bluuebunny/crossref_metadata_2025 huggingface dataset:
Spiritual Factors and Adjustment in Medical Rehabilitation: Understanding Forgiveness as a Means of Coping
Authors: Webb Jon R.
Published: June 2019

Spirituality is an important factor in the lives of people in rehabilitation and healthcare providers must be prepared to address spiritual issues in a competent and informed manner that includes distinguishing between spirituality, religiosity and existentialism. It is important to understand the role of specific spiritual factors in rehabilitation. The need for medical rehabilitation often arises from human error or seemingly unfair circumstances, resulting in a variety of negative emotions and forgiveness can be a powerful tool in the rehabilitative healing process. As such, it is critical to accurately understand the construct of forgiveness, including its definition, steps, and dynamics.
A Rehabilitation Perspective on HIV Disease and AIDS Among Minority Women
Authors: Mulenga Maureen Makayi , Conyers Liza Marie
Published: June 2019

Women with HIV/AIOS have specific needs that require specialized approaches to address the effects of this disease on them. Minority women with HIV/AIOS, however, have to deal with the triple challenge of race, class, and gender in addition to HIV/AIOS. The paper examines two groups of minority women, African American and Hispanic women, and discusses factors that place these women at high risk for HIV/AIOS. The interaction of race, class, and gender, and how it relates to the prevalence of high rates of HIV/AIOS in minority women is explored. Medical, economic and vocational issues of minority women living with this disease are discussed, and suggestions for rehabilitation of theses women are made.
Disability Harassment of Students in Transition from School to Work: Implications for Rehabilitation Counseling
Authors: Holzbauer Jerome J.
Published: June 2019

Disability harassment of students in special education may have a significant impact on their transition from school to work. Risk factors could include not attending school, not seeking employment, and dropping out of the workforce if they experience harassment again early on in their work history. Background information includes an analogy to sexual harassment and two definitions of disability harassment. Several egregious legal accounts from schools and the workplace, along with research findings on the prevalence of work-related disability harassment of eligible clients of a state vocational rehabilitation agency are presented. Data reports from federal agencies monitoring public schools and places of employment indicate a trend of greater frequency of filed complaints of disability harassment. Important points to remember regarding this issue are discussed. Finally, specific and practical implications for rehabilitation counselors are mentioned to help break the silence on this insidious problem for young people with disabilities in transition.
Barriers to the Participation of Hispanic/Latino Individuals in Community Rehabilitation Programs
Authors: Reed Joan Mueller , Holloway Linda L. , Leung Paul , Menz Frederick E.
Published: June 2019

People of racial and ethnic minorities receive disparate treatment in state vocational rehabilitation agencies, yet little research exists to explore whether this is also true for their experiences in community rehabilitation programs (CRP's). Individuals of Hispanic/Latino ethnicity are the largest and fastest growing minority group in the nation, yet their employment rates are lower than for White non-Hispanic/Latinos. This article examines barriers to the participation of Hispanic/Latino individuals with disabilities in CRP's. It provides a historical framework to the problem, presents empirical findings from qualitative research, and concludes with Web-based resources for diversity training in CRP's, and recommendations for future research.
Rehabilitation Counselors Working as Administrators: A 20-Year Follow-Up
Authors: Riggar T.F. , Crimando William , Flowers Carl R. , Stebnicki Mark , Porter Dion , Etzbach Colleen
Published: June 2019

This study is a follow-up of a 1984 study in this journal which examined Rehabilitation Master's graduates. In this study, jive randomly selected rehabilitation counseling (RC) graduates per year, for a period of five years (1999-2003), from each of four RC programs were surveyed. It was found that 75.6% of reporting graduates were employed as counselors, while 24.4% stated that their job title, roles and tasks involved administration, management or supervision. However, a total of 58.5% of all graduates said that they had administration, management or supervision responsibilities and tasks, as a part of their jobs, even if they were employed primarily as counselors. Where possible data were examined alongside 1984 results to determine changes over the 20 year period in employment settings, status, and job roles and tasks.
Eligibility Rates of Traditionally Underserved Individuals with Disabilities Revisited: A Data Mining Approach
Authors: Chan Fong , Wong Daniel W. , Rosenthal David A. , Kundu Madan M. , Dutta Alo
Published: June 2019

In this study we used a data mining approach to examine factors affecting eligibility decision-making in the vocational rehabilitation process. Severity of disability was found to be the most important variable differentiating individuals who were accepted from those who were rejected for vocational rehabilitation services. Individuals with severe disabilities had a significantly higher rate for acceptance (93%) than people without severe disabilities (55%). Race was found to be a slight differentiating factor in eligibility decisions. This study found that the prevalence and opportunity for racial bias is smaller when the criteria for eligibility are clearly defined as in the case of severe disability. Racial bias has a higher propensity to manifest itself when the criteria for eligibility are more ambiguous as in the case of justifying eligibility for vocational rehabilitation services of those without severe disabilities.
Caregiver Marital Satisfaction when a Spouse has Multiple Sclerosis
Authors: Perrone Kristin M. , Gordon Phyllis A. , Tschopp Molly K.
Published: June 2019

