WorldWideScience

Sample records for vocational rehabilitation setting

  1. Vocational rehabilitation

    DEFF Research Database (Denmark)

    Labriola, Merete; Thielen, Karsten; Eplov, Lene Falgaard

    2014-01-01

    Work is known to be one of the main sources of human identity. It might be threatened when ill-health impairs individual labour market participation. Vocational rehabilitation, which is based on the bio-psycho-social model of health and function, is the systematic approach to improve employability...... for those who suffer from health-related disabilities. This article gives a short historical overview about vocational rehabilitation in Denmark, describes the current structural and political framework and gives practice examples of local multidisciplinary and intersectoral rehabilitation efforts....

  2. Vocational rehabilitation

    DEFF Research Database (Denmark)

    Labriola, Merete; Thielen, Karsten; Eplov, Lene Falgaard

    2014-01-01

    Work is known to be one of the main sources of human identity. It might be threatened when ill-health impairs individual labour market participation. Vocational rehabilitation, which is based on the bio-psycho-social model of health and function, is the systematic approach to improve employability...... for those who suffer from health-related disabilities. This article gives a short historical overview about vocational rehabilitation in Denmark, describes the current structural and political framework and gives practice examples of local multidisciplinary and intersectoral rehabilitation efforts....

  3. Validation of the ICF Core Set for Vocational Rehabilitation from the perspective of patients with spinal cord injury using focus groups.

    Science.gov (United States)

    Aiachini, Beatrice; Cremascoli, Sonia; Escorpizo, Reuben; Pistarini, Caterina

    2016-01-01

    The International Classification of Functioning, Disability and Health (ICF) Core Set for Vocational Rehabilitation is an application of the ICF of the World Health Organization with the purpose of identifying problems and resources relevant for people in a vocational rehabilitation given a health condition. The objective of the study was to validate the Comprehensive ICF Core Set for Vocational Rehabilitation from the perspective of patients with spinal cord injury (SCI). The specific aims were to explore the aspects of functioning and health important to patients with SCI regarding return to work and to examine to what extent these aspects are represented by the current version of the Comprehensive ICF Core Set for Vocational Rehabilitation. Focus group interviews were conducted. The sampling of patients followed the maximum variation strategy. Sample size satisfied saturation criterion. The focus groups were digitally recorded and transcribed verbatim. The meaning condensation procedure was used for the data analysis. After qualitative data analysis, the resulting concepts were linked to ICF categories according to established linking rules. Twenty-four SCI patients participated in seven focus groups. Sixty-three ICF categories out of 90 ICF categories contained in the Comprehensive ICF Core Set for Vocational Rehabilitation were reported by the patients. Forty-two additional categories that are not covered in the Comprehensive ICF Core Set for Vocational Rehabilitation were found but adding the health condition-specific ICF Core Set for SCI in long-term context, only 11 categories were not covered. The existing version of the Comprehensive ICF Core Set for Vocational Rehabilitation was confirmed almost entirely by the focus groups to explore the vocational situation of patients with SCI. Implications for Rehabilitation Validation of the ICF Core Set for Vocational Rehabilitation as a useful tool to facilitate social reintegration and rehabilitation of patients

  4. 38 CFR 21.70 - Vocational rehabilitation.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Vocational rehabilitation...) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and Employment Under 38 U.S.C. Chapter 31 Duration of Rehabilitation Programs § 21.70 Vocational rehabilitation. (a) General. The goal of...

  5. Vocational rehabilitation: a multidisciplinary intervention.

    Science.gov (United States)

    Gobelet, C; Luthi, F; Al-Khodairy, A T; Chamberlain, M A

    2007-09-15

    Vocational rehabilitation is by definition a multidisciplinary intervention in a process linked to the facilitation of return to work or to the prevention of loss of the work. Clinical staff in contact with a person who has lost his job (general practitioner, specialized physician) must promote vocational rehabilitation. Medical rehabilitation for those with disabilities, whether new or old, has to be followed without delay by vocational rehabilitation. It is even better if these two intertwined processes are overlapping. They involve many professionals including physiotherapists, occupational therapists, psychologists, vocational trainers, job counsellors, teachers, case-managers, job placement agencies. Vocational rehabilitation has a financial cost, borne by many state organizations (security, social system, social affairs) as well as by employers and private insurances, which are in case of accident, concerned by this process. However, the evidence suggests that this is recouped 2- to 10-fold as suggested by the British Society of Rehabilitation Medicine.

  6. Evolution of vocational rehabilitation competencies in Australia.

    Science.gov (United States)

    Matthews, Lynda R; Buys, Nicholas; Randall, Christine; Biggs, Herbert; Hazelwood, Zoe

    2010-06-01

    Over the past decade, there has been growth in the delivery of vocational rehabilitation services globally, as countries seek to control disability-related expenditure, yet there has been minimal research outside the United States on competencies required to work in this area. This study reports on research conducted in Australia to determine current job function and knowledge areas in terms of their importance and frequency of use in the provision of vocational rehabilitation. A survey comprising items from the Rehabilitation Skills Inventory-Amended and International Survey of Disability Management was completed by 149 rehabilitation counselors and items submitted to factor analysis. T-tests and analyses of variance were used to determine differences between scores of importance and frequency and differences in scores based on work setting and professional training. Six factors were identified as important and frequently used: (i) vocational counseling, (ii) professional practice, (iii) personal counseling, (iv) rehabilitation case management, (v) workplace disability case management, and (vi) workplace intervention and program management. Vocational counseling, professional practice and personal counseling were significantly more important and performed more frequently by respondents in vocational rehabilitation settings than those in compensation settings. These same three factors were rated significantly higher in importance and frequency by those with rehabilitation counselor training when compared with those with other training. In conclusion, although 'traditional' knowledge and skill areas such as vocational counseling, professional practice, and personal counseling were identified as central to vocational rehabilitation practice in Australian rehabilitation agencies, mean ratings suggest a growing emphasis on knowledge and skills associated with disability management practice.

  7. Validation of the Comprehensive ICF Core Set for Vocational Rehabilitation From the Perspective of Physical Therapists: International Delphi Survey.

    Science.gov (United States)

    Kaech Moll, Veronika M; Escorpizo, Reuben; Portmann Bergamaschi, Ruth; Finger, Monika E

    2016-08-01

    The Comprehensive ICF Core Set for vocational rehabilitation (VR) is a list of essential categories on functioning based on the World Health Organization (WHO) International Classification of Functioning, Disability and Health (ICF), which describes a standard for interdisciplinary assessment, documentation, and communication in VR. The aim of this study was to examine the content validity of the Comprehensive ICF Core Set for VR from the perspective of physical therapists. A 3-round email survey was performed using the Delphi method. A convenience sample of international physical therapists working in VR with work experience of ≥2 years were asked to identify aspects they consider as relevant when evaluating or treating clients in VR. Responses were linked to the ICF categories and compared with the Comprehensive ICF Core Set for VR. Sixty-two physical therapists from all 6 WHO world regions responded with 3,917 statements that were subsequently linked to 338 ICF categories. Fifteen (17%) of the 90 categories in the Comprehensive ICF Core Set for VR were confirmed by the physical therapists in the sample. Twenty-two additional ICF categories were identified that were not included in the Comprehensive ICF Core Set for VR. Vocational rehabilitation in physical therapy is not well defined in every country and might have resulted in the small sample size. Therefore, the results cannot be generalized to all physical therapists practicing in VR. The content validity of the ICF Core Set for VR is insufficient from solely a physical therapist perspective. The results of this study could be used to define a physical therapy-specific set of ICF categories to develop and guide physical therapist clinical practice in VR. © 2016 American Physical Therapy Association.

  8. 78 FR 34962 - American Indian Vocational Rehabilitation Services Program; Proposed Waivers and Extensions of...

    Science.gov (United States)

    2013-06-11

    ... CFR Part 75 and Chapter III American Indian Vocational Rehabilitation Services Program; Proposed Waivers and Extensions of the Project Periods AGENCY: Rehabilitation Services Administration, Office of... two sets of grantees under the American Indian Vocational Rehabilitation Services (AIVRS) Program...

  9. Vocational Indecision and Rehabilitation Clients.

    Science.gov (United States)

    Strohmer, Douglas C.; And Others

    1984-01-01

    Assessed the vocational decision-making problems of rehabilitation clients (N=60). Revealed that decision-making problems of clients can be grouped into three areas: employment readiness, self-appraisal, and decision-making readiness. Suggested that vocationally decided and undecided subjects differ significantly in the extent to which they have…

  10. Putting a Vocational Focus Back into Rehabilitation

    Science.gov (United States)

    Murphy, Gregory C.

    2009-01-01

    Traditionally, rehabilitation has been closely associated with vocational potential and return to work post-injury, or the maintenance of work attendance following the onset of chronic disease. Indeed, so close was the association that the terms "rehabilitation" and "vocational rehabilitation" were virtually synonymous. Over…

  11. 20 CFR 725.710 - Objective of vocational rehabilitation.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Objective of vocational rehabilitation. 725... OF THE FEDERAL MINE SAFETY AND HEALTH ACT, AS AMENDED Medical Benefits and Vocational Rehabilitation § 725.710 Objective of vocational rehabilitation. The objective of vocational rehabilitation is...

  12. Vocational Rehabilitation for Women with Disabilities.

    Science.gov (United States)

    Stace, Sheila

    1987-01-01

    Women with disabilities have limited access to the labor market owing to the double disadvantage of being both disabled and female. The current rehabilitation system is inadequate to meet this population's needs. Further research, broader action programs, changes in vocational rehabilitation, and active measures against discrimination are needed.…

  13. Vocational Rehabilitation of Persons with Spinal Cord Injuries

    Science.gov (United States)

    Poor, Charles R.

    1975-01-01

    Reviews historical development of organized vocational rehabilitation programming for the spinal cord injured in the United States. Significant factors that affect vocational rehabilitation outcomes with spinal cord injured persons are listed and discussed. (Author)

  14. 20 CFR 229.81 - Refusal to accept vocational rehabilitation.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Refusal to accept vocational rehabilitation... Refusal to accept vocational rehabilitation. The DIB O/M is not payable for any month in which the disabled employee refuses, without good reason, to accept vocational rehabilitation services...

  15. Cardiac Rehabilitation. A Handbook for Vocational Rehabilitation Counselors.

    Science.gov (United States)

    Brammell, H. L.; And Others

    Basic information about heart disease and functional capacity assessment and its application to activity/job counseling are presented in this handbook for vocational rehabilitation counselors. Sections include the following: impact of heart disease; basic anatomy and physiology (e.g., the heart, pulmonary circulation, causes of cardiac pain, and…

  16. 77 FR 43560 - American Indian Vocational Rehabilitation Services Program; Proposed Waivers and Extensions of...

    Science.gov (United States)

    2012-07-25

    ... CFR Chapter III American Indian Vocational Rehabilitation Services Program; Proposed Waivers and...) published on March 14, 2007 (72 FR 11851), provide vocational rehabilitation services to American Indians... projects initially funded in fiscal year (FY) 2007 under the American Indian Vocational...

  17. 77 FR 41391 - Final Priority; Rehabilitation Research and Training Center on Vocational Rehabilitation and...

    Science.gov (United States)

    2012-07-13

    ... Network, including Regional Technical Assistance and Continuing Education (TACE) Centers to disseminate... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION Final Priority; Rehabilitation Research and Training Center on Vocational Rehabilitation and...

  18. 34 CFR 361.65 - Allotment and payment of Federal funds for vocational rehabilitation services.

    Science.gov (United States)

    2010-07-01

    ... VOCATIONAL REHABILITATION SERVICES PROGRAM Financing of State Vocational Rehabilitation Programs § 361.65 Allotment and payment of Federal funds for vocational rehabilitation services. (a) Allotment. (1) The... rehabilitation services. 361.65 Section 361.65 Education Regulations of the Offices of the Department...

  19. Effect of Rehabilitation Technology Services on Vocational Rehabilitation Outcomes of Individuals with Multiple Sclerosis

    Science.gov (United States)

    Chiu, Chung-Yi; Tansey, Timothy N.; Chan, Fong; Strauser, David; Frain, Michael P.; Arora, Simran

    2015-01-01

    Objectives: To examine the effect of rehabilitation technology interventions on the employment or job retention outcomes of individuals with multiple sclerosis (MS) served by the state-federal vocational rehabilitation program using a case-control study design. Participants: Data for this study were extracted from the Rehabilitation Services…

  20. 78 FR 40458 - American Indian Vocational Rehabilitation Services Program; Notice of Tribal Consultation and...

    Science.gov (United States)

    2013-07-05

    ... American Indian Vocational Rehabilitation Services Program; Notice of Tribal Consultation and Request for Comments AGENCY: Rehabilitation Services Administration, Office of Special Education and Rehabilitative... Rehabilitation Services (AIVRS) program. Assistance to Individuals with Disabilities in Reviewing the Record:...

  1. 75 FR 3165 - Vocational Rehabilitation and Employment Program-Periods of Eligibility

    Science.gov (United States)

    2010-01-20

    ... AFFAIRS 38 CFR Part 21 RIN 2900-AM84 Vocational Rehabilitation and Employment Program--Periods of... ] Vocational Rehabilitation and Employment benefits and services. The amendments clarify program requirements... veteran's participation in a vocational rehabilitation program is reasonably feasible and when a...

  2. 75 FR 3168 - Vocational Rehabilitation and Employment Program-Self-Employment

    Science.gov (United States)

    2010-01-20

    ... AFFAIRS 38 CFR Part 21 RIN 2900-AN31 Vocational Rehabilitation and Employment Program--Self-Employment... A, in this final rule are ] also applicable to the vocational rehabilitation program under 38 U.S.C... program of vocational rehabilitation benefits and services may include self- employment for an...

  3. Vocational Rehabilitation Service Delivery Using Telecommunication. Research Report

    Science.gov (United States)

    Goe, Rebecca; Ipsen, Catherine

    2012-01-01

    Telecommunication offers a low cost solution to increasing client and counselor contact during the vocational rehabilitation (VR) process, particularly for clients at a distance from the VR office. Despite the advantage telecommunication provides, however, counselors report using email with fewer rural as compared to urban clients. In part, this…

  4. 75 FR 32857 - State Vocational Rehabilitation Services Program

    Science.gov (United States)

    2010-06-10

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION 34 CFR Part 361 State Vocational Rehabilitation Services Program CFR Correction In Title 34 of the Code of Federal Regulations, Parts 300 to 399, revised as of July 1, 2009, on page 267, in Sec. 361.42,...

  5. Vocational Rehabilitation (VR) Approaches to Job Development. Research Report

    Science.gov (United States)

    Ipsen, Catherine

    2012-01-01

    Vocational Rehabilitation (VR) agencies provide a range of services to help people with disabilities become employed. How services are delivered, however, depends on several factors including client interests and abilities as well as economic opportunities within the local community. For better or worse, rural and urban clients face vastly…

  6. Primary and Secondary Labor Markets: Implications for Vocational Rehabilitation.

    Science.gov (United States)

    Hagner, David

    2000-01-01

    Reviews theoretical and empirical work in labor economics and the sociology of work relating to the segmentation of the labor market into a primary and a secondary sector and examines the implications for vocational rehabilitation. Transition into primary sector employment is explored as an important aspect of career development for individuals…

  7. The Fundamentals of Vocational Rehabilitation: A Guide for VR Counselors Working with American Indian Clients.

    Science.gov (United States)

    Saravanabhavan, R. C.

    This guide summarizes the important aspects of the history, organization, and process of vocational rehabilitation of American Indian/Alaska Native clients. Specific units cover: (1) history of the state-federal vocational rehabilitation program; (2) organization and administration of rehabilitation programs; (3) fundamentals of vocational…

  8. Brain Damage in Deaf Vocational Rehabilitation Clients.

    Science.gov (United States)

    Getz, Marc; Vernon, McCay

    1986-01-01

    Screening of 54 deaf vocational clients by the Bender-Gestalt and other tests indicated the likely presence of significantly more brain damage than among the hearing population with a particularly high correlation between low IQ and brain damage in the deaf population. (DB)

  9. Rehabilitation of compensable workplace injuries: effective payment models for quality vocational rehabilitation outcomes in a changing social landscape.

    Science.gov (United States)

    Matthews, Lynda R; Hanley, Francine; Lewis, Virginia; Howe, Caroline

    2015-01-01

    With social and economic costs of workplace injury on the increase, efficient payment models that deliver quality rehabilitation outcomes are of increasing interest. This paper provides a perspective on the issue informed by both refereed literature and published research material not available commercially (gray literature). A review of payment models, workers' compensation and compensable injury identified relevant peer-reviewed and gray literature that informed our discussion. Fee-for-service and performance-based payment models dominate the health and rehabilitation literature, each described as having benefits and challenges to achieving quality outcomes for consumers. There appears to be a movement toward performance-based payments in compensable workplace injury settings as they are perceived to promote time-efficient services and support innovation in rehabilitation practice. However, it appears that the challenges that arise for workplace-based rehabilitation providers and professionals when working under the various payment models, such as staff retention and quality of client-practitioner relationship, are absent from the literature and this could lead to flawed policy decisions. Robust evidence of the benefits and costs associated with different payment models - from the perspectives of clients/consumers, funders and service providers - is needed to inform best practice in rehabilitation of compensable workplace injuries. Available but limited evidence suggests that payment models providing financial incentives for stakeholder-agreed vocational rehabilitation outcomes tend to improve service effectiveness in workers' compensation settings, although there is little evidence of service quality or client satisfaction. Working in a system that identifies payments for stakeholder-agreed outcomes may be more satisfying for rehabilitation practitioners in workers' compensation settings by allowing more clinical autonomy and innovative practice. Researchers

  10. 38 CFR 1.517 - Disclosure of vocational rehabilitation and education information to educational institutions...

    Science.gov (United States)

    2010-07-01

    ... rehabilitation and education information to educational institutions cooperating with the Department of Veterans... Disclosure of vocational rehabilitation and education information to educational institutions cooperating with the Department of Veterans Affairs. Requests from educational institutions and...

  11. 75 FR 3163 - Vocational Rehabilitation and Employment Program-Basic Entitlement; Effective Date of Induction...

    Science.gov (United States)

    2010-01-20

    ...; Effective Date of Induction Into a Rehabilitation Program; Cooperation in Initial Evaluation AGENCY... provisions concerning: Individuals' basic entitlement to vocational rehabilitation benefits and services...' cooperation and lack of cooperation in the initial evaluation process. The amendments are intended to...

  12. [Relevance of Personality Factors for Successful Vocational Rehabilitation].

    Science.gov (United States)

    Arling, V; Slavchova, V; Knispel, J; Spijkers, W

    2016-02-01

    The Main purpose of vocational rehabilitation is occupational reintegration of clients into the job market who have lost their job or whose job is threatened because of a handicap or chronicl illness. With regard to existing evidence for the relevance of personality factors for work performance and job achievement, the present study investigated the influence of participants' personality factors on a successful reintegration after a retraining program in a vocational training center over 2 years. A central research objective was to identify prognostic personality factors for successful vocational integration. In this longitudinal study 15 vocational training centers participated at 3 time points of measurement (T1, T2 and T3). Data gathering was based on rehabilitants' self-reports (standardized questionnaires: SVF, BSW, SPR, CSES) about personality aspects. First data collection started at the beginning (T1) and a second survey was conducted at the end of the training 2 years later (T2). Based on the data at measurement points T1 and T2, 4 prognostic models were computed (binary logistic regression analysis) and evaluated, examining the differenzial influence of several scales and items on direct reintegration after completing the vocational retraining and reintegration status 6 months later (T3). As expected, different variables turned out to be relevant for occupational integration at the end of the training program and 6 months later. Correspondingly other variables appeared to be relevant for occupational reintegration at T1 and at T2. At the end of the vocational training program, approximately 24% of the participants had a job. With respect to direct reintegration, regression analysis revealed that vocational self-efficacy (R(2)=0,175) and self-evaluation were relevant (R(2)=0,383). Approximately 70% of the participants had gotten a job 6 months later. Several stress coping strategies (R(2)=0,170), estimation of the own reintegration prognosis and aspects

  13. 20 CFR 10.520 - How does OWCP determine compensation after an employee completes a vocational rehabilitation...

    Science.gov (United States)

    2010-04-01

    ... employee completes a vocational rehabilitation program? 10.520 Section 10.520 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR FEDERAL EMPLOYEES' COMPENSATION ACT CLAIMS FOR... vocational rehabilitation program? After completion of a vocational rehabilitation program, OWCP may...

  14. A Multidimensional Approach to the Structure of Consumer Satisfaction with Vocational Rehabilitation Services.

    Science.gov (United States)

    Kosciulek, John E.

    2003-01-01

    This investigation examines the dimensions underlying consumer satisfaction with vocational rehabilitation services. Findings suggest that consumers view satisfaction as a multidimensional construct. Implications for the measurement of consumer satisfaction and use of consumer satisfaction data in vocational rehabilitation program evaluations are…

  15. 48 CFR 853.271 - Loan Guaranty, Education and Vocational Rehabilitation and Counseling Programs.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Loan Guaranty, Education and Vocational Rehabilitation and Counseling Programs. 853.271 Section 853.271 Federal Acquisition... Guaranty, Education and Vocational Rehabilitation and Counseling Programs....

  16. Vocational rehabilitation case manager factors associated with vocational rehabilitation service program outcomes for people with disabilities in Taiwan - an exploratory study.

    Science.gov (United States)

    Wang, Yun-Tung; Lin, Yi-Jiun

    2017-02-01

    Purpose The aim of this study is to explore whether/which vocational rehabilitation case manager (VRCMer) factors were significantly associated with the vocational rehabilitation service (VRS) program outcomes in Taiwan. Method This study used the 2011 VRS Program for People with Disabilities Database in a metropolitan city in Taiwan (N = 466) to do a secondary data analysis using hierarchical logistic regression. Results This study found that the employment rate and stable employment rate created by the 2011 VRS program in a metropolitan city in Taiwan were 48.7% and 42.1%, respectively. For the predictors of employment/stable employment, "occurrences of the services provided by the VRCMer" variable was definitely dominant. In addition, "level of the disability" was the second-ranking predictor, and was significantly negatively correlated with both employment and stable employment outcomes. Conclusions Vocational rehabilitation case manager factors in this study were significantly correlated with VRS program outcomes for people with disabilities in Taiwan after controlling for the clients' socio-demographic variables. The results indicate that greater input by VRCMers for people with disabilities equates to better employment outcomes in metropolitan Taiwan. Implications for Rehabilitation This is the first study to build an inferential statistical model in attempt to explain and predict the association between vocational rehabilitation case manager factors and vocational rehabilitation service program outcomes for people with disabilities in Taiwan. In cases of severe disability, a vocational rehabilitation case manager should seek out more in-kind and in-cash resources, and choose a suitable job coach to cooperate in assisting the client to become employed. Based on the findings, government has to continue implementing opportunities for people with disabilities to attain higher and better quality educational levels, for increasing their employment rate

  17. Rehabilitation Counselor Narratives on Factors Affecting Vocational Goal Acquisition of Female Immigrant Clients: Incorporating Policy

    Science.gov (United States)

    Akande, Abigail O.

    2014-01-01

    This dissertation examines factors affecting the service outcomes of immigrant women with disabilities who received vocational rehabilitation services, from the perspectives of their rehabilitation counselors. The participants were eight rehabilitation counselors who had received their Master's degrees from programs accredited by the Council on…

  18. 75 FR 34298 - Office of Special Education and Rehabilitative Services; Overview Information; Vocational...

    Science.gov (United States)

    2010-06-16

    .... 75, No. 115 / Wednesday, June 16, 2010 / Notices#0;#0; ] DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services; Overview Information; Vocational Rehabilitation Services Projects for... Secretary for Special Education and Rehabilitative Services. BILLING CODE 4000-01-P ...

  19. 77 FR 1872 - Vocational Rehabilitation and Employment Program-Changes to Subsistence Allowance

    Science.gov (United States)

    2012-01-12

    ... AFFAIRS 38 CFR Part 21 RIN 2900-AO10 Vocational Rehabilitation and Employment Program--Changes to... title 38, United States Code, may participate in a rehabilitation program under chapter 31 and elect to... allowance and chapter 33 educational assistance to participate in a chapter 31 rehabilitation program...

  20. A virtual reality-based vocational training system (VRVTS) for people with schizophrenia in vocational rehabilitation.

    Science.gov (United States)

    Tsang, Mayie M Y; Man, David W K

    2013-03-01

    Employment provides schizophrenic patients with a positive identity and hope. Cognitive impairments have been suggested to slow down the progress in work rehabilitation. The purpose of this study was to investigate the efficacy and effectiveness of VR as a cognitive intervention for enhancing vocational outcomes. 95 inpatients with schizophrenia were randomly assigned to a virtual reality-based vocational training group (VRG), a therapist-administered group (TAG) and a conventional group (CG). Twenty-five of them in each group had completed the study. Their performances were evaluated, before and after interventions, by Brief Neuropsychological Cognitive Examination, Digit Vigilance Test, Rivermead Behavioural Memory Test, Wisconsin Card Sorting Test (WCST) and Vocational Cognitive Rating Scale. Patients in the VRG were found to perform better than patients in the TAG and CG in cognitive functioning, as shown by the WCST-percentage of error (F (2, 72)=7.146, p<0.001) and the WCST-percentage of conceptual level response (F (2, 72)=8.722, p<0.001). The post-hoc test revealed that the VRG showed a better performance than both the TAG (p=0.03) and the CG (p<0.001) in the WCST-percentage of error. The VRG also showed a better performance than patients in both the TAG (p=0.01) and the CG (p<0.001) in the WCST-percentage of conceptual level response. The VRG also showed a better self-efficacy score than CG. Both VRG and TAG showed a better work performance as reflected by the on-site tests. Further studies on the use of VR in schizophrenia rehabilitation and for vocational success are discussed.

  1. Agency Decision-Making Control and Employment Outcomes by Vocational Rehabilitation Consumers Who Are Blind or Visually Impaired

    Science.gov (United States)

    Steinman, Bernard A.; Kwan, Ngai; Boeltzig-Brown, Heike; Haines, Kelly; Halliday, John; Foley, Susan M.

    2013-01-01

    Introduction: We hypothesized that consumers who are blind or visually impaired (that is, those who have low vision) who were served by state vocational rehabilitation agencies with decision-making control over administrative functions would experience better vocational rehabilitation outcomes than consumers served by vocational rehabilitation…

  2. The Model of Creative Ability in vocational rehabilitation.

    Science.gov (United States)

    Casteleijn, Daleen; de Vos, Helé

    2007-01-01

    Occupational therapy literature has reported on the concept of motivation in great depth and it is evident that motivation has many constructs. Motivation is seen as a key indicator for success in rehabilitation. When assessing a client's vocational skills and performance, occupational therapists in South Africa have found the Model of Creative Ability to be a useful model to determine the quality and quantity of motivation. This article briefly describes the development of the Model of Creative Ability in South Africa and explains the fundamental concepts and terminology used in the model. Criticism of the model as well as the reasons for the popularity of this model are given. A case study is used as an example to illustrate the unique contribution of the levels of motivation and action to a medico-legal report.

  3. Long-run Employment Effects of Vocational Rehabilitation

    DEFF Research Database (Denmark)

    Høgelund, Jan; Holm, Anders

    Previous studies find that vocational rehabilitation in terms of education has no or even a negative effect on long-term sick-listed employees’ probability of returning to work. This paper extends previous analyses by assessing the employment effect, using both a return-to-work measure...... and a measure of the subsequent employment duration. With data on 637 Danish long-term sick-listed employees, we simultaneously estimate a random effects hazards rate model comprising four durations: (1) the duration until participation in an educational measure, (2) the duration until returning to work...... for the pre-sick leave employer, (3) the duration until returning to work for a new employer, and (4) the duration of the employment after returning to work for a new employer. In line with previous studies, we find that educational measures have a negative effect on the sick-listed employees’ probability...

  4. Therapeutic relationships in vocational rehabilitation : Predicting good relationships for people with psychosis

    NARCIS (Netherlands)

    Catty, Jocelyn; White, Sarah; Koletsi, Marsha; Becker, Thomas; Fioritti, Angelo; Kalkan, Rana; Lauber, Christoph; Lissouba, Pascale; Roessler, Wulf; Tomov, Toma; van Busschbach, Jooske T.; Wiersma, Durk; Burns, Tom

    2011-01-01

    Therapeutic relationships between clients and vocational rehabilitation workers have been shown to predict entering competitive employment. We aimed to determine predictors of good relationships, using data from an international randomized controlled trial of supported employment (n = 312). Baseline

  5. Disability Prevention and Vocational Rehabilitation of the Disabled in the Byelorussian SSR.

    Science.gov (United States)

    Kriulin, G. A.

    1986-01-01

    Discusses measures taken by the Soviets immediately following World War II to provide medical, social, and vocational rehabilitation for disabled individuals in Byelorussia, which had a large number of deaths and serious injuries. (CH)

  6. Vocational Rehabilitation and End Stage Renal Disease. Proceedings of the Workshop (Denver, Colorado, December 11-13, 1979).

    Science.gov (United States)

    George Washington Univ. Medical Center, Washington, DC. Rehabilitation Research and Training Center.

    This document contains 12 papers presented to medical and vocational rehabilitation professionals on the topic of vocational rehabilitation and End Stage Renal Disease (ESRD) at a Denver conference in 1979. The following papers are contained in this report: "Rehabilitation and ESRD: Services with a New Thrust" by Kathleen E. Lloyd;…

  7. Psychiatric Disabilities and Substance Abuse Disorder: Psychosocial and Vocational Concerns--Implications for Rehabilitation Professionals

    Science.gov (United States)

    Patterson, Latofia; Templeton, Mary Anne

    2006-01-01

    The purpose of this article is to review the literature on the comorbidity of substance abuse and psychiatric disorder. The paper examines the medical, psychosocial, and vocational rehabilitation concerns associated with substance abuse and psychiatric disorder comorbidity. A greater emphasis is placed on vocational concerns and the role of…

  8. Return to work after vocational rehabilitation: does mindfulness matter?

    Directory of Open Access Journals (Sweden)

    Vindholmen S

    2014-02-01

    Full Text Available Solveig Vindholmen,1 Rune Høigaard,2 Geir Arild Espnes,3 Stephen Seiler41Department of Psychosocial Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway; 2Department of Public Health, Sport and Nutrition, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway; 3Research Centre for Health Promotion and Resources, Department of Social Work and Health Science, Norwegian University of Science and Technology, Trondheim, Norway; 4Faculty of Health and Sport Sciences, University of Agder, Kristiansand, NorwayPurpose: Mindfulness has become an important construct in return-to-work (RTW rehabilitation. The aim of this study was to investigate whether mindfulness is a predictor for RTW, and to examine the indirect effect of mindfulness on RTW and work ability through quality of life (QOL.Methods: A retrospective study was conducted among 80 former participants (71 females and seven males from age 24 to 66, in a multidisciplinary vocational rehabilitation program (MVRP. Self-report questionnaires were used to measure work status, work ability, QOL, and mindfulness. Demographic data were also collected.Results: In the current sample, 47% of participants reported having returned to ordinary work. The majority of the non-working sub-sample reported being in work-related activity or education. A bias-corrected bootstrapping technique was used to examine indirect effects. Results revealed that mindfulness was indirectly related to both RTW and work ability through QOL. There was no significant total effect of mindfulness on work ability or RTW. Logistic regression analysis was performed to assess the impact of mindfulness on the likelihood that respondents returned to work. None of the independent mindfulness variables (observe, describe, act aware, non-judge, non-react made a unique statistically significant contribution to the model. The covariates work ability and education level significantly

  9. Information Flow Settings in Building Rehabilitation

    Science.gov (United States)

    Elwazani, S.; Gandikota, S.

    2017-08-01

    Apart from the usual field technical survey information for establishing the building configurations and fabric conditions, information flow for a rehabilitation project begins earlier with the need for authenticating the building as a significant heritage item and ends subsequently with validating the rehabilitation of the building. These three genres of the information are recognized under three information settings. This study investigates the first, the setting associated with authenticating the significance of the building. The discussion is structured around the process of evaluating building significance for the purpose of listing the building on the National Register of Historic Places (NRHP) and, accordingly, recognizes the NRHP framework for nominating properties to the Register. With due consideration to the concomitant information and documentation along the nomination process, and with the "historic context" as a core significance assessment strategy, the study aims at: a) explaining the configuration of the historic context; b) clarifying the role of the building itself in developing the historic context; and, c) identifying the attributes of information flow. The study arrived at the following conclusions. Investigating "the information associated with authenticating the significance of the building," the focus of this study, as an information setting of a spectrum of three helps define the global information flow in building rehabilitation. Steeped in research, the historic context configuration and development steps regulate the information flow of this setting. The knowledge and dexterity of the researcher in configuring and developing the historic context enhances the clarity and characteristics of information flow.

  10. Work Rehabilitation Questionnaire (WORQ): development and preliminary psychometric evidence of an ICF-based questionnaire for vocational rehabilitation.

    Science.gov (United States)

    Finger, Monika E; Escorpizo, Reuben; Bostan, Cristina; De Bie, Rob

    2014-09-01

    The International Classification of Functioning, Disability and Health (ICF) has proven to be a valuable framework for vocational rehabilitation (VR). No reliable and valid ICF-based instruments to capture work functioning is known, hence, the aims of this study were: (1) to outline the process for developing an ICF-based questionnaire, the Work Rehabilitation Questionnaire (WORQ) to assess functioning in VR and (2) to report preliminary psychometric evidence. ICF categories were selected from the ICF Core Sets for VR using explorative Rasch-analysis and VR literature review. Questions were worded to assess identified ICF categories. WORQ was translated from English to German. Psychometrics for the German version of WORQ was examined in one VR centre in Switzerland. 44 ICF categories were selected which resulted in 36 questions related to functioning. The psychometric evaluation of WORQ showed high test-retest reliability (Spearman correlation 0.79) (n = 53) and good internal consistency (Cronbachs Alpha 0.88) (n = 74) WORQ showed moderate correlation with Beck Depression Inventory II (Spearman correlation 0.511) and low correlation (Spearman correlation -0.353) with SF-36. WORQ appears to be a reliable, ICF-based questionnaire to evaluate functioning in VR, easy to administer by health or vocational professionals. The additional information gained when using WORQ would contribute to improving interdisciplinary understanding of the patient's situation and therefore support the integrative planning of the return-to-work process or engagement in gainful employment. However, further studies are needed to further examine its use in clinical practice and research, when validated in other patient populations and settings.

  11. Helping All the Handicapped; The Report of the Massachusetts Vocational Rehabilitation Planning Commission.

    Science.gov (United States)

    Medical Foundation, Inc., Boston, MA.

    This report by the Planning Commission culminates 2 years of public hearings and the investigations of 10 task forces on vocational rehabilitation. A broader definition of the disabled, one which includes the disadvantaged, is gaining acceptance, resulting in the need for expanded rehabilitation programs. This study provides the necessary…

  12. 77 FR 41387 - Applications for New Awards; Rehabilitation Research and Training Center on Vocational...

    Science.gov (United States)

    2012-07-13

    ... research in refereed journals. The number of products (e.g., new or improved tools, methods, discoveries... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION Applications for New Awards; Rehabilitation Research and Training Center on Vocational Rehabilitation...

  13. Barriers of inter-organisational integration in vocational rehabilitation.

    Science.gov (United States)

    Wihlman, Ulla; Lundborg, Cecilia Stålsby; Axelsson, Runo; Holmström, Inger

    2008-06-19

    A project of vocational rehabilitation was studied in Sweden between 1999 and 2002. The project included four public organisations: the social insurance office, the local health services, the municipal social service and the office of the state employment service. The aim of this paper was to analyse perceived barriers in the development of inter-organisational integration. Theories of inter-professional and inter-organisational integration, and theories on organisational change. In total, 51 semi-structured interviews and 14 focus group discussions were performed with actors within the project between 1999 and 2002. A thematic approach was used for the analysis of the data. THREE DIFFERENT MAIN THEMES OF BARRIERS EMERGED FROM THE DATA: A Uncertainty, B Prioritising own organisation and C Lack of communication. The themes are interconnected in an intricate web and hence not mutually exclusive. The barriers found are all related partly to organisational change in general and partly to the specific development of organisational integration. Prioritising of own organisation led to flaws in communication, which in turn led to a high degree of uncertainty within the project. This can be seen as a circular relationship, since uncertainty might increase focus on own organisation and lack of communication. A way to overcome these barriers would be to take the needs of the clients as a point of departure in the development of joint services and to also involve them in the development of inter-organisational integration.

  14. Barriers of inter-organisational integration in vocational rehabilitation

    Directory of Open Access Journals (Sweden)

    Ulla Wihlman

    2008-06-01

    Full Text Available Introduction: A project of vocational rehabilitation was studied in Sweden between 1999 and 2002. The project included four public organisations: the social insurance office, the local health services, the municipal social service and the office of the state employment service. The aim of this paper was to analyse perceived barriers in the development of inter-organisational integration. Theory: Theories of inter-professional and inter-organisational integration, and theories on organisational change. Methods: In total, 51 semi-structured interviews and 14 focus group discussions were performed with actors within the project between 1999 and 2002. A thematic approach was used for the analysis of the data. Results: Three different main themes of barriers emerged from the data: A Uncertainty, B Prioritising own organisation and C Lack of communication. The themes are interconnected in an intricate web and hence not mutually exclusive. Conclusions and discussion: The barriers found are all related partly to organisational change in general and partly to the specific development of organisational integration. Prioritising of own organisation led to flaws in communication, which in turn led to a high degree of uncertainty within the project. This can be seen as a circular relationship, since uncertainty might increase focus on own organisation and lack of communication. A way to overcome these barriers would be to take the needs of the clients as a point of departure in the development of joint services and to also involve them in the development of inter-organisational integration.

  15. Assessment of health-related quality of life of clients in vocational rehabilitation : association with depressive symptoms and type of services

    NARCIS (Netherlands)

    Ferdiana, A.; Post, M. W. M.; Finger, M.; Bultmann, U.; Escorpizo, R.

    2014-01-01

    Background. Health-related quality of life (HRQOL) has been frequently used as an outcome measure in disability-related studies, yet little is known about HRQOL in vocational rehabilitation (VR). Aim. To evaluate HRQOL in VR clients and identify factors associated with their HRQOL Design, setting an

  16. Vocational Rehabilitation for Postsecondary Programs That Serve Students Who Are Deaf and Hard of Hearing. PEPNet Tipsheet

    Science.gov (United States)

    Faver, Edward

    2011-01-01

    The public Vocational Rehabilitation (VR) program provides services to individuals with disabilities who need help to qualify for, find, or keep a job that is consistent with their strengths, resources, priorities, concerns, abilities, interests, and informed choice. This paper provides information on vocational rehabilitation for postsecondary…

  17. The factor structure of the Minnesota Satisfaction Questionnaire and participants of vocational rehabilitation.

    Science.gov (United States)

    Tan, P P; Hawkins, W E

    2000-08-01

    This study investigated the factor structure of the Minnesota Satisfaction Questionnaire when used by individuals with psychiatric disabilities who are participating in vocational rehabilitation. The sample consisted of 87 respondents recruited from Columbus, Ohio, in 1996 who worked in noncompetitive employment. Factor analyses with varimax rotation conducted on the short-form of the questionnaire indicated three factors, an intrinsic factor and an extrinsic factor (as proposed by the Herzberg two-factor theory) as well as another pertaining to satisfaction derived from participating in vocational rehabilitation.

  18. Rehabilitation Counseling Graduate Students' Preferences for Employment: Agreement between Actual and Perceived Job Tasks of State-Federal Vocational Rehabilitation Counselors

    Science.gov (United States)

    Lustig, Daniel C.; Strauser, David R.

