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Your search for all content returned 321 results

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  • Career Transitions Caused by Chronic Illness: A Career Construction PerspectiveGo to article: Career Transitions Caused by Chronic Illness: A Career Construction Perspective

    Career Transitions Caused by Chronic Illness: A Career Construction Perspective

    Article

    Purpose: People living with chronic illness face significant challenges with employment. This study explores the impact of participating in the Career Construction Interview (CCI) on the career exploration of individuals facing a forced career transition due to the onset or exacerbation of a chronic illness.

    Method: An instrumental multiple case study design was used in this qualitative study. A purposeful, homogeneous sample of three female adults was used to gain multiple perspective of forced career transitions. The participants were within 2 years of their diagnosis or exacerbation of one or more chronic health conditions and had to change their career because of the impact of their condition(s).

    Results: Eight open codes and five axial codes were discovered through the process of constant comparative analysis. For this study one open code (CCI experience) and five axial codes will be discussed.

    Conclusions: This study found patterns related to chronic illness and career and that the Career Construction Interview was helpful to the participants in assisting them with making decisions about potential careers and options for employment. Implications for rehabilitation counseling practice and suggestions for future research.

    Source:
    Rehabilitation Research, Policy, and Education
  • Impact of COVID-19 on People With Aphasia: Emerging Rehabilitation NeedsGo to article: Impact of COVID-19 on People With Aphasia: Emerging Rehabilitation Needs

    Impact of COVID-19 on People With Aphasia: Emerging Rehabilitation Needs

    Article

    Purpose: The purpose of this article is to address an emerging issue in rehabilitation counseling: The effect of the COVID-19 pandemic on people with aphasia (PWA).

    Method: Based upon a review of the literature this article provides an overview of (a) COVID-19 and emergent aphasia-related disability, (b) COVID-19 effects on stroke and aphasia services, (c) COVID-19 effects on mental health and employment of PWA.

    Results: This review of the impact of COVID-19 on PWA highlights the increased and emerging needs for rehabilitation counseling services related to an anticipated increase in incidence of aphasia related to COVID-19 illness and secondary impact of medical care for this population.

    Conclusion: The impact of COVID-19 on aphasia care in rehabilitation settings underscores the need for increased interprofessional education and collaboration to address the many gaps in aphasia care. Likewise, interdisciplinary research focused on rehabilitation outcomes in aphasia is needed to provide a foundation for evidence-based practice that conforms to the WHO-ICF framework.

    Source:
    Rehabilitation Research, Policy, and Education
  • Determining Factors of Psychosocial Wellbeing Among People With Disabilities During the COVID-19 Pandemic: Mediating Role of Social SupportGo to article: Determining Factors of Psychosocial Wellbeing Among People With Disabilities During the COVID-19 Pandemic: Mediating Role of Social Support

    Determining Factors of Psychosocial Wellbeing Among People With Disabilities During the COVID-19 Pandemic: Mediating Role of Social Support

    Article

    This study aimed to understand how the COVID-19 pandemic impacted the stress levels and life satisfaction of individuals with disabilities and what role social support plays in mitigating these impacts. Data from individuals with disabilities (n = 600) were extracted from a larger international cross-sectional survey study. Regression analyses were conducted to examine how personal and environmental factors contributed to stress levels and life satisfaction changes during the pandemic. Mediation analyses were used to test whether social support mediated the association between stress level and life satisfaction. The negative impact of the pandemic, having a psychiatric disability, being a female, and being younger significantly predicted stress levels. Moreover, the negative impact of the pandemic and stress levels significantly predicted life satisfaction. The relationship between stress levels and life satisfaction was mediated by social support from significant others and friends. There is an urgent need to provide training and education for healthcare professionals, families, and caregivers on the basic aspects of mental health care, developing time-limited and culturally-sensitive mental health interventions, and strategies for expanding the social support system for the population. Broad dissemination of effective therapeutic strategies is crucial in mitigating the negative psychosocial impact of the pandemic.

    Source:
    Rehabilitation Research, Policy, and Education
  • Design and Assessment of Service-Learning and Community Site Visits in an Undergraduate Introductory Rehabilitation and Human Services CourseGo to article: Design and Assessment of Service-Learning and Community Site Visits in an Undergraduate Introductory Rehabilitation and Human Services Course

    Design and Assessment of Service-Learning and Community Site Visits in an Undergraduate Introductory Rehabilitation and Human Services Course

    Article

    Purpose: This mixed-methods study assesses an innovative course design model that integrates community site visits and service-learning at the introductory level for Undergraduate Rehabilitation Education (URE) students (n = 44).

    Method: The authors used a survey design to analyze service-learning outcomes and civic attitudes to evaluate the course design. A panel of three independent raters analyzed student weekly papers based on research rubrics of the course objectives created by the authors.