The current study examines marital satisfaction from the perspective of a well spouse who is responsible for caregiving a spouse with Multiple Sclerosis (MS). Forty spouses of individuals with MS completed questionnaires. A multiple regression analysis was conducted to determine the relationship of love, satisfaction with physical intimacy, communication, and caregiver burden to marital satisfaction. Results indicated that love and communication were significantly positively related to marital satisfaction, and caregiver burden was significantly negatively related to marital satisfaction. Satisfaction with physical intimacy was not significantly related to marital satisfaction with this sample of caregiver spouses. Implications for counselors were discussed.
A Descriptive Study of Customizing the Employment Process for Job Seekers with Significant Disabilities
Authors: Luecking Debra Martin , Luecking Richard G.
Published: June 2019

Federal policy consistently emphasizes the allocation of public vocational rehabilitation resources for individuals considered to have the most significant disabilities. Many individuals may not have the skill, experience, stamina, or life circumstances to easily compete for typical positions in the open labor market. The ability of public vocational rehabilitation agencies and their community rehabilitation providers to maintain a high level of successful closures is often challenged by individuals who present a need for unique and intensive job search and retention strategies. Customized employment has been promoted at various levels of policy and practice as means for assisting individuals who are unlikely to compete for jobs with standardized job descriptions due to intensive support and accommodation needs. This article presents the employment outcomes of participants in a project in Tennessee that featured interventions collectively referred to as “customized employment,” provides illustrative case studies, and discusses the implications for community rehabilitation practice.
Cross Cultural Field Exchange as a Rehabilitation Professional Development Experience
Authors: Luecking Richard G. , Cuozzo Lisa , McInerney Claudia , Cury Sylvia Helena Moraes , Lorca Mariana Cristina B. C.
Published: June 2019

This article describes the structure and content of a field experience provided in the United States to Brazilian rehabilitation students participating in a CAPES-FIPSE student exchange program. The article presents features of the field experience curriculum, lessons learned in this cross-cultural field exchange, and a discussion of the value of such exchanges from the perspective of both an American and Brazilian community rehabilitation provider. Implications for general rehabilitation practices are also discussed.
Employment Barriers for Persons with Substance Use Disorders and Co-occurring Disabilities: Supported Employment Strategies
Authors: McAweeney Mary , Jones Melissa , Moore Dennis
Published: June 2019

Finding, securing, and maintaining employment for many people with disabilities is difficult. Those with the additional obstacle of substance use disorder (SUD) have an even greater difficulty securing and maintaining employment. This paper is divided into four sections: a summary of the prevalence of co-occurring disabilities; a discussion of unemployment as a secondary condition to disability within the context of a psychosocial model; and a presentation of the history and use of supported employment models within the disability community, with a primary focus on the implementation of the Individual Placement and Support model, a consumer empowerment approach.
Employment Among Older Adults with Combined Hearing and Vision Loss
Authors: McDonnall Michele Capella , Lejeune BJ
Published: June 2019

This exploratory study provides detailed information about the employment status and experiences of a group of older adults with combined hearing and vision loss. Data were obtained from two sources: primary data collected through a survey and secondary data obtained from a nationally representative sample. Results indicate that many older adults with combined hearing and vision loss do work or want to work, and that accommodations, assistive technology, higher education levels, and changing jobs or type of work are associated with continued employment for this population. Based on the results, suggestions for vocational rehabilitation counselors in working with older adults with combined hearing and vision loss are provided.
A Call for Integral Approaches in the Professional Identity of Rehabilitation Counseling: Three Specialty Areas, One Profession
Authors: Stebnicki Mark A.
Published: June 2019

There are multiple indicators that suggest there is a shift in the foundational principles and practices in rehabilitation counseling that have created professional identity concerns. These concerns relate to (a) philosophical differences in the role and function of rehabilitation counseling professionals, (b) professional counselor licensure laws mandating eligibility standards for practice, (c) a variety of professional counseling associations' divergent agendas for communicating the professional counselor's identity, and (d) perceptions and observations made by our colleagues from the other counseling specialty areas about our identity.
Comments
Authors: Katz Solly
Published: June 2019

This section is reserved as an outlet for brief professional expressions pertaining to issues concerning the handicapped, the field of rehabilitaion counseling, and/or reactions to previously published JARC articles.
The Disability and Employment Survey: Assessing Employment Concerns among People with Disabilities and Racial/Ethnic Minorities
Authors: Hernandez Brigida
Published: June 2019

