This chapter explores how the transformation of the health care system in the United States has impacted service delivery of health care disciplines including rehabilitation counseling in providing the most effective clinical services. It provides a review of key evidence-based practice, knowledge translation, and research utilization concepts. It discusses how evidence-based practice can be utilized to improve the professional practice of clinical rehabilitation counseling. The chapter explains how the mechanisms of theory development, empirical evidence, and clinical application inform practice in vocational rehabilitation (VR) service delivery, improving evidence-based practice to enhance outcomes and quality of life (QOL) of people with disabilities. The development of a systematic research agenda and conducting meaningful theory-driven research and intervention research will generate new knowledge and accumulate high-quality evidence, enhancing the ability of rehabilitation counselors (RCs) to truly engage in evidence-based practice to improve employment outcomes and QOL of people with disabilities.
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This book is useful to a wide range of readers and can readily serve as a core textbook or resource to explain the history, development, and current practice of rehabilitation counselors (RCs) within the context of the contemporary practice of counseling. Although most clearly useful to counselors-in-training in an introductory course, people think that those RCs at the doctoral level or already in practice interested in the field and its broader positioning and potential will find this book appealing. The book consists of 22 chapters that are divided into parts that emphasize different themes important to understanding both the people and types of situations with which RCs work and the specific roles and skill sets that describe professional practice. It consists of basic information about the structure and professional practice of rehabilitation counseling, and serves the important role of introducing the readers to the RC’s most important partner in the counseling process, the person with a disability. The book also focuses on the professional practice of rehabilitation counseling and introduces the new work in the field that sharpens the emphasis on evidence-based practices and research utilization in the field. It describes in detail, the specific functions that constitute the work of rehabilitation counseling: assessment, counseling, forensic and indirect services, clinical case management and case coordination, psychiatric rehabilitation, advocacy, and career development, vocational behavior, and work adjustment of individuals with disabilities. Further, the book introduces the competencies that provide the types of skills, knowledge, and attitudes that must infuse the practice of rehabilitation counseling because of their pervasive and overarching importance in all aspects of practice.
Career Development, Employment, and Disability in Rehabilitation, 2nd Edition:From Theory to Practice
This book attempts to provide a comprehensive review of the career development and employment issues, theories, and techniques that impact rehabilitation professionals in their work with people with disabilities. It starts out by introducing the reader to the centrality of work. The psychology-of-work framework provides the reader with a foundation for understanding how and why work is central to individuals’ lives. The centrality of work also provides significant meaning and value to the work that rehabilitation professionals undertake to enhance the career development and employment of individuals with disabilities. In addition to the centrality of work, the book introduces the Illinois Work and Well-Being Model (
IW2 M) as a framework to guide career and vocational development. Specifically, the IW2 Mprovides a structure that researchers and practitioners can use to examine the core factors that impact all phases of the career development process. The book continues to underscore the impact of poverty on the career development and employment prospects of individuals with disabilities. Although the awareness of poverty as a factor impacting career development has increased over the last 10 years, poverty is still undervalued as a career driver in the rehabilitation counseling literature. The issue of poverty will be extremely relevant in the post- COVID-19world. Finally, the book provides a comprehensive review of the major theories related to career development and employment, including job satisfaction, work analysis, labor market research, and transferable skills analysis. Given the uncertainty of our time, the book helps the reader to either find reinforcement or develop a new-found appreciation regarding the career development and employment of people with disabilities and chronic health conditions. The book serves to be an important resource that can help facilitate their own career development and the career development of people with disabilities with whom they work.
One of the historical pillars of rehabilitation counseling has been the use of assessment throughout the rehabilitation process. With this historical emphasis, it is not surprising that the focus on assessment and the methods and techniques used have changed and evolved. As a result, students, practitioners, and researchers are on a constant quest for updated and current information to guide and inform practice, policy, and research. This constant quest for updated and comprehensive information is directly relevant to the assessment of individuals typically served by rehabilitation and mental health practitioners and is the focus of this book. To date, there has not been a book that has been able to provide a comprehensive discussion of topics applicable to service delivery across both setting. This book attempts to fill this gap. One factor that guided the development of this book was the authors’ goal to provide both the foundational information necessary to understand and plan the assessment process and combine this material with information that is applicable to specific population and service delivery settings. To achieve this goal, each of the chapters is written by leaders in the field who have specialized knowledge regarding the chapter content. The chapters provide practical hands on information that allows for easy incorporation of the material to rehabilitation and mental health practice. To further strengthen practical application, case studies and templates have been incorporated where applicable to highlight specific key aspects to promote application to service delivery. Second, this is the first assessment book to be developed after the Council on Rehabilitation Counselor Education and Council on the Accreditation of Counseling and Related Programs merger. Finally, the authors hope that the readers of this book can apply this information to enhance the overall quality of life of the individuals they work with, especially individuals with disabilities.