    Results: The results demonstrate that the model is effective in altering student cognitive schemes about human service populations and encouraging students to synthesize academic knowledge and immersive experiences.

    Conclusions: The study provides evidence for the design of integrating service-learning and site visits throughout the entire semester of an introductory course. This design is what we theorize specifically allowed for the two outcomes of primary importance, altered cognitive schemes about human services populations and synthesis of academic and experiential knowledge.

    Source:
    Rehabilitation Research, Policy, and Education
  • Promoting Well-Being in Individuals With Autism: Applying Positive Psychology in Rehabilitation CounselingGo to article: Promoting Well-Being in Individuals With Autism: Applying Positive Psychology in Rehabilitation Counseling

    Promoting Well-Being in Individuals With Autism: Applying Positive Psychology in Rehabilitation Counseling

    Article

    Positive psychology is a subdomain that addresses the importance of human strengths and personal assets in individuals’ well-being. The principles of positive psychology align with the philosophy of rehabilitation counseling by emphasizing individuals’ strengths to promote psychosocial adjustment to disability. Considering the intersection between positive psychology and rehabilitation counseling, applying the positive psychology framework to rehabilitation counseling will be a promising foundation for improvement in services and outcomes. As the number of individuals on the autism spectrum increases, more innovative services are needed to keep abreast of their needs. This article discusses how positive psychology can be applied to the population of individuals with autism spectrum disorder (ASD) and explores possible practices that can be replicated by practitioners to provide quality services for this emerging disability population. Implications for education and research are also discussed.

    Source:
    Rehabilitation Research, Policy, and Education
  • Developing Career and Counseling Self-Efficacy: Evaluating a Self-Efficacy Enhancement Approach to Counselor EducationGo to article: Developing Career and Counseling Self-Efficacy: Evaluating a Self-Efficacy Enhancement Approach to Counselor Education

    Developing Career and Counseling Self-Efficacy: Evaluating a Self-Efficacy Enhancement Approach to Counselor Education

    Article

    Purpose

    We applied Barnes’s self-efficacy enhancement approach (e.g., mastery experiences, vicarious learning, verbal persuasion, and perceptions of psychological states) to two separate evaluation studies focused on teaching career counseling to master’s level rehabilitation counselors-in-training and doctoral level counselor educators-in-training.

    Methods

    Study 1 employed a pre/post, single group design with 24 master’s level rehabilitation counselors-in-training. Study 2 employed a longitudinal, single group design with 13 counselor education doctoral students. Students in each study participated in a 14-week semester-length career counseling course designed using Barnes’s self-efficacy enhancement approach. In both studies, students participated in a mini-practicum, completed several measures of self-efficacy and perceived competence during multiple time points across the semester.

    Results

    Findings from Study 1 indicated an increase in career counseling self-efficacy and helping skills self-efficacy. Findings from Study 2 indicated an increase in career counseling self-efficacy and perceived counseling skills when working with people with disabilities.

    Conclusion

    Findings from Study 1 and Study 2 support Barnes’s self-efficacy enhancement approach when teaching career counseling to rehabilitation counselors-in-training and doctoral students in counselor education.

    Source:
    Rehabilitation Research, Policy, and Education
  • The Australian Approach to Acquired Brain InjuryGo to article: The Australian Approach to Acquired Brain Injury

    The Australian Approach to Acquired Brain Injury

    Article

    Purpose

    The present article provides a narrative review of Australia’s approach toward acquired brain injury (ABI) and proposes how Australia and the United States can collaborate to improve service delivery for persons with ABI and their families with epidemiology, healthcare, prevention, research, and training.

    Method

    A narrative review of journal articles, government documents, and websites was completed to present a broad overview of Australia’s approach toward meeting the needs of persons with ABI.

    Results

    The narrative review and synthesis of publications were summarized into the following categories: a) overview of ABI in Australia, b) long-term care government programs, c) services and advocacy, d) research and training, and e) recommendations for Australian-U.S. collaborations.

    Conclusion

    The current time presents an opportunity for Australia and the United States to collaboratively address areas of common ABI need by dialogue, collaboration, and academic engagement, which may lead to better outcomes for persons with ABI by the sharing of research findings, service approaches, advocacy efforts, and rehabilitation counselor training. Rehabilitation counselors in Australia and the United States should lead the process of collaboration and engagement around common areas of ABI need.

    Source:
    Rehabilitation Research, Policy, and Education
  • A Case Study of Effective Employment Practices for Persons With Disabilities in a Large Multi-Site Health Care OrganizationGo to article: A Case Study of Effective Employment Practices for Persons With Disabilities in a Large Multi-Site Health Care Organization

    A Case Study of Effective Employment Practices for Persons With Disabilities in a Large Multi-Site Health Care Organization

    Article

    Purpose

    The purpose of this in-depth case study was to better understand how practices, policies, and structures contributed to a large health care organization’s track record of hiring, training, and retaining persons with disabilities (PWDs).