The Disability and Employment Survey (DES) was constructed to assess concerns that may be experienced by people with disabilities when seeking employment, with attention paid to the concerns of racial and ethnic minorities. Consisting of 32 items, the development of the DES was informed by focus group data from a culturally-diverse sample. When reviewed by a team of disability researchers, service providers, attorneys, and advocates, the DES demonstrated adequate face validity. Reliability analysis with 279 adults with disabilities resulted in a Cronbach's alpha of .91. Principal-components factor analysis indicated that the DES is comprised primarily offour factors: (a) Job Readiness Concerns, (b) Language Concerns, (c) Environmental Concerns, and (d) Health, Financial, and Familial Concerns, with these factors accounting for 49.8% of the total variance. Employment concerns varied by participants' race/ethnicity, academic attainment, current employment status, prior work history, and monetary beneficiary status.
Emotional Intelligence and Attitudes toward People with Disabilities: A Comparison between Two Cultures
Authors: Zuniga Ruth , Fischer Jerome M.
Published: June 2019

The purpose of the study was to provide a framework for understanding the relationships among culture, emotional intelligence as measured by the Affective Response to Literature Survey (ARLS) and the Schutte Self-Report Inventory (SSRI), and attitude towards people with disabilities as measured by the Attitudes Toward Disabled Person Scale-Form A (ATDP-A). Results indicated significant (p < .01) differences among students' educational levels and their attitudes toward people with disabilities: Students with higher education levels reported higher ATDP-A scores. Costa Rican students scored significantly (p < .01) higher on the SSRI than students in the United States. In addition, significant (p < .01) differences were found between females from both groups and their male counterparts on the ARLS. Implications include the possibility of enhancing clients' emotional intelligence to assist in their coping and to increase individual's positive attitudes toward people with disabilities.
The Relationship between Career-Related Knowledge, Self-Esteem, Locus of Control, Gender and Employment Outcomes among Individuals with Learning Disabilities
Authors: Mathis Lisa Marie , Roessler Richard T.
Published: June 2019

Data selected from the 1994-1999 Longitudinal Study of the Vocational Rehabilitation Services Program were used to examine the contribution of self-esteem, career-related knowledge, locus of control, and gender to the prediction of employment outcome experienced by individuals with learning disabilities (LD), as well as to hourly wages, weekly hours worked, and job satisfaction. Using logistic regression analyses, no independent variables studied were predictive of employment outcome for all participants (n = 240) or receiving workplace benefits for those who were employed (n = 63). Multiple regression analyses indicated that gender (p < .01) and belief in chance (p < .05) significantly predicted hourly wages for participants who were employed. Career-related knowledge was a significant (p < .05) predictor of job satisfaction.
Rehabilitation Counselor Education and the New Code of Ethics
Authors: Glosoff Harriet L. , Cottone R. Rocco
Published: June 2019

The purpose of this article is to discuss recent changes in the Commission on Rehabilitation Counselor Certification Code of Professional Ethics for Rehabilitation Counselors, effective January 1, 2010, that are most relevant to rehabilitation counselor educators. The authors provide a brief overview of these key changes along with implications for ethical practice in rehabilitation counselor education.
Effective Vocational Rehabilitation Services for Military Veterans
Authors: Boutin Daniel L.
Published: June 2019

The objective of this study was to identify VR services related to competitive employment for eligible consumers of the state VR program from two distinct groups: veterans who received college and university training and veterans who did not receive such training. A hierarchical logistical regression analysis was used on cases from the Rehabilitation Services Administration 911 database for fiscal year 2008 to test for such relationships. A total of 8 services were found related to employment for veterans who did not receive college training but only 2 services related to employment for veterans who received college training. Service needs of veterans differed based on their college training status. Implications of the findings and recommendations will be discussed for rehabilitation counseling professionals working with veterans with disabilities.
Social Cognitive Career Theory and Adults with Psychiatric Disabilities: Bringing Theory to Practice
Authors: Smith Allison , Milson Amy
Published: June 2019

Social Cognitive Career Theory (SCCT) is an appropriate framework for conceptualizing career development among adults with psychiatric disabilities, but few practical ideas have been provided in professional literature for intervening within this framework. In order to translate client interests into realistic goals, vocational rehabilitation counselors should explore both the work-related self-efficacy beliefs and the perceived employment barriers experienced by these individuals. Research supports the use of interventions and assessments that target the population of interest and the specific task or domain of interest. Examples of interventions specific to individuals with psychiatric disabilities will illustrate the practical application of SCCT within appropriate context and population considerations by integrating aspects of the theory.
The State-Federal Rehabilitation Counselor Work Environment
Authors: Zanskas Steve , Strohmer Douglas C.
Published: June 2019

The purpose of this study was to examine the nature of counselors’ work environment in the state-federal rehabilitation system through the framework of Holland's career theory and the Position Classification Inventory (PCI). Data gathered from 214 state-federal rehabilitation counselors included in a national sample of 366 rehabilitation counselors were analyzed following the administration of a web adaptation of the PCI. Results empirically establish the Holland code for the state-federal system work environment and examine its congruence with the prototypical rehabilitation counselor work environment. Implications for recruitment and retention of qualified rehabilitation professionals are discussed.
Using Peer Mentoring to Support the Rehabilitation of Individuals with Violently Acquired Spinal Cord Injuries
Authors: Balcazar Fabricio E. , Kelly Erin Hayes , Keys Christopher B. , Balfanz-Vertiz Kristin
Published: June 2019