    2009-01-01

    A national study of rehabilitation counseling graduate students and state-federal rehabilitation counselors investigated whether there were differences between (a) what graduate students preferred to do upon graduation and what they believed vocational rehabilitation counselors did, (b) what graduate students preferred to do upon graduation and…

  19. The Relationship between Degree Type, Certification Status, and Years of Employment and the Amount of Time Spent on Rehabilitation Counseling Tasks in State--Federal Vocational Rehabilitation

    Science.gov (United States)

    Lustig, Dan C.; Strauser, David R.

    2008-01-01

    The purpose of this study is to examine the relationship between perceived percentage of time spent on particular rehabilitation counseling responsibilities, on one hand, and possession of an educational degree, certification as a rehabilitation counselor (CRC), and years worked for the state--federal vocational rehabilitation (VR) agency, on the…

  20. A manual-based vocational rehabilitation program for patients with an acquired brain injury

    DEFF Research Database (Denmark)

    Hoeffding, Louise K; Nielsen, Maria Haahr; Rasmussen, Morten A

    2017-01-01

    BACKGROUND: An acquired brain injury (ABI) is a complex injury often followed by a broad range of cognitive, physical, emotional, and behavioral disabilities. Because of these disabilities, vocational rehabilitation (VR) is a challenging task, however, of great importance, since approximately 75...... and possibly a cost-utility analysis of the intervention will be performed. DISCUSSION: This study consists of a comprehensive multidiciplinary VR intervention involving several parties such as the municipalities, a specialized rehabilitation team, and patients' own family caregivers. If this intervention...

  1. Predictors of Vocational Rehabilitation Return-to-Work Outcomes in Workers' Compensation.

    Science.gov (United States)

    Blackwell, Terry L.; Leierer, Stephen L.; Haupt, Stephanie; Kampitsis, Angeliki

    2003-01-01

    The postinjury return-to-work (RTW) status of 502 injured workers in Montana who were referred for vocational rehabilitation services between 1984 and 1991 was examined to determine which variables improved the capacity to predict RTW outcomes after injury. Predictor variables included age, education, attorney involvement, mandated vocational…

  2. Dialectical Behavior Therapy Adapted for the Vocational Rehabilitation of Significantly Disabled Mentally Ill Adults

    Science.gov (United States)

    Koons, Cedar R.; Chapman, Alexander L.; Betts, Bette B.; O'Rourke, Beth; Morse, Nesha; Robins, Clive J.

    2006-01-01

    Twelve vocational rehabilitation clients with severe mental illness received a comprehensive adaptation of dialectical behavior therapy (DBT) delivered in a group format. Treatment consisted of 2 hours of standard DBT skills training per week and 90 minutes of diary card review, chain analysis, and behavioral rehearsal. Participants were selected…

  3. Building the Case for Delivering Health Promotion Services within the Vocational Rehabilitation System

    Science.gov (United States)

    Ipsen, Catherine; Seekins, Tom; Ravesloot, Craig

    2010-01-01

    Research studies report a negative relationship between employment and secondary conditions. Access to health promotion programs to manage secondary conditions, however, is limited for people with disabilities due to employment, financial, and insurance barriers. Vocational rehabilitation (VR) is one possible delivery point to overcome these…

  4. Research Applications of the Longitudinal Rehabilitation Study of the Vocational Services Program

    Science.gov (United States)

    Kosciulek, J. F.

    2004-01-01

    Current state and national disability and employment policy program and funding directives, such as the Ticket to Work and Work Incentives Improvement Act of 1999 and the Workforce Investment Act of 1998, require the state-federal vocational rehabilitation (VR) program to demonstrate service efficacy in order to maintain and expand program funding…

  5. Vocational Rehabilitation of Young Adults with a Disability of One Arm or Hand.

    Science.gov (United States)

    Nijboer, Irene D.; Wevers, Cornelius J.

    1993-01-01

    A work analysis was conducted to determine whether the job of lathe and milling machine operator is suitable for young adults with one arm or hand. The analysis concluded that it is suitable but adjustments of the workplace may be necessary, such as transporting heavy equipment. The importance of labor research to vocational rehabilitation is…

  6. The Politics of Empowerment: Vocational Rehabilitation Reform: Holding Out a Hand?

    Science.gov (United States)

    Weaver, Carolyn L.

    1991-01-01

    The vocational rehabilitation system has been largely unsuccessful in improving the lives and employability of the disabled. Proposes replacing public agencies with a more competitive voucher system of services for the disabled. This would empower the disabled to choose their own providers and to cull poor services from good. (CJS)

  7. Working with mental health problems : clients' experiences of IPS, vocational rehabilitation and employment

    NARCIS (Netherlands)

    Koletsi, Marsha; Niersman, Astrid; van Busschbach, Jooske T.; Catty, Jocelyn; Becker, Thomas; Burns, Tom; Fioritti, Angelo; Kalkan, Rana; Lauber, Christoph; Roessler, Wulf; Tomov, Toma; Wiersma, Durk

    2009-01-01

    Background Although the effectiveness of individual placement and support (IPS) has been well established, little is known about clients' perceptions of the model compared to usual vocational rehabilitation, nor about their experiences of searching for and returning to work with this kind of

  8. Experiences of Rural Vocational Rehabilitation Clients Who Leave the System Prematurely: A Qualitative Exploration

    Science.gov (United States)

    Rigles, Bethany; Ipsen, Catherine; Arnold, Nancy; Seekins, Tom

    2011-01-01

    Vocational rehabilitation (VR) clients who leave the system prematurely experience worse employment outcomes than clients who stay in services. The authors conducted this study to learn about factors leading to premature exit by rural VR clients. Results will inform survey development for a large longitudinal study on this topic. The authors…

  9. The Relationship between Counselor Job Satisfaction and Consumer Satisfaction in Vocational Rehabilitation

    Science.gov (United States)

    Capella, M. E.; Andrew, J. D.

    2004-01-01

    This study investigated the relationship between the job satisfaction of counselors employed by a state vocational rehabilitation (VR) agency and the satisfaction of their consumers with both the counselor and the overall VR experience. Multiple regression was used to determine whether facets of job satisfaction were related to consumers'…

  10. Development of an Instrument to Measure Consumer Satisfaction in Vocational Rehabilitation

    Science.gov (United States)

    Capella, Michele E.; Turner, Ronna C.

    2004-01-01

    Although state agencies are required by law to assess their consumers' satisfaction with vocational rehabilitation (VR), each state uses its own instrument to measure satisfaction. This not only makes comparisons across states impossible but also means that the quality of these instruments varies widely from state to state. As with other…

  11. The Use of Telecommunication to Deliver Services to Rural and Urban Vocational Rehabilitation Clients

    Science.gov (United States)

    Ipsen, Catherine; Rigles, Bethany; Arnold, Nancy; Seekins, Tom

    2012-01-01

    Telecommunication offers a cost-saving alternative to face-to-face vocational rehabilitation (VR) service delivery, yet little is known about the current use. This article describes findings from an exploratory survey of 1,187 counselors, representing 13 VR agencies across the United States. The online survey explored agency, counselor, and client…

  12. The Use of Telecommunication to Deliver Services to Rural and Urban Vocational Rehabilitation Clients

    Science.gov (United States)

    Ipsen, Catherine; Rigles, Bethany; Arnold, Nancy; Seekins, Tom

    2012-01-01

    Telecommunication offers a cost-saving alternative to face-to-face vocational rehabilitation (VR) service delivery, yet little is known about the current use. This article describes findings from an exploratory survey of 1,187 counselors, representing 13 VR agencies across the United States. The online survey explored agency, counselor, and client…

  13. Trends in Outcomes of the Vocational Rehabilitation Program for Adults with Developmental Disabilities: 1995-2005

    Science.gov (United States)

    Migliore, Alberto; Butterworth, John

    2008-01-01

    This article describes national trends in outcomes of the vocational rehabilitation (VR) program, with a focus on adults with developmental disabilities during the period of 1995 to 2005. Findings show that the VR program has made substantial progress in excluding extended employment from the array of possible employment closures. Efforts are…

  14. 76 FR 49669 - Vocational Rehabilitation and Employment Program-Changes to Subsistence Allowance

    Science.gov (United States)

    2011-08-11

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS 38 CFR Part 21 RIN 2900-AO10 Vocational Rehabilitation and Employment Program--Changes to Subsistence Allowance Correction In rule document 2011-19473 appearing on pages 45697-45705 in the issue...

  15. Client Goals for Participating in VHA Vocational Rehabilitation: Distribution and Relationship to Outcome

    Science.gov (United States)

    Drebing, C.E.; Van Ormer, E.A.; Schutt, R.K.; Krebs, C.; Losardo, M.; Boyd, C.; Penk, W.; Rosenheck, R.

    2004-01-01

    Research into vocational rehabilitation (VR) consumer service preferences has been limited. The current study describes the self-reported goals of 228 applicants to a VR program sponsored by the Veterans Administration (VA) and documents the relationship of those goals to participant background variables and outcomes. Participants endorsed a wide…

  16. Working with mental health problems : clients' experiences of IPS, vocational rehabilitation and employment

    NARCIS (Netherlands)

    Koletsi, Marsha; Niersman, Astrid; van Busschbach, Jooske T.; Catty, Jocelyn; Becker, Thomas; Burns, Tom; Fioritti, Angelo; Kalkan, Rana; Lauber, Christoph; Roessler, Wulf; Tomov, Toma; Wiersma, Durk

    2009-01-01

    Background Although the effectiveness of individual placement and support (IPS) has been well established, little is known about clients' perceptions of the model compared to usual vocational rehabilitation, nor about their experiences of searching for and returning to work with this kind of support

  17. Final priorities; Rehabilitation Services Administration--Capacity Building Program for Traditionally Underserved Populations--vocational rehabilitation training institute for the preparation of personnel in American Indian Vocation Rehabilitation Services projects. Final priorities.

    Science.gov (United States)

    2014-08-14

    The Assistant Secretary for Special Education and Rehabilitative Services announces two priorities under the Capacity Building Program for Traditionally Underserved Populations administered by the Rehabilitation Services Administration (RSA). The Assistant Secretary may use one or more of these priorities for competitions in fiscal year (FY) 2014 and later years. Priority 1 establishes a new vocational rehabilitation (VR) training institute for the preparation of personnel in American Indian Vocational Rehabilitation Services (AIVRS) projects (the Institute). Priority 2 requires a partnership between a four-year institution of higher education (IHE) and a two-year community college or tribal college. This partnership is designed to successfully implement the VR training Institute established in Priority 1. In addition, the partnership agreement required under Priority 2 provides a brief description of how the partnership will be managed, the partners' roles and responsibilities and a strategy for sustaining the partnership after the Federal investment ends.

  18. Relationship marketing and disadvantaged health care segments: using internal marketing to improve the vocational rehabilitation process.

    Science.gov (United States)

    Peltier, James W; Scovotti, Carol

    2004-01-01

    The purpose of vocational rehabilitation (VR) is to provide disabled individuals with the training and support services needed to assimilate into the workforce. This study incorporates concepts developed in the relationship marketing and internal marketing literature to determine the factors that influence overall satisfaction of vocational training services. Results underscore the importance of social and structural bonds that develop among the multiple stakeholders involved in the VR process. Satisfaction is also influenced by the design and equipment used in the facilities and the efficiency of initiating VR services. A highly reliable instrument to measure VR participant satisfaction is presented.

  19. Making the Case for Specialized Caseloads among Vocational Rehabilitation Counselors Working with Ex-Offenders: A Pilot Study

    Science.gov (United States)

    Bates-Maves, Julie K.; O'Sullivan, Deirdre

    2017-01-01

    Purpose: This article outlines findings from a sample of 137 vocational rehabilitation counselors regarding their stigmatizing attitudes, burnout levels, work experience, caseload composition, and working alliance with clients who have a range of disabilities and a criminal history. Method: Electronic surveys were sent to vocational rehabilitation…

  20. [Nonpharmacologic and rehabilitation aspects in inpatient settings].

    Science.gov (United States)

    Gatterer, G; Rosenberger-Spitzy, A

    1996-01-01

    Dementia is one of the most psychic diseases of people over the age of 65 years and are often the reason or consequence of a hospitalization or need for commitment to rest homes. However, this disease should not lead to therapeutic nihilism, it should be a challenge for the development of new ideas and care concepts. The present publication shows the possibilities of non-pharmacological rehabilitative measures in the stationary field, whereby the priorities are on psychological and psychotherapeutical and also milieu therapeutical aspects. Additional well known intervention measures (e.g. physicotherapy, ergotherapy, logopedia, care) are summarized. Especially new concepts in stationary care can help to improve quality of life of geriatric patients with dementia in stationary fields: therefore they should be promoted and integrated to a greater amount into the total rehabilitative concept.

  1. [Setting up situated learning in vascular rehabilitation].

    Science.gov (United States)

    Mathe, Nathalie; Lascoux, Léa; Puchault, Hélène

    2014-01-01

    A pedagogical tool as well as a concept, situated learning describes the skills used in a situation in a given context, structuring the reflection, analysis and choice of nursing procedures, based on theoretical knowledge, know-how and interpersonal skills. A vascular rehabilitation team has chosen to formalise two situations from among the most common care procedures carried out in the department: the changing of complex dressings and ensuring the personal hygiene and comfort of a dependent patient with skin wounds.

  2. Organizing vocational rehabilitation through interorganizational integration--a case study in Sweden.

    Science.gov (United States)

    Wihlman, Ulla; Lundborg, Cecilia Stålsby; Holmström, Inger; Axelsson, Runo

    2011-01-01

    This study describes and analysis five years of experiences from organising an interorganisational project on vocational rehabilitation. A qualitative case study approach was used based on interviews, focus group discussions and documents. The aim was to analyse how and why the project was organised in the way it was in relation to theories of integration, organisational change and learning. The results show that the vocational rehabilitation project was initiated mainly for financial reasons. It was organised as a mechanistic system with the aim of producing different activities, where financial control and support from all the levels of the organisations involved was important. A new bureaucracy between the different authorities involved was built up, where the vertical (top-down) integration was more important than the horizontal. The result was scattered islands of interprofessional work in different teams, but without contacts between them. The project did not influence the processes or workflows of the organisations involved in the project, which would be important from a service-user perspective. It may therefore be questionnable to organise the development of interorganisational integration for vocational rehabilitation in a separate project organisation. Instead, interorganisational networks with focus on interconnections of processes and workflows may be more flexible and adaptable. Copyright © 2010 John Wiley & Sons, Ltd.

  3. Developing a Virtual Reality-Based Vocational Rehabilitation Training Program for Patients with Schizophrenia.

    Science.gov (United States)

    Sohn, Bo Kyung; Hwang, Jae Yeon; Park, Su Mi; Choi, Jung-Seok; Lee, Jun-Young; Lee, Ji Yeuon; Jung, Hee-Yeon

    2016-11-01

    Maintaining employment is difficult for patients with schizophrenia because of deterioration of psychosocial and cognitive functions. Such patients usually require vocational rehabilitation training, which is both demanding and costly. In this study, we developed a virtual reality-based vocational rehabilitation training program (VR-VRTP) for such patients and evaluated its feasibility as an alternative to traditional rehabilitation programs. We developed the VR-VRTP to include various situations commonly encountered in two types of occupations: convenience store employee and supermarket clerk. We developed practical situations, as well as a system for providing feedback, to ensure patients would not lose interest during training. Nine participants each performed the VR-VRTP repeatedly per week for a total of 8 weeks. At baseline and after training, all participants were evaluated using the following clinical and neuropsychological tests: Manchester Scale, Clinical Global Impression, Personal and Social Performance Scale (PSP), Hamilton Depression Rating Scale, Zung Depression Rating Scale, Beck Anxiety Inventory, Wisconsin Card Sorting Test, Stroop Test, Rey-Osterrieth Complex Figure Test (RCFT), and Auditory Verbal Learning Test (AVLT). After training, patient scores improved on the PSP, general symptoms on the Manchester Scale, AVLT, and delayed recall on the RCFT. The Manchester positive symptom score showed a trend of improvement. No significant changes were observed for other measures. The VR-VRTP may improve general psychosocial function and memory, potentially influencing real-world vocational performance. These findings provide preliminary evidence regarding the utility of the VR-VRTP in patients with schizophrenia.

  4. [Vocational orientation in medical rehabilitation: development of a practice handbook and a homepage as user-oriented media for rehabilitative practice].

    Science.gov (United States)

    Lukasczik, M; Löffler, S; Gerlich, C; Wolf, H-D; Neuderth, S

    2011-06-01

    Vocational orientation in medical rehabilitation has become an important issue in rehabilitation science and practice in Germany. Although a variety of vocationally oriented interventions has been developed in recent years, there is still a lack of consensus with regard to the definition of specific types of interventions as well as relevant criteria (e. g., methods; instruments; duration/frequency; patient groups). Building on preliminary definitions, basic types of vocationally oriented measures/interventions were conceptually modified and refined in the context of a consensual process. 39 experts of various professions were contacted during a 2-stage Delphi survey to evaluate existing definitions of vocationally oriented interventions using key questions. Standardized descriptions of 5 vocationally oriented basic interventions were specified in cooperation with an interdisciplinary panel of experts. Descriptions were published in a workbook and a homepage for researchers and clinicians, which also contain information on the implementation of measures into rehabilitative care as well as good practice examples. The media developed in this project may contribute to the transfer of research results on vocationally oriented rehabilitation into health care practice.

  5. Does self-management for return to work increase the effectiveness of vocational rehabilitation for chronic compensated musculoskeletal disorders? - Protocol for a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    McLeod Rebecca

    2010-06-01

    Full Text Available Abstract Background Musculoskeletal disorders are common and costly disorders to workers compensation and motor accident insurance systems and are a leading contributor to the burden of ill-health. In Australia, vocational rehabilitation is provided to workers to assist them to stay in, or return to work. Self-management training may be an innovative addition to improve health and employment outcomes from vocational rehabilitation. Methods/Design The research plan contains mixed methodology consisting of a single blind randomised controlled trial, an economic evaluation and qualitative research. Participants (n = 366 are volunteers with compensated musculoskeletal disorders of 3 months to 3 years in duration who were working at the time of the injury/onset of the chronic disorder. The trial tests the effectiveness of usual vocational rehabilitation plus the Chronic Disease Self-Management Program (CDSMP to which two additional and newly-developed modules have been added, against vocational rehabilitation alone (control The modules added to the CDSMP focus on how to navigate through compensation systems and manage the return to work process, and aim to be relevant to those in a vocational rehabilitation setting. The primary outcome of this study is readiness for return to work which will be evaluated using the Readiness for Return-to-Work scale. Secondary outcomes include return to work status, health efficacy (heiQ™ questionnaire and general health status (SF-12v2® Health Survey. Measures will be taken at baseline, immediately post-intervention and at 6- and 12- months post-intervention by an independent assessor. An economic evaluation will compare the costs and outcomes between the intervention and control groups in terms of cost-effectiveness and a partial cost-benefit or cost analysis. The impact of the intervention will also be evaluated qualitatively, in terms of its acceptability to stakeholders. Discussion This article describes the

  6. Music therapy in neurological rehabilitation settings

    Directory of Open Access Journals (Sweden)

    Elżbieta Galińska

    2015-08-01

    Full Text Available The neurologic music therapy is a new scope of music therapy. Its techniques deal with dysfunctions resulting from diseases of the human nervous system. Music can be used as an alternative modality to access functions unavailable through non-musical stimulus. Processes in the brain activated by the influence of music can be generalized and transferred to non-musical functions. Therefore, in clinical practice, the translation of non-musical therapeutic exercises into analogous, isomorphic musical exercises is performed. They make use of the executive peculiarity of musical instruments and musical structures to prime, cue and coordinate movements. Among musical components, a repetitive rhythm plays a significant role. It regulates physiologic and behavioural functions through the mechanism of entrainment (synchronization of biological rhythms with musical rhythm based on acoustic resonance. It is especially relevant for patients with a deficient internal timing system in the brain. Additionally, regular rhythmic patterns facilitate memory encoding and decoding of non-musical information hence music is an efficient mnemonic tool. The music as a hierarchical, compound language of time, with its unique ability to access affective/motivational systems in the brain, provides time structures enhancing perception processes, mainly in the range of cognition, language and motor learning. It allows for emotional expression and improvement of the motivation for rehabilitation activities. The new technologies of rhythmic sensory stimulation (i.e. Binaural Beat Stimulation or rhythmic music in combination with rhythmic light therapy appear. This multimodal forms of stimulation are used in the treatment of stroke, brain injury, dementia and other cognitive deficits. Clinical outcome studies provide evidence of the significant superiority of rehabilitation with music over the one without music.

  7. Music therapy in neurological rehabilitation settings.

    Science.gov (United States)

    Galińska, Elżbieta

    2015-01-01

    The neurologic music therapy is a new scope of music therapy. Its techniques deal with dysfunctions resulting from diseases of the human nervous system. Music can be used as an alternative modality to access functions unavailable through non-musical stimulus. Processes in the brain activated by the influence of music can be generalized and transferred to non-musical functions. Therefore, in clinical practice, the translation of non-musical therapeutic exercises into analogous, isomorphic musical exercises is performed. They make use of the executive peculiarity of musical instruments and musical structures to prime, cue and coordinate movements. Among musical components, a repetitive rhythm plays a significant role. It regulates physiologic and behavioural functions through the mechanism of entrainment (synchronization of biological rhythms with musical rhythm based on acoustic resonance). It is especially relevant for patients with a deficient internal timing system in the brain. Additionally, regular rhythmic patterns facilitate memory encoding and decoding of non-musical information hence music is an efficient mnemonic tool. The music as a hierarchical, compound language of time, with its unique ability to access affective/motivational systems in the brain, provides time structures enhancing perception processes, mainly in the range of cognition, language and motor learning. It allows for emotional expression and improvement of the motivation for rehabilitation activities. The new technologies of rhythmic sensory stimulation (i.e. Binaural Beat Stimulation) or rhythmic music in combination with rhythmic light therapy appear. This multimodal forms of stimulation are used in the treatment of stroke, brain injury, dementia and other cognitive deficits. Clinical outcome studies provide evidence of the significant superiority of rehabilitation with music over the one without music.

  8. Best Practices for Counseling in Cardiac Rehabilitation Settings

    Science.gov (United States)

    Sheikh, Alia I.; Marotta, Sylvia A.

    2008-01-01

    Heart disease is the leading cause of death in the United States and can affect individuals of all ages, gender, ethnicity, and socioeconomic status. This article reviews the research on psychosocial interventions in cardiac rehabilitation programs and discusses the evolving set of best practices for counselors working in a new setting with people…

  9. Goal setting and action planning in the rehabilitation setting: development of a theoretically informed practice framework.

    Science.gov (United States)

    Scobbie, Lesley; Dixon, Diane; Wyke, Sally

    2011-05-01

    Setting and achieving goals is fundamental to rehabilitation practice but has been criticized for being a-theoretical and the key components of replicable goal-setting interventions are not well established. To describe the development of a theory-based goal setting practice framework for use in rehabilitation settings and to detail its component parts. Causal modelling was used to map theories of behaviour change onto the process of setting and achieving rehabilitation goals, and to suggest the mechanisms through which patient outcomes are likely to be affected. A multidisciplinary task group developed the causal model into a practice framework for use in rehabilitation settings through iterative discussion and implementation with six patients. Four components of a goal-setting and action-planning practice framework were identified: (i) goal negotiation, (ii) goal identification, (iii) planning, and (iv) appraisal and feedback. The variables hypothesized to effect change in patient outcomes were self-efficacy and action plan attainment. A theory-based goal setting practice framework for use in rehabilitation settings is described. The framework requires further development and systematic evaluation in a range of rehabilitation settings.

  10. [Rehabilitation counselors' vocational fields of activity: empirical findings of an exploratory study in Germany].

    Science.gov (United States)

    Niehaus, M; Marfels, B; Bauer, J

    2013-10-01

    In the light of far-reaching demographic and sociopolitical changes, the demand for rehabilitation counseling experts increases. Internationally scientific research has long recognised the importance of professional support for successful vocational rehabilitation of people with illnesses and disabilities. In Germany, however, there has been a lack of systematic research in this field. The present exploratory study aims to fill this gap by investigating the status quo of rehabilitation counselors' vocational fields of activity in Germany. The study was conducted anonymously as an online-survey. An international questionnaire which covers a wide range of tasks that can play a role in the day-to-day work of rehabilitation counseling experts was used. Within the project it was translated into German and adapted to the German rehabilitation system. 217 rehabilitation counselors completed the survey. Socio-demographic information and information concerning the participant's working biography were evaluated descriptively. To analyze the questionnaire data, principal component analysis was undertaken. The majority of respondents indicated to be performing tasks from different fields of activity in their daily routine. The essential and main field of activity though appeared to be the individual work with the client. Managerial tasks on an organizational level turned out to be less important. Furthermore, it became clear that the terms the respondents used to name their qualification and their current job title varied in a confusing way. This implicates that it was not always possible to infer from the job title of a person to their actual vocational tasks. Moreover, the participants expressed that they see a need for action concerning their vocational training as well as their professional tasks. German rehabilitation counseling experts can be characterized as "generalists" who cover different fields of activity in their daily routine. Their main activity is the

  11. Vocational Rehabilitation Services to Persons with H.I.V. (AIDS). Institute on Rehabilitation Issues (16th, Savannah, Georgia). Report from the Study Group.

    Science.gov (United States)

    Corthell, David W.; Oliverio, Michael

    This training manual addresses the vocational rehabilitation (VR) of persons with the Human Immunodeficiency Virus (HIV) or AIDS (Acquired Immune Deficiency Syndrome) and related conditions. It considers the medical, cultural, social, legal, psychological, and economic implications of this condition; and how these factors relate to the vocational…

  12. Clinical Guide to Music Therapy in Physical Rehabilitation Settings

    Science.gov (United States)

    Wong, Elizabeth

    2004-01-01

    Elizabeth Wong, MT-BC presents tools and information designed to arm the entry-level music therapist (or an experienced MT-BC new to rehabilitation settings) with basic knowledge and materials to develop or work in a music therapy program treating people with stroke, brain injury, and those who are ventilator dependent. Ms. Wong offers goals and…

  13. Vocational rehabilitation and employment program--changes to subsistence allowance. Final rule.

    Science.gov (United States)

    2012-01-12

    This document adopts as final, without change, the interim final rule amending regulations of the Department of Veterans Affairs (VA) to reflect changes made by the Post-9/11 Veterans Educational Assistance Improvements Act of 2010, effective August 1, 2011, that affect payment of vocational rehabilitation benefits for certain service-disabled veterans. Pursuant to these changes, a veteran, who is eligible for a subsistence allowance under chapter 31 of title 38, United States Code, and educational assistance under chapter 33 of title 38, United States Code, may participate in a rehabilitation program under chapter 31 and elect to receive a payment equal in amount to an applicable military housing allowance payable under title 37, United States Code, instead of the regular subsistence allowance under chapter 31. In addition, payments of subsistence allowances during periods between school terms are discontinued, and payments during periods of temporary school closings are modified.

  14. Enhancing Vocational Rehabilitation to Promote Employment of the Disabled%对加强职业康复工作促进残疾人就业的探讨

    Institute of Scientific and Technical Information of China (English)

    孙知寒

    2012-01-01

      Vocational rehabilitation is the main channel of people with disabilities obtaining or maintaining jobs and participating in social life. This article reviewed the emergence and development of vocational rehabilitation in developed countries and China, and the formation and evolution of vocational rehabilitation system were summarized. It also analyzed the reasons why employment of the disabled couldn’t be promoted through vocational rehabilitation. Three suggestions were given:promoting vocational rehabilitation in rehabilitation facilities, amending the flow chart of vocational rehabilitation, and improving the legal policy of vocational rehabilitation.%  开展职业康复工作是帮助残疾人实现就业,促进残疾人社会参与的重要途径。本文回顾了发达国家和我国职业康复的产生发展,对职业康复制度的形成和演进过程进行了总结。在对我国职业康复不能有效促进残疾人就业的原因进行分析之后,提出三方面建议:推进康复机构中的职业康复工作、修订职业康复流程以及完善职业康复的制度保障。

  15. Designing Meaningful Game Experiences for Rehabilitation and Sustainable Mobility Settings

    Directory of Open Access Journals (Sweden)

    Silvia Gabrielli

    2014-03-01

    Full Text Available This paper presents the approach followed in two ongoing research projects aimed to designing meaningful game-based experiences to support home rehabilitation, eco-sustainable mobility goals and more in general better daily lifestyles. We first introduce the need for designing meaningful game-based experiences that are well-connected to the relevant non-game settings and can be customized by/for users, then, we show examples of how this approach can be realized in the rehabilitation and sustainable mobility contexts.

  16. 77 FR 27035 - Rehabilitation Research and Training Center (RRTCs) on Vocational Rehabilitation (VR) and...

    Science.gov (United States)

    2012-05-08

    ...) How to market in a downturn, Harvard Business Review, 87, 4, 52-62. Rehabilitation Services... appropriate accommodation or auxiliary aid to an individual with a disability who needs assistance to review... businesses (Banerij, McArthur, Mainardi & Ammann, 2009; Quelch & Jocz, 2009). Therefore, the ability to...

  17. Identifying occupational attributes of jobs performed after spinal cord injury: implications for vocational rehabilitation.

    Science.gov (United States)

    Sinden, Kathryn E; Martin Ginis, Kathleen A

    2013-09-01

    Although individuals after spinal cord injury (SCI) demonstrate a breadth of ability and employment potential, return-to-work (RTW) outcomes are low. In Canada, only 38% of individuals RTW after SCI. Refining the process of job suitability and enhancing job search strategies have been suggested to improve RTW outcomes. Our primary study objective was to identify occupational attributes of jobs performed after SCI that might be used to inform vocational rehabilitation strategies and improve RTW outcomes after SCI. A secondary analysis of participants from the Study of Health and Activity in People with Spinal Cord Injury employed in an occupation for which they received pay, was conducted. Frequency distributions for various occupational attributes including physical demands and educational requirements were examined across 181 reported occupations. χ-tests identified whether the primary mode of mobility was related to occupational physical demands. Analysis of the physical demand attribute identified that 58% of occupations required sitting and 33% required sitting/standing or walking. Forty-four percent of occupations required upper or multiple limb coordination. Eighty-three percent of occupations required a limited strength capacity. Sixty percent of occupations required college education and 58% required an undergraduate university education. χ-analysis revealed nonsignificant associations between primary mode of mobility and physical demands. In conclusion, a breadth of occupational attributes in jobs performed by individuals after SCI was identified. These results are suggested to inform future vocational rehabilitation strategies.

  18. Vocational rehabilitation service patterns and employment outcomes of people with epilepsy.

    Science.gov (United States)

    Sung, Connie; Muller, Veronica; Jones, Jana E; Chan, Fong

    2014-10-01

    This study aimed to examine the association between vocational rehabilitation (VR) services and employment outcomes of people with epilepsy (PWE), after controlling for demographic covariates. Data was retrieved from the Rehabilitation Services Administration Case Service Report (RSA-911) database for fiscal year (FY) 2011. Multivariate logistic regression was used to predict employment outcomes of PWE. Of the 2030 previously unemployed PWE who received services, 884 (43.5%) achieved successful competitive employment. Results indicate that higher education level and cost of VR services consumed were positively related to successful employment. In contrast, having co-occurring anxiety/depression, receiving cash benefits, or increasing time spent in the VR system was negatively associated with employment. Eight specific VR services (e.g., education, vocational training, and job search and placement assistance) were also found to be significant predictors of employment. Services provided by state VR agencies were proven to be beneficial in improving employment outcomes. PWE should be encouraged to pursue VR services to increase the chances of attaining employment. Health care providers should also become familiar with the array of VR services.

  19. Intrinsic motivation as a predictor of work outcome after vocational rehabilitation in schizophrenia.

    Science.gov (United States)

    Saperstein, Alice M; Fiszdon, Joanna M; Bell, Morris D

    2011-09-01

    Intrinsic motivation is a construct commonly used in explaining goal-directed behavior. In people with schizophrenia, intrinsic motivation is usually subsumed as a feature of negative symptoms or underlying neurocognitive dysfunction. A growing literature reflects an interest in defining and measuring motivational impairment in schizophrenia and in delineating the specific role of intrinsic motivation as both an independent predictor and a mediator of psychosocial functioning. This cross-sectional study examined intrinsic motivation as a predictor of vocational outcomes for 145 individuals with schizophrenia and schizoaffective disorder participating in a 6-month work rehabilitation trial. Correlation and mediation analyses examined baseline intrinsic motivation and negative symptoms in relation to work hours and work performance. Data support a significant relationship between intrinsic motivation and negative symptoms and significant correlations with outcome variables, such that lower negative symptoms and greater intrinsic motivation were associated with better work functioning. Moreover, in this sample, intrinsic motivation fully mediated the relationships between negative symptoms, work productivity, and work performance. These results have significant implications on the design of work rehabilitation interventions for people with schizophrenia and support a role for targeting intrinsic motivation directly to influence vocational functioning. Future directions for research and intervention are discussed.

  20. Job matching: An interdisciplinary scoping study with implications for vocational rehabilitation counseling.

    Science.gov (United States)

    Nützi, Marina; Trezzini, Bruno; Medici, Lorenzo; Schwegler, Urban

    2017-02-01

    Matching a person's capabilities and characteristics with the demands and characteristics of their job is crucial for sustainable employment, in particular for persons with disabilities. The present study aims to summarize and synthesize conceptual and empirical knowledge on job matching (JM) from industrial and organizational psychology (IOP), vocational psychology (VP), and return to work (RTW) research. We conducted a scoping study applying Arksey and O'Malley's (2005) framework and using eight electronic databases from psychology, economics, and medicine. The literature search covered studies in English and German published between 1945 and 2015. A total of 312 studies were selected and analyzed. Of these, 205 were assigned to IOP, 45 to VP, 31 to both IOP and VP, and 17 to RTW research. Fourteen studies were allocated to both RTW and VP research, representing the field of vocational rehabilitation counseling. IOP and VP studies predominantly investigated the effects of JM on work-related outcomes, such as job satisfaction, tenure, or career development. RTW research focused on the development of mainly generic JM tools for job placement of persons with disabilities. Limited cross-fertilization between IOP and VP and the RTW context became evident. Unlike in IOP and VP, there is a dearth of JM research in the RTW context. Integrating the broad organizational and occupational JM knowledge from IOP and VP with the biopsychosocial framework of RTW could provide a sound basis for developing JM applications in vocational rehabilitation counseling that promote sustainable work reintegration of persons with disabilities. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  1. The Future of Disability Policy and Vocational Rehabilitation in the United States%美国残疾政策及职业康复的未来

    Institute of Scientific and Technical Information of China (English)

    Henry D. Wong

    2006-01-01

    This article focuses on current and future disability public policy having potential implications for the Rehabilitation Act and vocational rehabilitation services in the United States. It explores several models of disability reflected in public policy, important historical legislation, and the relationship of the Workforce Investment Act (WIA) to the Rehabilitation Act. Competing issues and conflicts between the WIA and the state vocational rehabilitation agencies are discussed. A framework for analyzing disability policy is identified to project the future of disability policy, as well as, how these issues and conflicts may impact the survival of the rehabilitation profession.

  2. Vocational Rehabilitation Counselors' Perceived Influences on the Secondary Transition Planning Process and Postsecondary Outcomes of Students with Disabilities

    Science.gov (United States)

    Miller-Warren, Vickie

    2014-01-01

    Outside agencies such as vocational rehabilitation agencies are designed to help provide services such as job coaching, mental health services, tuition assistance, and life-skills training for students with disabilities during and after high school so that they may obtain postsecondary success (Gil, 2007). This study examined the perceived…

  3. An Analysis of Vocational Rehabilitation Services for Consumers with Hearing Impairments Who Received College or University Training

    Science.gov (United States)

    Boutin, Daniel L.; Wilson, Keith

    2009-01-01

    The purpose of this study was to determine the predictive ability of vocational rehabilitation services for deaf and hard of hearing consumers who received college and university training. The RSA-911 database for fiscal year 2004 was analyzed to evaluate the effectiveness of 21 services in leading to competitive employment. A model predicting…

  4. Recovery-Oriented Vocational Rehabilitation Services for Individuals with Co-Occurring Psychiatric Disabilities and Substance Use Disorders

    Science.gov (United States)

    Lusk, Stephanie L.; Koch, Lynn C.; Paul, Teresia M.

    2016-01-01

    Purpose: In this article, we examined how individuals with co-occurring psychiatric disabilities and substance use disorders encounter numerous challenges when it comes to the vocational rehabilitation (VR) process. Method: A comprehensive review of the literature demonstrated barriers to service delivery (e.g., access to services, exclusionary…

  5. The Research on the Status, Rehabilitation, Education, Vocational Development, Social Integration and Support Services Related to Intellectual Disability in China

    Science.gov (United States)

    Wu, Lihui; Qiu, Zhuoying; Wong, Daniel; Hernandez, Lucy Wong; Zhao, Qianlei

    2010-01-01

    Intellectual disability (ID) is a prevalent form of non-progressive cognitive impairment. The objectives of this articles are: to analyze the changes of ID in China, including its definition, prevalence, rehabilitation, education, vocational development, social life and support services; to review and to compare the issues of intellectual…

  6. Gender Differences in Vocational Rehabilitation Service Predictors of Successful Competitive Employment for Transition-Aged Individuals with Autism

    Science.gov (United States)

    Sung, Connie; Sánchez, Jennifer; Kuo, Hung-Jen; Wang, Chia-Chiang; Leahy, Michael J.

    2015-01-01

    As males and females with autism spectrum disorder (ASD) experience different symptomology, their needs for vocational rehabilitation (VR) are unique as they transition into adulthood. This study examined the effects of gender differences in VR service predictors on employment outcomes for transition-aged individuals with ASD. A total of 1696…

  7. Vocational Rehabilitation Partnerships: Optimizing the Social Value Return on Investment of Employment Outcomes for People with Disabilities

    Science.gov (United States)

    Ramos-Olszowy, Lorraine Florence

    2011-01-01

    This applied research project was developed to examine the social value return of investment (SV-ROI) of a community rehabilitation provider (CRP) in order to identify services that may optimize employment outcomes, better understand the associated factors affecting the employment outcomes and retention, and explore how vocational rehabilitation…

  8. Predicting Vocational Rehabilitation Outcomes for People with Alcohol Abuse/Dependence: An Application of Chi-Squared Automatic Interaction Detector

    Science.gov (United States)

    Brickham, Dana M.

    2012-01-01

    People with alcohol abuse/dependence disabilities are often faced with a complex recovery process due to the exacerbating and chronic aspects of their condition. Vocational rehabilitation for people with alcohol abuse/dependence can help individuals access and maintain employment, and through employment can enhance physical and psychological…

  9. Goal-Setting Instruments in Geriatric Rehabilitation: A Systematic Review.

    Science.gov (United States)

    van Seben, R; Reichardt, L; Smorenburg, S; Buurman, B

    2017-01-01

    This systematic review summarizes the psychometric properties of goal-setting instruments that are applied within geriatric rehabilitation. PubMed Medline and Embase were systematically searched for eligible articles. Studies were included if they were conducted in a somatic or neurological rehabilitation setting, included patients aged ≥55 years and provided data on instruments' psychometric properties (validity, reliability, responsiveness), utility and/or feasibility. Eleven studies were included. Seven studies, all conducted by one research group, evaluated Goal-Attainment Scaling (GAS), two studies assessed the Canadian Occupational Performance Measure (COPM) and one study the Self-Identified Goals Assessment (SIGA), which is based on the COPM. One study assessed a core set of the International Classification of Functioning, Disability and Health (ICF) framework. High concurrent, content and predictive validity and inter-rater reliability were found for GAS. Responsiveness appears to be excellent. Concurrent validity and inter-rater reliability of the COPM and content validity of both the COPM and SIGA appear to be good. Responsiveness of both instruments seems to be poor. Content validity of the ICF core set was found to be fair; responsiveness appears to be very poor. There is little published data on goal-setting instruments in geriatric rehabilitation. Evidence for its psychometric properties may support GAS as goal-setting instrument and additional outcome measure. However, more research is required in order to evaluate GAS, as research conducted in other health care settings may provide important additional findings. Before the COPM (or SIGA) can be recommended as goal-setting instrument, its psychometric properties require further research.

