Aim: An National Health Service (NHS) mental health trust developed a pathway offering eye movement desensitization reprocessing (EMDR) to healthcare professionals (HCPs). This research aimed to evaluate whether EMDR was linked to improvements in posttraumatic stress disorder (PTSD) and sought to understand the experiences of service users. Method: Pre- and post-outcome measures of the Impact of Events Scale—Revised, patient health questionnaire-9, generalized anxiety disorder-7, and work and social adjustment scale were evaluated. Subsequently, a feedback survey was circulated to those who had accessed the service. Results: Analysis revealed statistically significant improvements in measures of PTSD, depression, anxiety, and functioning. The service was rated highly for accessibility and experience. Perceived treatment effectiveness was variable; however, reliving symptoms and sickness absence were reduced, and improvements made during therapy were reportedly maintained. Conclusion: This service evaluation offers preliminary support for the use of EMDR as a useful intervention for HCW. Recommendations that may be more broadly applicable for service development and considerations for future research are discussed.

Background: Little is known in the rehabilitation counseling profession regarding the needs and rehabilitation approaches used with seasonal and migrant farmworkers in the United States.

Objectives: The purpose of this article is to provide rehabilitation counselors with awareness of the vocational needs of seasonal and migrant farmworkers. The article also provides best practice approaches to effectively provide vocational rehabilitation (VR) services to this population.

Method: The article presents a first-person narrative by a recently retired rehabilitation counselor with more than 30 years of practice experience with the California Department of Rehabilitation. The bulk of this career focused on meeting the VR needs of migrant and seasonal farmworkers.

Findings: The first-person narrative conveys best practice approaches with outreach, vocational assessment, partnerships, and job placement found helpful with seasonal and migrant farmworkers.

Conclusions: To date, the rehabilitation counseling profession has largely ignored seasonal and migrant farmworkers. We hope the readers of this article will place greater professional attention on meeting the VR needs of this population in funding, program development, and training.

Background: Value change is critical for individuals’ psychosocial adaptation to chronic illness and disability. Although current value change theories facilitate our understanding of this process, limited interventions have been developed based on these theoretical frameworks.

Objective: The purpose of the study is to examine the issues with current value change theories and propose a value change application model.

Methods: A literature review approach was conducted in order to develop a value change application model by merging perspectives from rehabilitation psychology, cognitive dissonance theory, and schema theory.

Findings: The Disability Inconsistency Model is proposed in the present study.

Conclusion: The Disability Inconsistency Model views value from a dynamic perspective and identifies the catalyst to facilitate the psychosocial adaptation process. It also provides implications for the development of relevant interventions.

Though the importance of the inclusion of multicultural and social justice competencies in rehabilitation counselor education has been attended to for years, we know little about the content, concepts, activities, and assignments included in multicultural counseling courses. This mixed-methods study analyzed 25 multicultural counseling syllabi from CACREP-accredited rehabilitation counseling programs. Results indicated that nearly half of the multicultural counseling syllabi analyzed took an essentialist approach to educate future rehabilitation counselors. Very few syllabi mentioned the immigrant and refugee experience, and no syllabi exploredsize diversity and/or anti-fat bias. Class assignments and activities assigned exercises focused largely on students’ racial and ethnic identities. Additionally, results showed a common theme of ethnographic interviews, cultural site visits, and cultural immersion exercises. A call to action for counselor educators is included.

Demographic data projections for the United States indicate a significant increase in the population of older persons with disabilities. The Americans with Disabilities Act (ADA) mandates community access for individuals with disabilities, including older individuals who are aging with or aging into disabilities. However, there is limited research regarding the knowledge and the use of the ADA among this population specific to their perceptions and experiences regarding barriers and facilitators to community access and participation as mandated under the Act. The purpose of this qualitative focus group study was to explore the perceptions and experiences of a sample of older adults with disabilities regarding their community access, and their knowledge and utilization of the provisions of the ADA to facilitate community participation. Analysis of results identified three predominant themes within this sample of older adults: experiences with structural and attitudinal barriers to community access leading; fear of loss of autonomy and independence in the community, and how they deploy; coping and advocacy strategies to address barriers. Recommendations for improving ADA knowledge, access, and utilization among the population, as well as senior service providers, are also addressed.

The Veterans Health Administration (VHA) released qualification standards establishing the requirements for appointment as a rehabilitation counselor. The qualification standards represent a conversion of the previous vocational rehabilitation counselor occupational series to the broader discipline of rehabilitation counseling, the establishment of a national certification requirement, and conversion to the Hybrid Title 38 hiring authority to facilitate increased recruitment and retention. This article provides an overview of the new qualification standards and requirements for employment, reviews the occupation in the VHA, discusses internship opportunities, emphasizes how academia can help prepare students for service delivery to veterans, and offers guidance on connecting with a local Veterans Administration Medical Center and applying for federal employment.

Background: Functional independence represents a key outcome for individuals with traumatic brain injury (TBI). The burden of TBI on people of color (POC) is evident when examining functional outcomes post-injury. Previous studies have described racial minority status as being associated with poorer functional outcomes. However, little is known about racial disparities related to the rehabilitation care and outcomes of individuals with traumatic brain injury.

Methods: The study used data from the TBI Model Systems (TBIMS) National Database to assess 30-year trends of a total of 17,086 POC and Whites with traumatic brain injuries.

Findings: Trends were noted in rehabilitation length of stay (p = 0.002), total Functional Independence Measures (p = 0.0588) and efficiency scores (p = 0.0843) between POC and White participants. Changing trends were not evident in discharge disposition (p = 0.221).

Conclusion: Our findings show time-based changes in differences between POC when considering time spent in inpatient rehabilitation and degree of disability following TBI. This study reveals significant differences in length of stay between POC and White populations after weighting to account for age at injury and severity of injury. Prospectively, future research should consider the use of weighted analytic approaches to enable valid interpretation and implications of study findings.

Objective: Many thousands of people still receive electroconvulsive therapy (ECT) but it remains highly contested. A recent audit of the United Kingdom patient information leaflets found multiple inaccuracies and omissions, minimizing risks and exaggerating benefits (e.g., only six leaflets mentioned cardiovascular events). This study reports efforts to improve accuracy for patients and families. Methods: Letters were sent twice to managers of all 51 United Kingdom National Health Service Trusts, (regional bodies which deliver most healthcare) detailing the audit’s findings and the accuracy of their own Trust’s leaflet, also asking what changes would be undertaken. Results: Only nine Trusts responded and three committed to improvements. The Royal College of Psychiatrists released a slightly better but still highly misleading information sheet. Efforts to engage Government and all other relevant United Kingdom bodies failed. Conclusions: Trusts are unwilling to correct misinformation/ provide balanced information.

Mainstream psychiatry is unable to decide on its model of mental disorder. While the great bulk of research is biologically oriented, many practitioners prefer a more holistic model integrating biological, psychological, and social factors. The “biopsychosocial model” attributed to George Engel appears to offer theoretical support, but the evidence is that it does not exist in any form suitable for science. This puts psychiatry in an invidious position, exposed to allegations of misconduct with no obvious defense.