Peer-mentoring can be a helpful tool for rehabilitation counselors promoting the community reintegration of hard to reach clients. The purpose of this study was to evaluate the benefits of a peer-mentoring intervention implemented at an urban rehabilitation hospital where six peer mentors were hired to serve the needs of 28 young men with violently acquired spinal cord injuries (VASCI). The peer mentors shared most of the same characteristics as the men tees and worked with rehabilitation hospital staff to engage mentees in discussions related to health, housing, and educational needs. Wilcoxon-signed ranks tests indicated significant improvements between the intake and exit interviews (about a year apart) in the CHART's cognitive ability and occupation subscales for mentees. Qualitative interviews emphasized the positive value of the mentoring experience for mentees and mentors, as well as for hospital staff, who decided to continue the program after its completion. Implications for rehabilitation practice are discussed.
Psychiatric Disorders in Incarcerated Women: Treatment and Rehabilitation Needs for Successful Community Reentry
Authors: McPhail Megan E. , Falvo Donna R. , Burker Eileen J.
Published: June 2019

Psychiatric disorders in women are often contributing factors to criminality and often result in incarceration. The prevalence of psychiatric disorders among incarcerated women is much higher than women in the general population, and it is higher than among incarcerated men. Prisons and jails across the United States are now responsible for mental health treatment; however, this treatment has been inconsistent and minimal. The rehabilitation process for incarcerated women occurs in three phases: in prison, during the transition period from prison to the community, and within the community. Treatment during these three phases must address issues specific to women including sexual abuse, domestic violence, parenting, and substance abuse. This paper proposes a rehabilitation model that includes comprehensive, gender-specific treatment, and services for women offenders during all three phases of rehabilitation.
A Subculture Revealed: Female Cocaine Users' Values and Perceptions
Authors: Reid Chuck , Barrera Maria
Published: June 2019

This descriptive study presents a method of identifying factors associated with a non problematic level of functioning with 11 nontreatment female cocaine users. A subjective assessment of an acceptable level of functioning was verified by the Addiction Severity Index (ASI) screening instrument (McLellan et al., 1992). Findings indicated that nonproblematic fomale, nontreatment cocaine users are from diverse social classes, have social and economic concerns comparable to the general population, and share similar values with the general population. In contrast to the substance use or abuse treatment approach of total abstinence, a continuum model is presented ranging from nonproblematic to highly problematic use. Implications for rehabilitation counselors include awareness of the continuum model, familiarity with the ASI as a brief screening measure in counseling, and enhancing nonproblematic substance users' self-efficacy in safely controlling their substance use. Also identified are issues, values, and perceptions particular to female users.
Posttraumatic Growth: Helping Clients Overcome Trauma
Authors: Moran Sena , Burker Eileen , Schmidt Judy
Published: June 2019

Trauma touches the lives of many of the clients with whom rehabilitation counselors work. Posttraumatic Growth (PTG) is a positive psychological response to trauma, manifesting as improvements in critical life areas such as relationships, personality, self-efficacy, and spirituality. Posttraumatic Stress Disorder (PTSD) is an anxiety disorder triggered by trauma. While PTG and PTSD are separate entities, the two have a strong positive correlation. Stress and severe trauma are required to set both PTG and PTSD in motion. Although some people are predisposed to develop PTG based on variables associated with personality traits and the trauma itself, PTG can be facilitated in counseling and therapy. The purpose of this paper is to educate rehabilitation counselors about the difference between PTG and PTSD and to provide recommendations for promoting PTG in clients receiving treatment for PTSD.
Predictors of Employment Among Native Americans
Authors: Harrington Corinne E. , Ni Chung-Fan , Liebert Diane , Wilkins-Turner Felicia , Ellien Valerie
Published: June 2019

Native Americans have higher rates of unemployment than other minority groups, and why this is so remains unclear. This study sought to determine demographic, physical health, mental health, and psychological symptoms predictive of employment for Native Americans in the Northeastern United States. The participants were 750 Native American men and women who ranged in age from 18 to 64 years. Using logistic regression, the findings indicated that Native Americans with greater education were more likely to be employed than those who were less educated (OR = 1.4, P < .000). Native Americans who rated themselves in better physical health were more likely to be employed (OR = 1.3, P < .003). Those who reported multiple psychiatric disorders were less likely to be employed (OR = 0.69, p < .001). Pervasive sadness was related to a lower likelihood of employment (OR = 0.51, P < .000). Recommendationsfor tribal leaders and rehabilitation practitioners are provided.
Fostering Resilience in Consumers
Authors: Buse Natalie A. , Burker Eileen J.
Published: June 2019