This chapter provides a review of key evidence-based practice (EBP) concepts and discusses how this approach can be effectively implemented to improve the professional practice of rehabilitation counseling. EBP is particularly relevant to the rehabilitation counseling profession in this era of accountability, best practices, and quality outcomes. Rehabilitation counselors have been incorporating empirically supported interventions used by counseling professionals and vocational rehabilitation (VR) professionals that are validated by disability and rehabilitation researchers. However, there are still not enough rehabilitation counseling interventions that are developed and validated specifically for people with disabilities. Dunn and Elliott argued for the supremacy of theory and its place in rehabilitation research. With greater efforts to conduct meaningful theory-driven and intervention research, it will enable rehabilitation counselors to truly engage in EBP to improve employment and quality of life outcomes for people with disabilities.
The field of counseling is an exciting and challenging career choice. It is a profession that has a prolific history of enabling person-centered counseling approaches for individuals, couples, partners, and families, and facilitates therapeutic services for children, adolescents, adults, and older adults. This book offers an excellent resource for graduate-level coursework that relates to an orientation to the counseling profession, professional issues, and special topic seminars, as well as other counseling-related coursework. It provides both contemporary insight and practical strategies for working with the complexity of real-life issues related to assessment, diagnosis, and treatment of diverse clients and their families. The book provides professionals with chapters organized into the 10 CACREP and CORE content areas that address the awareness, knowledge, and skills required to work with children, adolescents, individuals, groups, couples, families, and persons from diverse cultural backgrounds. The content areas are: professional counseling identity, ethical and practice management issues, case management and consultation issues, multicultural counseling awareness, counseling theories and techniques, career counseling and human growth, assessment and diagnosis, counseling couples, families, and groups, counseling specific populations, and contemporary issues in counseling.
This chapter provides readers with an overview of the roles, functions, and knowledge base of counselors and addresses the professional issues that influence the identity and practice of counselors today. The primary role of a counselor is to assist clients in reaching their optimal level of psychosocial functioning through resolving negative patterns, prevention, rehabilitation, and improving quality of life. Rehabilitation counselors work with clients with disabilities and/or chronic illnesses, including those with psychiatric conditions, in settings such as state vocational rehabilitation agencies, hospitals, and so on. Addiction counseling, a recently acknowledged master’s-level counseling specialty, involves working in the substance abuse/addictions field and provides addiction prevention, treatment, recovery support, and education. The shared practice and knowledge domains of counselors and other helping professions coupled with the diversity within the counseling profession has, on the one hand, produced a rich, comprehensive, and inclusive field.
Historically, client motivation has been considered one of the essential ingredients needed to provide effective counseling, and client motivation has been shown to play a key role in the success of rehabilitation counseling and services in particular. This chapter provides readers with an appreciation of motivational interviewing (
MI) as an effective counseling approach in rehabilitation settings. It provides an overview of MI, its conceptual framework, counseling techniques, scientific evidence supporting the effectiveness of MI, and rehabilitation applications. The chapter helps the readers to increase their familiarity with the history and major concepts of MIand understand the use of the core microskills, principles, processes, and language strategies associated with MI. It also helps the reader have a greater understanding about the existing empirical support for MIand be knowledgeable about practical applications of MIin rehabilitation counseling.
Solution-focused brief therapy (
SFBT) offers an empirically supported treatment that appears to facilitate behavioral changes with a variety of clinical groups. This chapter provides students with an understanding of the major tenets of SFBTand its usefulness within rehabilitation settings. It reviews the origins of SFBT, describes the nature of SFBTas a counseling framework, and provides descriptions of specific therapy techniques. The chapter discusses research supporting the use of SFBTand its applications in rehabilitation settings. It helps reader to understand SFBT’ssocial constructivist underpinnings as well as its theoretical foundations, origins, and development and to describe a solution-focused therapist’s perspective on the human capacity for change and goal achievement. It also helps the reader to define the nature of therapy from a solution-focused perspective, understand the nature of the therapist–client relationship and the process of therapy and to discuss the current state and future directions of SFBTresearch.
This initial chapter presents several introductory topics, including definitions and terminology, the importance of counseling in professional practice in rehabilitation, a historical context for understanding theories of counseling and psychotherapy, and the efficacy of counseling and psychotherapy. In addition, it provides a brief overview of the remainder of the book. The book provides state-of-the art treatment that pertains to the dominant theories and techniques of counseling and psychotherapy from a rehabilitation perspective. Over the past several decades, psychotherapy researchers have devoted concerted efforts to examining the efficacy of counseling and psychotherapy. Wampold (2001) examined thousands of studies regarding the efficacy of psychotherapy using meta-analysis and concluded that at least 70% of psychotherapeutic effects are due to common factors, whereas only 8% are due to specific ingredients. The remaining 22%, which is unexplained, is due in part to client differences.