  10. Shared decision making within goal setting in rehabilitation settings: A systematic review.

    Science.gov (United States)

    Rose, Alice; Rosewilliam, Sheeba; Soundy, Andrew

    2017-01-01

    To map out and synthesise literature that considers the extent of shared decision-making (SDM) within goal-setting in rehabilitation settings and explore participants' views of this approach within goal-setting. Four databases were systematically searched between January 2005-September 2015. All articles addressing SDM within goal-setting involving adult rehabilitation patients were included. The literature was critically appraised followed by a thematic synthesis. The search output identified 3129 studies and 15 articles met the inclusion criteria. Themes that emerged related to methods of SDM within goal-setting, participants' views on SDM, perceived benefits of SDM, barriers and facilitators to using SDM and suggestions to improve involvement of patients resulting in a better process of goal-setting. The literature showed various levels of patient involvement existing within goal-setting however few teams adopted an entirely patient-centred approach. However, since the review has identified clear value to consider SDM within goal-setting for rehabilitation, further research is required and practice should consider educating both clinicians and patients about this approach. To enhance the use of SDM within goal-setting in rehabilitation it is likely clinicians and patients will require further education on this approach. For clinicians this could commence during their training at undergraduate level. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  11. Elucidating a Goal-Setting Continuum in Brain Injury Rehabilitation.

    Science.gov (United States)

    Hunt, Anne W; Le Dorze, Guylaine; Trentham, Barry; Polatajko, Helene J; Dawson, Deirdre R

    2015-08-01

    For individuals with brain injury, active participation in goal setting is associated with better rehabilitation outcomes. However, clinicians report difficulty engaging these clients in goal setting due to perceived or real deficits (e.g., lack of awareness). We conducted a study using grounded theory methods to understand how clinicians from occupational therapy facilitate client engagement and manage challenges inherent in goal setting with this population. Through constant comparative analysis, a goal-setting continuum emerged. At one end of the continuum, therapists embrace client-determined goals and enable clients to decide their own goals. At the other, therapists accept preset organization-determined goals (e.g., "the goal is discharge") and pay little attention to client input. Although all participants aspired to embrace client-determined goal setting, most felt powerless to do so within perceived organizational constraints. Views of advocacy and empowerment help to explain our findings and inform more inclusive practice.

  12. Reducing Stress within the Rehabilitative Work Setting - A Report on the ROSE Project

    Science.gov (United States)

    Wells, John S. G.; Denny, Margaret

    Reducing Occupational Stress in Employment (ROSE) is an EU funded project which aims to develop a combined person and work directed stress management programme in order to improve the long-term retention of staff in the vocational rehabilitation sector for mental health and intellectual disabilities.

  13. Clients becoming teachers: Speech-language pathology students' understanding of rehabilitation following clinical practicum in a rehabilitation setting.

    Science.gov (United States)

    Attrill, Stacie; Gunn, Simon

    2010-04-01

    There has been limited research investigating the conceptual development of rehabilitation in speech-language pathology (SLP) students. The aim of this study was to describe SLP students' understanding of rehabilitation following completion of a clinical practicum in a rehabilitation setting. This study was conducted using a qualitative approach according to grounded theory methodology. Semi-structured interviews were conducted with 10 SLP students who had completed a practicum in a rehabilitation setting. Interview data analysis revealed the emergence of five axial categories. Clients becoming teachers was identified as the core category, as the notion that clients were fundamental to students' understanding of rehabilitation occurred reliably throughout the data and related to all other categories. A theoretical model was proposed that demonstrated successive levels of support to students in the acquisition of their understanding of rehabilitation on practicum. Students' understanding of rehabilitation was derived from client-related interactions and factors experienced on practicum in rehabilitation settings. Rehabilitation practicum provided students with a rich and complex learning environment that may facilitate the development of the "core skills" identified for rehabilitation practice.

  14. Effect of mindfulness on vocational rehabilitation outcomes in stable phase schizophrenia.

    Science.gov (United States)

    Davis, Louanne W; Lysaker, Paul H; Kristeller, Jean L; Salyers, Michelle P; Kovach, Amanda C; Woller, Shannon

    2015-08-01

    This report describes the results of a randomized controlled feasibility study of the Mindfulness Intervention for Rehabilitation and Recovery in Schizophrenia (MIRRORS). MIRRORS is an adaptation of Mindfulness-Based Stress Reduction designed to help persons with schizophrenia to persist and perform better at work. Thirty-four participants with schizophrenia or schizoaffective disorder who were engaged in outpatient services were enrolled in a vocational rehabilitation program that included a job placement and then were randomized to receive MIRRORS (n = 18) or Intensive Support (n = 16) over a period of 16 weeks. The number of hours worked was recorded weekly and job performance was assessed monthly using the Work Behavior Inventory. Results of t-tests revealed that participants in the MIRRORS group worked a significantly greater number of hours and performed significantly better at the end of the 4-month intervention than those in the Intensive Support condition. Repeated-measures analysis of variance revealed that the MIRRORS group worked more hours each week on average and that this difference increased over time as well as having generally better work performance compared with the Intensive Support group. Results suggest a link between MIRRORS and higher levels of work performance and persistence in people with schizophrenia. Further research is indicated to evaluate MIRRORS in a fully powered randomized controlled trial.

  15. Developing stroke-specific vocational rehabilitation: a soft systems analysis of current service provision

    Science.gov (United States)

    Radford, Kathryn; Grant, Mary; Terry, Jane

    2014-01-01

    Purpose: This study aimed to clarify the existing service provision of stroke-specific vocational rehabilitation (VR) in one English county, in order to facilitate future service development. Method: Using soft systems methodology, services in Health, Social Care, Department of Work and Pensions, the voluntary and private sectors, which were identified as supporting return to work after stroke, were mapped using a mixed-methodology approach. Results: A lack of a sanctioned VR pathway meant access to support relied on brokered provision and tacit knowledge. The timing of an intervention was complex and there was a substantial degree of unmet need for mild stroke patients. VR was seen as “non-essential” due to competing commissioning priorities. Service providers from all sectors lacked training and cross-sector partnerships were tenuous and provider roles unclear. Conclusions: Stroke-specific VR should be delivered by an integrated, cross-sector multi-disciplinary team and integrated commissioning between health and other sectors is necessary. Although early intervention is important, support later on in the recovery process is also necessary. Service providers need adequate training to meet the needs of stroke survivors wishing to return to work and better awareness of best practice guidelines. Business cases which demonstrate the efficacy and cost-effectiveness of VR are vital. Implications for Rehabilitation The timeliness of a vocational rehabilitation (VR) intervention is complex; services need to be responsive to the changing needs of the stroke survivor throughout their recovery process and have better mechanisms to ensure re-entry into the stroke pathway is possible. Return to work is a recognised health outcome; health services need to develop better mechanisms for interagency/cross sector working and liaison with employers and not assume that VR is beyond their remit. Therapists and non-health service providers should receive sufficient training to

  16. Rehabilitation Research.

    Science.gov (United States)

    Wright, George N.; Trotter, Ann Beck

    A total of 97 studies are reported in this review of research in vocational rehabilitation. Projects were selected on the following criteria: (1) pertinence to rehabilitation counseling practice, (2) research approach, (3) broad generalizability, and (4) supported by the Vocational Rehabilitation Administration for a one-to-five-year period and…

  17. Military Curriculum Materials for Vocational and Technical Education. Builders School, Ceramic Tile Setting 3-9.

    Science.gov (United States)

    Ohio State Univ., Columbus. National Center for Research in Vocational Education.

    This course, for individualized or group instruction on ceramic tile setting, was developed from military sources for use in vocational education. The course provides students with skills in mortar preparation, surface preparation, tile layout planning, tile setting, tile cutting, and the grouting of tile joints. Both theory and shop assignments…

  18. Vocational Rehabilitation: Supporting Ill or Disabled Individuals in (to Work: A UK Perspective

    Directory of Open Access Journals (Sweden)

    Andrew Frank

    2016-07-01

    Full Text Available Work is important for one’s self-esteem, social standing and ability to participate in the community as well as for the material advantages it brings to individuals and their families. The evidence suggests that the benefits of employment outweigh the risks of work and are greater than the risks of long-term unemployment or sickness absence. Individuals may be born with physical or intellectual disadvantages (e.g., cerebral palsy, or they may be acquired during childhood or adult life. Some progressive conditions may present in childhood or adolescence (e.g., some muscular dystrophies and these need to be distinguished from those presenting later in life (e.g., trauma, stroke. Vocational rehabilitation (VR thus takes three forms: preparing those with a disability, health or mental health condition for the world of work, job retention for those in work and assisting those out of work into new work. Important components of VR consist of the attributes of the individual, the skills/knowledge of their health professionals, the knowledge and attitudes of actual or potential employers and the assistance that is provided by the state or other insurance facility. Charities are playing an increasing role.

  19. Organizational approaches to collaboration in vocational rehabilitation − An international literature review

    Directory of Open Access Journals (Sweden)

    Johanna Andersson

    2011-11-01

    Full Text Available Introduction: Collaboration between welfare organizations is an important strategy for integrating different health and welfare services. This article reports a review of the international literature on vocational rehabilitation, focusing on different organizational models of collaboration as well as different barriers and facilitating factors.  Methods: The review was based on an extensive search in scientific journals from 1995 to 2010, which generated more than 13 000 articles. The number of articles was reduced in different steps through a group procedure based on the abstracts. Finally, 205 articles were read in full text and 62 were included for content analysis. Results: Seven basic models of collaboration were identified in the literature. They had different degrees of complexity, intensity and formalization. They could also be combined in different ways.  Several barriers and facilitators of collaboration were also identified. Most of these were related to factors as communication, trust and commitment. Conclusion: There is no optimal model of collaboration to be applied everywhere, but one model could be more appropriate than others in a certain context. More research is needed to compare different models and to see whether they are applicable also in other fields of collaboration inside or outside the welfare system.

  20. Organizational approaches to collaboration in vocational rehabilitation − An international literature review

    Directory of Open Access Journals (Sweden)

    Johanna Andersson

    2011-11-01

    Full Text Available Introduction: Collaboration between welfare organizations is an important strategy for integrating different health and welfare services. This article reports a review of the international literature on vocational rehabilitation, focusing on different organizational models of collaboration as well as different barriers and facilitating factors. Methods: The review was based on an extensive search in scientific journals from 1995 to 2010, which generated more than 13 000 articles. The number of articles was reduced in different steps through a group procedure based on the abstracts. Finally, 205 articles were read in full text and 62 were included for content analysis. Results: Seven basic models of collaboration were identified in the literature. They had different degrees of complexity, intensity and formalization. They could also be combined in different ways.  Several barriers and facilitators of collaboration were also identified. Most of these were related to factors as communication, trust and commitment.Conclusion: There is no optimal model of collaboration to be applied everywhere, but one model could be more appropriate than others in a certain context. More research is needed to compare different models and to see whether they are applicable also in other fields of collaboration inside or outside the welfare system.

  1. Vocational Rehabilitation: Supporting Ill or Disabled Individuals in (to) Work: A UK Perspective.

    Science.gov (United States)

    Frank, Andrew

    2016-07-16

    Work is important for one's self-esteem, social standing and ability to participate in the community as well as for the material advantages it brings to individuals and their families. The evidence suggests that the benefits of employment outweigh the risks of work and are greater than the risks of long-term unemployment or sickness absence. Individuals may be born with physical or intellectual disadvantages (e.g., cerebral palsy), or they may be acquired during childhood or adult life. Some progressive conditions may present in childhood or adolescence (e.g., some muscular dystrophies) and these need to be distinguished from those presenting later in life (e.g., trauma, stroke). Vocational rehabilitation (VR) thus takes three forms: preparing those with a disability, health or mental health condition for the world of work, job retention for those in work and assisting those out of work into new work. Important components of VR consist of the attributes of the individual, the skills/knowledge of their health professionals, the knowledge and attitudes of actual or potential employers and the assistance that is provided by the state or other insurance facility. Charities are playing an increasing role.

  2. Vocational Rehabilitation: Supporting Ill or Disabled Individuals in (to) Work: A UK Perspective

    Science.gov (United States)

    Frank, Andrew

    2016-01-01

    Work is important for one’s self-esteem, social standing and ability to participate in the community as well as for the material advantages it brings to individuals and their families. The evidence suggests that the benefits of employment outweigh the risks of work and are greater than the risks of long-term unemployment or sickness absence. Individuals may be born with physical or intellectual disadvantages (e.g., cerebral palsy), or they may be acquired during childhood or adult life. Some progressive conditions may present in childhood or adolescence (e.g., some muscular dystrophies) and these need to be distinguished from those presenting later in life (e.g., trauma, stroke). Vocational rehabilitation (VR) thus takes three forms: preparing those with a disability, health or mental health condition for the world of work, job retention for those in work and assisting those out of work into new work. Important components of VR consist of the attributes of the individual, the skills/knowledge of their health professionals, the knowledge and attitudes of actual or potential employers and the assistance that is provided by the state or other insurance facility. Charities are playing an increasing role. PMID:27438864

  3. [Shaping the future of vocational rehabilitation of adults: eight fields of action as starting points for a cross-actor innovation process].

    Science.gov (United States)

    Riedel, H-P; Ellger-Rüttgardt, S; Karbe, H; Niehaus, M; Rauch, A; Schian, H-M; Schmidt, C; Schott, T; Schröder, H; Spijkers, W; Wittwer, U

    2009-12-01

    Established by the Federal Ministry of Labour and Social Affairs (BMAS) in October 2007, the Scientific Expert Group RehaFutur had been commissioned to elaborate cornerstones for the medium- and long-term development of vocational rehabilitation of adults with disabilities (re-integration). Initial questions inter alia were as follows: Which function should vocational rehabilitation have in a service- and knowledge-oriented working world that will increasingly be affected by demographic change? How can disabled persons' right to occupational participation by way of vocational rehabilitation, a right stipulated both under the German constitution and in German law, be realized as needed also in the future? Various fields of action have been derived on the basis, for one, of an investigation of the factors, social law, social and education policy as well as European, influencing vocational rehabilitation and, for the other, of an evaluation of current labour market and demographic developments. Dealt with in the fields of action outlined are the aspects: equitable opportunities of access, developmental and needs orientation, closeness to the real occupational and working world, as well as the role of self-determination and self-responsibility. The fields of action are to be understood as framework concept for shaping a cross-actor innovation process. Sustainable vocational rehabilitation is characterized in particular by the fact that it is specifically targeted at promoting disabled persons' self-determination and self-responsibility actively using these in the process and that it strengthens an independent lifestyle, ensures social participation by inclusive structures; also, it facilitates continued participation in working life by ongoing education involving holistic development of professional and personal competencies oriented towards the individual's resources and potentials, safeguarding it by systematic networking with companies. The concept presented for

  4. Exciting career opportunity beckons! Early intervention and vocational rehabilitation in first-episode psychosis: employing cautious optimism.

    Science.gov (United States)

    Killackey, Eoin J; Jackson, Henry J; Gleeson, John; Hickie, Ian B; McGorry, Patrick D

    2006-01-01

    While there are now effective interventions for the symptoms of psychosis and schizophrenia, treatment for the functional domains of these illnesses has received less attention. A key area affected by psychotic illness is vocational functioning. This area is currently of interest to clinicians, policy-makers, politicians and patients. This paper reviews several forms of vocational intervention practised over the years and highlights the issues around adopting an early intervention approach towards vocational rehabilitation. The paper has four aims: first, to consider some of the consequences of unemployment for those with psychotic illnesses; second, to review methods that have been used to address unemployment among the mentally ill; third, to highlight the importance of vocational development at a developmentally appropriate life stage; and finally, to consider the application of evidence-based vocational rehabilitation to those with first-episode psychosis. An initial broad literature search was conducted using PsychInfo and Medline databases. Further narrower searches were conducted electronically where indicated. Finally, some articles were sourced through manual searches of relevant journals. People with psychotic illness have a high rate of unemployment at the outset of their illness which tends to worsen over time. This is complicated by systemic factors such as the structure of the welfare system. Approaches for assisting people with mental illness return to work have evolved over the history of psychiatry. There now exists an evidence-based method of intervention. To date this has not been trialled in a systematic way with people in the early stages of psychotic illness. There is cause for cautious optimism in the vocational recovery of people with psychotic illnesses. Limited evidence exists that the individual placement and support approach developed with chronic populations is very effective in early episode patients. There are a number of challenges

  5. Cost-effectiveness of 40-hour versus 100-hour vocational rehabilitation on work participation for workers on sick leave due to subacute or chronic musculoskeletal pain : study protocol for a randomized controlled trial

    NARCIS (Netherlands)

    Beemster, Timo T.; van Velzen, Judith M.; van Bennekom, Coen A. M.; Frings-Dresen, Monique H. W.; Reneman, Michiel F.

    2015-01-01

    Background: Although vocational rehabilitation is a widely advocated intervention for workers on sick leave due to subacute or chronic nonspecific musculoskeletal pain, the optimal dosage of effective and cost-effective vocational rehabilitation remains unknown. The objective of this paper is to

  6. The Effects of Framing Vocational Choices on Young Adults' Sets of Career Options

    Science.gov (United States)

    Feldman, Daniel C.; Whitcomb, Kathleen M.

    2005-01-01

    Purpose: The present paper examines the effects of two decision-framing inductions on young adults' set of career options: first, whether young adults use abilities or interests as the grounds for their vocational choices and, second, whether young adults approach the decision-making task by including all career options to which they feel…

  7. Vocational Education Approach: New TEL Settings--New Prospects for Teachers' Instructional Activities?

    Science.gov (United States)

    Hämäläinen, Raija; De Wever, Bram

    2013-01-01

    This study focuses on vocational education teachers' instructional activities in a new technology-enhanced learning (TEL) setting. A content analysis is applied to investigate teachers' and students' interactions in a 3D game context. The findings illustrate that when teachers' and students' interactions are mediated by a…

  8. Medical rehabilitation of spinal cord injury following earthquakes in rehabilitation resource-scarce settings: implications for disaster research.

    Science.gov (United States)

    Gosney, J E; Reinhardt, J D; von Groote, P M; Rathore, F A; Melvin, J L

    2013-08-01

    Narrative literature review. To (1) summarize epidemiological and scientific research on spinal cord injury (SCI) populations from three severe earthquakes (EQs) in rehabilitation resource-scarce settings; (2) summarize SCI rehabilitation services by local and foreign providers in response to these EQs and (3) provide implications including research gaps for a supporting global scientific research agenda. International. A literature review was conducted using PubMed to identify epidemiological studies reporting data on SCI survivors of the 2005 Kashmir EQ in Pakistan, the Sichuan EQ of 2008 in China and the 2010 Haiti EQ. A follow-up review on the SCI rehabilitation services provided by local and foreign providers in response to these EQs was also performed. Review of the scientific literature revealed the qualitative trends in focused EQ victim epidemiological data, including SCI classification and types of medical complications. Selected EQ country narratives showed that post-disaster SCI rehabilitation services were expanded by adapting local resources with international assistance to manage the significant numbers of SCI survivors. The resulting SCI research was limited. A global disaster research agenda for SCI in EQs in rehabilitation resource-scarce settings is needed to strengthen the evidence base for improvement of clinical management and outcomes for SCI EQ survivors. Expansion of this limited narrative review into a systematic review to identify additional research gaps is a proposed next step. Effective disaster setting data management and research collaborations of foreign and local SCI disability and rehabilitation stakeholders will be required for agenda implementation.

  9. Organization of rehabilitation services.

    Science.gov (United States)

    Graham, Laura A

    2013-01-01

    In the past 20 years there have been many changes in the way that neurological rehabilitation is delivered worldwide. This is in part a reflection of improved acute medical therapies and intensive care and also related to the development of a more holistic approach to recovery, embracing the principles of the WHO International Classification of Functioning as a model for rehabilitation. Traditionally, rehabilitation services have tended to develop piecemeal according to local resources and need. By definition such services should be driven by a patient-centered approach and thus there is wide variety in service provision nationally and internationally. This chapter describes the background to current service set-ups and provision, exploring models of rehabilitation delivery and common presentations in neurological rehabilitation. Relevant legislation and guidance documents are reviewed. The text provides an overview of different aspects of rehabilitation services including acute and inpatient provision, outpatient services, community-based rehabilitation, residential facilities, and vocational services.

  10. [Specialised early rehabilitation of brain injury performed in an intensive care setting].

    Science.gov (United States)

    Daugaard, Morten; Nielsen, Lars Hedemann

    2013-12-09

    In Denmark, early rehabilitation of acquired head injuries is centralised in two centres, each covering half the country as uptake area. The Regional Hospital Hammel Neurocenter (HN), which covers the western half of Denmark, traditionally receives patients for rehabilitation after discharge from the intensive care unit (ICU). In collaboration with the Regional Hospital in Silkeborg HN now offers early rehabilitation in Silkeborg's ICU setting to patients with acquired brain injury. This preliminary study discusses whether the collaboration facilitates rehabilitation at an earlier state than previously.

  11. The ICF as a common language for rehabilitation goal-setting: comparing client and professional priorities

    Directory of Open Access Journals (Sweden)

    van der Merwe Aletia

    2011-10-01

    Full Text Available Abstract Background Joint rehabilitation goals are an important component for effective teamwork in the rehabilitation field. The activities and participation domain of the ICF provides a common language for professionals when setting these goals. Involving clients in the formulation of rehabilitation goals is gaining momentum as part of a person-centred approach to rehabilitation. However, this is particularly difficult when clients have an acquired communication disability. The expressive communication difficulties negatively affect the consensus building process. As a result, obtaining information regarding rehabilitation goals from professionals and their clients warrants further investigation for this particular population. Methods This comparative study investigated clients and their assigned rehabilitation professionals' perception of the importance of ICF activities and participation domains for inclusion in their rehabilitation program. Twelve clients in an acute rehabilitation centre and twenty of their corresponding rehabilitation professionals participated in an activity using the Talking Mats™ visual framework for goal setting. Each participant rated the importance of the nine activities and participation domains of the ICF for inclusion in their current rehabilitation program. Results The ICF domains which consistently appear as very important across these groups are mobility, self-care and communication. Domains which consistently appear in the lower third of the rankings include spare time, learning and thinking and domestic life. Results indicate however that no statistical significant differences exist in terms of the individual domains across each of the participant groups. Within group differences however indicated that amongst the speech-language therapists and physiotherapists there was a statistical significant difference between spare time activities and communication and mobility. Conclusions Findings indicate that

  12. Agoraphobia in a Rehabilitation Medicine Setting: A Case Report.

    Science.gov (United States)

    Kaplan, Steven P.

    1987-01-01

    Agoraphobia is a pervasive constellation of fears and avoidance behaviors relating to open spaces, crowds, being alone, and other everyday situations. Presents the case of a client with agoraphobia on a medical rehabilitation unit. Outlines psychological interventions, giving discharge and follow-up status. Literature review focused on possible…

  13. ILO European Symposium on Work for the Disabled. Vocational Rehabilitation and Employment Creation (Warsaw, Poland, May 21-27, 1979; Stockholm, Sweden, May 27-June 1, 1979).

    Science.gov (United States)

    Cooper, N., Ed.

    This document is a report on a 12-day symposium on work for the disabled--vocational rehabilitation and employment creation--which was held in Poland and Sweden in 1979. The symposium was organized jointly by the government of Poland and Sweden in close cooperation with the International Labour Office (ILO), Geneva. The report is divided into five…

  14. Counsellors' Focus on Competitive Employment for People with Severe Mental Illness: An Application of the Theory of Planned Behaviour in Vocational Rehabilitation Programmes

    Science.gov (United States)

    Knaeps, Jeroen; Neyens, Inge; van Weeghel, Jaap; Van Audenhove, Chantal

    2016-01-01

    Although the evidence-based Individual Placement and Support programme highlights the importance of the vocational rehabilitation (VR) counsellors' focus on competitive employment during career counselling, studies have shown that counsellors do not always target such jobs. This study examines which determinants affect the counsellors' intentions…

  15. AN INVESTIGATION OF THE TERMINAL PUBLIC SCHOOL SPECIAL CLASS CURRICULUM AND ENVIRONMENT AND VOCATIONAL REHABILITATION OF MENTALLY RETARDED YOUNG ADULTS. SECOND YEAR REPORT.

    Science.gov (United States)

    HARVEY, JASPER; AND OTHERS

    THIS REPORT DESCRIBES THE SECOND YEAR OF OPERATION OF A NATIONALLY FUNDED 3-YEAR RESEARCH AND DEMONSTRATION PROJECT ON THE SPECIAL EDUCATION AND VOCATIONAL REHABILITATION OF MENTALLY RETARDED, YOUNG ADULTS. TWELVE DEMONSTRATION CLASSES WERE GRADUALLY ESTABLISHED IN AN ATTEMPT TO (1) DEMONSTRATE HOW COOPERATING AGENCIES MIGHT ASSIST IN AN ORGANIZED…

  16. Counsellors' Focus on Competitive Employment for People with Severe Mental Illness: An Application of the Theory of Planned Behaviour in Vocational Rehabilitation Programmes

    Science.gov (United States)

    Knaeps, Jeroen; Neyens, Inge; van Weeghel, Jaap; Van Audenhove, Chantal

    2016-01-01

    Although the evidence-based Individual Placement and Support programme highlights the importance of the vocational rehabilitation (VR) counsellors' focus on competitive employment during career counselling, studies have shown that counsellors do not always target such jobs. This study examines which determinants affect the counsellors' intentions…

  17. A Conceptual Definition of Vocational Rehabilitation Based on the ICF : building a shared global model

    NARCIS (Netherlands)

    Escorpizo, Reuben; Reneman, Michiel F.; Ekholm, Jan; Fritz, Julie; Krupa, Terry; Marnetoft, Sven-Uno; Maroun, Claude E.; Guzman, Julietta Rodriguez; Suzuki, Yoshiko; Stucki, Gerold; Chan, Chetwyn C. H.

    Background The International Classification of Functioning, Disability and Health (ICF) is a conceptual framework and classification system by the World Health Organization (WHO) to understand functioning. The objective of this discussion paper is to offer a conceptual definition for vocational

  18. Protein-energy malnutrition in the rehabilitation setting: Evidence to improve identification.

    Science.gov (United States)

    Marshall, Skye

    2016-04-01

    Methods of identifying malnutrition in the rehabilitation setting require further examination so that patient outcomes may be improved. The purpose of this narrative review was to: (1) examine the defining characteristics of malnutrition, starvation, sarcopenia and cachexia; (2) review the validity of nutrition screening tools and nutrition assessment tools in the rehabilitation setting; and (3) determine the prevalence of malnutrition in the rehabilitation setting by geographical region and method of diagnosis. A narrative review was conducted drawing upon international literature. Starvation represents one form of malnutrition. Inadequate energy and protein intake are the critical factor in the aetiology of malnutrition, which is distinct from sarcopenia and cachexia. Eight nutrition screening tools and two nutrition assessment tools have been evaluated for criterion validity in the rehabilitation setting, and consideration must be given to the resources of the facility and the patient group in order to select the appropriate tool. The prevalence of malnutrition in the rehabilitation setting ranges from 14-65% worldwide with the highest prevalence reported in rural, European and Australian settings. Malnutrition is highly prevalent in the rehabilitation setting, and consideration must be given to the patient group when determining the most appropriate method of identification so that resources may be used efficaciously and the chance of misdiagnosis minimised.

  19. Rehabilitation

    Science.gov (United States)

    ... doing things you did before. This process is rehabilitation. Rehabilitation often focuses on Physical therapy to help your ... who has had a stroke may simply want rehabilitation to be able to dress or bathe without ...

  20. Functional gain following rehabilitation of recurrent ischemic stroke in the elderly: experience of a post-acute care rehabilitation setting.

    Science.gov (United States)

    Mizrahi, E H; Fleissig, Y; Arad, M; Adunsky, A

    2015-01-01

    The aim of the study was to evaluate whether rehabilitation of patients with recurrent ischemic strokes is associated with functional gain. We studied a total of 919 consecutive post-acute ischemic stroke elderly patients admitted for rehabilitation. 22% out of the patients had recurrent stroke on index day. Functional outcomes of first-ever stroke patients and recurrent ischemic stroke patients were assessed by the Functional Independence Measurement scale (FIM™) at admission and discharge. Data was analyzed by t-test, Chi-square test and by multiple linear regression analysis. There were 716 patients with first ever stroke and 203 patients with recurrent stroke. Total and motor FIM scores at admission and total, motor, gain and Montebello Rehabilitation Factor (RFG) FIM scores at discharge were similar in the two groups. A multiple linear regression analysis showed that age (beta=-0.13, p=0.001) length of stay (beta=0.21, pstroke admitted to rehabilitation ward, showed similar FIM gain scores at discharge, compared with first-ever stroke patients. It is concluded that recurrent stroke should not be considered as adversely affecting the short-term functional outcomes of patients in a post-acute rehabilitation setting.

  1. Recognizing potential barriers to setting and achieving effective rehabilitation goals for patients with persistent pain.

    Science.gov (United States)

    Schmidt, Stephen G

    2016-07-01

    Although the process of goal setting in rehabilitation of individuals with persistent pain is considered a fundamental and requisite skill, it is frequently reported as a challenging element of clinical practice. Factors which may contribute to the complexity of goal setting include the potential for unrecognized shifts in cognitive function, psychological comorbidities, and the social context of both providers and patients. This review aims to describe factors which may confound the process of setting and achieving collaborative rehabilitation goals using a biopsychosocial framework and to provide recommendations to enhance goal setting effectiveness.

  2. Implementing a framework for goal setting in community based stroke rehabilitation: a process evaluation

    OpenAIRE

    Scobbie, L.; McLean, D; Dixon, D; Duncan, E; Wyke, S

    2013-01-01

    Background: Goal setting is considered ‘best practice’ in stroke rehabilitation; however, there is no consensus regarding the key components of goal setting interventions or how they should be optimally delivered in practice. We developed a theory-based goal setting and action planning framework (G-AP) to guide goal setting practice. G-AP has 4 stages: goal negotiation, goal setting, action planning and coping planning and appraisal and feedback. All stages are recorded in a patient-held reco...

  3. Feasibility of Applying the Extended ICF Core Set for Stroke to Clinical Settings in Rehabilitation: A Preliminary Study

    Science.gov (United States)

    Han, Kyu Yong; Kim, Hyo Jong

    2015-01-01

    Objective To evaluate the potential feasibility of application of the extended International Classification of Functioning, Disability and Health (ICF) Core Set for stroke. Methods We retrospectively reviewed the medical records of 40 stroke outpatients (>6 months after onset) admitted to the Department of Rehabilitation Medicine for comprehensive rehabilitation. Clinical information of the patients were respectively evaluated to link to the 166 second-level categories of the extended ICF Core Set for stroke. Results Clinical information could be linked to 111 different ICF categories, 58 categories of the body functions component, eight categories of the body structures component, 38 categories of the activities and participation component, and seven categories of the environmental factors component. Conclusion The body functions component might be feasible for application of the extended ICF Core Set for stroke to clinical settings. The activities and participation component and environmental factors component may not be directly applied to clinical settings without additional evaluation tools including interview and questionnaire. PMID:25750873

  4. Assessing vocational outcome expectancy in individuals with serious mental illness: a factor-analytic approach.

    Science.gov (United States)

    Iwanaga, Kanako; Umucu, Emre; Wu, Jia-Rung; Yaghmaian, Rana; Lee, Hui-Ling; Fitzgerald, Sandra; Chan, Fong

    2017-07-04

    Self-determination theory (SDT) and self-efficacy theory (SET) can be used to conceptualize self-determined motivation to engage in mental health and vocational rehabilitation (VR) services and to predict recovery. To incorporate SDT and SET as a framework for vocational recovery, developing and validating SDT/SET measures in vocational rehabilitation is warranted. Outcome expectancy is an important SDT/SET variable affecting rehabilitation engagement and recovery. The purpose of this study was to validate the Vocational Outcome Expectancy Scale (VOES) for use within the SDT/SET vocational recovery framework. One hundred and twenty-four individuals with serious mental illness (SMI) participated in this study. Measurement structure of the VOES was evaluated using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Both EFA and CFA results supported a two-factor structure: (a) positive outcome expectancy, and (b) negative outcome expectancy. The internal consistency reliability coefficients for both factors were acceptable. In addition, positive outcome expectancy correlated stronger than negative outcome expectancy with other SDT/SET constructs in the expected directions. The VOES is a brief, reliable and valid instrument for assessing vocational outcome expectancy in individuals with SMI that can be integrated into SDT/SET as a vocational rehabilitation engagement and recovery model in psychiatric rehabilitation.

  5. A Conceptual Definition of Vocational Rehabilitation Based on the ICF : building a shared global model

    NARCIS (Netherlands)

    Escorpizo, Reuben; Reneman, Michiel F.; Ekholm, Jan; Fritz, Julie; Krupa, Terry; Marnetoft, Sven-Uno; Maroun, Claude E.; Guzman, Julietta Rodriguez; Suzuki, Yoshiko; Stucki, Gerold; Chan, Chetwyn C. H.

    2011-01-01

    Background The International Classification of Functioning, Disability and Health (ICF) is a conceptual framework and classification system by the World Health Organization (WHO) to understand functioning. The objective of this discussion paper is to offer a conceptual definition for vocational reha

  6. Goal setting in cancer rehabilitation and relation to quality of life among women with gynaecological cancer

    DEFF Research Database (Denmark)

    Holt, Kamila A; Mogensen, Ole; Jensen, Pernille T

    2015-01-01

    BACKGROUND: Rehabilitation should be integrated in the routine cancer care of women treated for gynaecological cancers. Goal setting is expected to facilitate the process through patient involvement and motivation. Our knowledge about goal setting in cancer rehabilitation is, however, sparse...... and emotional categories were the second and third most frequent among patients with endometrial and ovarian cancer. Sexual issues were dominant among the cervical cancer patients. Regression analysis showed significant association between quality of life scores and goal setting within the social and emotional...

  7. State of the art: how to set up a pulmonary rehabilitation program.

    Science.gov (United States)

    Jenkins, Sue; Hill, Kylie; Cecins, Nola M

    2010-11-01

    Pulmonary rehabilitation plays an essential role in the management of symptomatic patients with COPD. The benefits of rehabilitation include a decrease in dyspnoea and fatigue, and improvements in exercise tolerance and health-related quality of life. Importantly, rehabilitation reduces hospitalization for acute exacerbations and is cost-effective. Although most of the evidence for pulmonary rehabilitation has been obtained in patients with COPD, symptomatic individuals with other respiratory diseases have been shown to benefit. In this review we outline a stepwise approach to establish, deliver and evaluate a pulmonary rehabilitation program (PRP) that would be feasible in most settings. Throughout the review we have specified the minimum requirements for a PRP to facilitate the establishment of programs using limited resources. Recommendations for staffing and other resources required for a PRP are presented in the first section. Exercise training is a focus of the section on program delivery as this is the component of rehabilitation that has the strongest level of evidence for benefit. Program considerations for patients with respiratory conditions other than COPD are described. Different approaches for delivering the education component of a PRP are outlined and recommendations are made regarding topics for group and individual sessions. The problems commonly encountered in pulmonary rehabilitation, together with recommendations to avoid these problems and strategies to assist in their resolution, are discussed. The review concludes with recommendations for evaluating a PRP. © 2010 The Authors; Respirology © 2010 Asian Pacific Society of Respirology.

  8. The Human Eye Position Control System in a Rehabilitation Setting

    Directory of Open Access Journals (Sweden)

    Yvonne Nolan

    2005-01-01

    Full Text Available Our work at Ireland’s National Rehabilitation Hospital involves designing communication systems for people suffering from profound physical disabilities. One such system uses the electro-oculogram, which is an (x,y system of voltages picked up by pairs of electrodes placed, respectively, above and below and on either side of the eyes. The eyeball has a dc polarisation between cornea and back, arising from the photoreceptor rods and cones in the retina. As the eye rotates, the varying voltages projected onto the electrodes drive a cursor over a mimic keyboard on a computer screen. Symbols are selected with a switching action derived, for example, from a blink. Experience in using this mode of communication has given us limited facilities to study the eye position control system. We present here a resulting new feedback model for rotation in either the vertical or the horizontal plane, which involves the eyeball controlled by an agonist-antagonist muscle pair, modelled by a single equivalent bidirectional muscle with torque falling off linearly with angular velocity. We have incorporated muscle spindles and have tuned them by pole assignment associated with an optimum stability criterion.

  9. Patients' perceptions of their roles in goal setting in a spinal cord injury regional rehabilitation program.

    Science.gov (United States)

    Draaistra, Harriett; Singh, Mina D; Ireland, Sandra; Harper, Theresa

    2012-01-01

    Goal setting is a common practice in rehabilitation, yet there is a paucity of literature exploring patients' perceptions of their roles in this process. This study was conducted using a qualitative descriptive methodology to explore patients' perceptions of their roles in setting goals in a spinal cord injury regional rehabilitation program. Imogene King's theory of goal attainment was used to frame the study. Data were collected through interviews and analyzed using a content analysis. The results revealed four themes: Visioning, Redefining, Brainstorming, and Rebuilding Participants (n = 13) envisioned their roles as setting an overarching priority goal, defining detailed rehabilitation goals, sharing knowledge with the team, and rebuilding skills to attain goals. Implications for nursing practice include the need to understand patients' experiences and perceptions, share knowledge, and support effective communication to promote collaborative goal setting. A need to enhance health professionals' education to fully understand factors influencing patients' abilities to set rehabilitation goals, and future research in methods to promote patients' engagement in goal setting was also clearly indicated.

  10. Metaphoric identity mapping: facilitating goal setting and engagement in rehabilitation after traumatic brain injury.

    Science.gov (United States)

    Ylvisaker, Mark; McPherson, Kathryn; Kayes, Nicola; Pellett, Ellen

    2008-01-01

    Difficulty re-establishing an organised and compelling sense of personal identity has increasingly been identified as a critical theme in outcome studies of individuals with severe traumatic brain injury (TBI) and a serious obstacle to active engagement in rehabilitation. There exists little empirical support for approaches to identity reconstruction that address common impairments associated with TBI. Similarly, there is as yet little empirical support for theoretically sound approaches to promoting engagement in goal setting for this population. This article has two purposes. First, theory and procedures associated with metaphoric identity mapping are discussed in relation to goal setting in TBI rehabilitation. Second, the results of a qualitative pilot study are presented. The study explored metaphoric identity mapping as a facilitator of personally meaningful goal setting with five individuals with significant disability many years after their injury. Drawing on principles of grounded theory, the investigators extracted data from semi-structured interviews with clients and clinicians, from focus groups with the clinicians, and from observation of client-clinician interaction. Analysis of the data yielded five general themes concerning the use of this approach: All clients and clinicians found identity mapping to be an acceptable process and also useful for deriving meaningful rehabilitation goals. Both clients and clinicians saw client-centred goals as important. Cognitive impairments posed obstacles to this goal-setting intervention and mandated creative compensations. And finally, identity-related goal setting appeared to require a "mind shift" for some clinicians and demanded clinical skills not uniformly distributed among rehabilitation professionals.