Individuals with psychiatric disabilities and those with developmental disabilities experience higher rates of trauma than nondisabled individuals. An optimal response to trauma is resilience. Having a firm grasp on the concept of resilience and being informed about factors that contribute to resilience will equip rehabilitation counselors to promote well being in their clients. This paper provides an in-depth conceptualization of the theoretical notion of resilience. A rationale for why it is important to understand resilience as a response to trauma is presented. The factors associated with resilience are carefully examined. The implications of these findings for rehabilitation counselors are outlined, including how services to clients may be adapted in order to cultivate resilience.
Assessing and Exploring Racial Identity Development in Therapy: Strategies to Use with Black Consumers
Authors: Barnes Erin F. , Williams Joseph M. , Barnes Frances R.
Published: June 2019

Few counselors explore racial identity development with Black consumers. Although the construct has demonstrated to influence a variety of behaviors, research has found that many counselors, especially non-Black counselors, do not feel comfortable broaching race-related topics in therapy. Specifically, counselors don't feel that they know when or how to approach the topic. As such, this paper serves to provide practical, real-world strategies for helping practitioners to assess and explore racial identity with Black consumers. More specifically, the authors outline specific tools (i.e. a card sort, racial identity statements, and scaling tools) practitioners can use as a means to minimize any concerns counselors may have about addressing race-related matters in therapy. This paper serves to augment the existing literature on broaching the topic of race in therapy by offering a client-centered approach that outlines how to apply a specific model of racial identity development, Cross's (1971) Nigrescence model, to address the Black consumers' racial identity in therapy.
National Module for Helping Individuals with Physical Disabilities In Disaster Events
Authors: Kettaneh Amani A. , Slevin John R.
Published: June 2019

Disasters can have potentially devastating consequences that may result in injury and loss of life for those who are unprepared for such emergencies. Preparation for sudden disasters is very important to protect the lives and health of people in any location. For individuals with mobility disabilities, disasters create more challenges and physical barriers in the resulting environment. Recent catastrophic events have demonstrated a disproportionate effect of emergency evacuations on individuals with physical disabilities. Most of the existing evacuation procedures are unfortunately not taking people with disabilities into consideration. This paper provides a national module withfour stages (protective, preventive, rescue, and reconstructive) to serve individuals with physical disabilities in disaster events.
Beyond Discipline-based Expertise: Preparing Global Leaders in Rehabilitation
Authors: Lewis Allen , Graham Kristin , Quamar Abbas
Published: June 2019

Graduate education for rehabilitation counselors should now go beyond discipline-based expertise to the point of preparing global leaders in rehabilitation. The world is becoming increasingly small due to technology, as we rapidly approach the reality of that proverbial global village. Rehabilitation counselors can expand their base of influence, and thus, importance by functioning in a global context. To accomplish this, it is necessary to go beyond the typical preparation of rehabilitation counselors to integrate seven new skills into graduate rehabilitation counselor education. The skills are intercultural competency, anticipating the future, making organizations learning entities, using a comprehensive framework for planning change, data-driven decision making, critical thinking, and transformational leadership. An overview of each of these skills is provided along with strategies for infusing the skills immediately into Council on Rehabilitation Education-accredited graduate rehabilitation programs. There is also value in mainstreaming the International Classification of Functioning, Disability and Health (ICF) framework and including training in developing social capital as additional complementary elements in preparing global leaders in rehabilitation.
Disability Adjustment and Vocational Guidance Counseling for Individuals with Traumatic Brain Injury
Authors: Dillahunt-Aspillaga Christina , Jorgensen-Smith Tammy , Ehlke Sarah , Hanson Ardis , Sosinski Melanie , Gonzalez Cristina M.
Published: June 2019

Traumatic Brain Injury (TBI) is a multi-faceted and complex injury with unique incidence, prevalence, and consequence that affects health, independent function, and participation in society. Currently, limited long-term funding sources are available to support the vocational rehabilitation needs of individuals with TBI. To improve our understanding of the diverse needs of this population, eight vocational organizations throughout Florida received community capacity-building grants awards. Through these grants, 81 individuals with TBI received vocational guidance counseling and disability adjustment services for a period of one year. Participants completed a project survey upon entry into and exit from the program, with a completion response rate of 48%. Results indicate that the participants’ internal thoughts and beliefs about ability to work showed significant improvement after receipt of customized services. Survey findings suggest that the individuals who received tailored vocational guidance and disability adjustment services showed better adjustment to return to work.
VR Service Patterns and Employment Outcomes of Transition-Aged Youth
Authors: Oswald Gina
Published: June 2019

The purpose of this study was to descriptively explore the service provision of transition-aged youth in a state vocational rehabilitation (VR) agency and to determine if predictor variables could be identified for successful employment outcomes through logistic regression. At closure, more than half the participants were closed successfully in competitive employment. The majority were working in service, clerical and sales, or professional/technical/ managerial positions after receiving VR services focused on understanding the consumer's needs and creating appropriate plans, preparing for a job, obtaining a job and then retaining employment. Implications for transition and rehabilitation practice include the necessity o[specific transition-related training for VR counselors.
Psychiatric Rehabilitation Outcomes Among Hispanics with Co-Occurring Serious Mental Illness and Substance Use Disorders: A Systematic Review
Authors: Sánchez Jennifer , Muller Veronica , Garcia Magdalena E. , Martinez Stephany N. , Cool Scott T. , Gandarilla Elizabeth
Published: June 2019

