselors as highly threatening to the status quo in business. Therefore it is questionable whether EAP's are actually feasible targets for the employment of rehabilitation counselors despite the fact that they are matched in skill level to EAP workers.
The Relationship Between Absenteeism Rate and Satisfaction Among Clients in Vocational Rehabilitation Centers
Authors: Ben-Ari Adital , Taler Yecheskel
Published: June 2019

This study examined the possible relationships between absenteeism rate, satisfaction, and personal factors among clients in five vocational rehabilitation centers in Israel. Satisfaction was measured by division into the following three categories: internal, external and overall satisfaction.
Women in Rehabilitation: An Analysis of State Agency Services to Disabled Women
Authors: Danek Marita M. , Lawrence Richard E.
Published: June 2019

This study compares female clients of a state rehabilitation agency with male clients of the same agency according to selected demographic, case service and rehabilitation outcome variables. Female clients are found to be underrepresented as rehabilitation applicants although they have a higher rate of acceptance for services and successful case closure. Regardless of educational level, they are employed most frequently in homemaking, clerical and sales positions whereas male clients are closed more frequently in professional technical and managerial positions. Recommendations for counselors working with disabled women clients include greater case finding efforts and the use of counseling approaches which avoid stereotyping of occupations by gender.