  11. Thinking out of the box: an intersectoral model for vocational rehabilitation.

    Science.gov (United States)

    Lal, Shalini; Mercier, Céline

    2002-01-01

    This study examined an intersectoral work insertion program that involves the collaboration of six stakeholders from different sectors in the community, including health and vocation. An innovative program logic model has been developed that explains the theoretical rationale behind intersectoral collaboration and work insertion. The principles and ideology of local development have led to the development of this program and have several implications for the social integration of individuals with mental illness. The paper first discusses how such an approach is developed and implemented and follows with a presentation of a model of an intersectoral work insertion program.

  12. [Young rehabilitants in vocational training at the transition to the labour market].

    Science.gov (United States)

    Reims, N; Gruber, S

    2014-12-01

    This study tackles the question, whether and to what extent labour market integration is achieved by young rehabilitants participating in an apprenticeship provided by the Federal Employment Agency. In order to identify salient determinants for the entry into as well as the sustainability of fi rst employment, event history analyses are applied. After a relatively short period, first integrated rehabilitants mostly fi nd unsubsidized employment. The entry into employment is determined by factors similar to those influencing the labour market transition of young adults without disabilities: higher educational achievements, a successfully completed apprenticeship at best within an establishment, high regional mobility and good structural conditions favour labour market integration. Furthermore, physically disabled graduates and those with shorter unemployment and sickness periods stay longer in fi rst employment than graduates showing other disabilities and those with longer periods in unemployment and sickness.

  13. Efficacy of rehabilitation for patients with ankylosing spondylitis: comparison of a four-week rehabilitation programme in a Mediterranean and a Norwegian setting

    National Research Council Canada - National Science Library

    Staalesen Strumse, Yndis A; Nordvåg, Bjørn-Yngvar; Stanghelle, Johan K; Røisland, Mona; Winther, Anne; Pajunen, Pär-Arne; Garen, Torhild; Flatø, Berit

    2011-01-01

    To investigate the sustained effect of a rehabilitation programme for patients with ankylosing spondylitis, and to compare the effect of this intervention given in a Mediterranean vs a Norwegian setting...

  14. Hematologic parameters in raptor species in a rehabilitation setting before release.

    Science.gov (United States)

    Black, Peter A; McRuer, David L; Horne, Leigh-Ann

    2011-09-01

    To be considered for release, raptors undergoing rehabilitation must have recovered from their initial injury in addition to being clinically healthy. For that purpose, a good understanding of reference hematologic values is important in determining release criteria for raptors in a rehabilitation setting. In this study, retrospective data were tabulated from clinically normal birds within 10 days of release from a rehabilitation facility. Hematologic values were compiled from 71 red-tailed hawks (Buteo jamaicensis), 54 Eastern screech owls (Megascops asio), 31 Cooper's hawks (Accipiter cooperii), 30 great-horned owls (Bubo virginianus), 28 barred owls (Strix varia), 16 bald eagles (Haliaeetus leucocephalus), and 12 broad-winged hawks (Buteo platypterus). Parameters collected included a white blood cell count and differential, hematocrit, and total protein concentration. Comparisons were made among species and among previously published reports of reference hematologic values in free-ranging birds or permanently captive birds. This is the first published report of reference values for Eastern screech owls, barred owls, and broad-winged hawks; and the first prerelease reference values for all species undergoing rehabilitation. These data can be used as a reference when developing release criteria for rehabilitated raptors.

  15. An interactive distance solution for stroke rehabilitation in the home setting - A feasibility study.

    Science.gov (United States)

    Palmcrantz, Susanne; Borg, Jörgen; Sommerfeld, Disa; Plantin, Jeanette; Wall, Anneli; Ehn, Maria; Sjölinder, Marie; Boman, Inga-Lill

    2017-09-01

    In this study an interactive distance solution (called the DISKO tool) was developed to enable home-based motor training after stroke. The overall aim was to explore the feasibility and safety of using the DISKO-tool, customized for interactive stroke rehabilitation in the home setting, in different rehabilitation phases after stroke. Fifteen patients in three different stages in the continuum of rehabilitation after stroke participated in a home-based training program using the DISKO-tool. The program included 15 training sessions with recurrent follow-ups by the integrated application for video communication with a physiotherapist. Safety and feasibility were assessed from patients, physiotherapists, and a technician using logbooks, interviews, and a questionnaire. Qualitative content analysis and descriptive statistics were used in the analysis. Fourteen out of 15 patients finalized the training period with a mean of 19.5 minutes spent on training at each session. The DISKO-tool was found to be useful and safe by patients and physiotherapists. This study demonstrates the feasibility and safety of the DISKO-tool and provides guidance in further development and testing of interactive distance technology for home rehabilitation, to be used by health care professionals and patients in different phases of rehabilitation after stroke.

  16. The Impact of Supported Employment Versus Standard Vocational Rehabilitation in Veterans with PTSD

    Science.gov (United States)

    2014-08-01

    rehabilitation treatment-as-usual ( VRP -TAU). Over the course of the 52-week follow-up, 25 of the 48 IPS participants (52%) gained competitive employment...compared with 15 of the 46 VRP -TAU participants (33%) (χ2= 3.64, df=1, p=.056). That is, Veterans with PTSD who participated in IPS were 1.7 times...more likely to gain competitive employment than those who received VRP -TAU. The number-needed-to-treat (NNT) was 5.26. The IPS and VRP -TAU participants

  17. Rehabilitative management of oropharyngeal dysphagia in acute care settings: data from a large Italian teaching hospital.

    Science.gov (United States)

    Schindler, Antonio; Vincon, Elena; Grosso, Elena; Miletto, Anna Maria; Di Rosa, Rosalba; Schindler, Oskar

    2008-09-01

    A high incidence of oropharyngeal dysphagia (OD) in acute-care settings has been reported; however, no data on its management are found in the literature. Here we report the experience with rehabilitative management of OD in a large Italian hospital. The characteristics of inpatients with OD during 2004 have been studied prospectively. For each patient, demographic data, the department referring the patient, the disease causing OD, and the presence of a communication disorder were registered. The swallowing level at the beginning and at the end of rehabilitation were recorded. Of the 35,590 inpatients admitted to San Giovanni Battista Hospital of Turin during 2004, 222 of them were referred for the assessment and rehabilitation of OD. The inpatients with OD came from different departments and mainly had a neurologic disease. In 110 patients a communication disorder was present. The swallowing impairment was moderate to severe at the moment of referral, while on average patients were able to eat by mouth after swallowing therapy. Dysphagia rehabilitation in an acute care setting is requested from different departments because of its prevalence and severity; skilled specialists are needed for early assessment and the best management.

  18. Feasibility of Delivering a Dance Intervention for SubAcute Stroke in a Rehabilitation Hospital Setting

    Directory of Open Access Journals (Sweden)

    Marika Demers

    2015-03-01

    Full Text Available Dance can be a promising treatment intervention used in rehabilitation for individuals with disabilities to address physical, cognitive and psychological impairments. The aim of this pilot study was to determine the feasibility of a modified dance intervention as an adjunct therapy designed for people with subacute stroke, in a rehabilitation setting. Using a descriptive qualitative study design, a biweekly 45-min dance intervention was offered to individuals with a subacute stroke followed in a rehabilitation hospital, over 4 weeks. The dance intervention followed the structure of an usual dance class, but the exercises were modified and progressed to meet each individual’s needs. The dance intervention, delivered in a group format, was feasible in a rehabilitation setting. A 45-min dance class of moderate intensity was of appropriate duration and intensity for individuals with subacute stroke to avoid excessive fatigue and to deliver the appropriate level of challenge. The overall satisfaction of the participants towards the dance class, the availability of space and equipment, and the low level of risks contributed to the feasibility of a dance intervention designed for individuals in the subacute stage of post-stroke recovery.

  19. Feasibility of Delivering a Dance Intervention for SubAcute Stroke in a Rehabilitation Hospital Setting

    Science.gov (United States)

    Demers, Marika; McKinley, Patricia

    2015-01-01

    Dance can be a promising treatment intervention used in rehabilitation for individuals with disabilities to address physical, cognitive and psychological impairments. The aim of this pilot study was to determine the feasibility of a modified dance intervention as an adjunct therapy designed for people with subacute stroke, in a rehabilitation setting. Using a descriptive qualitative study design, a biweekly 45-min dance intervention was offered to individuals with a subacute stroke followed in a rehabilitation hospital, over 4 weeks. The dance intervention followed the structure of an usual dance class, but the exercises were modified and progressed to meet each individual’s needs. The dance intervention, delivered in a group format, was feasible in a rehabilitation setting. A 45-min dance class of moderate intensity was of appropriate duration and intensity for individuals with subacute stroke to avoid excessive fatigue and to deliver the appropriate level of challenge. The overall satisfaction of the participants towards the dance class, the availability of space and equipment, and the low level of risks contributed to the feasibility of a dance intervention designed for individuals in the subacute stage of post-stroke recovery. PMID:25785497

  20. Effects of vocationally oriented medical rehabilitation for aircraft maintenance personnel--a preliminary study of long-term effects with 5-year follow-up.

    Science.gov (United States)

    Holopainen, Kaj; Nevala, Nina; Kuronen, Pentti; Arokoski, Jari P A

    2004-12-01

    Changes in the physical capacity, musculoskeletal symptoms, and perceived work ability of Finnish Air Force maintenance personnel were studied after vocationally oriented medical rehabilitation (VOMR). Twenty persons with chronic musculoskeletal symptoms in their back or neck took part in VOMR courses. The measurements were carried out at the beginning of the rehabilitation course and after two follow-up periods (0.5 and 5 years). The subjects worked most of the time in a bent position and often with their backs twisted and their arms above their shoulders. The severity of low-back pain and the number of days of sick leave decreased significantly (p < 0.05-0.01) during the 5-years follow-up. Also the exercise breaks at work increased (p < 0.01). After half a year of medical rehabilitation the measured range of the cervical spine and the dynamic and endurance strength of the upper and lower extremities was greater (p < 0.05-0.001) than at the beginning of the rehabilitation. There were no statistically significant differences in the use of physical therapy, experienced work strain, physical exercise or maximal oxygen consumption during the follow-up. This is a preliminary follow-up study lasting 5 years showed some significant changes in physical capacity, musculoskeletal symptoms and work ability. However, controlled studies are needed to evaluate these preliminary findings of this kind of rehabilitation model.

  1. Arbejdsrettet Rehabilitering

    DEFF Research Database (Denmark)

    Labriola, Merete; Thielen, Karsten; Eplov, Lene Falgaard

    2014-01-01

    Work is known to be one of the main sources of human identity. It might be threatened when ill-health impairs individual labour market participation. Vocational rehabilitation, which is based on the bio-psycho-social model of health and function, is the systematic approach to improve employability...... for those who suffer from health-related disabilities. This article gives a short historical overview about vocational rehabilitation in Denmark, describes the current structural and political framework and gives practice examples of local multidisciplinary and intersectoral rehabilitation efforts....

  2. Arbejdsrettet Rehabilitering

    DEFF Research Database (Denmark)

    Labriola, Merete; Thielen, Karsten; Eplov, Lene Falgaard

    2014-01-01

    Work is known to be one of the main sources of human identity. It might be threatened when ill-health impairs individual labour market participation. Vocational rehabilitation, which is based on the bio-psycho-social model of health and function, is the systematic approach to improve employability...... for those who suffer from health-related disabilities. This article gives a short historical overview about vocational rehabilitation in Denmark, describes the current structural and political framework and gives practice examples of local multidisciplinary and intersectoral rehabilitation efforts....

  3. An organizational perspective on goal setting in community-based brain injury rehabilitation.

    Science.gov (United States)

    Simpson, Grahame; Foster, Michele; Kuipers, Pim; Kendall, Melissa; Hanna, Joe

    2005-08-05

    To use a taxonomy of goal content, developed in community-based brain injury rehabilitation to examine and compare the content of goals set within two different service settings; and to further examine the potential of the taxonomy to be a reliable and comprehensive framework for classifying goals. Qualitative analysis and categorization of 1492 goal statements extracted from a community-based brain injury rehabilitation service over two time periods (1996--97, 1998--99), and cross-organizational comparison of ratings of goal classifications using a random sample of 100 goal statements drawn from this data set and the original 1765 goal statements used in developing the taxonomy. Application of the taxonomy beyond the original service setting in which it was developed indicated a strong inter-rater reliability, with a high test-retest agreement reported over time. For both services, a small number of categories accounted for a substantial proportion of goals set within the two time periods, while considerable change was evident in goals between the two periods for one service. Further, both placed emphasis on individually focused goals rather than relationship or family-related goals. The taxonomy provides a reliable means for classifying goals and is a useful tool for exploration of the multiple influences on goal setting. Further application of the taxonomy to examine the relative influence on goal setting of client factors versus a range of organizational factors would be beneficial.

  4. A survey of program evaluation practices in family-centered pediatric rehabilitation settings.

    Science.gov (United States)

    Moreau, Katherine A; Cousins, J Bradley

    2014-04-01

    Program evaluation is becoming increasingly important in pediatric rehabilitation settings that adhere to the family-centered service (FCS) philosophy. However, researchers know little about the specific evaluation activities occurring in these settings or the extent to which evaluators/service providers uphold FCS in their program evaluation activities. Through a questionnaire survey, this study aimed to document evaluators/service providers' perceptions of the level of program evaluation occurring in their Canadian pediatric rehabilitation centers. It also investigated the extent to which evaluators/service providers perceive program evaluation practices at their centers to be consistent with the FCS context of Canadian pediatric rehabilitation settings. The findings suggested that the amount of evaluation activities occurring within the respondents' centers is variable; that the majority of individuals working in program evaluation do not have formal training in it; and that the respondents' centers have limited resources for evaluation. The study also showed that staff members believe their centers' evaluation activities are somewhat consistent with FCS philosophy, but that improvements are needed.

  5. The feasibility of vocational rehabilitation in subjects with severe mental illness Factibilidad de la rehabilitación vocacional en personas con enfermedades mentales graves

    Directory of Open Access Journals (Sweden)

    Stefan Watzke

    2008-01-01

    Full Text Available Vocational rehabilitation represents an important element within the mental health care system. To ensure the success of rehabilitation, programs of varying degrees of complexity are needed in order to meet patients’ abilities and needs. Rehabilitation success must be examined multidimensionally and not be reduced to the mere integration into competitive employment. Success is also represented by progress in the level of vocational integration, strengthening of work capabilities, the improvement of the functional level, and in a better quality of life. The patient’s need for rehabilitation has to be recognized as early as possible to shorten the duration of the patient’s disintegration and to avoid stagnation periods. Rehabilitation needs to start in the clinic; with psychiatric help sustained during the rehabilitation process to prevent illness exacerbation and premature program termination. The patient’s development regarding his or her functional level, work capability, and subjective wellbeing needs to be evaluated throughout the program to consistently monitor the patient’s individual needs and abilities and to ensure appropriate support. Training for cognition and social skills should be integrated into rehabilitation programs to compensate individual deficits.La rehabilitación vocacional representa un importante elemento dentro del sistema del cuidado de la salud mental. Con el fin de asegurar el éxito de la rehabilitación y para satisfacer las necesidades y habilidades de los pacientes hacen falta programas de diversos grados de complejidad. El resultado de la rehabilitación debe examinarse de manera multidimensional y no reducirse tan sólo a la integración al empleo competitivo, pues el éxito se ve reflejado asimismo por el avance en el nivel de integración vocacional, el fortalecimiento de las capacidades para el trabajo, la mejora del nivel de funcionamiento y una mejor calidad de vida. Las necesidades de

  6. Overcoming practical challenges to conducting clinical research in the inpatient stroke rehabilitation setting.

    Science.gov (United States)

    Campbell, Grace B; Skidmore, Elizabeth R; Whyte, Ellen M; Matthews, Judith T

    2015-10-01

    There is a shortage of published empirical studies conducted in acute inpatient stroke rehabilitation, though such studies are greatly needed in order to shed light on the most efficacious inpatient stroke rehabilitation interventions. The inherent challenges of inpatient research may dissuade researchers from undertaking this important work. This paper describes our institution's experience devising practical solutions to research barriers in this setting. Through concentrated efforts to overcome research barriers, such as by cultivating collaborative relationships and capitalizing on unanticipated benefits, we successfully facilitated conduct of five simultaneous inpatient stroke studies. Tangible benefits realized include increased effectiveness of research participant identification and enrollment, novel collaborative projects, innovative clinical care initiatives, and enhanced emotional and practical support for patients and their families. We provide recommendations based on lessons learned during our experience, and discuss benefits of this collaboration for our research participants, clinical staff, and the research team.

  7. Hope for successful implementation of psychosocial/psychiatric rehabilitation in the forensic mental health setting.

    Science.gov (United States)

    Brown, Stephanie A; Lewis, Kent

    2015-12-01

    To explore staff perceptions of the successes and barriers to implementation of the psychosocial/psychiatric rehabilitation (PSR) model in the forensic mental health setting and identify staff supports needed for greater implementation. A qualitative descriptive design was used and staff focus group data was analyzed using the constant comparative method. All aspects of PSR are being implemented in the forensic setting. Barriers limiting comprehensive implementation include hospital processes and functions, legal components, client clinical presentation, staff attributes and interactions, and lack of resources. To foster greater implementation, employees require support to improve interprofessional interactions and acquire additional resources and education. Strengthening existing successes and addressing barriers identified will foster greater PSR implementation in the forensic setting. Adjusting the physical environment, streamlining documentation, shifting focus from security to rehabilitation goals, and adapting PSR principles to various levels of illness acuity and stages of treatment would enhance PSR implementation. A management focus on improving staff morale, self-care, peer support, team cohesion, and communication would limit burnout and increase successful implementation of PSR. Additional educational opportunities and ongoing training are suggested to support a unified understanding and sustained approach to PSR implementation in the forensic setting. (c) 2015 APA, all rights reserved).

  8. Rehabilitering

    DEFF Research Database (Denmark)

    Stokholm, Gitte; Jensen, Liselotte; Petersen, Charlotte

    Fokus på forståelse af rehabilitering som tværfaglig tilgang indrettet på borgerens præmisser. Der diskuteres faldgrupper og fortolkningsspørgsmål, der opstår, når man gerne vil handle politisk korrekt og lade de personer, det drejer sig om, komme til orde og få indflydelse. Emner er handicappoli...

  9. Pressure sore prevention in a rehabilitation setting: implementing a programmatic approach.

    Science.gov (United States)

    Baggerly, J; DiBlasi, M

    1996-01-01

    The prevalence of pressure sores and the number of patients at risk for developing pressure sores in the rehabilitation setting support the need for designated resources and interventions for both prevention and management. Today's healthcare environment, with increasing patient acuity and decreasing length of stays, requires nurses to have strategies for delivering and documenting care without increasing workload. This article describes an approach that directs nursing activities, incorporates aspects of the Agency for Health Care Policy and Research clinical practice guidelines, and links care processes and outcomes with documentation.

  10. Best Practice Models of Effective Vocational Rehabilitation Service Delivery in the Public Rehabilitation Program: A Review and Synthesis of the Empirical Literature

    Science.gov (United States)

    Fleming, Allison R.; Del Valle, Roy; Kim, Muwoong; Leahy, Michael J.

    2013-01-01

    Rehabilitation counselors and practitioners are under increased pressure to adopt and pursue evidenced-based practices, and the rehabilitation counseling literature has been criticized for a lack of empirical work providing support for individual-level interventions. The purpose of this literature review was to examine the last 25 years of…

  11. The Comparison of Self-Efficacy Belief Levels on Anatomy Education between the Undergraduate Students from Physical Therapy and Rehabilitation Department and the Associate Students from Vocational School of Health Services in Western Black Sea Region

    Science.gov (United States)

    Acar, Derya; Colak, Tuncay; Colak, Serap; Gungor, Tugba; Yener, Deniz M.; Aksu, Elif; Guzelordu, Dilsat; Sivri, Ismail; Colak, Enis; Ors, Abdullah

    2017-01-01

    Physical Therapy and Rehabilitation (PTR) undergraduate degree departments and Vocational School of Health Services (VSHS) associate degree departments train healthcare professionals, which is important for both continuance of human health and treatment of various illnesses. Anatomic structures underlie the illnesses that these departments treat…

  12. Improving Vocational Rehabilitation Access and Return to Work and Career Outcomes among African American Wounded Warriors, Gulf War, and Vietnam War Era Veterans with Disabilities: A White Paper Series

    Science.gov (United States)

    Moore, Corey L., Ed.: Johnson, Jean E., Ed.; Washington, Andre L., Ed.

    2011-01-01

    The purpose of this monograph is to present documents that discuss issues related to improving access to vocational rehabilitation services and return to work rates of African American Wounded Warriors, Gulf War and Vietnam War Era veterans with disabilities. This monograph also includes a review of relevant literature on barriers to employment…

  13. Al Servicio del Diabetico no Vidente o Discapacitado Visual: Guia de Recursos para Consejeros Vocacionales de Rehabilitacion (Serving Individuals with Diabetes Who Are Blind or Visually Impaired: A Resource Guide for Vocational Rehabilitation Counselors).

    Science.gov (United States)

    Bryant, Ed, Ed.

    Designed for Spanish-speaking vocational rehabilitation counselors, this book provides information about diabetes and treating diabetes. Much of the material previously appeared as articles in "Voice of the Diabetic" and is written not just by doctors and diabetes professionals, but also by members of the National Federation of the Blind…

  14. Effects of a settings-based intervention to promote student wellbeing and reduce smoking in vocational schools

    DEFF Research Database (Denmark)

    Andersen, Susan; Rod, Morten Hulvej; Ersbøll, Annette Kjær

    2016-01-01

    RATIONALE: School dropout and health risk behavior such as cigarette smoking represent major problems among students attending upper secondary vocational education. Modifications to the social environment may promote educational attainment as well as health and wellbeing of young people. However......, there is a need for more evidence-based intervention programs. OBJECTIVE: The aim of this study was to assess the effectiveness of an intervention targeting the socio-environmental setting at vocational schools on student wellbeing and smoking. METHODS: We conducted a non-randomized controlled trial of 5794...... non-smoking environment. Outcomes were student wellbeing (four subscales: school connectedness, student support, teacher relatedness, positive valuing of the profession) and daily smoking measured at 10-week follow-up. RESULTS: We found statistically significant between-group difference in school...

  15. Developing an Authentic Base for Teaching Spoken Indonesian in Vocational Settings

    Science.gov (United States)

    Mansell, Deryn

    2008-01-01

    This article reports on part of a research project that was generated by an evident need to incorporate cultural knowledge in language learning within the option of a Year 12 vocationally-oriented curriculum. Language-specific research was undertaken to ascertain the intercultural knowledge in communication related to hospitality and to propose a…

  16. Developing an Authentic Base for Teaching Spoken Indonesian in Vocational Settings

    Science.gov (United States)

    Mansell, Deryn

    2008-01-01

    This article reports on part of a research project that was generated by an evident need to incorporate cultural knowledge in language learning within the option of a Year 12 vocationally-oriented curriculum. Language-specific research was undertaken to ascertain the intercultural knowledge in communication related to hospitality and to propose a…

  17. Vocational Education and Training Manager Discursive Practices at the Frontline: Alternative Possibilities in a Victorian Setting

    Science.gov (United States)

    Foley, Annette

    2011-01-01

    This article looks at how the neoliberal reform process is affecting the professional identity of frontline managers in the Australian vocational education and training sector. The article examines how frontline managers are required to negotiate their working practices between their understandings and experiences as educators and the new…

  18. Rehabilitering

    DEFF Research Database (Denmark)

    Caswell, Dorte; Høybye-Mortensen, Matilde; Dall, Tanja

    2013-01-01

    Rehabilitering som både begreb og indsats har været genstand for stigende fokus i de seneste år, på både politisk, organisatorisk og praksis-niveau. Fra januar 2013 træder en større reform af førtidspension og fleksjob i kraft, og med reformen etableres ’rehabilitering’ som både mål og middel i...... beskæftigelsesindsatsen. Med dette temanummer af Social Politik ønsker vi at sætte fokus på rehabiliteringsbegrebets udbredelse og udfyldelse, og de konsekvenser de aktuelle social- og beskæftigelsespolitiske tendenser kan have for den konkrete rehabiliteringsindsats i praksis....

  19. Goal setting practice in services delivering community-based stroke rehabilitation: a United Kingdom (UK) wide survey.

    Science.gov (United States)

    Scobbie, Lesley; Duncan, Edward A; Brady, Marian C; Wyke, Sally

    2015-01-01

    We investigated the nature of services providing community-based stroke rehabilitation across the UK, and goal setting practice used within them, to inform evaluation of a goal setting and action planning (G-AP) framework. We designed, piloted and electronically distributed a survey to health professionals working in community-based stroke rehabilitation settings across the UK. We optimised recruitment using a multi-faceted strategy. Responses were analysed from 437 services. Services size, composition and input was highly variable; however, most were multi-disciplinary (82%; n = 335/407) and provided input to a mixed diagnostic group of patients (71%; n = 312/437). Ninety one percent of services (n = 358/395) reported setting goals with "all" or "most" stroke survivors. Seventeen percent (n = 65/380) reported that no methods were used to guide goal setting practice; 47% (n = 148/315) reported use of informal methods only. Goal setting practice varied, e.g. 98% of services (n = 362/369) reported routinely asking patients about goal priorities; 39% (n = 141/360) reported routinely providing patients with a copy of their goals. Goal setting is embedded within community-based stroke rehabilitation; however, practice varies and is potentially sub-optimal. Further evaluation of the G-AP framework is warranted to inform optimal practice. Evaluation design will take account of the diverse service models that exist. Implications for Rehabilitation Community-based stroke rehabilitation services across the UK are diverse and tend to see a mixed diagnostic group of patients. Goal setting is implemented routinely within community-based stroke rehabilitation services; however, practice is variable and potentially sub-optimal. Further evaluation of the G-AP framework is warranted to assess its effectiveness in practice.

  20. Effectiveness of an Adapted SBAR Communication Tool for a Rehabilitation Setting.

    Science.gov (United States)

    Velji, Karima; Baker, G Ross; Fancott, Carol; Andreoli, Angie; Boaro, Nancy; Tardif, Gaétan; Aimone, Elaine; Sinclair, Lynne

    2008-01-01

    Effective communication and teamwork have been identified in the literature as key enablers of patient safety. The SBAR (Situation-Background-Assessment-Recommendation) process has proven to be an effective communication tool in acute care settings to structure high-urgency communications, particularly between physicians and nurses; however, little is known of its effectiveness in other settings. This study evaluated the effectiveness of an adapted SBAR tool for both urgent and non-urgent situations within a rehabilitation setting. In phase 1 of this study, clinical staff, patient and family input was gathered in a focus-group format to help guide, validate and refine adaptations to the SBAR tool. In phase 2, the adapted SBAR was implemented in one interprofessional team; clinical and support staff participated in educational workshops with experiential learning to enhance their proficiency in using the SBAR process. Key champions reinforced its use within the team. In phase 3, evaluation of the effectiveness of the adapted SBAR tool focused on three main areas: staff perceptions of team communication and patient safety culture (as measured by the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture), patient satisfaction (as determined using the Client Perspectives on Rehabilitation Services questionnaire) and safety reporting (including incident and near-miss reporting). Findings from this study suggest that staff found the use of the adapted SBAR tool helpful in both individual and team communications, which ultimately affected perceived changes in the safety culture of the study team. There was a positive but not significant impact on patient satisfaction, likely due to a ceiling effect. Improvements were also seen in safety reporting of incidents and near misses across the organization and within the study team.

  1. Removing barriers to rehabilitation: Theory-based family intervention in community settings after brain injury.

    Science.gov (United States)

    Stejskal, Taryn M

    2012-01-01

    Rehabilitation professionals have become increasingly aware that family members play a critical role in the recovery process of individuals after brain injury. In addition, researchers have begun to identify a relationship between family member caregivers' well-being and survivors' outcomes. The idea of a continuum of care or following survivors from inpatient care to community reintegration has become an important model of treatment across many hospital and community-based settings. In concert with the continuum of care, present research literature indicates that family intervention may be a key component to successful rehabilitation after brain injury. Yet, clinicians interacting with family members and survivors often feel confounded about how exactly to intervene with the broader family system beyond the individual survivor. Drawing on the systemic nature of the field of marriage and family therapy (MFT), this article provides information to assist clinicians in effectively intervening with families using theory-based interventions in community settings. First, a rationale for the utilization of systems-based, as opposed to individual-based, therapies will be uncovered. Second, historically relevant publications focusing on family psychotherapy and intervention after brain injury are reviewed and their implications discussed. Recommendations for the utilization of systemic theory-based principles and strategies, specifically cognitive behavioral therapy (CBT), narrative therapy (NT), and solution-focused therapy (SFT) will be examined. Descriptions of common challenges families and couples face will be presented along with case examples to illustrate how these theoretical frameworks might be applied to these special concerns postinjury. Finally, the article concludes with an overview of the ideas presented in this manuscript to assist practitioners and systems of care in community-based settings to more effectively intervene with the family system as a whole

  2. THE RECONSTRUCTION ON TERAPEUTIC SETTINGS UNDER THE VIEW OF PSYCOSOCIAL REHABILITATION

    Directory of Open Access Journals (Sweden)

    Estenifer Marques

    2014-08-01

    Full Text Available The process of deinstitutionalization in Brazil has being concretizing the guidelines of overcoming and substitution of the attention centered model in psychiatric hospitals, for community health services, focused on Psychosocial Rehabilitation as a practical – theoretical reference of this construction. The therapeutic home services are alternatives of residence to those who have being institutionalized for years as they have no family or social reference to leave the psychiatric hospital. The objective of this paper consists on knowing how the daily life and the way of living of residents of therapeutic settings have being reconstructed and if the actions are focused on social inclusion. It is a qualitative research, realized by semi- structured interview made with residents of three Therapeutic Residences in a town at the Triangulo Mineiro county, thematic content data was used as analysis. The results pointed the existence of a reconstructed daily life, however the complete social inclusion is absent, which minimizes the potentiality of fully living the norms of Psychosocial Rehabilitation.

  3. Delirium followed by neuroleptic malignant syndrome in rehabilitation setting. Is it anger reaction before discharge?

    Science.gov (United States)

    Al Owesie, Rafat M; Robert, Asirvatham Alwin

    2013-01-01

    Delirium and neuroleptic malignant syndrome (NMS) are two uncommon syndromes that are often unrecognized or misdiagnosed by the primary physicians as functional psychiatric disorders. The infrequency and the heterogeneity of clinical manifestation, progression and outcome with which those diagnoses are encountered (particularly in chronic rehabilitation settings) make them formidable diagnostic challenge. In this report, we present a case in which there was a misdiagnosis of delirium and NMS as functional psychiatric disorders. This report demonstrates the fact that early recognition and intervention in such cases are essential to prevent the grave outcome and potential fatality. The authors believe that there is a key role for the consulting psychiatrist in this area in providing diagnostic clarity and advice regarding management and ongoing staff education.

  4. Use of Support Personnel in Vocational Rehabilitation, A Training Guide. Report of the Committee on Effective Utilization of the Rehabilitation Counselor and Supporting Staff. Rehabilitation Service Series Number 69-13.

    Science.gov (United States)

    Lucas, Harry; Wolfe, Richard R.

    This study investigates the use of specialized staff in less than a professional capacity to support the work of the rehabilitation counselor and the on-going relationship with a client. It specifically concerned the implications of using rehabilitation aides, definitions of the roles and functions of rehabilitation aides, qualification…

  5. Development of a social skills assessment screening scale for psychiatric rehabilitation settings: A pilot study

    Directory of Open Access Journals (Sweden)

    Poornima Bhola

    2016-01-01

    Full Text Available Context: Deficits in social skills may present in a range of psychiatric disorders, particularly in the more serious and persistent conditions, and have an influence on functioning across various domains. Aims: This pilot study aimed at developing a brief measure, for structured evaluation and screening for social skills deficits, which can be easily integrated into routine clinical practice. Settings and Design: The sample consisted of 380 inpatients and their accompanying caregivers, referred to Psychiatric Rehabilitation Services at a tertiary care government psychiatric hospital. Materials and Methods: The evaluation included an Inpatient intake Proforma and the 20-item Social Skills Assessment Screening Scale (SSASS. Disability was assessed using the Indian Disability Evaluation and Assessment Scale (IDEAS for a subset of 94 inpatients. Statistical Analysis Used: The analysis included means and standard deviations, frequency and percentages, Cronbach's alpha to assess internal consistency, t-tests to assess differences in social skills deficits between select subgroups, and correlation between SSASS and IDEAS scores. Results: The results indicated the profile of social skills deficits assessed among the inpatients with varied psychiatric diagnoses. The “psychosis” group exhibited significantly higher deficits than the “mood disorder” group. Results indicated high internal consistency of the SSASS and adequate criterion validity demonstrated by correlations with select IDEAS domains. Modifications were made to the SSASS following the pilot study. Conclusions: The SSASS has potential value as a measure for screening and individualised intervention plans for social skills training in mental health and rehabilitation settings. The implications for future work on the psychometric properties and clinical applications are discussed.

  6. A time series analysis of falls and injury in the inpatient rehabilitation setting.

    Science.gov (United States)

    Frisina, Pasquale G; Guellnitz, Rita; Alverzo, Joan

    2010-01-01

    The purpose of this study is to assess whether falls and injuries are influenced by a temporal pattern (defined as a pattern based on the time of day) in the inpatient acute rehabilitation unit/hospital (IRU/H) setting. A retrospective chart review and analysis of falls and injuries among inpatients admitted to our facility during a 9-month period was performed. The sample consisted of 367 patients who had fallen at least once; 71 had repeated falls, bringing the total number of falls to 438. Significant variation in the prevalence of falls (chi2 = 24.1, p <. 01) and injuries (chi2 = 12.90, p < .01) based on time of day and shift was observed. In addition, a temporal pattern of fall-related injuries with patients who had sustained stroke and brain injury (chi2 = 12.74, p = .045) was also observed. The findings from this study allow for the development of interventions that are appropriate when falls and injury are most prevalent for different clinical populations in the IRU/H setting.

  7. Development Trend and Existing Problems of the Vocational Rehabilitation Treatment Technology%高职高专康复治疗技术专业发展趋势及存在问题

    Institute of Scientific and Technical Information of China (English)

    王忠磊; 韩永达

    2013-01-01

      随着社会经济水平和科学技术的大幅度提升,患者对康复的要求也越来越高,康复凸显了在医疗方面的地位。康复人才的培养越来越受到重视,高职高专康复治疗技术发展迅猛,但也存在一些问题。本文将浅谈高职高专康复治疗技术专业的发展趋势及存在问题。%With a greatly improved level of social economy and science technology, patients of rehabilitation requirements are in-creasingly high, rehabilitation technology is also increasingly prominent position in the medical profession. More and more attention on rehabilitation training of talents, higher vocational rehabilitation treatment technology is developing rapidly, but there are also some problems. In this paper, we will talk about the discussion of development trend and existing problems of the vocational rehabil-itation treatment technology.

  8. Rehabilitation-Related Research on Disability and Employer Practices Using Individual-Based National and Administrative Data Sets

    Science.gov (United States)

    Nazarov, Zafar E.; Erickson, William A.; Bruyère, Susanne M.

    2014-01-01

    Objective: It is useful to examine workplace factors influencing employment outcomes of individuals with disabilities and the interplay of disability, employment-related, and employer characteristics to inform rehabilitation practice. Design: A number of large national survey and administrative data sets provide information on employers and can…

  9. Validation of the "Activity and participation" component of ICF Core Sets for stroke patients in Japanese rehabilitation wards

    Science.gov (United States)

    Kinoshita, Shoji; Abo, Masahiro; Miyamura, Kohei; Okamoto, Takatsugu; Kakuda, Wataru; Kimura, Ikuo; Urabe, Hiroshi

    2016-10-12

    To validate the International Classification of Functioning, Disability and Health (ICF) Core Set for stroke in the assessment of functional status and disability in Japanese stroke patients. The study included stroke patients admitted to the Kaifukuki (convalescent) rehabilitation wards. The comprehensive ICF Core Set for neurological conditions for post-acute care and the ICF rehabilitation set were evaluated with qualifiers assessed by the physiatrists at admission. The "activity and participation" (d) component was divided to sub-components (cognition-related activity, motor-related activity and participation). The correlations between numbers of problem categories in the entire "d" component and these sub-components in each ICF Core Set and the Functional Independence Measure (FIM) score were assessed using Spearman's correlation coefficient. A total of 117 post-stroke patients (mean age 70.1 ± 14.2 years, 53 women) were included. Correlation analysis identified significant and strong correlations between the values of the entire "d" component and sub-components (cognition-related activity and motor-related activity) of the 2 ICF Core Sets and FIM score. A significant, but weak, correlation between FIM and the participation sub-component was identified. The "d" component of these 2 ICF Core Sets reflects functional status and disability and could be a valid measure in post-acute stroke patients in the rehabilitation setting.

  10. Patients' preference for exercise setting and its influence on the health benefits gained from exercise-based cardiac rehabilitation

    DEFF Research Database (Denmark)

    Tang, Lars H.; Berg, Selina Kikkenborg; Christensen, Jan

    2017-01-01

    OBJECTIVE: To assess patient preference for exercise setting and examine if choice of setting influences the long-term health benefit of exercise-based cardiac rehabilitation. METHODS: Patients participating in a randomised controlled trial following either heart valve surgery, or radiofrequency......% CI: 37% to 53%, p=0.233). At baseline, those who preferred a home-based setting reported better physical health (mean difference in physical component score: 5.0, 95% CI 2.3 to 7.4; p=0.001) and higher exercise capacity (mean between group difference 15.9watts, 95% CI 3.7 to 28.1; p=0...... and provides similar health benefits. Whilst these findings support that patients should be given the choice between exercise-settings when initiating cardiac rehabilitation, further confirmatory evidence is needed....

  11. Pressure sores and pressure sore prevention in a rehabilitation setting: building information for improving outcomes and allocating resources.

    Science.gov (United States)

    Baggerly, J; DiBlasi, M

    1996-01-01

    Quantifiable information regarding pressure sore prevention and management is a prerequisite for program development, outcome evaluation, and resource allocation. In this study, all patients admitted to an acute rehabilitation setting (N = 446) during a 2-month period were assessed for the presence of a pressure sore, the risk for developing a pressure sore, the rate of agreement between "objective" (Braden scale) and "subjective" (standard nursing admission data) measures of risk and outcome, and the status of pressure sores at discharge. This article provides the details of the project and implications for rehabilitation nursing practice.

  12. Psychiatric Rehabilitation Idealized: Multi-Setting Uses and Strategies over the Course of Severe Mental Illness.

    Science.gov (United States)

    Corry, Rodney; Jewell, Thomas C.