Purpose: To conduct a systematic literature review relating to psychiatric rehabilitation (PsyR) outcomes of Hispanics with co-occurring serious mental illness (SMI) and substance use disorder (SUD) and to identify the most appropriate evidenced-based practices (EBPs) to facilitate treatment strategies for this population. Method: The following electronic databases were used to search multiple keywords and keyword combinations: MEDLINE/PubMed, SpringerLink, and Education Resources Information Center (ERIC). The initial search resulted in a total of 911 articles. Next, 906 articles from the initial search were excluded because they did not meet inclusion criteria for the following reasons: duplicates (n = 50), not relating to PsyR outcomes (n = 718) or to co-occurring SMI and SUD (n = 53), and not including Hispanics (n = 85). Five articles were retained for this study. Results: The included studies were classified by intervention into three categories: Integrated Mental Health and Substance Abuse Treatments (3), Motivational Interviewing (1), and Psychosocial Resources (1). Outcomes included reduction in mental health and PTSD symptoms, increased abstinence, decrease in substance use and psychiatric hospitalizations, improved self-efficacy for recovery, and better quality of life (QOL). Conclusion: This review identified several successful PsyR outcomes for Hispanics with co-occurring SMI and SUD; however, it also highlighted the limited availability of extant literature focused on EBPs for Hispanics with co-occurring SMI and SUD. As the Hispanic population increases, their specific needs should be addressed.
Data Envelope Analysis: A Methodology for Measuring Cost Effectiveness of Telerehabilitation
Authors: Lewis Allen N. , Quamar Abbas H.
Published: June 2019

Telerehabilitation is increasingly utilized in today’s rehabilitation environment. Data Envelope Analysis can be a tool for measuring cost effectiveness. Measuring cost effectiveness is necessary since current resource levels in rehabilitation and other human service and health systems are stretched with increasing service demands. Telerehabilitation is one potential solution for reaching more service recipients, maintaining and perhaps increasing service quality. Data Envelope Analysis is described along with how it measures cost effectiveness. Several Data Envelope Analysis illustrations within rehabilitation are offered, limitations stated, and reasons this tool is a useful fit for measuring cost effectiveness of rehabilitation services delivered via telerehabilitation.
Influence of Employment on Quality of Life Outcomes Among People with HIV/AIDS in Rural Appalachia
Authors: Mamboleo George , Mugoya George T. , Nauser Jonathan , Molder Adrionia , Connor Fais , Scott Olivia , Teague Christine
Published: June 2019

The development of highly active antiretroviral therapy (HAART) has shifted human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) from an acute to a chronic condition. Due to reduced fatality, approximately 1.1 million people living with HIV/AIDS (PLWHA) are faced with increased longevity in conjunction with functional consequences associated with chronic disability. Employment has been associated with increased treatment adherence, quality of life (QoL), and mental and physical health for people living with HIV/AIDS. The purpose of this study was to determine the relationship between employment status and QoL for PLWHA. Participants included 115 patients receiving services from two Ryan White HIV/AIDS Program (RWHAP) clinics in a rural Mid Atlantic Appalachian region of the U.S. Findings revealed statistically significant differences in employment status on six domains of the World Health Organization’s Quality of Life scale for PLWHA (WHOQOL-HIV-Bref), except for spirituality/religion/personal beliefs. Implications for practice and research are discussed.
Effectiveness of Practicum Supervision as Perceived by Hispanic Undergraduate Rehabilitation Services Students
Authors: Chen Roy K. , Nguyen-Finn Kim L. , Park Jinhee
Published: June 2019

Practica are integral to the culmination of systematic learning in higher education, particularly in fields such as health sciences and human services. For undergraduate rehabilitation services students, these placements typically mark the first-time students apply textbook knowledge to real life situations. Therefore, effective site supervision is an important part of the undergraduate field experience. The purpose of the present study was to examine the perceived effectiveness of undergraduate rehabilitation services practicum site supervision. The sample consisted of 154 Hispanic undergraduate rehabilitation services students. The findings show that students were satisfied with the supervision they received. Students also rated the competency of their site supervisors to provide effective supervision as high. Suggestions for future research, and implications for rehabilitation services educators and site supervisors are discussed.
The Rehabilitation Counselor: A Resource Person to Industry; A Revitalized Approach to Selective Placement
Authors: McDonald Donald J.
Published: June 2019

This paper presents some thoughts on selective placement and outlines a framework for selective placement being utilized by a practicing rehabilitation counselor. Some thoughts regarding the responsibility for selective placement are also included. In conclusion, it is estimated that no wholesale changes in a counselor's schedule or duties need be contemplated to incorporate the attitudes, feelings, and techniques presented in this paper.
Rehabilitation Counseling and Gerontology: An Interdisciplinary Approach
Authors: Burdman Geral Dene M.
Published: June 2019