    Method

    We conducted in-depth interviews with 63 key informants across four hospitals in the hospital system. Within each site, we recruited participants from multiple-levels of the organization to understand the complexity of employment practices. Content analysis was used to analyze participant response to open-ended questions.

    Results

    Providing appropriate supports, including clearly defined job roles that are aligned with employee abilities, ongoing coaching and support, and purposeful efforts to integrate PWDs into the broader organization, are important elements of ongoing success. Invested leadership, alignment across organizational structures, and building partnerships with organizations with knowledge and skill in supporting PWDs are additional critical success factors.

    Conclusions

    Findings indicate that it is imperative for organizations wishing to strengthen their hiring practices for PWDs to develop a culture that embraces a person-first approach. As evidenced here, in an environment where all employees feel supported, valued, and as if there is room for growth, there is opportunity for employees with disabilities to be viewed through a positive, developmental, and generous lens.

    Source:
    Rehabilitation Research, Policy, and Education
  • Factors Influencing the Career Decision Self-Efficacy and Outcome Expectations of College Students With DisabilitiesGo to article: Factors Influencing the Career Decision Self-Efficacy and Outcome Expectations of College Students With Disabilities

    Factors Influencing the Career Decision Self-Efficacy and Outcome Expectations of College Students With Disabilities

    Article

    PURPOSE

    Understanding the career decision self-efficacy and outcome expectations of college students with disabilities (CSWD) are important to ensure their career-related activities participation and transition into the workforce. Therefore, the purpose of the present study was to examine the influences of disability identity, ethnic identity, perceptions of career barriers, and social supports on the career decision self-efficacy and outcome expectations of CSWD.

    METHOD

    The study utilized a cross-sectional survey design and the sample consisted of 312 CSWD recruited at two 4-year universities in Midwestern and Southeastern areas. A series of hierarchical regression analyses was used to examine the factors, including disability identity, ethnic identity, social support, perceived career barriers, ethnicity, gender, and disability types affect career decision self-efficacy, and career outcome expectations of CSWD.

    RESULTS

    The results showed that 30.1% of variability, F(7, 248) = 15.272, p < .001, in career decision self-efficacy was explained by disability identity, ethnic identity, social support, perceived career barriers, ethnicity, gender, and disability type. Social support was the largest contributor to career decision self-efficacy. In addition, 56.1% of variability, F(8, 247) = 39.433, p < .001, in career outcome expectations was explained by disability identity, ethnic identity, social support, perceived career barriers, career decision self-efficacy, ethnicity and gender. Career decision self-efficacy was the largest contributor to career outcome expectations.

    CONCLUSIONS

    Several implications for rehabilitation professionals, educators, and researchers are provided.

    First, the intersection of social identities (i.e., disability identity and ethnicity identity) requires increased attention in the rehabilitation fields. Sociocultural backgrounds and diverse identities are factors that have been identified as influencing career development of CSWD. Rehabilitation counselors and relevant professionals can play critical roles in supporting and empowering CSWD to develop positive disability and ethnic identities within the postsecondary education environments. Second, appropriate social support from family, peers, faculty, and disability service specialists, inclusive campus climate, and career-related development support in postsecondary education are essential for positive career outcomes of CSWD. Lastly, the effective career services could assist underrepresented CSWD building a sense of identity, confidence, and beliefs of competencies for career decisions and career outcomes, also, eliminate perceptions of career barriers attributing to intersecting multiple identities.

    Source:
    Rehabilitation Research, Policy, and Education
  • Work-Related Interview Skills Training for Persons Served by Vocational Rehabilitation Agencies in Four StatesGo to article: Work-Related Interview Skills Training for Persons Served by Vocational Rehabilitation Agencies in Four States

    Work-Related Interview Skills Training for Persons Served by Vocational Rehabilitation Agencies in Four States

    Article

    Purpose

    This study explored the acceptability and practicality of implementing a Direct Skills Teaching (DST) approach to increase job interview preparation for individuals who were receiving state vocational rehabilitation (VR) services in four states.

    Method

    Counselors-in-training facilitated a four-session curriculum teaching “Presenting Qualifications” during job interviews to 137 individuals in 25 groups settings. Pre- and post-group 10-item questionnaires of skill acquisition, and a post-group satisfaction survey with open-ended questions were administered. Descriptive statistics and a nonparametric Wilcoxon signed rank test were used for data analyses.

    Results

    All 10 items of the pre- and post-group questionnaire comparisons yielded significant improvement in the skill of “Presenting Qualifications” after group intervention. The satisfaction survey also indicated the positive experiences of participants.

    Conclusions

    The findings demonstrate the feasibility of a structured DST curriculum in teaching job interview skills to people with disabilities (including transition age youth) served by state VR agencies.

    Source:
    Rehabilitation Research, Policy, and Education

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