    2001-01-01

    Describes a fictional case study that illustrates the usefulness of various psychiatric rehabilitation strategies over the long course of treatment for a consumer with chronic mental illness. Reviews the literature on specific psychiatric rehabilitation strategies as a way to introduce and clarify the use of psychiatric rehabilitation…

  13. State of the science on postacute rehabilitation: setting a research agenda and developing an evidence base for practice and public policy: an introduction

    Directory of Open Access Journals (Sweden)

    Heinemann Allen W

    2007-11-01

    Full Text Available Abstract The Rehabilitation Research and Training Center on Measuring Rehabilitation Outcomes and Effectiveness along with academic, professional, provider, accreditor and other organizations, sponsored a 2-day State-of-the-Science of Post-Acute Rehabilitation Symposium in February 2007. The aim of this symposium was to serve as a catalyst for expanded research on postacute care (PAC rehabilitation so that health policy is founded on a solid evidence base. The goals were to: (1 describe the state of our knowledge regarding utilization, organization and outcomes of postacute rehabilitation settings, (2 identify methodologic and measurement challenges to conducting research, (3 foster the exchange of ideas among researchers, policymakers, industry representatives, funding agency staff, consumers and advocacy groups, and (4 identify critical questions related to setting, delivery, payment and effectiveness of rehabilitation services. Plenary presentation and state-of-the-science summaries were organized around four themes: (1 the need for improved measurement of key rehabilitation variables and methods to collect and analyze this information, (2 factors that influence access to postacute rehabilitation care, (3 similarities and differences in quality and quantity of services across PAC settings, and (4 effectiveness of postacute rehabilitation services. The full set of symposium articles, including recommendations for future research, appear in Archives of Physical Medicine and Rehabilitation.

  14. Environmental design in acute care settings: a case study of a neurological rehabilitation unit.

    Science.gov (United States)

    McCunn, Lindsay J; Gifford, Robert

    2013-01-01

    The purpose of this case study was to examine environmental variables that lead to staff error in acute care settings: noise; lighting; ergonomics, furniture, and equipment; and patient room design and unit layout. Chaudhury, Mahmood, & Valente (2009) reviewed a number of design considerations related to reducing errors by nursing staff in acute care settings. The Neurological Rehabilitation Unit (NRU) at one hospital served to further examine the design recommendations outlined by Chaudhury et al. (2009). Based on photographs, a site tour, interviews with the NRU manager and with the son of a patient of 5 months, comparisons were made between the NRU and the acute care setting design considerations reviewed by Chaudhury et al. (2009). The NRU appeared to comply with many recommendations: enforced noise reduction was facilitated through limiting both the number of patients per room and the number of patients admitted to the unit. Distinct rooms were used for various tasks that helped to contain activity-based noise. A combination of daylighting and artificial lighting was in place, but efforts to control glare and thermal comfort were not integrated into the design. The ergonomic needs of employees were incorporated in the design of the NRU, and the layouts of patient rooms and the layout of the NRU in general also were compatible with the design recommendations reviewed by Chaudhury et al. (2009). Many of the design attributes advocated by Chaudhury et al. (2009) were included in the NRU. Supplemental research should be undertaken, however, to objectively measure nursing error, efficiency, and staff satisfaction with respect to the comparisons and assumptions presented in this study. Case study, design, hospital, satisfaction, staff.

  15. 48 CFR 871.208 - Rehabilitation facilities.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Rehabilitation facilities... Vocational Rehabilitation and Employment Service 871.208 Rehabilitation facilities. Charges by rehabilitation facilities for the rehabilitation services provided under 38 U.S.C. Chapter 31 are paid in the same manner as...

  16. Performance of the measures of processes of care for adults and service providers in rehabilitation settings

    Directory of Open Access Journals (Sweden)

    Bamm EL

    2015-06-01

    Full Text Available Elena L Bamm,1 Peter Rosenbaum,1,2 Seanne Wilkins,1 Paul Stratford11School of Rehabilitation Science, 2CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON, CanadaIntroduction: In recent years, client-centered care has been embraced as a new philosophy of care by many organizations around the world. Clinicians and researchers have identified the need for valid and reliable outcome measures that are easy to use to evaluate success of implementation of new concepts.Objective: The current study was developed to complete adaptation and field testing of the companion patient-reported measures of processes of care for adults (MPOC-A and the service provider self-reflection measure of processes of care for service providers working with adult clients (MPOC-SP(A.Design: A validation studySettings: In-patient rehabilitation facilities.Main outcome measures: MPOC-A and measure of processes of care for service providers working with adult clients (MPOC-SP(A.Results: Three hundred and eighty-four health care providers, 61 patients, and 16 family members completed the questionnaires. Good to excellent internal consistency (0.71–0.88 for health care professionals, 0.82–0.90 for patients, and 0.87–0.94 for family members, as well as moderate to good correlations between domains (0.40–0.78 for health care professionals and 0.52–0.84 for clients supported internal reliability of the tools. Exploratory factor analysis of the MPOC-SP(A responses supported the multidimensionality of the questionnaire.Conclusion: MPOC-A and MPOC-SP(A are valid and reliable tools to assess patient and service-provider accounts, respectively, of the extent to which they experience, or are able to provide, client-centered service. Research should now be undertaken to explore in more detail the relationships between client experience and provider reports of their own behavior.Keywords: client-centered care, service evaluation, MPOC, models of

  17. Implementation of ICF in goal setting in rehabilitation of children with chronic disabilities at Beitostolen Healthsports Centre.

    Science.gov (United States)

    Dalen, Hakon Erlend; Nyquist, Astrid; Saebu, Martin; Roe, Cecilie; Bautz-Holter, Erik

    2013-02-01

    Develop an International Classification of Functioning, Disability and Health (ICF) Code Set, useful in goal oriented rehabilitation of a study population of children with chronic disabilities. A triangulation of methods, using an interview to identify the main needs and goals of the study population, and a questionnaire to identify the main problems, with a registration of the frequency within each category. After qualitative and quantitative analyses this resulted in two sets of ICF categories. These two sets were then compared and merged into a proposed ICF Code Set for goal setting. Thirty categories were identified from the interviews and the following linking process. Problems were reported in all suggested categories within the ICF questionnaire, resulting in 49 categories. The comparison of the two sets of categories resulted in a proposed ICF Code Set of 40 categories. Through a triangulation of methods, we developed a tailored code set for the goal setting process in rehabilitation for children with a disability, taking into account both individual preferences and the health professionals' perspective. Although the external validity is limited, our methodological procedures may have relevance for the implementation of ICF in other clinical settings and populations.

  18. Selecting an optimal abbreviated ICF set for clinical practice among rehabilitants with subacute stroke: retrospective analysis of patient records.

    Science.gov (United States)

    Saltychev, Mikhail; Tarvonen-Schröder, Sinikka; Eskola, Merja; Laimi, Katri

    2013-06-01

    To evaluate the adequacy of abbreviated versions of International Classification of Functioning, Disability and Health (ICF) (the WHO ICF Checklist and the ICF Comprehensive Core Set for Stroke) with respect to the specific clinical needs of a stroke rehabilitation unit before their implementation at a practical level. Common descriptions of functional limitations were identified from patient records of 10 subsequent subacute stroke patients referred to an inpatient multiprofessional rehabilitation unit of a university hospital. These descriptions were then converted into ICF categories, and the list was compared with the ICF Checklist of the WHO and the ICF Comprehensive and Brief Core Sets for Stroke developed by the ICF Research Branch. From the study population (50% women), 71 different, second-level ICF categories were identified, averaging 36.4 categories/patient (SD 5.8, range 28-46). Except for one category, all of the categories identified were also found in the ICF Comprehensive Core Set for Stroke. Of the categories identified, 49 (69%) were found in the WHO ICF Checklist. All except one category included in the ICF Brief Core Set for Stroke were also in our list. The Comprehensive Core Set for Stroke was found to be a good potential starting point for the practical implementation of the ICF in a stroke rehabilitation unit.

  19. Rehabilitation of a patient with stroke

    Directory of Open Access Journals (Sweden)

    Apurba Barman

    2013-01-01

    Full Text Available Stroke is a significant cause of long-term disability world-wide. The post-stroke disabilities are due to loss of locomotion, activity of daily living, cognition and communication skills. Rehabilitation is an integral part of medical management and continues longitudinally through acute care, post-acute care and community reintegration. The objectives of stroke rehabilitation are to maximize the functional independence, minimize the disabilities, reintegrate back into the home and community and improve the self-esteem of patient. A comprehensive stroke rehabilitation service should provide early assessment of impairments and disabilities, management and prevention of complications and well-organized rehabilitation program in both in-patient and out-patient settings. A multidisciplinary or interdisciplinary team approach is necessary to reduce the post-stroke disabilities. It has many members, including physicians, physical therapists, occupational therapists, speech and language pathologists, orthotist, psychotherapists, social workers, vocational rehabilitation therapists, rehabilitation nurse, patients, families and other caregivers. Physicians caring for patients with stroke during rehabilitation must be aware of potential medical complications, as well as a number of special problems that may complicate recovery, including cognitive deficits, aphasia, dysphagia, urinary incontinence, shoulder pain, spasticity, falls and depression. Involvement of patient and caregivers in the rehabilitation process is essential. This article outlines the salient features of the early comprehensive rehabilitation after stroke.

  20. 38 CFR 21.400 - Veterans' Advisory Committee on Rehabilitation.

    Science.gov (United States)

    2010-07-01

    ... Committee on Rehabilitation. 21.400 Section 21.400 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and Employment Under 38 U.S.C. Chapter 31 Veterans' Advisory Committee on Rehabilitation § 21.400...

  1. Goal Setting for Cognitive Rehabilitation in Mild to Moderate Parkinson’s Disease Dementia and Dementia with Lewy Bodies

    Directory of Open Access Journals (Sweden)

    Tamlyn J. Watermeyer

    2016-01-01

    Full Text Available Alongside the physical symptoms associated with Parkinson’s disease dementia and dementia with Lewy bodies, health services must also address the cognitive impairments that accompany these conditions. There is growing interest in the use of nonpharmacological approaches to managing the consequences of cognitive disorder. Cognitive rehabilitation is a goal-orientated behavioural intervention which aims to enhance functional independence through the use of strategies specific to the individual’s needs and abilities. Fundamental to this therapy is a person’s capacity to set goals for rehabilitation. To date, no studies have assessed goal setting in early-stage Parkinson’s disease dementia or dementia with Lewy bodies. Semistructured interviews were carried out with 29 participants from an ongoing trial of cognitive rehabilitation for people with these conditions. Here, we examined the goal statements provided by these participants using qualitative content analysis, exploring the types and nature of the goals set. Participants’ goals reflected their motivations to learn new skills or improve performance in areas such as technology-use, self-management and orientation, medication management, and social and leisure activities. These results suggest that goal setting is achievable for these participants, provide insight into the everyday cognitive difficulties that they experience, and highlight possible domains as targets for intervention. The trial is registered with ISRCTN16584442 (DOI 10.1186/ISRCTN16584442 13/04/2015.

  2. An investigation into the functional outcomes of individuals with paraplegia, resulting from spinal cord injury, following discharge from a rehabilitation setting

    LENUS (Irish Health Repository)

    McNamara, Angela Dr.

    2005-01-01

    The purpose of this study was to investigate if changes occurred in the functional independence of spinal cord injured (SCI) patients, following discharge from a rehabilitation setting. The research was carried out on patients with a paraplegic injury, who underwent rehabilitation in the spinal injury unit of a Dublin based rehabilitation hospital. Eight male subjects residing in the Republic of Ireland were recruited to the study between October 2004 and May 2005.\\r\

  3. Designing A Model of Vocational Training Programs for Disables through ODL

    Directory of Open Access Journals (Sweden)

    Shaista MAJID

    2015-01-01

    Full Text Available This study was conducted to designing a model of vocational training programs for disables. For this purpose desk review was carried out and the vocational training models/programs of Israel, U.K., Vietnam, Japan and Thailand were analyzed to form a conceptual frame work of the model. Keeping in view the local conditions/requirements a model of vocational training program was proposed. The proposed model involved the vocational training plan for the job of cashier for mild group, receptionist for moderate and computer operator for severe group. It specified the type of disability as well involved in the training plan. The model recommended the vocational training of three levels of disability; mild, moderate and severe irrespective to the type. The model consisted of details of structure, objectives, professional support involved, vocational training plan and syllabus/activities, evaluation and on job training etc. International practices regarding VT mixed with the national existing situations were critically analyzed during desk review and finally a plan of VT for disables was proposed. A survey was conducted via a questionnaire to get opinion of the heads and senior vocational instructors of Federal Government vocational training and rehabilitation centers for PWDs. The collected data was statistically analyzed to quantify the suggestions on proposed model. The major findings included that all stakeholders considered VT helpful in rehabilitation of PWDs. All heads and vocational instructors are willing to adopt this model, minimum or no extra funds are needed in its implementation, the vocational teacher employed in the centers can easily manage to adopt this model at their centers because no extra training is required for the staff and they all endorse the VT plan proposed in this model. A vocational training model is required to reduce socio-economic gap and to set professional standards by developing human resources trained in trades. The

  4. Assessement of serum amyloid A levels in the rehabilitation setting in the Florida manatee (Trichechus manatus latirostris).

    Science.gov (United States)

    Cray, Carolyn; Dickey, Meranda; Brewer, Leah Brinson; Arheart, Kristopher L

    2013-12-01

    The acute phase protein serum amyloid A (SAA) has been previously shown to have value as a biomarker of inflammation and infection in many species, including manatees (Trichechus manatus latirostris). In the current study, results from an automated assay for SAA were used in a rehabilitation setting. Reference intervals were established from clinically normal manatees using the robust method: 0-46 mg/L. More than 30-fold higher mean SAA levels were observed in manatees suffering from cold stress and boat-related trauma. Poor correlations were observed between SAA and total white blood count, percentage of neutrophils, albumin, and albumin/globulin ratio. A moderate correlation was observed between SAA and the presence of nucleated red blood cells. The sensitivity of SAA testing was 93% and the specificity was 98%, representing the highest combined values of all the analytes. The results indicate that the automated method for SAA quantitation can provide important clinical data for manatees in a rehabilitation setting.

  5. Brain evoked potential use in a physical medicine and rehabilitation setting.

    Science.gov (United States)

    Rappaport, M; Hopkins, K; Hall, K; Belleza, T; Berrol, S

    1978-01-01

    The objective of this effort was to explore the use of evoked potential (EP) procedure on a head injury unit in a Department of Physical Medicine and Rehabilitation. The method employed both auditory and visual stimulation presented bilaterally to various patients. Recordings of the brain's responses to such stimulation were obtained. Results permitted evaluation of brain stem, subcortical and cortical functioning, ipsilaterally, contralaterally, and bilaterally. EP data provided useful information for patient assessment and rehabilitation planning for head injured patients--particularly for those who were unable to cooperate in their own examination.

  6. A Rehabilitation Living Unit in a University Dormitory Setting. Final Report.

    Science.gov (United States)

    Sinnett, E. Robert; Sachson, Angela D.

    A rehabilitation living unit founded on the halfway house and therapeutic community models was established in a university residence hall to provide a resource for emotionally disturbed students who might otherwise require hospitalization or have to leave school. An initial baseline study indicated that a large number of scholastically able…

  7. An Annotated Bibliography of Current Literature Dealing with Stroke Education Programs in a Physical Rehabilitation Setting.

    Science.gov (United States)

    Donohue, Ann Teresa

    This study makes available to nurses and other rehabilitation team members pertinent information to meet stroke patients' educational needs. The study was conducted to support the theory that those patients and families who actively participate in a stroke education program will more positively cope with the losses resulting from the disability…

  8. Recovery from Schizophrenia in Community-Based Psychosocial Rehabilitation Settings: Rates and Predictors

    Science.gov (United States)

    Lim, Caroline; Barrio, Concepción; Hernandez, Mercedes; Barragán, Armando; Brekke, John S.

    2017-01-01

    Objective: We assessed the rate of recovery from schizophrenia in community-based psychosocial rehabilitation and whether psychosocial attributes predicted the achievement of recovery beyond demographic and clinical characteristics. Methods: We used data from 246 individuals with schizophrenia spectrum disorder collected at baseline and at 6 and…

  9. An Annotated Bibliography of Current Literature Dealing with Stroke Education Programs in a Physical Rehabilitation Setting.

    Science.gov (United States)

    Donohue, Ann Teresa

    This study makes available to nurses and other rehabilitation team members pertinent information to meet stroke patients' educational needs. The study was conducted to support the theory that those patients and families who actively participate in a stroke education program will more positively cope with the losses resulting from the disability…

  10. Rehabilitation goal setting with community dwelling adults with acquired brain injury: a theoretical framework derived from clinicians' reflections on practice.

    Science.gov (United States)

    Prescott, Sarah; Fleming, Jennifer; Doig, Emmah

    2017-06-11

    The aim of this study was to explore clinicians' experiences of implementing goal setting with community dwelling clients with acquired brain injury, to develop a goal setting practice framework. Grounded theory methodology was employed. Clinicians, representing six disciplines across seven services, were recruited and interviewed until theoretical saturation was achieved. A total of 22 clinicians were interviewed. A theoretical framework was developed to explain how clinicians support clients to actively engage in goal setting in routine practice. The framework incorporates three phases: a needs identification phase, a goal operationalisation phase, and an intervention phase. Contextual factors, including personal and environmental influences, also affect how clinicians and clients engage in this process. Clinicians use additional strategies to support clients with impaired self-awareness. These include structured communication and metacognitive strategies to operationalise goals. For clients with emotional distress, clinicians provide additional time and intervention directed at new identity development. The goal setting practice framework may guide clinician's understanding of how to engage in client-centred goal setting in brain injury rehabilitation. There is a predilection towards a client-centred goal setting approach in the community setting, however, contextual factors can inhibit implementation of this approach. Implications for Rehabilitation The theoretical framework describes processes used to develop achievable client-centred goals with people with brain injury. Building rapport is a core strategy to engage clients with brain injury in goal setting. Clients with self-awareness impairment benefit from additional metacognitive strategies to participate in goal setting. Clients with emotional distress may need additional time for new identity development.

  11. Burn Rehabilitation

    Directory of Open Access Journals (Sweden)

    Koray Aydemir

    2011-07-01

    Full Text Available Burn injuries are important in terms of causing serious disability and threatening life. With the establishment of modern burn treatment units and advances in acute care management contributed to a reduced mortality rate over the last decades. As a result of improved outcome, more attention has to be given to a comprehensive burn rehabilitation program. Burn rehabilitation is a process that starts from day of admission and continues for months or sometimes years after the initial event. The term ‘burn rehabilitation’ incorporates the physical, physiological and social aspects of care. Burns can leave a patient with severely debilitating and deforming contractures, which can lead to significant disability when left untreated. Burn rehabilitation aims to prevent the possible complications, minimalize joint contractures and deformities, increase range of motion, control hypertrophic scarring, achieve the best possible functional capacity and to regain the patients vocational and recreational activities. (Journal of the Turkish Society Intensive Care 2011; 9 Suppl: 70-7

  12. Developing an outpatient wound care clinic in an acute rehabilitation setting.

    Science.gov (United States)

    Sheehan, Diane Dudas; Zeigler, Mary H

    2010-01-01

    People with disability are at high risk for skin breakdown,which requires ongoing prevention and management. An outpatient rehabilitation wound clinic was developed to handle a variety of acute and chronic wounds for this unique population. This article describes how two advanced practice nurses proposed the idea for the wound care clinic and formulated a business plan, which was critical to successfully administering an outpatient wound care service. Essential components of the business plan included the goals, scope of service, professional practice model, benefits, rationale, marketing analysis, predicted volumes, regulatory imperatives, and financial needs.

  13. A STUDY OF THE OCCUPATIONAL STATUS OF THE YOUNG ADULT DEAF OF THE SOUTHWEST AND THEIR NEED FOR SPECIALIZED VOCATIONAL REHABILITATION FACILITIES. FINAL REPORT.

    Science.gov (United States)

    BLAKE, GARY D.; KRONENBERG, HENRY H.

    AN INTERVIEW-QUESTIONNAIRE STUDY WAS MADE TO INVESTIGATE THE OCCUPATIONAL STATUS AND OPPORTUNITIES OF YOUNG DEAF ADULTS, AND WHETHER FURTHER VOCATIONAL PREPARATION WOULD ENHANCE THEIR VOCATIONAL OPPORTUNITIES. ON-THE-JOB DIFFICULTIES WERE REVIEWED. THE MAJORITY OF THOSE INTERVIEWED SAW A NEED FOR POST-SCHOOL TRAINING. SEVERAL TYPES OF PROGRAMS…

  14. Prediction of behavioural and cognitive deficits in patients with traumatic brain injury at an acute rehabilitation setting.

    Science.gov (United States)

    de Guise, E; LeBlanc, J; Feyz, M; Lamoureux, J; Greffou, S

    2017-01-01

    The goal of this study was to identify factors that would predict short-term neuropsychological outcome in patients with traumatic brain injury (TBI) hospitalized in an acute rehabilitation setting. Data was collected in the context of an acute early rehabilitation setting of a trauma centre. A brief neuropsychological assessment was carried out for 348 patients within a month following their trauma. Length of post-traumatic amnesia (PTA) was the best predictor of behavioural, memory and executive function variables within a month post TBI. The odds of being agitated, labile, irritable and disinhibited at one month post trauma were almost six times higher for those with PTA that lasted more than 7 days compared to those with a PTA of less than 24 hours. Also, the odds of having a higher mental manipulation score (less significant executive function impairment) were almost two times lower for those with frontal lesions, and three to six times lower for those with PTA of more than 24 hours. In addition, TBI severity, education and age were considered good predictors of some aspects of neuropsychological outcome. This model may help clinicians and administrators recognize the probable post-traumatic deficits as quickly as possible and to plan interventions as well as post-acute discharge orientation accordingly and early on.

  15. Can we address depression in vision rehabilitation settings? Professionals' perspectives on the barriers to integrating problem-solving treatment.

    Science.gov (United States)

    Holloway, Edith; Sturrock, Bonnie; Lamoureux, Ecosse; Keeffe, Jill; Hegel, Mark; Casten, Robin; Mellor, David; Rees, Gwyneth

    2016-11-20

    Low vision rehabilitation (LVR) is a pertinent context for integrating early, evidence-based psychological interventions given the high prevalence of untreated depression in adults with vision impairment. This study aims to identify the perceived barriers and facilitators to staff-delivered telephone-based problem-solving treatment for primary care (PST-PC) offered as an integrated component of LVR. Qualitative semi-structured interviews, developed using the theoretical domains framework (TDF) and Consolidated Framework for Implementation Research (CFIR), were conducted with 21 LVR professionals and a clinical psychologist involved in the delivery of PST-PC. Barriers and facilitators at the practitioner, client, intervention, and organizational level were identified with thematic analysis using a "theoretical" approach. Prominent barriers were a lack of role recognition for PST-PC practitioners (n = 32), unmet client expectation with PST-PC (n = 28), dissatisfaction with telephone delivery (n = 27), and limited organizational awareness of PST-PC (n = 39). Facilitating factors included a recognized need for evidence-based psychological services (n = 28), clients experiencing benefits in early sessions (n = 38), PST-PC promoting practical skills (n = 26), and comprehensive PST-PC training (n = 36). PST-PC may provide an accessible early intervention for LVR clients with depressive symptoms. Ongoing practitioner training, clinical support, and screening potential LVR clients for treatment suitability are likely to enhance delivery in this setting. Implications for rehabilitation Depression is highly prevalent in adults engaged in low vision rehabilitation (LVR) programs, yet few receive support. Clinical guidelines recommend integrated models of care be offered within rehabilitation settings as early intervention for mild to moderate levels of depressive symptoms. Integrated telephone-based problem-solving treatment for primary care

  16. Final priority; Rehabilitation Training: Rehabilitation Long-Term Training program--rehabilitation specialty areas. Final priority.

    Science.gov (United States)

    2014-07-23

    The Assistant Secretary for Special Education and Rehabilitative Services announces a priority under the Rehabilitation Training: Rehabilitation Long-Term Training program. The Assistant Secretary may use this priority for competitions in fiscal year (FY) 2014 and later years in order to fund any of the rehabilitation specialty areas listed in this notice. The specific rehabilitation specialty areas to be funded in a given year will be listed in a notice inviting applications. This priority is designed to ensure that the Department funds high-quality rehabilitation programs in the following nine rehabilitation specialty areas of national need: Rehabilitation Administration (84.129C); Rehabilitation Technology (84.129E); Vocational Evaluation and Work Adjustment (84.129F); Rehabilitation of Individuals Who Are Mentally Ill (84.129H); Rehabilitation Psychology (84.129J); Rehabilitation of Individuals Who are Blind or Have Vision Impairments (84.129P); Rehabilitation of Individuals Who are Deaf or Hard of Hearing (84.129Q); Job Development and Job Placement Services (84.129R); and Comprehensive System of Personnel Development (84.129W). These programs must meet rigorous standards in order to provide rehabilitation professionals the training and qualifications necessary to meet the current challenges facing State vocational rehabilitation (VR) agencies and related agencies and assist individuals with disabilities in achieving high-quality employment outcomes.

  17. 规范化职业康复护理对手外伤患者重返工作的影响%Effects of normalized vocational rehabilitation nursing on returning to work after hand injury

    Institute of Scientific and Technical Information of China (English)

    刘月花

    2012-01-01

    目的 探讨规范化职业康复护理对手外伤患者重返工作的影响.方法 选择2009年1~12月本院收治的136例手外伤患者,术后进行规范化的职业康复护理,观察患者手功能的恢复情况及其重返工作岗位的情况.结果 术后随访6个月~2年,中位随访时间1.1年,103例患者随访成功,33例失访.其中获得随访的103例患者手功能恢复优36例、良57例、可7例、差3例,优良率为90.3%:重返工作岗位92例,重返工作率89.3%.结论 手外伤患者术后存在手功能障碍的问题,对重返工作带来影响,而规范化的职业康复护理能有效促进患者按步骤进行康复锻炼,提高患者的治疗效果,有利于患者早日恢复工作.%Objective To investigate the effects of normalized vocational rehabilitation nursing on returning to work after hand injury. Methods A total of 136 patients with hand injury from our hospital involved in the study from January to December 2009. After surgery they were treated with normalized vocational rehabilitation nursing, their hands' working conditions and their resumption to work recorded. Results Follow-up ranged from 6 months to 2 years, averaged 1.1 years after surgery. 103 patients had their hand functions recovered, among whom 36 reached excellent recovery in their hand function, 57 good, 7 fairly good and 3 poor, with a good rate of 90.3%. 92 patients returned to work, taking up 89.3%. Conclusions The patients with hand injury usually suffer from a problem of hand dysfunction, which affects their returning to work. The normalized vocational rehabilitation nursing can effectively lead the patients to carry out rehabilitation exercise step by step, improve their therapeutic efficacy, and help them return to work as soon as possible.

  18. Vocational rehabilitation services for patients with cancer: design of a feasibility study incorporating a pilot randomised controlled trial among women with breast cancer following surgery

    Directory of Open Access Journals (Sweden)

    Ayansina Dolapo

    2011-03-01

    Full Text Available Abstract Background Due to improvements in cancer survival the number of people of working age living with cancer across Europe is likely to increase. UK governments have made commitments to reduce the number of working days lost to ill-health and to improve access to vocational rehabilitation (VR services. Return to work for people with cancer has been identified as a priority. However, there are few services to support people to remain in or return to work after cancer and no associated trials to assess their impact. A pilot randomised controlled trial among women with breast cancer has been designed to assess the feasibility of a larger definitive trial of VR services for people with cancer. Methods Patients are being recruited from three clinical sites in two Scottish National Health Service (NHS Boards for 6 months. Eligible patients are all women who are: (1 aged between 18 and 65 years; (2 in paid employment or self-employed; (3 living or working in Lothian or Tayside, Scotland, UK; (4 diagnosed with an invasive breast cancer tumour; (5 treated first with surgery. Patients are randomly allocated to receive referral to a VR service or usual care, which involves no formal employment support. The primary outcome measure is self-reported sickness absence in the first 6 months following surgery. Secondary outcome measures include changes in quality of life (FACT-B, fatigue (FACIT-Fatigue and employment status between baseline and 6- and 12-months post-surgery. A post-trial evaluation will be conducted to assess the acceptability of the intervention among participants and the feasibility of a larger, more definitive, trial with patients with lung and prostate cancer. Discussion To our knowledge this is the first study to determine the feasibility of a randomised controlled trial of the effectiveness of VR services to enable people with cancer to remain in or return to employment. The study will provide evidence to assess the relevance and

  19. Interdisciplinary rehabilitation

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    @@ IntroductionInterdisciplinary rehabilitation, or care by a team of rehabilitation professionals, has been a core strategy of rehabilitation medicine since its beginning. As a result, quality assessments of these programs universally include evaluating the effectiveness of their interdisciplinary teams. Rehabilitation programs for individuals with physical and cognitive disabilities originally were institutionally based, an environment that facilitated the communication needed for interdisciplinary care. These programs addressed a full spectrum of problems, including health, physical functioning, psychological adjustment, social integration, and vocational or other significant role participation. The implementation of truly interdisciplinary programs has always been difficult because of this complexity, but recent restrictions in the resources available to provide rehabilitation have increased this difficulty. With less professional time available because of limited funds, the interdisciplinary process is being challenged to show its value, and to be as efficient as possible.This paper discusses the benefits to be gained through the interdisciplinary process, factors that reduce its cost effectiveness and strategies to maintain its advantages at the least possible cost.

  20. 38 CFR 21.140 - Evaluation and improvement of rehabilitation potential.

    Science.gov (United States)

    2010-07-01

    ... rehabilitation or independent living; (ii) A suitable vocational rehabilitation program; or (iii) A suitable independent living program. (3) Reevaluate the vocational rehabilitation or independent living potential of a veteran participating in a rehabilitation program under Chapter 31, as necessary. (4) Enable a veteran...

  1. 38 CFR 21.78 - Approving more than 48 months of rehabilitation.

    Science.gov (United States)

    2010-07-01

    ... months of rehabilitation. 21.78 Section 21.78 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and Employment Under 38 U.S.C. Chapter 31 Duration of Rehabilitation Programs § 21.78 Approving more than...

  2. Application of ''Protocollo di Minima per l'ictus'' (PMIC- Minimal Protocol for Stroke) for inpatient rehabilitation setting.

    Science.gov (United States)

    Piazzini, D B; Ferrara, P E; Maggi, L; Frasca, G; Aprile, I; Rabini, A; Specchia, A; Bertolini, C

    2008-09-01

    The aim of this study was to describe the baseline characteristics of a sample of stroke patients admitted to rehabilitation settings with the use of a standardised stroke assessment named ''Protocollo di Minima per l'ictus cerebrale'' (PMIC), to verify the usefulness of the application of PMIC and to compare the data of the authors with the international literature. An observational cross sectional study was conducted on a sample of 102 first-time stroke patients (mean age: 71.9 [+/-11.6], 54 men), in three inpatient rehabilitation centres. PMIC. Most patients were enrolled within 14 days of stroke onset. PMIC assessment took on average 20 minutes and provided the following information: 35% had architectural barriers in their homes; 82% of the cases had 1 or more family assistants; the educational level was low for 53%; 72% were retired; most cases were ischemic stroke without any side predominance being shown; 44% had partial anterior circulation infarcts (PACI) ischemic stroke; 18.6% presented dysphagia; 73% had sphincteral incontinence; there was no hypertone in more than 50% of the cases; 87% required assistance; the median Motricity Index Side Score (Miss) value was 44.1; 38% was affected by mood tone alteration. PMIC appeared to be a useful tool for a standardized evaluation of stroke patients. These results provide data with a high correspondence in international reports.

  3. What is current practice for upper limb rehabilitation in the acute hospital setting following stroke? A systematic review.

    Science.gov (United States)

    Serrada, Ines; McDonnell, Michelle N; Hillier, Susan L

    2016-07-15

    To investigate the amount of time and types of interventions used during therapy sessions in the acute setting following stroke. A systematic search of relevant databases was conducted. Studies were eligible if they were observational studies of adults with a confirmed diagnosis and within 4 weeks post-stroke; receiving Physiotherapy (PT) and/or Occupational Therapy (OT); and the outcome included amount of therapy time devoted to UL and/or types of interventions. Two authors independently selected studies for inclusion, assessed methodological quality and extracted data. This review is reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. From the 94 studies reviewed, seven studies involving 3236 participants met the inclusion criteria. Pooled results indicated that 7.9 min/day (21.4%) of a total 36.7 min/day combined PT and OT session was devoted to UL therapy. Two of the seven studies reported types of interventions, predominantly upper limb activity and control. A small proportion of total PT and OT time is directed to the involved UL during acute rehabilitation. Given the evidence for early and intense rehabilitation, there is a need to explore the reasons for this low intensity of UL therapy in the acute stage post-stroke.

  4. 38 CFR 21.53 - Reasonable feasibility of achieving a vocational goal.

    Science.gov (United States)

    2010-07-01

    ... VETERANS AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and... employment handicap, or (2) A serious employment handicap. (Authority: 38 U.S.C. 3106(a)) (b) Definition. The... achievement of a vocational goal is not currently reasonably feasible, VA shall provide the...

  5. American and British Mental Health Workers Look at Rehabilitation

    Science.gov (United States)

    Askenasy, Alexander R.

    1969-01-01

    Study supported by funds from the Vocational Rehabilitation Administration, the Research Institute for the Study of Man, the Postgraduate Center for Mental Health, and Smith Kline & French Laboratories.

  6. Comparing "pick and place" task in spatial Augmented Reality versus non-immersive Virtual Reality for rehabilitation setting.

    Science.gov (United States)

    Khademi, Maryam; Hondori, Hossein Mousavi; Dodakian, Lucy; Cramer, Steve; Lopes, Cristina V

    2013-01-01

    Introducing computer games to the rehabilitation market led to development of numerous Virtual Reality (VR) training applications. Although VR has provided tremendous benefit to the patients and caregivers, it has inherent limitations, some of which might be solved by replacing it with Augmented Reality (AR). The task of pick-and-place, which is part of many activities of daily living (ADL's), is one of the major affected functions stroke patients mainly expect to recover. We developed an exercise consisting of moving an object between various points, following a flash light that indicates the next target. The results show superior performance of subjects in spatial AR versus non-immersive VR setting. This could be due to the extraneous hand-eye coordination which exists in VR whereas it is eliminated in spatial AR.

  7. The "Rubella Bulge" and Vocational Planning.

    Science.gov (United States)

    Wyks, Hollis W.

    1980-01-01

    The increased numbers and additional handicaps of deaf students born in the 1963-65 rubella epidemic require not more postsecondary programs, but rather strengthened programs and rehabilitation approaches to vocational and independent living skill training. (Author/CL)

  8. Rehabilitation challenges in multiple sclerosis.

    Science.gov (United States)

    Burks, Jack S; Bigley, George Kim; Hill, Harry Haydon

    2009-10-01

    While current immunomodulating drugs aim to reduce multiple sclerosis (MS) exacerbations and slow disease progression, rehabilitation aims to improve and maintain the functional abilities of patients in the face of disease progression. An increasing number of journal articles are describing the value of the many rehabilitation interventions that can be used throughout the course of the disease, from the initial symptoms to the advanced stages. An integrated team of healthcare professionals is necessary to address a myriad of problems to reduce impairments, disabilities, and handicaps. The problems may be related to fatigue, weakness, spasticity, mobility, balance, pain, cognition, mood, relationships, bowel, bladder, sexual function, swallowing, speech, transportation, employment, recreation, and activities of daily living (ADL) such as dressing, eating, bathing, and household chores. The team can help prevent complications and secondary disabilities, while increasing patient safety. Improving neurologically related function, maintaining good relationships, and feeling productive and creative adds enormously to the quality of life of people with MS and their families. Rehabilitation is more than an 'extra' service that is given after medical therapies; it is an integral part of the management of the diverse set of problems encountered throughout the course of the disease. An interdisciplinary team may have many members, including physicians, nurses, physical therapists, occupational therapists, speech and language pathologists, psychotherapists, social workers, recreational therapists, vocational rehabilitation therapists, patients, families, and other caregivers.

  9. Rehabilitation challenges in multiple sclerosis

    Directory of Open Access Journals (Sweden)

    Burks Jack

    2009-01-01

    Full Text Available While current immunomodulating drugs aim to reduce multiple sclerosis (MS exacerbations and slow disease progression, rehabilitation aims to improve and maintain the functional abilities of patients in the face of disease progression. An increasing number of journal articles are describing the value of the many rehabilitation interventions that can be used throughout the course of the disease, from the initial symptoms to the advanced stages. An integrated team of healthcare professionals is necessary to address a myriad of problems to reduce impairments, disabilities, and handicaps. The problems may be related to fatigue, weakness, spasticity, mobility, balance, pain, cognition, mood, relationships, bowel, bladder, sexual function, swallowing, speech, transportation, employment, recreation, and activities of daily living (ADL such as dressing, eating, bathing, and household chores. The team can help prevent complications and secondary disabilities, while increasing patient safety. Improving neurologically related function, maintaining good relationships, and feeling productive and creative adds enormously to the quality of life of people with MS and their families. Rehabilitation is more than an ′extra′ service that is given after medical therapies; it is an integral part of the management of the diverse set of problems encountered throughout the course of the disease. An interdisciplinary team may have many members, including physicians, nurses, physical therapists, occupational therapists, speech and language pathologists, psychotherapists, social workers, recreational therapists, vocational rehabilitation therapists, patients, families, and other caregivers.

  10. Time and Cost Analysis: Pediatric Dental Rehabilitation with General Anesthesia in the Office and the Hospital Settings

    Science.gov (United States)

    Rashewsky, Stephanie; Parameswaran, Ashish; Sloane, Carole; Ferguson, Fred; Epstein, Ralph

    2012-01-01

    Pediatric dental patients who cannot receive dental care in the clinic due to uncooperative behavior are often referred to receive dental care under general anesthesia (GA). At Stony Brook Medicine, dental patients requiring treatment with GA receive dental care in our outpatient facility at the Stony Brook School of Dental Medicine (SDM) or in the Stony Brook University Hospital ambulatory setting (SBUH). This study investigates the time and cost for ambulatory American Society of Anesthesiologists (ASA) Class I pediatric patients receiving full-mouth dental rehabilitation using GA in these 2 locations, along with a descriptive analysis of the patients and dental services provided. In this institutional review board–approved cross-sectional retrospective study, ICD-9 codes for dental caries (521.00) were used to collect patient records between July 2009 and May 2011. Participants were limited to ASA I patients aged 36–60 months. Complete records from 96 patients were reviewed. There were significant differences in cost, total anesthesia time, and recovery room time (P anesthesia end time minus anesthesia start time) to treat a child at SBUH under GA was 222 ± 62.7 minutes, and recovery time (time of discharge minus anesthesia end time) was 157 ± 97.2 minutes; the average total cost was $7,303. At the SDM, the average total time was 175 ± 36.8 minutes, and recovery time was 25 ± 12.7 minutes; the average total cost was $414. After controlling for anesthesia time and procedures, we found that SBUH cost 13.2 times more than SDM. This study provides evidence that ASA I pediatric patients can receive full-mouth dental rehabilitation utilizing GA under the direction of dentist anesthesiologists in an office-based dental setting more quickly and at a lower cost. This is very promising for patients with the least access to care, including patients with special needs and lack of insurance. PMID:23241037

  11. Obesity treatment: results after 4 years of a Nutritional and Psycho-Physical Rehabilitation Program in an outpatient setting.