This article examines and analyzes the attitudes, opinions about, and interests in gerontology held by rehabilitation counseling graduate students and gerontology graduate trainees throughout the continental United States. Although little cross-curricular knowledge evidenced, there was substantial interest expressed in specializing in counseling of the elderly and, in pursuing cross-disciplinary curricular offerings. Specific recommendations are made regarding the implications for training in both the fields of gerontology and rehabilitation counseling.
Accountability in Vocational Rehabilitation: Difficulties with the “26 Closure” as a Criterion
Authors: Thomas Robert E. , Henke Raymond , Pool Donald A.
Published: June 2019

The authors draw on their experience in vocational rehabilitation and as continuing educators to look at the task of accountability in vocational rehabilitation. The “26 closure” is recognized as a usual criterion in State V. R. agencies. While not suggesting that the “26 closure” is a completely ineffective criterion, the authors see it as a problem and look at the various aspects and implications of the problem for counselors. The problem is also analyzed from the standpoint of those who must deal with it, namely administrators, supervisors, and educators. Many, often unwittingly, contribute to the problem because of legislative pressures, trends to measure and demon state effectiveness, and differing philosophical points of view. The authors conclude by offering some ameliorative approaches that include employing better-chosen terms; more open communication that explains agency, counselor, and client needs; in-service and continuing education to foster better understanding and improving practice skills; and the development of a multiple-measure system that would reflect a counselor's quantitative performance by counting the number of clients found eligible or ineligible, the number started in rehabilitation service programs, the number rehabilitated, and the number served but not rehabilitated. The multiple criteria for effective counseling would measure the client's movement through the case process rather than merely reflect the completion of the process as a rehabilitated client.
The Rehabilitation Problems and needs of the Spinal-Cord Injured: A Pilot Study
Authors: Felice Kathleen A. , Muthard John E. , Hamilton Laurie S.
Published: June 2019

The findings of a pilot study of spinal-cord injury in Florida covering three topics are reported: 1) the incidence of spinal-cord injury in Florida, 2) the experiences of spinal-cord injured (SCI) persons and vocational rehabilitation counselors and their perceptions of the adequacy of their community's treatment and rehabilitation services for the SCI, and 3) the availability of facilities, equipment, and personnel for the care of SCI individuals in Florida. Recent developments in care for the SCI in Florida are discussed.
The Individualized Written Rehabilitation Program: Perceptions from the Field
Authors: Emener William G. , Andrews Wanda
Published: June 2019

The theoretical basis, implementation and utilization of the Individualized Written Rehabilitation Program (IWRP) are discussed and attention drawn to the importance of rehabilitation counselor's and supervisor's perceptions of the IWRP.. Data from a pilot study are presented and critical issues regarding the IWRP are raised.
Employment Criteria and Salaries for Rehabilitation Personnel in State DVR Agencies Having Career Ladders
Authors: Crisler Jack R. , Crandell Edward O.
Published: June 2019

Employment criteria, salaries, and job duties are reported in summary form and state by state for state vocational rehabilitation agencies having career ladders. Information is also presented on educational leave policies, handicapped personnel by position category, and job performance evaluation procedures used.
Goals of Rehabilitation Center Graduates and Non-Graduates
Authors: Roessler Richard T. , Boone Steven E.
Published: June 2019

Thirty-nine students in work adjustment at a comprehensive rehabilitation center completed Cantril's (1965) Self-anchoring Life Ladder. Analysis of life ladder data revealed few differences between clients who completed their rehabilitation center program (graduated) and those who did not complete their program. For example, both groups reported a similar number of hopes and fears for the future. Raising some question about their realism, noncompleters rated their life five years in the future as closer to their best possible life which both groups defined in terms of culturally acceptable goals. Patterns in the fears data suggested that noncompleters might seek more immediate gratification vocationally and be somewhat more “other-directed.” Although based on trends occurring in a small sample, potential implications of the study for rehabilitation counseling include the need to help work adjustment clients overcome fears of vocational failure, increase self-confidence, and develop a more moderate or realistic level of hope.
Job Attitudes of Union Versus NRCA Members
Authors: Geist Glen O. , Backes Roger G.
Published: June 2019

State agency vocational rehabilitation counselors are assessed in their attitudes toward professional issues and extrinsic job rewards. Counselors who are members of the National Rehabilitation Counseling Association (NRCA) differ in their attitudes from those who belong to unions. Differences in attitudes are also reflected in the geographical location (major metropolitan, urban, rural) of the agency in which the counselor works. Comparisons are made on several issues and the implications discussed.
Rehabilitation Clients' Psychological Adjustment: A Six Year Longitudinal Investigation
Authors: Bolton Brian
Published: June 2019