    Science.gov (United States)

    Donini, Lorenzo M; Cuzzolaro, Massimo; Gnessi, Lucio; Lubrano, Carla; Migliaccio, Silvia; Aversa, Antonio; Pinto, Alessandro; Lenzi, Andrea

    2014-06-01

    Obesity is a chronic disease as well as a risk factor for cardiovascular, metabolic and osteoarticular diseases, affecting the psychosocial health and the quality of life. Recent evidence suggests that the adequate treatment of obesity should provide a multidimensional multidisciplinary approach including nutritional therapy, psycho-educational classes and physical reconditioning/motor rehabilitation. The aim of this approach should be to maintain the results over time with a positive impact on the obesity-related cardiovascular and metabolic risk. To evaluate the effectiveness of a multidisciplinary Nutritional and Psycho-Physical Reconditioning Program (NPPRP) in an outpatient setting. The observational prospective cohort study involved subjects, aged from 18 to 65 years, with a BMI >30 kg/m(2), who were followed up over 48 months. After the first nutritional and psychological examination, patients who refused NPPRP were treated according to standard nutrition procedures (SNT). Patients were followed through monthly medical examinations and then by annual telephonic structured interviews for 4 years. Changes in body weight, eating behavior, physical activity performance, and the occurrence of clinical obesity-related complications were considered as outcome measures. Of 464 enrolled patients, 161 (34.7%) took part in the follow-up. From the enrollment to the end of follow-up, weight loss was greater in the NPPRP group than in the SNP group (-8.08 ± 10 kg versus -3.0 ± 6 kg). After 4 years eating behavior improved in both groups. The percentage of patients who continued to perform physical activity was higher in the NPPRP group than in the SNT group (61.0 versus 34.1%). The SNT group reported complications more frequently than the NPPRP group: hypertension (19 versus 5.8%), dyslipidemia (19.4 versus 12.7%), and skeletal problems (26.9 versus 17.5%). The main reasons for drop-out from the rehabilitation program were logistic problems (distance or time) in both

  12. The effect of skeletal pattern on determining articulator settings for prosthodontic rehabilitation: an in vivo study.

    LENUS (Irish Health Repository)

    Canning, Tom

    2011-01-01

    During extensive prosthodontic treatment, the use of an accurately adjusted articulator is recommended to simulate mandibular movements. This clinical study was undertaken to assess any possible effect of the underlying skeletal pattern on programming articulator settings.

  13. Vestibular Balance Deficits Following Head Injury: Recommendations Concerning Evaluation and Rehabilitation in the Military Setting

    Science.gov (United States)

    2012-02-27

    to the stump of an amputee in order to help get rid of phantom limb sensation, which he granted is not an ambulatory application, per se. No...projectiles). Injuries and syndromes associated with IED exposure have been described by a complicated set of overlapping constructs, including Traumatic...Brain Injury (TBI), concussion, post-concussion syndrome , labyrinthine concussion, whiplash injury, and vestibular migraine (Lawson & Rupert, 2010

  14. Mapping the rehabilitation interventions of a community stroke team to the extended International Classification of Functioning, Disability and Health Core Set for Stroke.

    Science.gov (United States)

    Evans, Melissa; Hocking, Clare; Kersten, Paula

    2017-12-01

    This study aim was to evaluate whether the Extended International Classification of Functioning, Disability and Health Core Set for Stroke captured the interventions of a community stroke rehabilitation team situated in a large city in New Zealand. It was proposed that the results would identify the contribution of each discipline, and the gaps and differences in service provision to Māori and non-Māori. Applying the Extended International Classification of Functioning, Disability and Health Core Set for Stroke in this way would also inform whether this core set should be adopted in New Zealand. Interventions were retrospectively extracted from 18 medical records and linked to the International Classification of Functioning, Disability and Health and the Extended International Classification of Functioning, Disability and Health Core Set for Stroke. The frequencies of linked interventions and the health discipline providing the intervention were calculated. Analysis revealed that 98.8% of interventions provided by the rehabilitation team could be linked to the Extended International Classification of Functioning, Disability and Health Core Set for Stroke, with more interventions for body function and structure than for activities and participation; no interventions for emotional concerns; and limited interventions for community, social and civic life. Results support previous recommendations for additions to the EICSS. The results support the use of the Extended International Classification of Functioning, Disability and Health Core Set for Stroke in New Zealand and demonstrates its use as a quality assurance tool that can evaluate the scope and practice of a rehabilitation service. Implications for Rehabilitation The Extended International Classification of Functioning Disability and Health Core Set for Stroke appears to represent the stroke interventions of a community stroke rehabilitation team in New Zealand. As a result, researchers and clinicians may have

  15. Occupational therapy for complex inpatients with stroke: identification of occupational needs in post-acute rehabilitation setting.

    Science.gov (United States)

    Schiavi, Margherita; Costi, Stefania; Pellegrini, Martina; Formisano, Debora; Borghi, Sergio; Fugazzaro, Stefania

    2017-02-07

    Inpatients admitted to rehabilitation express needs not linked to disease causing hospitalization. This observational cross-sectional study identifies features and occupational needs of complex inpatients during rehabilitation, focusing on function and ability, regardless of diagnosis. This study included sixteen adult inpatients with stroke, deemed complex according to Rehabilitation Complexity Scale-Extended, at admission to Rehabilitation ward (from July 2014 to February 2015). Patients with primary psychiatric disorders, language barriers, cognitive or severe communication deficits were excluded. Upon admission, a multidisciplinary team collected data on general health, independence in daily activities (Modified Barthel Index), fatigue (Fatigue Severity Scale), resistance to sitting and ability to perform instrumental activities (Instrumental Activities of Daily Living). The occupational therapist identified occupational needs according to Canadian Occupational Performance Measure. Inpatients enrolled in this study were dependent in basic ADL, limited in instrumental ADL and easily fatigable. Their occupational needs related to self-care (75%) and, to a lesser extent, productivity (15%) and leisure (10%). According to inpatients, rehabilitation process should firstly address self-care needs, followed by productivity and leisure problems. Despite small sample size, this study described patterns of occupational needs in complex inpatients with stroke. These results will be implemented in client-centered rehabilitation programs to be tested in a phase-two trial. [NCT02173197] Implications for Rehabilitation Priority occupational needs of complex inpatients with stroke during rehabilitation are focused on self-care area. Productivity and leisure problems also arise in early post-acute phase. Client-centered rehabilitation programs should firstly address self-care needs and, later on, they should also focus on the recovery of family and social roles.

  16. On the Settings of Five- Year Vocational Colleges' Moral Education%关于五年制高职德育课程设置的思考

    Institute of Scientific and Technical Information of China (English)

    李新萍

    2012-01-01

    德育课程设置由德育目标内容决定,五年制高职的德育目标应包括道德品质、思想品质、心理品质、政治品质等几个方面,在此基础上,参考中职和高校的课程设置,结合学制特点,依据高职生成长和认识的规律,确定五年制高职德育课程设置。%Moral education' content setting is determined by morality target, such content of five - year schooling should include aspects of qualities of morality, ideology, psychology and politics. Based on which, the essay referring curricula settings of moderate school and colleges, combined with systematic characteristics and in accordance with vocational students'development and recognition regularity to confirm its moral curricula settings.

  17. The European physical and rehabilitation medicine journal network: historical notes on national journals.

    Science.gov (United States)

    Negrini, S; Ilieva, E; Moslavac, S; Zampolini, M; Giustini, A

    2010-06-01

    In the last 40 years, physical and rehabilitation medicine (PRM) has made significant steps forward in Europe with the foundation of the European Federation of Physical Medicine and Rehabilitation (EFPMR) (1963) which gave rise to the European Society of Physical and Rehabilitation Medicine (ESPRM) (2004) the European Academy of Rehabilitation Medicine (1970), the PRM Section of the European Union of Medical Specialists (1974), and the European Board of PRM (1991). Our journal, formerly Europa Medico-physica (1964), the official journal of the EFPMR, now European Journal of Physical and Rehabilitation Medicine (EJPRM) and official journal of the ESPRM since 2008, is distinct for its steadfast European vocation, long-standing Mediter-ranean interests and connections with various national scientific societies. Jointly with the ESPRM, efforts are under way to set up the European Physical and Rehabilitation Medicine Journal Network (EPRMJN). The aim of this article is to present a profile of the national journals in the EPRMJN so as to give a better overview of how the scientific part of PRM in Europe has developed within a national perspective. A profile of the following national journals is presented: Annals of Physical and Rehabilitation Medicine (France), Fizikalna i rehabilitacijska medicina (Physical and Rehabilitation Medicine) (Croatia), Neurorehabilitation (Bulgaria), Physical and Rehabilitation Medicine Portuguese Society Journal (Portugal), Physical Medicine, Rehabilitaton, Health (Bulgaria), Physikalische Medizin - Rehabilitationsmedizin - Kurort-medizin/Journal of Physical and Rehabilitation Medicine (Germany and Austria) Prevention and Rehabilitation (Bulgaria), Rehabilitacija (Rehabilitation) (Slovenia), Rehabilitación (Madr) (Spain), Turkish Journal of Physical Medicine and Rehabilitation (Turkey). Some national journals in Europe have a very long history and tradition of research and education. Having a better knowledge of these realities, usually

  18. Vocational Education and Vocational Skills

    DEFF Research Database (Denmark)

    Madsen, Erik Skov

    Abstract: This paper and presentation is based on case studies in China, Mexico and Denmark. The paper identifies challenges posed to production companies by a lack of vocational skills and vocational education. The study is focusing on different types of production systems i.e. on manual, complex......, a framework of skills related to process tasks is developed. The paper and the presentation conclude that much more focus is needed on the development of vocational education and vocational skills in Denmark, the U.K, and in the U.S. and in China for employees to be able to handle future automated...

  19. The stroke impact scale: performance as a quality of life measure in a community-based stroke rehabilitation setting.

    Science.gov (United States)

    Richardson, Marina; Campbell, Nerissa; Allen, Laura; Meyer, Matthew; Teasell, Robert

    2016-07-01

    The objective of this study was to assess the psychometric properties of the Stroke Impact Scale (SIS). Data was derived from a study assessing a community-based stroke rehabilitation program. Patients were administered the SIS and Euroqol-5D (EQ-5D-5L) on admission to the study, and at six month and 12 month follow-up. The psychometric performance of each domain of the SIS was assessed at each time point. A total of 164 patients completed outcome measures at baseline, 108 patients at six months and 37 patients at 12 months. Correlation of the SIS domains with the EQ-5D-5L suggested that the dimensions of health contributing to a patient's perception of health-related quality of life changes over time. The SIS performed well in a sample of patients undergoing stroke rehabilitation in the community. Our findings suggest that the multidimensionality of the SIS may allow health professionals to track patient progress and tailor rehabilitation interventions to target the dimensions of health that are most important to a patient's overall health and perceived quality of life over time. Implications for Rehabilitation There is an increased need for valid and reliable measures to evaluate the outcomes of patients recovering from stroke in the community. The Stroke Impact Scale (SIS) measures multiple domains of health and is well-suited for use in patients recovering from stroke in the community. There is a high level of internal consistency in the eight SIS domains with no evidence of floor effects; ceiling effects were noted for several domains. Correlation of the SIS with the Euroqol-5D suggested that the dimensions of health contributing to a patient's perception of health related quality of life changes over time.

  20. Effects of Time Management Instruction on Adolescents' Ability to Self-Manage Time in a Vocational Setting

    Science.gov (United States)

    DiPipi-Hoy, Caroline; Jitendra, Asha K.; Kern, Lee

    2009-01-01

    This study investigated the effectiveness of a time self-management intervention in the work setting of four adolescents with developmental disabilities. A multiple baseline across participants design was used to examine the adolescents' ability to independently identify time and initiate work-related activities. Intervention was delivered by…

  1. Effects of Time Management Instruction on Adolescents' Ability to Self-Manage Time in a Vocational Setting

    Science.gov (United States)

    DiPipi-Hoy, Caroline; Jitendra, Asha K.; Kern, Lee

    2009-01-01

    This study investigated the effectiveness of a time self-management intervention in the work setting of four adolescents with developmental disabilities. A multiple baseline across participants design was used to examine the adolescents' ability to independently identify time and initiate work-related activities. Intervention was delivered by…

  2. Study of Incentive for Vocational College Students Based on Goal-setting Theory%基于目标设置理论的高职学生激励问题研究

    Institute of Scientific and Technical Information of China (English)

    孙晓波

    2011-01-01

    高职学生学习动机不足是目前阻碍高职院校教学效果和教学质量提升的一个重要问题。根据高职学生的特点,以目标设置理论为理论基础,通过以目标为主导激励措施,提升学生的努力程度,形成持久的学习动力,最终提升高职教学的绩效水平。%Vocational college students are short of learning motivation, which is now an important issue for upgrading teaching effect and quality of vocational colleges. Based on the characteristics of vocational college students and the goal-setting theory, this paper tends to improve students' effort by goal-oriented incentive measures. A permanent learning motivation is expected to form and ultimately the teaching level of higher vocational education is improved.

  3. Paralysis: Rehabilitation

    Science.gov (United States)

    ... Forum About Us Donate Living with Paralysis > Rehabilitation Rehabilitation Rehabilitation and exercise are key to enhancing your health and quality of life. Find a rehabilitation center near you and become familiar with different ...

  4. [Vocational training for persons with psychiatric illnesses in Gütersloh BTZ. Occupational rehabilitation by training comprehensive key qualifications with concomitant social adjustment services, but without independent training centers--can it be done?].

    Science.gov (United States)

    Haug-Benien, R

    1999-11-01

    Gütersloh BTZ has practiced vocational training for the mentally handicapped since August 1995. The main goal is to place the clients into employment in the regular workforce. This is done by intensive vocational training yet without having workshops attached to the institution itself. Gütersloh BTZ is comparable to other training centres in Germany like those in Hamburg, Duisburg, Köln, Dortmund, Paderborn, Straubing, Wiesloch and Schleusingen. They are similar in terms of personnel key, financial support for participants and standards of quality. The main difference between Gütersloh BTZ and other training centres is the absence of attached workshops. In Gütersloh training takes place on the job in the regular labour market like industrial firms, craftsmen establishments and service agencies. The "heart" of Gütersloh BTZ's concept is the reference group. It consists of not more than 8 participants. Two social workers are assigned to each group and provide intensive attention from the participant's first day in BTZ to aftercare on the regular job. The individual rehabilitation aim can only be achieved by establishing a tailor-made concept of support. This calls for a broad range of media, flexible methods and individual aims. In addition to the individual orientated concept, pedagogical group-work with three to five participants plays an important role in the work. Here the emphasis is on close relationship. Incentive, start, duration and contents of internships in agencies and firms are to a high degree individually structured. A flexible graduated plan helps the participants to progress from a trial practicum to a long-term practicum and finally to a regular (and subsidized) job in an agency. The Gütersloh BTZ's quota of successful placement into the regular labour market as well as into subsidized jobs is similar to those in other BTZs in Germany. Participants who can't be placed in a job have to achieve a defined perspective of life and an alternative

  5. Vocational Education and Vocational Skills

    DEFF Research Database (Denmark)

    Madsen, Erik Skov

    Abstract: This paper and presentation is based on case studies in China, Mexico and Denmark. The paper identifies challenges posed to production companies by a lack of vocational skills and vocational education. The study is focusing on different types of production systems i.e. on manual, complex...... and automated production. The paper highlights how both China and Denmark have focused on theoretical rather than vocational education for more than a decade. Based on a combination of a literature review and field studies of cases, including studies of mass production and unmanned and automated production......, a framework of skills related to process tasks is developed. The paper and the presentation conclude that much more focus is needed on the development of vocational education and vocational skills in Denmark, the U.K, and in the U.S. and in China for employees to be able to handle future automated...

  6. 38 CFR 21.282 - Effective date of induction into a rehabilitation program; retroactive induction.

    Science.gov (United States)

    2010-07-01

    ... induction into a rehabilitation program; retroactive induction. 21.282 Section 21.282 Pensions, Bonuses, and... Vocational Rehabilitation and Employment Under 38 U.S.C. Chapter 31 Induction into A Rehabilitation Program § 21.282 Effective date of induction into a rehabilitation program; retroactive induction. (a)...

  7. Examining a participation-focused stroke self-management intervention in a day rehabilitation setting: a quasi-experimental pilot study.

    Science.gov (United States)

    Lee, Danbi; Fischer, Heidi; Zera, Sarah; Robertson, Rosetta; Hammel, Joy

    2017-09-28

    Background People with stroke often find discharge from rehabilitation distressing because they do not feel prepared to participate in life roles as they want. A self-management approach can facilitate improvement in confidence and ability to manage post-stroke community living and participation after transitioning into the community. Objective To evaluate the feasibility and effectiveness of the Improving Participation After Stroke Self-management program - Rehab version (IPASS-R) in a day rehabilitation setting. Methods We used a mixed-method non-randomized quasi-experimental design. The IPASS-R program is a six-session group-based intervention led by a trained occupational therapist and lay person with stroke. The program uses an efficacy building approach to support aging adults to maintain active participation in home and community activities post-stroke. Primary outcome measures were the Reintegration to Normal Living Index (RNLI), Stroke Impact Scale (SIS), and Participation Strategies Self-Efficacy Scale. Qualitative feedback was collected post-treatment. Results Seventeen participants with stroke (intervention n = 9; control n = 8) were enrolled across two sites. Non-parametric effect sizes calculated using the Wilcoxon Signed-Rank test revealed larger effects on RNLI and SIS outcomes in the intervention group. The Mann-Whitney U test showed significant differences between the two groups' changes in scores on perceived recovery and strength. Conclusions The result shows that IPASS-R has the potential to be integrated into a day rehabilitation setting with a positive impact on community integration and perceived recovery outcomes. Future study is needed to investigate the IPASS-R with a larger sample size and more rigorous study design.

  8. The Effect of a Restraint Reduction Program on Physical Restraint Rates in Rehabilitation Settings in Hong Kong

    Directory of Open Access Journals (Sweden)

    Claudia K. Y. Lai

    2011-01-01

    Full Text Available Background. In view of the adverse effects of using restraints, studies examining the use of restraint reduction programs (RRPs are needed. Objectives. To investigate the effect of an RRP on the reduction of physical restraint rates in rehabilitation hospitals. Methods. A prospective quasi-experimental clinical trial was conducted. Demographic data, medical and health-related information on recruited patients from two rehabilitation hospitals, as well as facility data on restraint rates were collected. Results. The increase in the restraint rate in the control site was 4.3 times greater than that in the intervention site. Changes in the restraint mode, from continuous to intermittent, and the type of restraint used were found between the pre- and postintervention periods in both the control site and the intervention site. Discussion. Compared with that in the control site, the RRP in the intervention site helped arrest any increase in the restraint rate although it had no effect on physical restraint reduction. The shift of restraint mode from continuous to intermittent in the intervention site was one of the positive outcomes of the RRP.

  9. Physiotherapists Have Accurate Expectations of Their Patients’ Future Health-Related Quality of Life after First Assessment in a Subacute Rehabilitation Setting

    Directory of Open Access Journals (Sweden)

    Steven M. McPhail

    2013-01-01

    Full Text Available Background. Expectations held by health professionals and their patients are likely to affect treatment choices in subacute inpatient rehabilitation settings for older adults. There is a scarcity of empirical evidence evaluating whether health professionals expectations of the quality of their patients’ future health states are accurate. Methods. A prospective longitudinal cohort investigation was implemented to examine agreement (kappa coefficients, exact agreement, limits-of-agreement, and intraclass-correlation coefficients between physiotherapists’ (n=23 prediction of patients’ discharge health-related quality of life (reported on the EQ-5D-3L and the actual health-related quality of life self-reported by patients (n=272 at their discharge assessment (using the EQ-5D-3L. The mini-mental state examination was used as an indicator of patients’ cognitive ability. Results. Overall, 232 (85% patients had all assessment data completed and were included in analysis. Kappa coefficients (exact agreement ranged between 0.37–0.57 (58%–83% across EQ-5D-3L domains in the lower cognition group and 0.53–0.68 (81%–85% in the better cognition group. Conclusions. Physiotherapists in this subacute rehabilitation setting predicted their patients’ discharge health-related quality of life with substantial accuracy. Physiotherapists are likely able to provide their patients with sound information regarding potential recovery and health-related quality of life on discharge. The prediction accuracy was higher among patients with better cognition than patients with poorer cognition.

  10. Is the Cardiovascular Response Equivalent Between a Supervised Center-Based Setting and a Self-care Home-Based Setting When Rating of Perceived Exertion Is Used to Guide Aerobic Exercise Intensity During a Cardiac Rehabilitation Program?

    DEFF Research Database (Denmark)

    Tang, Lars H.; Zwisler, Ann-Dorthe; Berg, Selina K.

    2017-01-01

    OBJECTIVES: The aim of this study was to investigate if exercise intensity guided by rating of perceived exertion (RPE) results in an equivalent cardiovascular response when applied in either a center-based or a home-based setting. DESIGN: Data from patients with heart disease (post-valve surgery...... intensity was objectively measured using heart rate (HR) monitors. RESULTS: A total of 2622 RPE values with corresponding HR data were available. There was no difference in the level of association (interaction P = 0.51) between HR and RPE seen in the center-based setting (mean of 6.1 beats/min per 1...... of association between RPE and HR. CONCLUSIONS: Independent of exercise setting, RPE appears to be equally effective in guiding exercise intensity of patients participating in cardiac rehabilitation....

  11. Researching in Course Setting of Digital Media Major in Vocational College%高职数字媒体技术专业的课程设置与构建

    Institute of Scientific and Technical Information of China (English)

    贺海艳; 王健

    2012-01-01

    Digital media technology professional of vocational college in order to cuhivate high-end skilled application of digital media professionals as the goal, the curriculum detemfines the quality of personnel training. This article discussed the setting of the digital media professional courses in vocational college.%高职数字媒体技术专业以培养高端技能型、应用型的数字媒体专业人才为目标,课程设置决定着人才培养的质量。本文就数字媒体专业课程的设置进行了探讨。

  12. The Name of the Game: Employment. Twentieth Institute on Rehabilitation Issues.

    Science.gov (United States)

    Arkansas Univ., Hot Springs. Arkansas Research & Training Center in Vocational Rehabilitation.

    This document focuses on employer/employment services in vocational rehabilitation (VR) programs. Vocational rehabilitation is undergoing transformation in employment services to respond to redefined priorities, diverse populations, changing labor markets, state-of-the-art technologies, legislative mandates, and economic factors. Changes in…

  13. Integrated depression management: a proposed trial of a new model of care in a low vision rehabilitation setting.

    Science.gov (United States)

    Rees, Gwyneth; Mellor, David; Holloway, Edith E; Sturrock, Bonnie A; Hegel, Mark T; Casten, Robin; Xie, Jing; Finkelstein, Eric; Lamoureux, Ecosse; Keeffe, Jill E

    2013-10-01

    Depression is a common problem among people with visual impairment and contributes to functional decline. This article presents a study protocol to evaluate a new model of care for those patients with depressive symptoms in which psychological treatment is integrated into low vision rehabilitation services. Low vision staff will be trained to deliver "problem solving therapy for primary care" (PST-PC), an effective psychological treatment developed specifically for delivery by non-mental health care staff. PST-PC is delivered in 8 weekly telephone sessions of 30-45 minutes duration and 4 monthly maintenance sessions. We predict this new integrated model of care will significantly reduce depressive symptoms and improve the quality of life for people with visual impairment. A randomized controlled trial of PST-PC will be implemented nationally across low vision rehabilitation services provided by Vision Australia. Clients who screen positive for depressive symptoms and meet study criteria will be randomized to receive PST-PC or usual care, consisting of a referral to their general practitioner for more detailed assessment and treatment. Outcome measures include depressive symptoms and behaviors, quality of life, coping and psychological adjustment to visual impairment. Masked assessments will take place pre- and post-intervention as well as at 6- and 12-month follow-up. We anticipate that this innovative service delivery model will lead to sustained improvements in clients' quality of life in a cost effective manner and provide an innovative service delivery model suitable for other health care areas in which depression is co-morbid.

  14. Goal-directed outpatient rehabilitation following TBI: a pilot study of programme effectiveness and comparison of outcomes in home and day hospital settings.

    Science.gov (United States)

    Doig, Emmah; Fleming, Jennifer; Kuipers, Pim; Cornwell, Petrea; Khan, Asad

    2011-01-01

    To determine (i) the effectiveness of a goal-directed, environment-focused occupational therapy intervention and (ii) to compare rehabilitation gains across a day hospital (outpatient) setting and home setting. Repeated measures cross-over design with pre-post test measures and a baseline control period, random allocation to a treatment setting sequence and an independent outcome assessor who was blinded to treatment sequence. Descriptive and non-parametric comparative analyses employed. Fourteen participants with severe traumatic brain injury completed a 12 week outpatient occupational therapy programme. The programme was directed by the participant's chosen goals, which were established using a client-centred, structured, goal-planning process. Outcome measures included Goal attainment scaling, the Canadian Occupational Performance Measure, the Sydney Psychosocial Reintegration Scale, the Mayo-Portland Adaptability Index, the Craig Hospital Inventory of Environmental Factors and self-rated satisfaction with therapy. The therapy programme resulted in significant improvements in goal attainment, occupational performance, psychosocial reintegration and ability and adjustment levels, compared with baseline. Differences in gains made in home vs day hospital settings were not statistically significant, with the exception of higher levels of patient satisfaction with therapy at home. To assist further with decision-making about where to conduct therapy, further research is needed to compare the outcomes and determine the cost effectiveness of therapy at home and in day hospital settings.

  15. Economia solidária e reabilitação vocacional no campo da drogadição: possibilidades e limites das práticas atuais Cooperative work and vocational rehabilitation in the drug addiction treatment: opportunities and limitations of current practices

    Directory of Open Access Journals (Sweden)

    Alessandra Nagamine Bonadio

    2013-03-01

    Full Text Available Este artigo visa a contribuir ao debate sobre as potencialidades do trabalho no processo de recuperação de dependentes químicos. Consideramos nesta análise os princípios subjacentes à reabilitação vocacional praticada no contexto internacional, seguido da descrição das diretrizes brasileiras para a inclusão social de dependentes químicos por meio do trabalho. Por fim, procedemos a uma análise comparativa das matrizes conceituais, dos conceitos de saúde subjacentes e do potencial emancipatório em ambas as perspectivas. O material consultado foi levantado por meio de revisão bibliográfica em bases de dados da área da saúde. Já as informações sobre as diretrizes brasileiras foram coletadas nas publicações oficiais disponibilizadas on-line pelo Ministério da Saúde e Ministério do Trabalho e do Emprego do Brasil. A análise do material permitiu-nos verificar que a reabilitação vocacional praticada em países da América do Norte e da Europa destina-se a usuários de serviços de saúde mental, procedendo à inclusão pelo viés da doença. Enfatiza a recolocação no mercado formal de trabalho, por meio de programas voltados ao treinamento de habilidades para obter e manter um posto de trabalho conquistado. Já as diretrizes do governo brasileiro estão pautadas nos princípios do cooperativismo e da economia solidária. Privilegia o ser humano como sujeito e finalidade maior da atividade econômica, focalizando as potencialidades e recursos do trabalho, em detrimento das limitações impostas pela doença ou pela condição socioeconômica que tenha gerado a situação de exclusão.This paper contributes to the debate on the potencial of work in the recovery process of addicts. The vocational rehabilitation principles are analyzed and compared to the Brazilian guidelines for the work rehabilitation of this population. In this analysis we compare the underlying concept of health and the emancipatory potential in both

  16. Implementation of an Accelerated Rehabilitation Protocol for Total Joint Arthroplasty in the Managed Care Setting: The Experience of One Institution

    Directory of Open Access Journals (Sweden)

    Nicholas B. Robertson

    2015-01-01

    Full Text Available Accelerated rehabilitation following total joint replacement (TJR surgery has become more common in contemporary orthopaedic practice. Increased utilization demands improvements in resource allocation with continued improvement in patient outcomes. We describe an accelerated rehab protocol (AR instituted at a community based hospital. All patients undergoing total knee arthroplasty (TKA and total hip arthroplasty (THA were included. The AR consisted of preoperative patient education, standardization of perioperative pain management, therapy, and next day in-home services consultation following discharge. Outcomes of interest include average length of stay (ALOS, discharge disposition, 42-day return to Urgent Care (UC, Emergency Department (ED, or readmission. A total of 4 surgeons performed TJR procedures on 1,268 patients in the study period (696 TKA, 572 THA. ALOS was reduced from 3.5 days at the start of the observation period to 2.4 days at the end. Discharge to skilled nursing reduced from 25% to 14%. A multifaceted and evidence based approach to standardization of care delivery has resulted in improved patient outcomes and a reduction in resource utilization. Adoption of an accelerated rehab protocol has proven to be effective as well as safe without increased utilization of UC, ER, or readmissions.

  17. Towards Inclusive Learning Environments (TILE): Developing the "Roadmap for the Inclusion of Students with Special Educational Needs in Vocational Education and Workplace Settings"

    Science.gov (United States)

    Smith, Andy; Bell, Sheena

    2015-01-01

    Twenty years after UNESCO's Salamanca Statement enshrined international action for provision for children, youth and adults with special educational needs within the regular educational system, this article presents the current underpinning international and national UK context for developing inclusion in vocational education and training and…

  18. The first world war drives rehabilitation toward the modern concepts of disability and participation.

    Science.gov (United States)

    Bonfiglioli Stagni, S; Tomba, P; Viganò, A; Zati, A; Benedetti, M G

    2015-06-01

    The First World War produced a huge number of disabled soldiers. During the war, surgeons realized that it was not enough to merely treat the limbs of the wounded soldiers; it was also necessary to train them to use their remaining abilities to their greatest capacity. Governments at the same time realized that such a high number of veterans created a financial burden, by entitling disabled veterans to full healthcare, raising the issues of social welfare. Both in the US and Europe, programs of rehabilitation were instituted, providing injured soldiers with long-term medical care and vocational training aimed at restituting soldier's independence for a speedy return to work. In Italy at the Istituto Ortopedico Rizzoli, one of the most renowned Hospitals for the treatment of orthopedic deformities, Putti set up a technologically advanced Orthopedic Workshop, and a Rehabilitation House. The so called "reconstruction programs" addressed all aspects of rehabilitation (including physiotherapy, curative workshops and vocational therapy), seeing disability in terms of function. The experience gained in the treatment of war victims markedly enriched rehabilitation techniques, but overall the First World War helped engender the concept of rehabilitative programs to assist disabled veterans reintegrate in the workplace, thus laying the foundations of the modern concept of participation at a social level. In the centenary of Italy's entry into the First World War, it is worth underlining just how much hindsight affords us a new perspective on Physical Medicine and Rehabilitation. It reminds us that rehabilitation is not merely the role of medicine, but forms part of a multifaceted approach involving societal roles and expectations, regardless of the psychological and physical impairments suffered by the individuals concerned.

  19. Drug histories and criminality of inmates of local jails in the United States (1978): implications for treatment and rehabilitation of the drug abuser in a jail setting.

    Science.gov (United States)

    Barton, W I

    1982-04-01

    A survey by the Department of Justice in 1978 of inmates of local jails in the United States found that 68% had ever used drugs like heroin, cocaine, marijuana, amphetamines, or barbiturates outside a treatment program, and without a doctor's prescription. Offenses for which relatively larger proportions of inmates reported drug use included robbery, burglary, auto theft, larceny, and drug offenses. During the month prior to jail, 44% of inmates reported using drugs. Some 21% of convicted inmates reported being under the influence of drugs at the time of an offense for which convicted. One-fourth of inmates reporting drug use had ever been enrolled in drug treatment. Treatment and rehabilitation of the drug abuser in a jail setting is discussed.

  20. Efficient assessment of social problem-solving abilities in medical and rehabilitation settings: a Rasch analysis of the Social Problem-Solving Inventory-Revised.

    Science.gov (United States)

    Dreer, Laura E; Berry, Jack; Rivera, Patricia; Snow, Marsha; Elliott, Timothy R; Miller, Doreen; Little, Todd D

    2009-07-01

    The Social Problem Solving Inventory-Revised Scale (SPSI-R) has been shown to be a reliable and valid self-report measure of social problem-solving abilities. In busy medical and rehabilitation settings, a brief and efficient screening version with psychometric properties similar to the SPSI-R would have numerous benefits including decreased patient and caregiver assessment burden and administration/scoring time. Thus, the aim of the current study was to identify items from the SPSI-R that would provide for a more efficient assessment of global social problem-solving abilities. This study consisted of three independent samples: 121 persons in low-vision rehabilitation (M age=71 years old, SD=15.53), 301 persons living with diabetes mellitus (M age=58, and SD=14.85), and 131 family caregivers of persons with severe disabilities (M age=56 years old, SD=12.15). All persons completed a version of the SPSI-R, Center for Epidemiological Studies Depression Scale (CES-D), and the Satisfaction with Life Scale (SWLS). Using Rasch scaling of the SPSI-R short-form, we identified a subset of 10 items that reflected the five-component model of social problem solving. The 10 items were separately validated on the sample of persons living with diabetes mellitus and the sample of family caregivers of persons with severe disabilities. Results indicate that the efficient 10-item version, analyzed separately for all three samples, demonstrated good reliability and validity characteristics similar to the established SPSI-R short form. The 10-item version of the SPSI-R represents a brief, effective way in which clinicians and researchers in busy health care settings can quickly assess global problem-solving abilities and identify those persons at-risk for complicated adjustment. Implications for the assessment of social problem-solving abilities are discussed.

  1. [Vocational and occupational counseling of handicapped patients--a comprehensive social federal responsibility].

    Science.gov (United States)

    Gedon, W; Albrecht, H J

    1989-11-01

    The extensive vocational and employment information and counselling possibilities available in the framework of our social services system in the FRG, are aimed at attaining optimum vocational integration of the disabled clients. The legal foundations are in particular to be found in the Social Code and the rehabilitation adjustment act. Servicing some 80% of all disabled clients in this field, the Federal Employment Institute is the main financially responsible administration in vocational rehabilitation. The services and benefits provided are based on the employment promotion act and the directive of the Institute's governing body concerning industrial and vocational rehabilitation of disabled persons (AReha). Successful vocational counselling outcomes presuppose client participation; counselling contacts are free of charge to the rehabilitee, and are sought on a voluntary basis. The local employment office's medical and/or psychological services will in many cases by called in by the counsellor. If these services do not arrive at a satisfactory proposal either, vocational assessment and work testing measures in vocational training or retraining centers are indicated. Vocational preparation may in addition be useful, e.g. in the form of promotional courses and/or pre-rehabilitation courses. The catalogue of services and benefits available is complex and adjustable to individual needs. The rehabilitation measures provided invariably are aimed at achieving entry into long-term employment. When necessary, the disabled clients are followed-along by the counsellors until this goal is attained.

  2. On Setting Skill Assessment Standard for Students of Electronic Measurement Technology in Higher Vocational Colleges%高职电子测量技术专业技能水平测评标准设计思考

    Institute of Scientific and Technical Information of China (English)

    杨少春

    2012-01-01

    In this paper, a standard is planned to set for assessing the skills of the students of electronic measure- ment technology after referring to the national vocational qualification standards. The skills assessment standard is in- tended to set collaboratively by colleges and related enterprises and in accordance with the vocational-education plan. The index of the standard covers three levels of skills -general skills, basic professional skills and professional skills. The detailed scheme of the standard contains the key points of content and requirement, module, project and assessment method. It is hoped that the scheme can have a certain reference value on comprehensive, scientific and standardized evaluation of the higher vocational students' comprehensive skills level.%参照国家职业资格标准、依据人才培养方案、按照校企合作共同制定评价标准的原则,拟设计高职电子测量技术专业技能水平测评标准。该测评标准的评价指标包括三大块:基础技能、专业基础技能、专业技能,以此为基础,从内容、要求、关键点、模块与项目、测评方式等五个方面拟定具体设计方案,以供其他高职院校同类专业参考借鉴。

  3. Undergraduate Education: An Essential Rung on the Rehabilitation Career Ladder

    Science.gov (United States)

    Evenson, Tom; Holloway, Linda

    2007-01-01

    This article presents the historical pertinence of undergraduate education to developing a career ladder within the field of vocational rehabilitation. Support for the relevance is presented through the results of an investigation of baccalaureate-level competence and preparation as perceived by graduates of rehabilitation services programs. Job…

  4. Rehabilitation Aspects of Human Sexuality

    OpenAIRE

    Madorsky, Julie G. Botvin; Dixon, Thomas P.

    1983-01-01

    The PLISSIT model is a comprehensive program that combines educational strategies with behavioral intervention to integrate human sexuality into the initial rehabilitation of spinal cord-injured persons. Sexuality is treated as a health care issue as important as bowel and bladder care, skin care, psychosocial issues, mobility, self-care and vocational concerns. Patients admitted to the Spinal Cord Injury Program are surrounded by a supportive milieu and an interdisciplinary staff who comfort...

  5. The Rehabilitation Counselor Scale: A New Scale for the Revised Strong Interest Inventory

    Science.gov (United States)

    Leierer, Stephen J.; Strohmer, Douglas C.; Blackwell, Terry L.; Thompson, Richard C.; Donnay, David A. C.

    2008-01-01

    The vocational interests of rehabilitation counselors were explored by developing an occupational scale for the "Strong Interest Inventory, Revised Edition" (SII; 2004). A sample of 414 rehabilitation counselors who were satisfied with rehabilitation counseling as their profession completed an experimental version of the SII. Based on these data,…

  6. 75 FR 47798 - Office of Special Education and Rehabilitative Services-Special Demonstration Programs-Model...

    Science.gov (United States)

    2010-08-09

    ... Office of Special Education and Rehabilitative Services--Special Demonstration Programs--Model...) Served by State Vocational Rehabilitation (VR) Agencies AGENCY: Office of Special Education and... Assistance (CFDA) Number: 84.235L. SUMMARY: The Assistant Secretary for Special Education and Rehabilitative...

  7. Design of a process evaluation of the implementation of a physical activity and sports stimulation programme in Dutch rehabilitation setting : ReSpAct

    NARCIS (Netherlands)

    Hoekstra, Femke; Alingh, Roelina A.; van der Schans, Cees P.; Hettinga, Florentina J.; Duijf, Marjo; Dekker, Rienk; van der Woude, Lucas H. V.

    2014-01-01

    Background: There is a growing interest to study the transfer of evidence-based information into daily practice. The evidence-based programme Rehabilitation, Sports and Exercise (RSE) that aims to stimulate an active lifestyle during and after a rehabilitation period in people with a disability and/

  8. Use of intensified comprehensive cardiac rehabilitation to improve risk factor control in patients with type 2 diabetes mellitus or impaired glucose tolerance--the randomized DANish StUdy of impaired glucose metabolism in the settings of cardiac rehabilitation (DANSUK) study

    DEFF Research Database (Denmark)

    Soja, Anne Merete Boas; Zwisler, Ann-Dorthe Olsen; Frederiksen, Marianne

    2007-01-01

    BACKGROUND: The DANish StUdy of impaired glucose metabolism in the settings of cardiac rehabilitation (DANSUK) examined the effect of an intensified multifactorial intervention on risk factor profile in 104 patients with type 2 diabetes mellitus (T2DM) or impaired glucose tolerance (IGT) attendin...

  9. Discussion on the Rehabilitation Medicine Course Set in the Major of Acupuncture and Tuina and Its Course Content%针推专业康复方向的设置及其课程内容探讨

    Institute of Scientific and Technical Information of China (English)

    王燕平; 张红林; 李文迅

    2012-01-01

    在中医院校针灸推拿专业开设康复医学方向既顺应了医学和社会发展的需求,也促进了针推专业创新。针灸推拿与康复医学相结合当以针灸推拿为本,并要充分发挥中医传统康复学特色。%Setting up the orientation of rehabilitation medicine in Chinese medicine colleges and universities under the major of acupuncture and Tuina is complied with medical and social development needs, also promotes the professional innovation in acupuncture and Tuina. The combination of acupuncture and Tuina with rehabilitation medicine should be centered at acupuncture and tuina, and also to give full play to traditional Chinese rehabilitation.

  10. Reflections on the Computer Specialty and Its Curriculum Setting in Secondary Vocational Schools%中等职业学校计算机专业和课程设置的思考

    Institute of Scientific and Technical Information of China (English)

    普靖

    2014-01-01

    Through a detailed investigation and data analysis on the computer specialty and its curriculum setting in Tianshui A-gricultural School, based on the feedbacks from all sides,the writer proposed some personal views on the computer specialty and its curriculum setting in secondary vocational schools.%通过对天水农业学校计算机专业和课程设置进行详细的调查,作了数据分析,并且统计了各方面的反馈意见后提出了自己对中等职业学校计算机专业和课程设置的意见。

  11. Home-based Computer Assisted Arm Rehabilitation (hCAAR) robotic device for upper limb exercise after stroke: results of a feasibility study in home setting.

    Science.gov (United States)

    Sivan, Manoj; Gallagher, Justin; Makower, Sophie; Keeling, David; Bhakta, Bipin; O'Connor, Rory J; Levesley, Martin

    2014-12-12

    Home-based robotic technologies may offer the possibility of self-directed upper limb exercise after stroke as a means of increasing the intensity of rehabilitation treatment. The current literature has a paucity of robotic devices that have been tested in a home environment. The aim of this research project was to evaluate a robotic device Home-based Computer Assisted Arm Rehabilitation (hCAAR) that can be used independently at home by stroke survivors with upper limb weakness. hCAAR device comprises of a joystick handle moved by the weak upper limb to perform tasks on the computer screen. The device provides assistance to the movements depending on users ability. Nineteen participants (stroke survivors with upper limb weakness) were recruited. Outcome measures performed at baseline (A0), at end of 8-weeks of hCAAR use (A1) and 1 month after end of hCAAR use (A2) were: Optotrak kinematic variables, Fugl Meyer Upper Extremity motor subscale (FM-UE), Action Research Arm Test (ARAT), Medical Research Council (MRC) and Modified Ashworth Scale (MAS), Chedoke Arm and Hand Activity Inventory (CAHAI) and ABILHAND. Two participants were unable to use hCAAR: one due to severe paresis and the other due to personal problems. The remaining 17 participants were able to use the device independently in their home setting. No serious adverse events were reported. The median usage time was 433 minutes (IQR 250 - 791 min). A statistically significant improvement was observed in the kinematic and clinical outcomes at A1. The median gain in the scores at A1 were by: movement time 19%, path length 15% and jerk 19%, FM-UE 1 point, total MAS 1.5 point, total MRC 2 points, ARAT 3 points, CAHAI 5.5 points and ABILHAND 3 points. Three participants showed clinically significant improvement in all the clinical outcomes. The hCAAR feasibility study is the first clinical study of its kind reported in the current literature; in this study, 17 participants used the robotic device independently

  12. Final priority; National Institute on Disability and Rehabilitation Research--Disability and Rehabilitation Research Projects and Centers Program. Final priority.

    Science.gov (United States)

    2014-07-25

    The Assistant Secretary for Special Education and Rehabilitative Services announces a priority under the Disability and Rehabilitation Research Projects and Centers Program administered by the National Institute on Disability and Rehabilitation Research (NIDRR). Specifically, we announce a priority for a Disability and Rehabilitation Research Project (DRRP) on Improving Methods of Evaluating Return on Investment (ROI) for the State Vocational Rehabilitation Services Program (VR Program). The Assistant Secretary may use this priority for competitions in fiscal year (FY) 2014 and later years. We take this action to focus research attention on an area of national need. We intend for the priority to contribute to improved employment outcomes for individuals with disabilities.

  13. Vocational services for traumatic brain injury: treatment definition and diversity within model systems of care.

    Science.gov (United States)

    Hart, Tessa; Dijkers, Marcel; Fraser, Robert; Cicerone, Keith; Bogner, Jennifer A; Whyte, John; Malec, James; Waldron, Brigid

    2006-01-01

    To examine characteristics and diversity among vocational treatment services in model programs for traumatic brain injury (TBI) rehabilitation. Vocational or postacute treatment components of 16 TBI Model System (TBIMS) centers. Vocational director/coordinator from each TBIMS surveyed in semistructured phone interview. Survey of vocational services for people with TBI, with about 100 closed and open-ended questions on vocational assessments; pre- and postjob placement treatments; program philosophies; funding; and integration of cognitive, behavioral, family, and medical rehabilitation interventions. Great diversity was found among the vocational services of the 16 TBIMS. Programs fell into 3 clusters emphasizing medical rehabilitation services, supported employment, or a combination of these with an emphasis on case management. Job coaching was identified as a key intervention, but there was great variability in intensity, availability, and funding of coaching services. Diversity in vocational services appears related to funding differences and "parallel evolution" rather than strong treatment philosophy or scientific evidence base. Multicenter research on effectiveness or establishment of best practices in vocational rehabilitation after TBI must deal with substantial existing variability in treatment models and specific interventions, and must examine the relationship of treatment variations to case-mix factors.

  14. Futurism in Vocational Education.

    Science.gov (United States)

    Ediger, Marlow

    Vocational education is likely to change dramatically as society as a whole continues to change in the future. Research conducted by vocational education specialists will likely result in a new scope and sequence of vocational instruction. New theories of vocational education will be developed, as will new instructional methods based on these…

  15. Rehabilitation Engineering: What is Rehabilitation Engineering?

    Science.gov (United States)

    ... Parents/Teachers Resource Links for Students Glossary Rehabilitation Engineering What is rehabilitation engineering? How can future rehabilitation ... the area of rehabilitation engineering? What is rehabilitation engineering? Powered prosthetic leg. Source : M. Goldfarb, Vanderbilt U. ...

  16. Practices to Promote Supported Employment for Persons with Intellectual or Mental Disabilities--Takes Guangzhou Kangyuan Vocational Rehabilitation Center as an Example%促进智力和精神残疾人辅助性就业的实践探索——以广州市康园工疗服务机构为例

    Institute of Scientific and Technical Information of China (English)

    符大伟

    2015-01-01

    针对大力发展辅助性就业服务组织促进智力和精神残疾人特殊就业问题,文章介绍了广州市积极发展的民非企性质社会组织—康园工疗服务机构在智力和精神残疾人安置、就业方面的经验和做法.通过政府主导、资金投入及购买服务方式在全市建立辅助性就业服务组织网络,运用工疗等职业康复训练手段实现智力和精神残疾人特殊就业,提高其社会适应能力和劳动技能,增加劳动收入.建议发展全国数万家"阳光家园"机构的工疗项目,实现智力和精神残疾人的辅助性就业,既可解决他们的生活就业,也可解除家庭的后顾之忧.%Taking Guangzhou Kangyuan Vocational Rehabilitation Center as an example, the author introduces Guangzhou's experiences and lessons in fostering NGOs to provide rehabilitation and supported employment for persons with intellectual or mental disabilities. It calls for local government to play the main role in supporting and financing NGOs, to enable NGOs provide better vocational services, thus enhance working ability and self-confidence of persons with intellectual or mental disabilities, as well as increasing their incomes. The author believes this is a feasible solution to help them lead a decent life and relief their families from heavy financial burden.

  17. Customer value in a B2B setting : An analysis of potential target markets for the rehabilitation company Svenska-Re

    OpenAIRE

    Idenfors, Evelinn; Kjellin, Jennie

    2012-01-01

    This study aims to investigate potential B2B customer segments in Umeå concerning company-wellness and rehabilitation services. We will investigate the market, identify a prospect target market and evaluate this target market on commission from Svenska-Re. The company Svenska-Re offers a service where customers travel to Gran Canaria, Spain, for a three week rehabilitation program. They offer various programs and are specialized in work-related injuries. By evaluating the target market we wil...

  18. VR closure rates for two vocational models.

    Science.gov (United States)

    Fraser, Virginia V; Jones, Amanda M; Frounfelker, Rochelle; Harding, Brian; Hardin, Teresa; Bond, Gary R

    2008-01-01

    The Individual Placement and Support (IPS) model of supported employment is an evidence-based practice for individuals with psychiatric disabilities. To be financially viable, IPS programs require funding from the state-federal vocational rehabilitation (VR) system. However, some observers have questioned the compatibility of IPS and the VR system. Using a randomized controlled trial comparing IPS to a well-established vocational program called the Diversified Placement Approach (DPA), we examined rates of VR sponsorship and successful VR closures. We also describe the establishment of an active collaboration between a psychiatric rehabilitation agency and the state VR system to facilitate rapid VR sponsorship for IPS clients. Both IPS and DPA achieved a 44% rate of VR Status 26 closure when considering all clients entering the study. IPS and DPA averaged similar amount of time to achieve VR sponsorship. Time from vocational program entry to Status 26 was 51 days longer on average for IPS. Even though several IPS principles seem to run counter to VR practices, such as zero exclusion and rapid job search, we found IPS closure rates comparable to those for DPA, a vocational model that screens for readiness, provides prevocational preparation, and extensively uses agency-run businesses.

  19. Source Memory Rehabilitation: A Review Toward Recommendations for Setting Up a Strategy Training Aimed at the "What, Where, and When" of Episodic Retrieval.

    Science.gov (United States)

    El Haj, Mohamad; Kessels, Roy P C; Allain, Philippe

    2016-01-01

    Source memory is a core component of episodic recall as it allows for the reconstruction of contextual details characterizing the acquisition of episodic events. Unlike episodic memory, little is known about source memory rehabilitation. Our review addresses this issue by emphasizing several strategies as useful tools in source memory rehabilitation programs. Four main strategies are likely to improve source recall in amnesic patients-namely, (a) contextual cueing, (b) unitization, (c) errorless learning, and (d) executive function programs. The rationale behind our suggestion is that: (a) reinstating contextual cues during retrieval can serve as retrieval cues and enhance source memory; (b) unitization as an encoding process allows for the integration of several pieces of contextual information into a new single entity; (c) errorless learning may prevent patients from making errors during source learning; and (d) as source memory deteriorations have been classically attributed to executive dysfunction, the rehabilitation of the latter ability is likely to maintain the former ability. Besides these four strategies, our review suggests several additional rehabilitation techniques such as the vanishing cues and spaced retrieval methods. Another additional strategy is the use of electronic devices. By gathering these strategies, our review provides a helpful guideline for clinicians dealing with source memory impairments. Our review further highlights the lack of randomized and controlled studies in the field of source memory rehabilitation.

  20. 78 FR 42871 - Final Extension of Project Period and Waiver; Rehabilitation Continuing Education Program for the...

    Science.gov (United States)

    2013-07-18

    ... Program for the Technical Assistance and Continuing Education Centers (TACE Centers) AGENCY...) and continuing education (CE) provided to State vocational rehabilitation (VR) agencies and their... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION...

  1. Rehabilitation nutrition for sarcopenia with disability: a combination of both rehabilitation and nutrition care management

    OpenAIRE

    Wakabayashi, Hidetaka; Sakuma, Kunihiro

    2014-01-01

    Malnutrition and sarcopenia often occur in rehabilitation settings. The prevalence of malnutrition and sarcopenia in older patients undergoing rehabilitation is 49–67 % and 40–46.5 %, respectively. Malnutrition and sarcopenia are associated with poorer rehabilitation outcome and physical function. Therefore, a combination of both rehabilitation and nutrition care management may improve outcome in disabled elderly with malnutrition and sarcopenia. The concept of rehabilitation nutrition as a c...

  2. Neuropsychological rehabilitation for traumatic brain injury patients

    Directory of Open Access Journals (Sweden)

    Marzena Chantsoulis

    2015-05-01

    Full Text Available The aim of this review is to discuss the basic forms of neuropsychological rehabilitation for patients with traumatic brain injury (TBI. More broadly, we discussed cognitive rehabilitation therapy (CRT which constitutes a fundamental component in therapeutic interaction at many centres worldwide. Equally presented is a comprehensive model of rehabilitation, the fundamental component of which is CRT. It should be noted that the principles of this approach first arose in Poland in the 1970s, in other words, several decades before their appearance in other programmemes. Taken into consideration are four factors conditioning the effectiveness of such a process: comprehensiveness, earlier interaction, universality and its individualized character. A comprehensive programmeme of rehabilitation covers: cognitive rehabilitation, individual and group rehabilitation with the application of a therapeutic environment, specialist vocational rehabilitation, as well as family psychotherapy. These training programmemes are conducted within the scope of the ‘Academy of Life,’ which provides support for the patients in their efforts and shows them the means by which they can overcome existing difficulties. Equally emphasized is the close cooperation of the whole team of specialists, as well as the active participation of the family as an essential condition for the effectiveness of rehabilitation and, in effect, a return of the patient to a relatively normal life. Also presented are newly developing neurothechnologies and the neuromarkers of brain injuries. This enables a correct diagnosis to be made and, as a result, the selection of appropriate methods for neuropsychological rehabilitation, including neurotherapy.

  3. Psychiatric rehabilitation

    OpenAIRE

    2010-01-01

    Psychiatric rehabilitation is an important component in the management of the mentally ill. This article presents a selective review of the publications in this journal. Questions addressed in this review range from assessment of rehabilitation needs to different rehabilitative approaches. Although the number of publications providing the answers is meager, there are innovative initiatives. There is a need for mental health professionals to publish the models they follow across the country.

  4. [Cinema and professional vocation].

    Science.gov (United States)

    García Sánchez, José Elías

    2011-01-01

    Commercial cinema is both narrative art and a widely-used mass medium that is built upon human stories. Among the contents of these stories there are many vocational aspects. Taking advantage of these circumstances we will proceed to analyze health vocations through eight films. Patch Adams allows us to approach the fulfillment of vocation, which has not been an easy task for women, as we can see in Allá en el setenta y tantos. Vocational fulfillment is at the core of the plot in The Citadel. Something the Lord Made is a good example to illustrate an unfulfilled vocation, in the same way as Awakenings and Arrowsmith represent the fulfillment of an unexpected vocation and a long pursued one. Finally, vocation can demand great sacrifices, which is made crystal clear in Korczak, and when vocation is not strictly followed it might lead to the greatest abominations, which is the case in "The Fugitive. "

  5. Self-rehabilitation of acquired brain injury patients including neglect and attention deficit disorder with a tablet game in a clinical setting

    DEFF Research Database (Denmark)

    Knoche, Hendrik; Hald, Kasper; Richter, Dorte

    2017-01-01

    We designed and evaluated a whack-a-mole (WAM) style game (see Figure 1) in a clinical randomized controlled trial (RCT) with reminder-assisted but self-initiated use over the period of a month with 43 participants from a post-lesion pool. While game play did not moderate rehabilitative progress ...

  6. Source Memory Rehabilitation: A Review Toward Recommendations for Setting Up a Strategy Training Aimed at the "What, Where, and When" of Episodic Retrieval

    NARCIS (Netherlands)

    Haj, M. El; Kessels, R.P.C.; Allain, P.

    2016-01-01

    Source memory is a core component of episodic recall as it allows for the reconstruction of contextual details characterizing the acquisition of episodic events. Unlike episodic memory, little is known about source memory rehabilitation. Our review addresses this issue by emphasizing several strateg

  7. Source memory rehabilitation: A review toward recommendations for setting up a strategy training aimed at the "what, where, and when" of episodic retrieval

    NARCIS (Netherlands)

    El Haj, M.; Kessels, R.P.C.; Allain, P.

    2016-01-01

    Source memory is a core component of episodic recall as it allows for the reconstruction of contextual details characterizing the acquisition of episodic events. Unlike episodic memory, little is known about source memory rehabilitation. Our review addresses this issue by emphasizing several strateg

  8. Multidisciplinary team care in rehabilitation

    DEFF Research Database (Denmark)

    Momsen, Anne-Mette; Rasmussen, Jens Ole; Nielsen, Claus Vinther

    2012-01-01

    Objectives: To systematically investigate current scientific evidence about the effectiveness of multidisciplinary team rehabilitation for different health problems. Data sources: A comprehensive literature search was conducted in Cochrane, Medline, DARE, Embase, and Cinahl databases, and research...... from existing systematic reviews was critically appraised and summarized. Study selection: Using the search terms "rehabilitation", "multidisciplinary teams" or "team care", references were identified for existing studies published after 2000 that examined multidisciplinary rehabilitation team care...... for adults, without restrictions in terms of study population or outcomes. The most recent reviews examining a study population were selected. Data extraction: Two reviewers independently extracted information about study populations, sample sizes, study designs, rehabilitation settings, the team...

  9. New methodologies for patients rehabilitation.

    Science.gov (United States)

    Fardoun, H M; Mashat, A S; Lange, B

    2015-01-01

    The present editorial is part of the focus theme of Methods of Information in Medicine titled "New Methodologies for Patients Rehabilitation", with a specific focus on technologies and human factors related to the use of Information and Communication Technologies (ICT) for improving patient rehabilitation. The focus theme explores different dimensions of empowerment methodologies for disabled people in terms of rehabilitation and health care, and to explores the extent to which ICT is a useful tool in this process. The focus theme lists a set of research papers that present different ways of using ICT to develop advanced systems that help disabled people in their rehabilitation process.

  10. A Feasibility Analysis of Setting Outward Bound Course in Vocational Colleges in Yunnan Province%云南高职院校开展拓展训练课程的可行性调查研究

    Institute of Scientific and Technical Information of China (English)

    王文洪; 李鸯; 孙毅然

    2014-01-01

    After a literature review of site,equipments,security and teachers’training for outward bound course,a questionnaire was conducted to 20 teachers and 1910 students in some typical vocational colle-ges in Yunnan.The result shows that it is feasible to set the outward bound course in terms of its teaching model,teaching objective and their correlation with physical education.The course setting would surely contribute a lot to cultivate qualified personnel.%采用文献资料法,查阅大量拓展训练课程的场地器材、教材、课程安全及培训师资等的文献资料,并对云南有代表性的高职院校随机抽取的20名教师和1910个学生进行问卷调查,调查结果显示:拓展训练的教学模式、教学目标及与体育课的相关性决定了拓展训练在云南高职院校实施是可行的,能为高职院校培养优秀人才作出重要贡献。

  11. Research on Pedagogic about Setting Outside Studio of Higher Vocational Art Design Major%关于高职艺术设计专业校外工作室化教学法的探索

    Institute of Scientific and Technical Information of China (English)

    韩晓莉; 王如意

    2013-01-01

    At present,there are many problems on the art design teaching of higher vocational education about fuzzy training target,following blindly in professional set,not closing in work-integrated learning,and so on. According to this situation,the author proposes a teaching method of setting up an outside studio,on the basis of a full consideration of the own features of art design,which solved the problem of school fund shortage,improved the students' operational abilities largely,and enhanced the workplace competitiveness of graduates.%  当前高职艺术设计教学存在着人才培养目标模糊、专业设置盲目效仿、工学结合不紧密等诸多问题,针对这种情况,笔者在充分考虑艺术设计专业自身特色的基础上提出了建立校外工作室的教学方法,很大程度上解决了学校资金不足和提高学生动手能力的问题,增强了毕业生的职场竞争力。

  12. Vocational Education and Vocational Skills in Production

    DEFF Research Database (Denmark)

    Madsen, Erik Skov

    2015-01-01

    Through case studies in China, Mexico and Denmark, this paper identifies challenges posed to production companies by a lack of vocational skills and vocational education. The study includes manual, complex and automated production procedures. The paper highlights how both China and Denmark have...... focused on theoretical rather than vocational education for more than a decade. Based on a combination of a literature review and field studies of cases, including studies of mass production and unmanned and automated production, a framework of skills related to process tasks is developed. The paper...... concludes that much more focus on the development of vocational education and vocational skills is needed in Denmark, the U.K, the U.S. and in China for employees to be equipped to handle future automated and advanced production systems....

  13. Motivational Rehabilitation using Serious Games

    Directory of Open Access Journals (Sweden)

    Antoni Jaume i Capó

    2013-11-01

    Full Text Available Research studies show that serious games help to motivate users in rehabilitation processes, and rehabilitation results are better when users are motivated. In long term rehabilitation for maintaining capacities, the demotivation of chronic patients is common. In this work, we have implemented balance rehabilitation video game for cerebral palsy patients. The video game was developed using the prototype development paradigm and following desirable features for rehabilitation serious games presented in the literature. We have tested the video game with a set of users who abandoned therapy due to demotivation in the previous year. Results show that the set of users improved their balance and motivation.

  14. The Influence of Goal Setting on Vocational Colleges Students' Exercise Perseverance%目标设置对高职学生体育锻炼坚持性的影响研究

    Institute of Scientific and Technical Information of China (English)

    方丽华; 潘进初; 黄辉斌

    2012-01-01

    By the analysis the exercise status of vocational students in Wuhan vocational colleges,it found that most students did not develop the habit of regular exercise.Many reasons led to students' poor perseverance of physical exercise,and this paper,takes the use of the basic principles of sports management,and survey and analysis methods,aims to demonstrate that goal setting in physical education physical activities play the important role of improving students' persistence and reduce interrupt rate of exercise.And it also proposes to strengthen the physical theory teaching,students sports consciousness as a precursor to physical education as the core of effective goal-setting to guide and help students to develop a training program to focus on to improve and enrich the sports facilities and conditions for the protection of ideas;proposes physical exercise to improve students' persistence,the formation of habits of physical exercise training targeting to further deepen the reform of physical education strategies.%通过对武汉地区高职学生体育现状分析,发现多数学生未能养成经常锻炼身体的习惯。导致学生体育锻炼坚持性差的原因是多方面的,本文运用体育管理学的基本原理,采取分析和调查的方法,论证体育教学中目标设置对提高学生体育锻炼坚持性及减小体育锻炼中断率具有十分重要的作用。并提出强化体育理论课教学,培养学生体育意识为先导,以体育教学中进行有效目标设置为核心,以引导、帮助学生制定锻炼计划为重点,改善和丰富体育设施和条件为保障的设想;提出提高学生体育锻炼坚持性、培养体育锻炼习惯的形成为目标,进一步深化体育教学改革的对策。

  15. Towards system-wide implementation of the International Classification of Functioning, Disability and Health (ICF) in routine practice: Developing simple, intuitive descriptions of ICF categories in the ICF Generic and Rehabilitation Set.

    Science.gov (United States)

    Prodinger, Birgit; Reinhardt, Jan D; Selb, Melissa; Stucki, Gerold; Yan, Tiebin; Zhang, Xia; Li, Jianan

    2016-06-13

    A national, multi-phase, consensus process to develop simple, intuitive descriptions of International Classification of Functioning, Disability and Health (ICF) categories contained in the ICF Generic and Rehabilitation Sets, with the aim of enhancing the utility of the ICF in routine clinical practice, is presented in this study. A multi-stage, national, consensus process was conducted. The consensus process involved 3 expert groups and consisted of a preparatory phase, a consensus conference with consecutive working groups and 3 voting rounds (votes A, B and C), followed by an implementation phase. In the consensus conference, participants first voted on whether they agreed that an initially developed proposal for simple, intuitive descriptions of an ICF category was in fact simple and intuitive. The consensus conference was held in August 2014 in mainland China. Twenty-one people with a background in physical medicine and rehabilitation participated in the consensus process. Four ICF categories achieved consensus in vote A, 16 in vote B, and 8 in vote C. This process can be seen as part of a larger effort towards the system-wide implementation of the ICF in routine clinical and rehabilitation practice to allow for the regular and comprehensive evaluation of health outcomes most relevant for the monitoring of quality of care.

  16. Rehabilitation aspects of human sexuality.

    Science.gov (United States)

    Madorsky, J G; Dixon, T P

    1983-08-01

    The PLISSIT model is a comprehensive program that combines educational strategies with behavioral intervention to integrate human sexuality into the initial rehabilitation of spinal cord-injured persons. Sexuality is treated as a health care issue as important as bowel and bladder care, skin care, psychosocial issues, mobility, self-care and vocational concerns. Patients admitted to the Spinal Cord Injury Program are surrounded by a supportive milieu and an interdisciplinary staff who comfortably incorporate sexuality into discussions about catheter care, positioning, communication styles, assistive devices and so forth. Patients are exposed to a behavioral training program that makes available didactic lectures, group and individual sessions, bibliotherapy, films and opportunities for directed overnight sexual exploration within the hospital. We advocate that sex therapy be integrated into comprehensive rehabilitation programs along with physical therapy occupational therapy, recreation therapy and psychotherapy as an integral and effective form of functional restoration for patients with major physical disabilities.

  17. The Quality Assistance Plan for Vocational Education in Illinois.

    Science.gov (United States)

    McCormick, Fred C.; McCormick, Eileen R.

    The Quality Assistance Plan (QAP) for Vocational Education in Illinois is a state-funded program for locally initiated, developed, implemented, and evaluated projects that was begun in Fiscal Year 1982. Its purpose is to build the capacity, in each educational setting, for the improvement of vocational education programs. That improvement should…

  18. 75 FR 14582 - Office of Special Education and Rehabilitative Services-Special Demonstration Programs-Model...

    Science.gov (United States)

    2010-03-26

    ... Office of Special Education and Rehabilitative Services--Special Demonstration Programs--Model...) Served by State Vocational Rehabilitation (VR) Agencies AGENCY: Office of Special Education and... Domestic Assistance (CFDA) Number: 84.235L. SUMMARY: The Assistant Secretary for Special Education and...

  19. VESTIBULAR REHABILITATION

    Directory of Open Access Journals (Sweden)

    Maksim Valer'evich Zamergrad

    2009-01-01

    Full Text Available Vestibular disorders are a frequent abnormality that physicians of various specialties have to encounter. Vestibular and equilibrium disorders are particularly common in elderly patients. In this case they are frequently a cause of falls and various injuries. Vestibular rehabilitation is the most important component of treatment for vestibular and equilibrium disorders. The paper considers the basic mechanisms of vestibular compensation, discusses vestibular rehabilitation procedures by doing routine exercises and by using various biofeedback crunches. In particular, it describes the principle of operation of a posturography platform, a SwayStar system for the diagnosis and therapy of vestibular disorders, and a Brainport device for vestibular rehabilitation. The current methods for drug stimulation of vestibular compensation are discussed. Vestibular rehabilitation used in the complex therapy of equilibrium disorders is stressed to considerably enhance therapeutic effectiveness, to cause a reduction in the risk of falls, and to increase quality of life in patients with vestibular disorders

  20. Pulmonary Rehabilitation

    Science.gov (United States)

    ... shortness of breath and increase your ability to exercise. You may have heard that pulmonary rehabilitation is only for people with COPD (chronic obstructive pulmonary disease). We now know that ...

  1. World Wide Comparism of Technical and Vocational Education: Lessons for Nigerian Technical and Vocational Education Sector (I)

    Science.gov (United States)

    Ayeni, Abiodun Olumide

    2015-01-01

    This paper compared technical/vocational education in: Germany, Australia, Finland, Hong Kong, Hungary, India, Japan, South Korea, Mexico, and Nigeria, and found that technical/vocational education was given proper attention in countries considered except Nigeria, where it was handled with laissez faire attitude. Set-Up of Technical/Vocational…

  2. Common Core Curriculum for Vocational Education. Category D: Administration and Supervision. D-1: Fiscal Management of a Vocational Education Program.

    Science.gov (United States)

    Bain, William

    This module on fiscal management of a vocational education program is one of a set of eight on administration and supervision and is part of a larger series of thirty-four modules constituting a core curriculum for use in the professional preparation of vocational educators in the areas of agricultural, business, home economics, and industrial…

  3. Rehabilitation robotics.

    Science.gov (United States)

    Krebs, H I; Volpe, B T

    2013-01-01

    This chapter focuses on rehabilitation robotics which can be used to augment the clinician's toolbox in order to deliver meaningful restorative therapy for an aging population, as well as on advances in orthotics to augment an individual's functional abilities beyond neurorestoration potential. The interest in rehabilitation robotics and orthotics is increasing steadily with marked growth in the last 10 years. This growth is understandable in view of the increased demand for caregivers and rehabilitation services escalating apace with the graying of the population. We provide an overview on improving function in people with a weak limb due to a neurological disorder who cannot properly control it to interact with the environment (orthotics); we then focus on tools to assist the clinician in promoting rehabilitation of an individual so that s/he can interact with the environment unassisted (rehabilitation robotics). We present a few clinical results occurring immediately poststroke as well as during the chronic phase that demonstrate superior gains for the upper extremity when employing rehabilitation robotics instead of usual care. These include the landmark VA-ROBOTICS multisite, randomized clinical study which demonstrates clinical gains for chronic stroke that go beyond usual care at no additional cost.

  4. Rehabilitation robotics

    Science.gov (United States)

    KREBS, H.I.; VOLPE, B.T.

    2015-01-01

    This chapter focuses on rehabilitation robotics which can be used to augment the clinician’s toolbox in order to deliver meaningful restorative therapy for an aging population, as well as on advances in orthotics to augment an individual’s functional abilities beyond neurorestoration potential. The interest in rehabilitation robotics and orthotics is increasing steadily with marked growth in the last 10 years. This growth is understandable in view of the increased demand for caregivers and rehabilitation services escalating apace with the graying of the population. We will provide an overview on improving function in people with a weak limb due to a neurological disorder who cannot properly control it to interact with the environment (orthotics); we will then focus on tools to assist the clinician in promoting rehabilitation of an individual so that s/he can interact with the environment unassisted (rehabilitation robotics). We will present a few clinical results occurring immediately poststroke as well as during the chronic phase that demonstrate superior gains for the upper extremity when employing rehabilitation robotics instead of usual care. These include the landmark VA-ROBOTICS multisite, randomized clinical study which demonstrates clinical gains for chronic stroke that go beyond usual care at no additional cost. PMID:23312648

  5. ESP角度探讨两套高职高专财经英语教材编写%Exploration on the Compilation of Two Sets of Textbooks for Higher Vocational Financial English from the English for Specific Purpose(ESP)Perspective

    Institute of Scientific and Technical Information of China (English)

    魏如晨

    2014-01-01

    From the theoretical perspective of English for Specific Purpose (ESP), combined with the professional characteristics of higher vocational English teaching and learning, this paper ana-lyzed and studied two sets of textbooks for higher vocational fi-nancial English from the content setting, vocabulary selection and textbook exercises of financial English textbooks, and proposed some referential suggestions on textbook compilation.%本文从ESP专业用途英语的理论视角,结合高职高专英语教学和学习的专业性特点,从财经英语教材的内容设置、词汇选编和教材练习等方面对两套财经英语教材进行了分析研究,并提出了一些教材编写的参考意见。

  6. Aspects of physical medicine and rehabilitation in the treatment of deconditioned patients in the acute care setting: the role of skeletal muscle.

    Science.gov (United States)

    Quittan, Michael

    2016-02-01

    Skeletal muscles are essential for movement as well as for survival. Knowledge about the organ skeletal muscle is underrepresented. Ageing and multiple chronic diseases are accompanied by loss of muscle mass, termed "muscle wasting". Nevertheless, muscles are one of the target organs within the rehabilitation process. This review highlights the role of skeletal muscles from various aspects, diagnostic procedures to quantify muscle mass and strength and, most importantly, lists countermeasures to muscle wasting. Although structured and progressive strength training is the cornerstone in the treatment of muscle wasting, several other methods exist to slow down or reverse the process of muscle wasting. Among them are neuromuscular electrical stimulation and alternative exercise modes, positioning, stretching and, as an emerging field, drug therapy.

  7. Defining the content of individual physiotherapy and occupational therapy sessions for stroke patients in an inpatient rehabilitation setting. Development, validation and inter-rater reliability of a scoring list.

    Science.gov (United States)

    De Wit, L; Kamsteegt, H; Yadav, B; Verheyden, G; Feys, H; De Weerdt, W

    2007-05-01

    To develop a valid and reliable scoring list to define the content of individual physiotherapy and occupational therapy sessions for stroke patients in inpatient rehabilitation. A list was developed based on previous lists, neurological textbooks and recorded therapy sessions. Content validity was verified and inter-rater reliability evaluated on videos of treatment sessions. In each of four rehabilitation centres, a researcher recorded and scored five physiotherapy and five occupational therapy sessions. These 40 treatment sessions were also scored by the first author. The scores of the researchers and first author were statistically compared. Settings and subjects : Forty stroke patients in four European rehabilitation centres. The scoring list consists of 49 subcategories, divided into 12 categories: mobilization; selective movements; lying (balance); sitting (balance); standing (balance); sensory and visual perceptual training and cognition; transfers; ambulatory activities; personal activities of daily living; domestic activities of daily living; leisure- and work-related activities; and miscellaneous. Comparing the frequency of occurrence of the categories resulted in intraclass correlation coefficients, indicating high reliability for eight categories, good for one, and fair for two. One category was not observed. Spearman rank correlation coefficients were high to very high for 24 subcategories and moderate for four. Twenty-one subcategories contained too few observations to enable calculation of Spearman rank correlation coefficients. Average point-to-point percentage of agreement in time of the treatment sessions equalled 76.6 +/- 16.2%. The list is a valid and reliable tool for describing the content of physiotherapy and occupational therapy for stroke patients.

  8. Effects of Desktop Virtual Reality Environment Training on State Anxiety and Vocational Identity Scores among Persons with Disabilities during Job Placement

    Science.gov (United States)

    Washington, Andre Lamont

    2013-01-01

    This study examined how desktop virtual reality environment training (DVRET) affected state anxiety and vocational identity of vocational rehabilitation services consumers during job placement/job readiness activities. It utilized a quantitative research model with a quasi-experimental pretest-posttest design plus some qualitative descriptive…

  9. Vocational Guidance for Everyone

    Science.gov (United States)

    Holland, John L.

    1974-01-01

    Describes some of the current problems of vocational guidance, summarizes relevant knowledge and theory in the field, and offers some practical plans for a coordinated, theoretically compatible group of vocational programs, services, and experiences for a high school. (Author/JM)

  10. Vocational Counseling Revisited

    Science.gov (United States)

    O'Brien, Charles R.

    1976-01-01

    The author stresses the importance for counselors to articulate a viable and comprehensive approach to vocational counseling to both clients and the larger society. A re-thinking and re-stating of career education concepts can be a first step in applying vocational theory more constructively. (EA)

  11. Vocational Training in Ireland.

    Science.gov (United States)

    Dooney, Roy; Dunne, Paul

    This monograph, one of a series of studies of vocational education in the countries of the European Communities, describes the vocational training system in Ireland. The study was compiled from existing statistics and descriptions, and most figures cited refer to 1984. The report is organized in eight chapters. Chapter 1 covers population,…

  12. Measuring the subjective well-being of people in a psychosocial rehabilitation center and a residential psychiatric setting: the outline of the study and the measurement properties of a multidimensional indicator of well-being.

    Science.gov (United States)

    Bracke, P

    2001-01-01

    The outline of an ongoing outcome research project in a day rehabilitation center and in a residential psychiatric setting (with respectively 156 and 86 participants at baseline) in Bruges (Belgium) is presented. The study is first characterized by its emphasis on subjective well-being. Subjective well-being is considered to refer to more than satisfaction with specific domains of life, or the absence of psychiatric complaints. Attention is paid to feelings of empowerment, sense of control, feelings of joy and enthusiasm, and global self-esteem. Various aspects of the social relations of the participants and their satisfaction with services are also assessed. Second, the investigation is based on a longitudinal design with intake interviews, retest interviews during and at the end of the rehabilitation programs, and a follow-up interview. Finally, specific efforts are made to ground the outcome measures in sociological theories of mental health to make a theory-driven evaluation possible. After presenting the rationale of the research project, some preliminary results are given, mainly confined to the determination of the reliability, the construct validity, and the sensitivity to change of the various indicators of well-being.

  13. Feasibility and Efficacy of the Nintendo Wii Gaming System to Improve Balance Performance Post-Stroke: Protocol of a Phase II Randomized Controlled Trial in an Inpatient Rehabilitation Setting.

    Science.gov (United States)

    Bower, Kelly J; Clark, Ross A; McGinley, Jennifer L; Martin, Clarissa L; Miller, Kimberly J

    2013-04-01

    Balance deficits following stroke are common and debilitating. Commercially available gaming systems, such as the Nintendo(®) (Kyoto, Japan) Wii™, have been widely adopted clinically; however, there is limited evidence supporting their feasibility and efficacy for improving balance performance following stroke. The aim of this trial is to investigate the clinical feasibility and efficacy of using the Nintendo Wii gaming system as an adjunct to standard care to improve balance performance following stroke in an inpatient rehabilitation setting. Thirty participants undergoing inpatient stroke rehabilitation will be recruited into this Phase II, single-blind, randomized controlled trial. Participants will be allocated into a Balance or Upper Limb Group, and both groups will perform activities using the Nintendo Wii in addition to their standard care. Participants will attend three 45-minute sessions per week, for a minimum of 2 and a maximum of 4 weeks. The main focus of the study is to investigate the feasibility of the intervention protocol. This will be evaluated through recruitment, retention, adherence, acceptability, and safety. The Step Test and Functional Reach Test will be the primary efficacy outcomes. Secondary outcomes will include force platform, mobility, and upper limb measures. Assessments will occur at baseline, 2 weeks, and 4 weeks after study entry. To the authors' knowledge, this will be the largest randomized clinical trial to investigate the feasibility and efficacy of the Nintendo Wii gaming system for improving balance performance in a stroke population. The results will inform the design of a Phase III multicenter trial.

  14. Stroke Rehabilitation

    Science.gov (United States)

    ... or other long-term facility 15% die shortly after the stroke Approximately 14% of stroke survivors experience a second stroke in the first year following a stroke. Successful rehabilitation depends on: Amount of damage to the brain Skill on the part of ...

  15. Cardiac Rehabilitation

    Science.gov (United States)

    ... your risk of future heart problems, and to improve your health and quality of life. Cardiac rehabilitation programs increase ... exercise routine at home or at a local gym. You may also continue to ... health concerns. Education about nutrition, lifestyle and weight loss ...

  16. Educational Rehabilitation.

    Science.gov (United States)

    Jorgensen, I. Skov, Ed.

    1986-01-01

    Fourteen author contributed chapters provide an overview of rehabilitation and special education for the disabled from a Danish perspective. Chapters have the following titles and authors: "Handicapped persons right to education, training and employment" (B. Haarder); "Mutual acceptance and empathy between handicapped and…

  17. Rehabilitation Aids.

    Science.gov (United States)

    National Center on Educational Media and Materials for the Handicapped, Columbus, OH.

    Selected from the National Instructional Materials Information System (NIMIS)--a computer based on-line interactive retrieval system on special education materials--the bibliography covers 40 equipment items for rehabilitation and physical therapy programs for all levels of handicapped children. Described are such items as a handygym, a suspension…

  18. Rehabilitation News.

    Science.gov (United States)

    International Journal of Rehabilitation Research, 1987

    1987-01-01

    Rehabilitation news items include, among others: a midpoint review of the implementation of the World Programme of Action Concerning Disabled Persons, an international study on the impact of new technologies on employment of disabled people, and a U.S. project to investigate disability service provision and innovations in other countries. (JDD)

  19. Nurse-led educative consultation setting personalized tertiary prevention goals after cardiovascular rehabilitation: evaluation of patient satisfaction and long-term effects.

    Science.gov (United States)

    Dedoncker, Anne; Lejeune, Corinne; Dupont, Catherine; Antoine, Daniel; Laurent, Yves; Casillas, Jean-Marie; Gremeaux, Vincent

    2012-01-01

    This study aimed to evaluate the perception and long-term effects of an educative consultation performed before cardiac rehabilitation discharge. The patient and the referring nurse summed up the educative interventions, and filled a personalized form summarizing tertiary prevention goals. Fifty patients were contacted by mail at 11 ± 1 months, and called at 4.2 ± 0.2 years after discharge, to evaluate their satisfaction and assess cardiovascular risk factors (CVRF) control. Mail response rate was 82%, and 90% of patients believed that it had encouraged them to adopt a healthier lifestyle. Almost half the number of patients declared that they considered the nurse intervention as positive. Telephone response rate was 54%. Most long-term effects were better than usually reported in the field of multidisciplinary secondary prevention of CVRF. Patients felt that this educational action was positive, even though highlighting this role of nurses seems necessary. Additional controlled trials are needed to provide rigorous validation of this strategy.