The purpose of this study was to assess the long-term impact of rehabilitation services on the vocational, psychological, and social adjustment of clients. Thirty-two clients completed three personality inventories at the time of acceptance for services and again at follow-up more than six years later. Information regarding vocational adjustment and social participation was also collected at follow-up. The results of the data analyses suggest that the provision of rehabilitation services may have a significant impact on the long-term vocational and psycho-social adjustment of cilents. However, it is clear that not all clients benefit in all areas of functioning. But it does appear that the vast majority evidence improvement in some types of psychological or vocational adjustment.
Interventions EMDR dans le traitement des addictions
Authors: Markus Wiebren , Hornsveld Hellen K.
Published: June 2019

La consommation de tabac, d'alcool et de drogues illicites est très répandue et a des conséquences négatives importantes pour les individus, leurs familles et la collectivité à laquelle ils appartiennent. Un nombre important d'usagers développent un trouble de dépendance. Le traitement à visée curative de la dépendance est difficile, sur le plan de la fidélisation des patients et du taux de rechute. Nous discutons ici du potentiel de la thérapie EMDR (désensibilisation et retraitement par les mouvements oculaires) dans le traitement de la dépendance. On distingue deux approches : l'EMDR axée sur les traumatismes et l'EMDR axée sur l'addiction. Nous faisons ici un examen critique des protocoles EMDR adaptés déjà existants et des recherches sur ces deux types d'approche. Malgré vingt ans de développement et de recherche, la faisabilité et l'efficacité de la thérapie EMDR axée sur les addictions n'ont guère encore été étudiées. Nous discutons ici les nouvelles possibilités passionnantes offertes par les recherches sur la théorie de la mémoire de travail. Nous présentons dans cet article la palette des interventions EMDR en toxicomanie (PIET), une vue d'ensemble de toutes les interventions visant au traitement de la toxicomanie par apport de ressources et thérapie EMDR. L'article se conclut par des recommandations pour les recherches futures dans ce domaine.
Abordagem de malformação adenomatoide cística
Authors: Fonseca Santos Nicole Cindy , Lapenda do Monte Rebecca Renata , Fernandes Tavares Francisco de Assis , Lima de Oliveira Rodrigo César , De Melo Marx Mariano , Vieira do Couto José Januário
Published: June 2019

A malformação adenomatoide cística é uma lesão cística e rara; pode ser encontrada no período pré-natal devido a realização de ultrassonografias seriadas ou ao nascer, variando de acordo com a sintomatologia. A respeito da pouca frequência dos casos e experiência acerca do manejo, tem sido discutido qual seria a melhor abordagem aos pacientes de acordo com suas particularidades. Esse estudo discorre sobre as opções descritas atualmente. Para a organização desta revisão, utilizaram-se as principais plataformas de pesquisa PUBMED, MEDLINE, Cochrane Database e UpToDate, onde selecionaram-se periódicos relacionados ao manejo dos cistos adenomatóides nos últimos 10 anos. A terapêutica é discordante quanto a excisão cirúrgica ou observação vigilante em pacientes assintomáticos, entretanto reconhece possíveis riscos de infeção e malignização; nos pacientes sintomáticos ou graves é de comum acordo a intervenção cirúrgica, contudo o período convencional ainda não é consenso nas literaturas. Portanto, é preciso particularizar as condutas oferecidas.
The Response of n-nitrosodiethylamine-induced hepatocellular carcinoma to treatment with curcumin vs doxorubicin
Authors: Medeiros Aldo Cunha , Medeiros Aristela Sinara Constantino , Azevedo Ítalo Medeiros , Celani Lívia Medeiros , Souza Thamires Barreto
Published: June 2019

PURPOSE: Hepatocellular carcinoma (HCC) is a frequent and fatal human cancer with poor diagnosis that accounts for over half a million deaths each year worldwide. Curcumin has a wide range of pharmacological activities. This study aimed to investigate the chemopreventive and therapeutical effect of Curcumin against diethylnitrosamine (DEN)-induced HCC in rats. METHODS: HCC was induced in rats by a single injection of DEN (50 mg/kg) once a week, i.p., for four weeks. Group 1 rats were orally treated with curcumin two weeks prior to DEN injection that continued until the end of the experiment. Group 2 was treated with doxorubicin (0.72 mg/rat) and group 3 with saline. RESULTS: In the current study, a significant decrease in serum biomarkers of liver damage and cancer, including alfa-fetoprotein (AFP), gamma glutamyl transpeptidase (GGT), alanine transaminase (ALT), and aspartate transaminase (AST) was observed in curcumin-treated rats when compared to group 2 rats. The counting of red blood cells and leukocytes were significanty lower in doxorubicin group then in curcumin group (p<0.05). The relative weight of liver, a prognostic marker of HCC, was also reduced in curcumin group comparing with controls. No diference was observed comparing with doxo group rats. CONCLUSION: To conclude, our results clearly demonstrated that curcumin have a significant chemopreventive and therapeutical effect against primary liver cancer induced by DEN in rats. It can be suggested that the preventive activity of curcumin against hepatocarcinogenesis may have clinical relevance in further studies.
KEY WORDS
Hepatocellular carcinoma. Pharmacological treatment. Curcumin. Doxorubicin. Diethylnitrosamine. Rats