  20. Global Reconstructions of Vocational Education and Training

    Science.gov (United States)

    Avis, James

    2012-01-01

    In this introduction to the special issue, the author examines the wider context within which vocational education and training (VET) is set and the surrounding debates. He considers the prominence of neoliberalism and notions of competitiveness, crisis, skill and knowledge. Despite differences between systems of VET with respect to their reach…

  1. Revised Recommendation Concerning Technical and Vocational Education.

    Science.gov (United States)

    United Nations Educational, Scientific, and Cultural Organization, Paris (France).

    The UNESCO (United Nations Education, Scientific, and Cultural Organization) revised recommendation setting forth general principles, goals, and guidelines concerning technical and vocational education (adopted by the General Conference at its 18th session in Paris, 19 November 1974) is presented under the following headings: (1) Technical and…

  2. Rehabilitation of patients with glioma.

    Science.gov (United States)

    Vargo, Mary; Henriksson, Roger; Salander, Pär

    2016-01-01

    Disabling sequelae occur in a majority of patients diagnosed with brain tumor, including glioma, such as cognitive deficits, weakness, and visual perceptual changes. Often, multiple impairments are present concurrently. Healthcare staff must be aware of the "biographic disruption" the patient with glioma has experienced. While prognostic considerations factor into rehabilitation goals and expectations, regardless of prognosis the treatment team must offer cohesive support, facilitating hope, function, and quality of life. Awareness of family and caregiver concerns plays an important role in the overall care. Inpatient rehabilitation, especially after surgical resection, has been shown to result in functional improvement and homegoing rates on a par with individuals with other neurologic conditions, such as stroke or traumatic brain injury. Community integration comprises a significant element of life satisfaction, as has been shown in childhood glioma survivors. Employment is often affected by the glioma diagnosis, but may be ameliorated, when appropriate, by addressing modifiable factors such as depression, fatigue, or sleep disturbance, or by workplace accommodations. Further research is needed into many facets of rehabilitation in the setting of glioma, including establishing better care models for consistently identifying and addressing functional limitations in this population, measuring outcomes of various levels of rehabilitation care, identifying optimal physical activity strategies, delineating the long-term effects of rehabilitation interventions, and exploring impact of rehabilitation interventions on caregiver burden. The effective elements of cognitive rehabilitation, including transition of cognitive strategies to everyday living, need to be better defined.

  3. Impact Assessment of a Vocational Training Program for Persons with Disabilities in Bangladesh

    Directory of Open Access Journals (Sweden)

    Samuel Matthew Waldron

    2012-12-01

    Full Text Available Purpose: The aim of this study was to evaluate the effectiveness of a vocational training programme in enabling 261 persons with disabilities to find employment in Bangladesh.Methods: A qualitative method, which employed interviews and focus group discussions, assessed the effect of the training programme on key individual, societal and physical factors set out by the WHO International Classification of Functioning, Disability and Health (2001.Results: 157 persons with disabilities (60% secured employment after training. Of these, 74% reported that they were able to provide a better livelihood for their families, 92% reported increased social acceptance, and 83% reported improvement in overall quality of life. Of those who did not find employment, 15% cited issues related to the training course, 6% mentioned discriminatory attitudes of potential employers and 12% had problems related to physical access. Conclusions and Implications: These results suggest that the vocational training programme improved the (reentry of persons with disabilities into employment, which in turn aided their rehabilitation. However, discriminatory attitudes towards them at the workplace were reported.doi: 10.5463/dcid.v23i3.81

  4. Technical Education and Vocational Training in Central Africa. Feasibility Survey of the Regional Development of Rapid Vocational Training: Cameroon, Central African Republic, Chad, and Gabon.

    Science.gov (United States)

    Organization for Rehabilitation through Training, Geneva (Switzerland).

    This final report is the result of a survey requested by the United States Agency for International Development (USAID) and undertaken by the Organization for Rehabilitation through Training (ORT) of four countries (Cameroon, Chad, Central African Republic, and Gabon) and a conference on vocational training sponsored by the Economic and Customs…

  5. Wellbeing and smoking at Danish vocational schools

    DEFF Research Database (Denmark)

    Andersen, Susan; Rod, Morten Hulvej; Ersbøll, Annette Kjær

    Background School dropout and health risk behavior represent major problems among students attending vocational education in Denmark and many other countries. Modifications to the social environment may promote educational attainment as well as the health and wellbeing of young people. However......, there is a need for more evidence-based intervention programs. The aim of this study was to assess the effectiveness of a settings-based intervention (Shaping the Social) at vocational schools on student wellbeing and smoking. Methods We employed a non-randomized controlled trial of 5794 students (mean age 21...... years; 81% male) in 10 (four intervention and six comparison) large vocational schools in Denmark. The intervention integrated social activities with professional learning and focused on four themes: introduction activities; daily class meetings; scheduled breaks; creating a pleasant non-smoking...

  6. Developments in Vocational Education since 1976.

    Science.gov (United States)

    Henze, Jurgen

    1984-01-01

    Assesses developments in Chinese vocational education since 1976 and between 1949 and 1976; defines terminology; profiles secondary vocational education alternatives, including secondary specialized schools, workers' training schools, agricultural/vocational high schools, vocational (technical) schools, apprenticeship training, and continuation…

  7. 2D-Tasks for Cognitive Rehabilitation

    OpenAIRE

    Caballero Hernandez, Ruth; Martinez Moreno, Jose Maria; García Molina, A.; Ferrer Celma, S.; Solana Sánchez, Javier; Sanchez Carrion, R.; Fernandez Casado, E.; Pérez Rodríguez, Rodrigo; Gomez Pulido, A.; Anglès Tafalla, C.; Cáceres Taladriz, César; Ferre Vergada, M.; Roig Rovira, Teresa; Garcia Lopez, P.; Tormos Muñoz, Josep M.

    2011-01-01

    Neuropsychological Rehabilitation is a complex clinic process which tries to restore or compensate cognitive and behavioral disorders in people suffering from a central nervous system injury. Information and Communication Technologies (ICTs) in Biomedical Engineering play an essential role in this field, allowing improvement and expansion of present rehabilitation programs. This paper presents a set of cognitive rehabilitation 2D-Tasks for patients with Acquired Brain Injury (ABI). These t...

  8. The effects of three interventions:cognitive behavioral therapy,family intervention and vocational reha-bilitation intervention on outpatients and their family burden with chronic schizophrenia%3种干预方法对社区慢性精神分裂症患者症状及其家庭负担影响的比较

    Institute of Scientific and Technical Information of China (English)

    舒京平; 李洪建; 黄承保; 孙菡; 朱颖之; 汪四美; 蒋嘉慧

    2015-01-01

    Objective:To explore the effects of three interventions:cognitive behavioral therapy,family intervention and vocational rehabilitation intervention on outpatients and their family burden with chronic schizo-phrenia. Method:Two hundred of outpatients with chronic schizophrenia were randomly assigned to the cog-nitive behavioral therapy group,family intervention group,vocational rehabilitation intervention group and the control group. The corresponding treatments were given to the intervention group for one year. All the subjects were evaluated with positive and negative syndrome scale( PANSS ) and family burden scale of diseases ( FBS). Results:The total score and factor scores of PANSS of three intervention groups decreased signifi-cantly after treatment(P<0. 01). The total score and factor scores(family economy,family daily life,family en-tertainment activities,family relationship)of FBS of three intervention groups decreased significantly after treat-ment,and the physical health score of FBS of cognitive behavioral therapy group decreased significantly after treatment(P<0. 05). The difference of family economy score of FBS of Cognitive behavioral therapy group be-tween pre and post treatment increased both in family intervention group and vocational rehabilitation interven-tion group(P<0. 05). Conclusion:Three interventions can significantly alleviate psychiatric symptoms of chronic schizophrenia and improve their family burden.%目的:探讨认知行为治疗、家庭治疗、职业康复3种干预方法对慢性精神分裂症患者及其家庭负担的影响。方法:将慢性精神分裂症患者随机分为干预组(包括认知行为治疗组48例、家庭治疗组46例、职业康复组40例)及对照组44例,在维持原药物治疗基础上进行相应的干预治疗,历时1年。入组时和干预结束采用阳性与阴性症状量表( PANSS)和家庭负担会谈量表( FBS)对患者及家属进行评估。结果:干预组干预

  9. Exploring Vocational Evaluation Practices following Traumatic Brain Injury

    Directory of Open Access Journals (Sweden)

    Christina Dillahunt-Aspillaga

    2015-01-01

    Full Text Available Background. Individuals with traumatic brain injury (TBI face many challenges when attempting to return to work (RTW. Vocational evaluation (VE is a systematic process that involves assessment and appraisal of an individual’s current work-related characteristics and abilities. Objective. The aims of this study are to (1 examine demographic and employment characteristics of vocational rehabilitation providers (VRPs, (2 identify the specific evaluation methods that are used in the VE of individuals with TBI, and (3 examine the differences in assessment method practices based upon evaluator assessment preferences. Methods. This exploratory case study used a forty-six-item online survey which was distributed to VRPs. Results. One hundred and nine VRPs accessed the survey. Of these, 74 completed the survey. A majority of respondents were female (79.7%, Caucasian (71.6%, and holding a master’s degree (74.3%, and more than half (56.8% were employed as state vocational rehabilitation counselors (VRCs. In addition, over two-thirds (67.6% were certified rehabilitation counselors (CRCs. Respondents reported using several specific tools and assessments during the VE process. Conclusions. Study findings reveal differences in use of and rationales for specific assessments amongst VRPs. Understanding VRP assessment practices and use of an evidence-based framework for VE following TBI may inform and improve VE practice.

  10. Rehabilitative Games for Stroke Patients

    Directory of Open Access Journals (Sweden)

    A. Pyae

    2015-07-01

    Full Text Available Stroke is one of the major problems in medical and healthcare that can cause severe disability and death of patients especially for older population. Rehabilitation plays an important role in stroke therapy. However, most of the rehabilitative exercises are monotonous and tiring for the patients. For a particular time, they can easily get bored in doing these exercises. The role of patient’s motivation in rehabilitation is vital. Motivation and rehabilitative outcomes are strongly related. Digital games promise to help stroke patients to feel motivated and more engaged in rehabilitative training through motivational gameplay. Most of the commercial games available in the market are not well-designed for stroke patients and their motivational needs in rehabilitation. This study aims at understanding the motivational requirements of stroke patients in doing rehabilitative exercises and living in a post-stroke life. Based on the findings from the literature review, we report factors that can influence the stroke patients’ level of motivation such as social functioning, patient-therapist relationship, goal-setting, and music. These findings are insightful and useful for ideating and designing interactive motivation-driven games for stroke patients. The motivational factors of stroke patients in rehabilitation may help the game designers to design motivation-driven game contexts, contents, and gameplay. Moreover, these findings may also help healthcare professionals who concern stroke patient’s motivation in rehabilitative context. In this paper, we reported our Virtual Nursing Home (VNH concept and the games that we are currently developing and re-designing. Based on this literature review, we will present and test out the ideas how we can integrate these motivational factors in our future game design, development, and enhancement.

  11. Thrombocytosis after hip and knee surgery in the rehabilitation setting: is it an occasional phenomenon? Relationship with deep venous thrombosis and functional outcome.

    Science.gov (United States)

    Intiso, Domenico; Di Rienzo, Filomena; Iarossi, Andrea; Copetti, Massimiliano; Pazienza, Luigi; Russo, Mario; Tolfa, Maurizio; Maruzzi, Giuseppe

    2015-04-15

    Thrombocytosis can follow surgery and has occasionally been observed after major orthopaedic surgery. The aim of the present study was to ascertain the platelet count (PLTC) change in patients admitted to a rehabilitation unit after major joint surgery and whether deep venous thrombosis (DVT) and poor outcomes occurred in those who had thrombocytosis. PLTC, red blood cells (RBC), haemoglobin (Hb), fibrinogen, and D-dimers were assessed in patients on admission and at discharge after major joint surgery. Functional outcomes were ascertained using the Barthel Scale (BS), the Functional Independence Measure (FIM) and gait evaluation. Thrombocytosis was considered to have occurred when PLTC was greater than or equal to 500 × 100(9)/L. All subjects with thrombocytosis had ultrasonography to assess DVT occurrence. The patients were divided into "young" and "old" groups according to an age cut-off of 75 years to investigate potential age-related differences. Two hundred and seventy-five patients were identified and 142 (36 M and 106 F, mean age 77.2 ± 10.7) were enrolled. Seventy-six (53.5%) underwent total hip arthroplasty (THA), 40 (51.1%) underwent hip internal fixation and 26 (18.3%) subjects underwent total knee arthroplasty (TKA). The young and old groups included 60 and 82 patients, respectively. Fifty-nine (42.4%) patients had PLTC above 400 × 100(9)/L. Of these, 28 (20.1%) had thrombocytosis with PLTC above 500 × 100(9)/L, and 15 of them (10.7%) had very high values above 600 × 100(9)/L. Increased levels of fibrinogen and D-dimers were also detected. No subject with thrombocytosis had DVT. Outcome was not affected by PLTC. At discharge, significant improvement in all functional assessments was observed in young compared to old people; gait: 2.9 ± 0.2 vs. 2.2 ± 0.8; BS: 97 ± 6.9 vs. 70.5 ± 25.6; and FIM: 116.4 ± 10.9 vs. 83.6 ± 31.2 (p thrombocytosis were not uncommon in patients after major joint surgery, but no subject

  12. 42 CFR 410.49 - Cardiac rehabilitation program and intensive cardiac rehabilitation program: Conditions of coverage.

    Science.gov (United States)

    2010-10-01

    ... section. Intensive cardiac rehabilitation site means a hospital outpatient setting or physician's office... combined with other types of exercise (that is, strengthening, stretching) as determined to be appropriate... cardiac rehabilitation in one of the following settings: (A) A physician's office. (B) A...

  13. Work rehabilitation for migrant workers with work injury--the magic of Chinese paper cutting.

    Science.gov (United States)

    Mai, G Z; Chan, K K; Lo, H Y L K

    2008-01-01

    As China has gradually transformed from agricultural economy into industrial economy since 1978, occupational injuries and diseases become a serious social problem in China. For occupational rehabilitation professionals, helping workers with occupational injuries and diseases, return to work and re-integrate to community are the ultimate goals of occupational rehabilitation. This article reports a new indigenous initiative with cultural notions in occupational rehabilitation piloted by Guangdong Provincial Rehabilitation Center. Case studies reflected that by learning and practicing traditional Chinese paper cutting, workers with occupational injury and disease could regain their self confidence, identity their strengths, learn more vocational skills as well as to re-integrate into community.

  14. Basics of SCI Rehabilitation

    Science.gov (United States)

    ... Donate Experts \\ The Basics of Spinal Cord Injury Rehabilitation Topics Adult Injuries Spinal Cord Injury 101 Spinal ... Injury 101 The Basics of Spinal Cord Injury Rehabilitation The Basics of Spinal Cord Injury Rehabilitation Preventing ...

  15. What Is Cardiac Rehabilitation?

    Science.gov (United States)

    ANSWERS by heart Treatments + Tests What Is Cardiac Rehabilitation? A cardiac rehabilitation (rehab) program takes place in a hospital or ... special help in making lifestyle changes. During your rehabilitation program you’ll… • Have a medical evaluation to ...

  16. Balance (or Vestibular) Rehabilitation

    Science.gov (United States)

    ... the Public / Hearing and Balance Balance (or Vestibular) Rehabilitation Audiologic (hearing), balance, and medical diagnostic tests help ... whether you are a candidate for vestibular (balance) rehabilitation. Vestibular rehabilitation is an individualized balance retraining exercise ...

  17. Rehabilitation and Prosthetic Services

    Science.gov (United States)

    ... Service » Prosthetic & Sensory Aids Service (PSAS) Rehabilitation and Prosthetic Services Menu Menu Rehabilitation and Prosthetics Rehabilitation and ... Enter ZIP code here Enter ZIP code here Prosthetic & Sensory Aids Service (PSAS) Our Mission The mission ...

  18. The Place of Vocational Pedagogy in Pedagogical Science System

    Directory of Open Access Journals (Sweden)

    N. V. Ronzhina

    2015-02-01

    Full Text Available  The paper is devoted to defining the place of professional pedagogy in the system of pedagogic sciences. It is justified by the goal-setting idea that implies the competent personality development in the process of vocational training and life long self-development. The need for vocational pedagogy was caused by the social demand for the unified successive system of vocational training. The pedagogic problems can be divided according to the goal setting into the two main categories: integration into the social and natural environment (socialization, and integration in professional environment (professionalism. Therefore, pedagogy incorporates two main spheres: the general and vocational pedagogy, in which the other types of pedagogic knowledge are specified. In compliance with the goal setting, the pedagogic issues of teacher training are also divided into two groups: 1 training teachers for socialization system– the goal of pedagogic training; 2 training teachers for professional system – the goal of vocational teacher training. Such division is rather formal as every educational establishment within the framework of the federal educational standards provides up-bringing, general education, personal and civil growth, etc. However, the author demonstrates the specificity of general and vocational education in accordance with the set goals. 

  19. The Place of Vocational Pedagogy in Pedagogical Science System

    Directory of Open Access Journals (Sweden)

    N. V. Ronzhina

    2012-01-01

    Full Text Available  The paper is devoted to defining the place of professional pedagogy in the system of pedagogic sciences. It is justified by the goal-setting idea that implies the competent personality development in the process of vocational training and life long self-development. The need for vocational pedagogy was caused by the social demand for the unified successive system of vocational training. The pedagogic problems can be divided according to the goal setting into the two main categories: integration into the social and natural environment (socialization, and integration in professional environment (professionalism. Therefore, pedagogy incorporates two main spheres: the general and vocational pedagogy, in which the other types of pedagogic knowledge are specified. In compliance with the goal setting, the pedagogic issues of teacher training are also divided into two groups: 1 training teachers for socialization system– the goal of pedagogic training; 2 training teachers for professional system – the goal of vocational teacher training. Such division is rather formal as every educational establishment within the framework of the federal educational standards provides up-bringing, general education, personal and civil growth, etc. However, the author demonstrates the specificity of general and vocational education in accordance with the set goals. 

  20. Pulmonary rehabilitation: definition, concept, and history.

    Science.gov (United States)

    Nici, Linda; ZuWallack, Richard L

    2014-06-01

    Pulmonary rehabilitation is a complex intervention for which it is difficult to craft a succinct yet inclusive definition. Pulmonary rehabilitation should be considered for all patients with chronic obstructive pulmonary disease (COPD) who remain symptomatic or have decreased functional status despite otherwise optimal medical management. The essential components of pulmonary rehabilitation are exercise training and self-management education, tailored to the needs of the individual patient and integrated into the course of the disease trajectory. Emerging data support a role for pulmonary rehabilitation in nontraditional contexts, such as during exacerbation in the non-COPD patient and in the home setting.

  1. Psychosocial aspects of rehabilitation in sports.

    Science.gov (United States)

    Covassin, Tracey; Beidler, Erica; Ostrowski, Jennifer; Wallace, Jessica

    2015-04-01

    When an athlete is injured, the primary focus of the sports medicine team is to treat the physical effects of the injury. However, many injured athletes experience negative psychological responses that should also be addressed throughout the rehabilitation process. Sports medicine professions should use psychosocial skills to help decrease the negative consequences of the injury, such as fear of reinjury, anxiety, depression, and adherence to rehabilitation. These psychosocial skills include goal setting, imagery, relaxation techniques, motivation, and self-talk. This article addresses the negative consequences of injury, psychosocial skills used to aid in the rehabilitation process, and clinical implications of the psychological aspects of rehabilitation in sport.

  2. Community Integration for Disabled People. A New Approach to Their Vocational Training and Employment.

    Science.gov (United States)

    Momm, Willi; Koenig, Andreas

    1989-01-01

    Community-based rehabilitation for disabled people has proved to have serious shortcomings, especially in terms of vocational training. The broader concept of community integration programs involves disabled people and local institutions in training and employment efforts to integrate the disabled into normal community life. (SK)

  3. PARENTAL ATTITUDES TOWARDS VOCATIONAL EDUCATION ...

    African Journals Online (AJOL)

    Elizabeth

    This paper looked at one aspect of societal attitudes towards vocational education by conducting a survey ... services in Nigeria. Key Words: Parental Attitude, Vocational Education, Counselling, skill .... Some were 4 scale attitude questions ...

  4. [Dysphagia rehabilitation].

    Science.gov (United States)

    Saitoh, Eiichi

    2008-11-01

    Recently, many medical professionals become to realize eating problem affect deeply patient's quality of life (QOL), and they are very interested in dysphagia rehabilitation. I overviewed dysphagia rehabilitation along with the followings; (1) impact of dysphagia, (2) assessment of dysphagia, and (3) management of dysphagia. Eating is the most enjoyable activity. Dysphagia changes this enjoyable activity to the most fearful one. Dysphagia makes three major problems: risk of aspiration pneumonia and suffocation, risk of dehydration and malnutrition, and depriving enjoyable activity. As a recent conceptualization of eating, the Process model is the most important, that reveals eating (chew-swallow) is very different from just chewing plus swallowing in physiologically. In assessment, standardized functional tests such as the Repetitive saliva swallowing test, the Modified water swallowing test, and the Graded food test are used. The most important point in clinical assessment is identifying indication of direct therapy using food or starting period of oral feeding. Videofluorographic and videoendoscopic examinations are used as precise diagnostic and management-oriented assessment tools. In management, exercise, posture adjustment, and modification of food promote eating possibility. Oral care is essential in dysphagic patients. Surgical intervention is effective method if a patient has severe dysphagia.

  5. Access to postacute rehabilitation.

    Science.gov (United States)

    Buntin, Melinda Beeuwkes

    2007-11-01

    Each year, more than 10 million Medicare beneficiaries are discharged from acute care hospitals into postacute care (PAC) settings, including inpatient rehabilitation facilities, skilled nursing facilities, and homes with services from home health agencies. These beneficiaries include very frail and vulnerable elders, many of whom have suffered from an acute event such as a stroke or a fall resulting in hip fracture, all of whom are judged unable to return to their homes without further care. Whether beneficiaries receive PAC and the type and intensity of care they receive is influenced not only by clinical factors, but by nonclinical factors including provider supply and financing, especially Medicare's methods of payment. This article provides a definition of PAC and discusses the wide cross-sectional variation in the use of postacute rehabilitation. It then discusses recent changes to PAC provider payment that have raised concerns about access to postacute rehabilitation, trends in the use of PAC, and what these trends imply about the appropriateness of PAC as it is now delivered. It concludes by identifying issues about the policy and research implications of recent developments and the PAC literature reviewed.

  6. Rehabilitation interventions in multiple sclerosis: an overview.

    Science.gov (United States)

    Beer, Serafin; Khan, Fary; Kesselring, Jürg

    2012-09-01

    Multiple sclerosis is a complex, heterogeneous disease associated with long-term disability. Despite the availability of advanced disease-modifying and symptomatic therapies that may decrease activity and progression of disease and alleviate complaints to a certain extent, there is still a need for comprehensive rehabilitation interventions in order to reduce sequels and symptoms of the disease on personal activities and social participation to achieve the highest possible independence and the best quality of life. Timing and setting of rehabilitation interventions should be selected individually depending on disease phase, functional deficits, personal requirements, as well as specific goals. In addition, limitations and disease-specific characteristics that may influence rehabilitation outcome should be noted. Rehabilitation interventions should be considered early for maintaining functional capacity and reducing risk for losing important abilities or independence. Due to gradual failure of adaptive compensatory mechanisms along the course of disease, benefits of rehabilitation interventions are generally higher in earlier phases of MS. Inpatient and outpatient multidisciplinary rehabilitation has been shown to be beneficial in improving disability, participation and quality of life despite progression of the disease. Good evidence exists for different specific interventions improving physical and cognitive performance. Other important issues responsible for beneficial effects of comprehensive rehabilitation in MS include education, instruction, and information of patients and caregivers. Comprehensive assessment of health domains in MS patients using standardized framework and common language for describing the impact of disease at different levels, using International Classification of Functioning, Disability and Health (ICF) core sets may increase the knowledge of needs of these patients for more efficient and adapted rehabilitation interventions meeting these

  7. Handbook on Marketing Vocational Education.

    Science.gov (United States)

    Martin, William R.

    Compiled after interviews with vocational educators at urban and rural joint vocational schools, comprehensive high schools, and career centers considered to be successful at marketing vocational education locally in Ohio, this handbook contains information on successful marketing activities that other local educators can undertake. Section I…

  8. Barriers and facilitators of return to work for individuals with strokes: perspectives of the stroke survivor, vocational specialist, and employer.

    Science.gov (United States)

    Culler, Kathleen H; Wang, Ying-Chih; Byers, Katherine; Trierweiler, Robert

    2011-01-01

    The purpose of this study was to identify factors that facilitated or acted as a barrier to return to work (RTW) for stroke survivors. We applied 3 approaches to identify the factors. First, we conducted qualitative interviews with 10 stroke survivors about their RTW experience post stroke. Second, we surveyed 21 vocational specialists about barriers and facilitators of RTW based on their clinical practice. Last, we interviewed 7 employers who had experience in interviewing individuals with disabilities or had the authority to make hiring decisions. Descriptions of barriers and facilitators to RTW from these 3 perspectives were illustrated. Identified components were mapped based on the ICF framework. From stroke survivors' perspectives, factors affecting employment after stroke include neurological (motor, cognition, communication), social, personal, and environmental factors. Vocational specialists described similar barriers and facilitators of RTW as the stroke survivors but emphasized personal factors such as flexibility and being realistic in vocational goals. The employers explained that the candidate's disability plays no role in the hiring process and indicated that all applicants must meet the essential job requirements. Some employers described the benefits of having the support of vocational rehabilitation staff and being able to interact with the vocational rehabilitation specialists during the hiring process. The interaction allows the employer to gather initial information (consented to by the job applicant) about the applicants from the vocational rehabilitation service and to be educated about any specific needs related to the applicant's medical issues.

  9. [Rehabilitation of facial paralysis].

    Science.gov (United States)

    Martin, F

    2015-10-01

    Rehabilitation takes an important part in the treatment of facial paralysis, especially when these are severe. It aims to lead the recovery of motor activity and prevent or reduce sequelae like synkinesis or spasms. It is preferable that it be proposed early in order to set up a treatment plan based on the results of the assessment, sometimes coupled with an electromyography. In case of surgery, preoperative work is recommended, especially in case of hypoglossofacial anastomosis or lengthening temporalis myoplasty (LTM). Our proposal is to present an original technique to enhance the sensorimotor loop and the cortical control of movement, especially when using botulinum toxin and after surgery.

  10. Biomedical engineering and rehabilitation techniques

    Energy Technology Data Exchange (ETDEWEB)

    Gaussens, G.; Jouve, B.; Laizier, J. (Office des Rayonnements Ionisants, CEN Saclay (France))

    The authors outline the programmes set up by the ORIS for the development of biomaterials and rehabilitation products using the radiochemical techniques. They then discuss the development of instruments designed to make the handling and use of radioactive isotopes easier for users.

  11. Spinal Cord Injury Rehabilitation in Nepal

    Directory of Open Access Journals (Sweden)

    Nabina Shah

    2013-06-01

    Full Text Available Spinal cord injury is a major trauma, with its short and long term effects and consequences to the patient, his friends and family. Spinal cord injury is addressed in the developed countries with standard trauma care system commencing immediately after injury and continuing to the specialized rehabilitation units. Rehabilitation is important to those with spinal injury for both functional and psychosocial reintegration. It has been an emerging concept in Nepal, which has been evident with the establishment of the various hospitals with rehabilitation units, rehabilitation centres and physical therapy units in different institutions. However, the spinal cord injury rehabilitation setting and scenario is different in Nepal from those in the developed countries since spinal cord injury rehabilitation care has not been adequately incorporated into the health care delivery system nor its importance has been realized within the medical community of Nepal. To name few, lack of human resource for the rehabilitation care, awareness among the medical personnel and general population, adequate scientific research evidence regarding situation of spinal injury and exorbitant health care policy are the important hurdles that has led to the current situation. Hence, it is our responsibility to address these apparent barriers to successful implementation and functioning of rehabilitation so that those with spinal injury would benefit from enhanced quality of life. Keywords: rehabilitation; spinal injury.

  12. Using the Delphi Method for Selecting Effective Rehabilitation Practices for Case Study Research: Methods, Challenges, and Solutions and Implications for Future Research

    Science.gov (United States)

    Fleming, Allison R.; Boeltzig-Brown, Heike; Foley, Susan M.

    2015-01-01

    Purpose: We describe a modified Delphi method used to select effective state vocational rehabilitation agency practices to prioritize rehabilitation services for individuals with most significant disabilities within the context of Order of Selection, an area where there is little known and published. Specifically, we describe how we applied the…

  13. Dropout in vocational education

    DEFF Research Database (Denmark)

    Jørgensen, Christian Helms

    For the last ten years drop out of vocational education has increased strongly in Denmark. Only half of the students, who take up a vocational programme on upper secondary level, complete it. Like in other European countries the low completion rates has caused considerable alarm on the political...... level (Lamb and Markussen 2011). Continuing high dropout rates will make it very hard for the government to reach its target for educational completion, and the government has launched a series of measures to increase retention including the obligation for all colleges to make plans for retention...

  14. Better definition of vocational services is critical within substance user treatment programs.

    Science.gov (United States)

    Blankertz, Laura; Magura, Stephen

    2004-01-01

    Vocational rehabilitation in substance user treatment programs is often poorly defined; programs rarely provide adequate descriptions of the vocational services they offer. There is no standardization in the content of vocational counseling, in the format of its delivery, or in the qualifications of staff that deliver it. Thus, the type, intensity, and quality of vocational services can vary widely among programs, as well as over time within a given program due to vocational staff turnover. However, current demands for greater accountability in social services pose a challenge to this state of affairs. There is no evidence that vocational services as currently delivered in treatment programs are either effective or even reasonably efficient. Note that "programs are increasingly called on to justify their existence, their expenditure of funds and their achievement of objectives. Behind the call for accountability is an awareness of the gap between almost unlimited social need and limited resources" (Weiss, 2004). It is difficult to achieve accountability for ill-defined and variable vocational services.

  15. Exploration and Practice of Set up Professional Career Counseling Room in Higher Vocational Colleges%高职院校设立专业职业咨询室的探索与实践

    Institute of Scientific and Technical Information of China (English)

    龙小军

    2011-01-01

    Vocational education must always put focus on the devepment of career to train personnel,as the professional division refinement,the matching degree between people and posts is becoming more and more high,the employment guidance course in higher vocational colleges is hard to adapt to the needs of the development of the students' individual career.Individualized career counseling is needed like Psychological Counseling Room.Career counseling can meet the needs of individualized students employment guidance.Studants can obtain the supportive help to promote individual career in their self development.%职业教育必须始终围绕职业的发展来培养人才。随着职业分工的细化,人职匹配的程度越来越高,高职院校大课堂的就业指导课程很难适应学生个性化职业发展的需求,必须与设立心理咨询室一样开展个性化的职业咨询。职业咨询能够满足学生个性化就业指导的需求,让学生获得支持性的帮助,最终促进个体在职业生涯中的自我成熟和发展。

  16. A study on first intake assessments of in-patient referrals to psychiatric rehabilitation services

    Directory of Open Access Journals (Sweden)

    Geetha Desai

    2014-01-01

    Full Text Available Background: Psychiatric rehabilitation is an important component in mental health services. The rehabilitation needs of patients with mental illness have been highlighted in various studies. The studies on in-patient referrals to rehabilitation services however are sparse. This study describes the clinical and demographic details and the reasons for referrals to rehabilitation services during the in-patients stay. Materials and Methods: A semi-structured pro forma was used for the assessment of in-patients referred for the psychiatric rehabilitation services. The pro forma included socio-demographic details such as background, family resources, illness related details such as symptom status, risk assessment, medication details. The total number of referrals for a period of 5 months was collected and coded. Results: The total number of referrals for a period of 5 months was 216 and there were 197 forms available for the study. The mean age of the sample was 31.48 ± 10.46 years. Vocational rehabilitation was the commonest reason for referral to the in-patient services. Severe mental disorders were the most common diagnosis of patients refereed to the services. Conclusions: Patients with severe mental illness were most often referred to the in-patient services. This indicates that we need include to rehabilitation in the management plan at the earliest. Vocational rehabilitation is the most common reason for referrals and there is a need to develop services to cater to these needs.

  17. Returns to General, Technical, and Vocational Education in Developing Countries: Recent Evidence from Suriname.

    Science.gov (United States)

    Horowitz, Andrew W.; Schenzler, Christopher

    1999-01-01

    Employing a new Surinam data set, estimates private and social returns to technical, vocational, and two general-education tracks (mathematics and language). For both genders, returns to either track exceed returns to general or vocational education. Female returns to the language track exceed those to mathematics; males show the reverse. (36…

  18. Examining Differences between Light and Heavier Smoking Vocational Students: A Pilot Study

    Science.gov (United States)

    de Araujo, Vanessa A.; Loukas, Alexandra; Gottlieb, Nell H.

    2011-01-01

    Objective: To examine differences between light and heavier smoking vocational/technical students in tobacco use, related behaviors, and cessation. Design: Cross-sectional. Setting and Methods: Two hundred and four smokers attending two vocational/technical colleges in east Texas, USA, completed an anonymous survey during a regularly scheduled…

  19. Maintaining Vocational Skills of Individuals with Autism and Developmental Disabilities through Video Modeling

    Science.gov (United States)

    Van Laarhoven, Toni; Winiarski, Lauren; Blood, Erika; Chan, Jeffrey M.

    2012-01-01

    A modified pre/posttest control group design was used to measure the effectiveness of video modeling on the maintenance of vocational tasks for six students with autism spectrum disorder and/or developmental disabilities. Each student was assigned two vocational tasks at their employment settings and their independence with each task was measured…

  20. IVA: Improving Vocational Administration.

    Science.gov (United States)

    EPD Consortium D, Richardson, TX.

    These six instructional units are intended to provide instructors of vocational education administration with a systematic package of materials for their programs of preservice and/or inservice instruction and to provide materials which could be reproduced for learner use. These units cover the following subject matter: (1) federal legislation…

  1. Vocational Education and Training.

    Science.gov (United States)

    van Leeuwen, Fred, Ed.

    2000-01-01

    This issue of the quarterly Education International focuses on vocational education and training (VET). The editorial, "Education and the Wealth of Nations" (Fred van Leeuwen), focuses on provision of quality education for all. "Education International's (EI's) First Joint Worldwide Action on Education Issues" (Elie Jouen) describes the Global…

  2. IVA: Improving Vocational Administration.

    Science.gov (United States)

    EPD Consortium D, Richardson, TX.

    These six instructional units are intended to provide instructors of vocational education administration with a systematic package of materials for their programs of preservice and/or inservice instruction and to provide materials which could be reproduced for learner use. These units cover the following subject matter: (1) federal legislation…

  3. Comparison of self-reported and register data on sickness absence among Norwegian patients participating in an occupational rehabilitation program

    Directory of Open Access Journals (Sweden)

    Irene Øyeflaten

    2010-01-01

    Full Text Available Background: Sick leave and return to work are common outcome variables in studies where the aim is to measure the effect of targeted interventions for individuals that are on sick leave benefits or other allowances. Use of official register data is often restricted, and research on sick leave and return to work are often based on the participants self-reports. However, there is insufficient documentation that there is agreement between self-reports and register data on sick leave benefits and allowances.Aims: The aim of this study was to analyse the individuals' knowledge about states of sick leave benefits or allowances compared with register data from The Labour and Welfare Administration (NAV in Norway.Method: 153 individuals, sick-listed or on allowances, participated in a 4-week inpatient occupational rehabilitation program. 132 (86% answered a questionnaire on assessments of work, sick leave, and allowances three months after completed rehabilitation. Self-reported data were compared with register data from NAV according to four categories: working, sick-listed, on medical/vocational rehabilitation allowance or disability pension. Agreement between self-reported and register data was evaluated in cross-tabulations and reported with kappa values. Stratified analyses were done for gender, age, education, medical diagnosis and length of sick leave/allowances at baseline.Results: Good agreement was found for medical/vocational rehabilitation allowance (kappa=.70 and disability pension (kappa=.65. Moderate agreement was found for working (kappa=.49 and fair agreement for sick-listed (kappa=.36. Stratified analyses showed significant better kappa values for individuals that had been sick-listed less than 12 months before entering the rehabilitation program.Conclusions: Agreements from good to fair were found between self-reported and official register data on sick leave. However, official register data is preferred in research because this will

  4. [Can ICF core sets be helpful in preparing a social-medical expert report due to incapacity to work?--a first proposal].

    Science.gov (United States)

    Kirschneck, M; Legner, R; Armbrust, W; Nowak, D; Cieza, A

    2015-04-01

    Social-medical expert reports from the German statutory pension insurance are essential for the German statutory pension regulatory authority to decide whether to grant services regarding participation as well as retirement pensions due to incapacity to work.The objective of this investigation is to determine whether the ICF Core Sets and other international approaches, such as the EUMASS Core Sets or ICF Core Set for vocational rehabilitation cover the content of the social-medical expert reports as well as to propose an approach how the ICF can be economically used by the social medicine practitioner when writing a social-medical expert report. A retrospective quantitative study design was used to translate a total of 294 social-medical expert reports from patients with low back pain (LBP) or chronic widespread pain (CWP) into the language of the ICF (linking) by 2 independent health professionals and compare the results with the ICF Core Sets for specific health conditions and other international approaches. The content of social-medical expert reports was largely reflected by the condition specific brief ICF Core Sets, brief ICF Core Sets for vocational rehabilitation and EUMASS Core Sets. The weighted Kappa statistic for the agreement between the 2 health professionals who translated the expert reports were in CWP 0.69 with a bootstrapped confidence interval of 0.67-0.71 and in LBP 0.73 (0.71-0.74). The analyses show that the content of social-medical expert reports varies enormously. A combination of a condition specific brief ICF Core Set as well as vocational rehabilitation and EUMASS ICF Core Sets as well as all ICF-categories from the expert reports that were named at least in 50% of it can largely provide a basis for preparing expert reports. Within the scope of implementation the need for a specific ICF Core Set for expert reports of the German statutory pension insurance should be further analyzed and discussed. © Georg Thieme Verlag KG Stuttgart

  5. Consumers' Recommendations to Improve Satisfaction with Rehabilitation Services: A Qualitative Study

    Science.gov (United States)

    Hein, Serge; Lustig, Daniel C.; Uruk, Ayse

    2005-01-01

    Understanding consumers' concerns about vocational rehabilitation services is important because of the current emphasis on empowerment and consumer-directed services. This study focused on participants' responses to an open-ended survey question that asked them what they thought could be done to improve their satisfaction with a vocational…

  6. Postservice Psychosocial Adjustment of Former Spinal Cord Injured Rehabilitation Clients. Research Report.

    Science.gov (United States)

    Cook, Daniel W.

    A study examined the long-term adjustment of spinal cord-injured vocational rehabilitation clients by isolating major dimensions of postservice adjustment, correlating preservice status with adjustment followup, and by measuring client pre- to postservice psychological change. Three self-report instruments (a needs satisfaction inventory, a goal…

  7. 38 CFR 21.430 - Accountability for authorization and payment of training and rehabilitation services.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Accountability for... Vocational Rehabilitation and Employment Under 38 U.S.C. Chapter 31 Accountability § 21.430 Accountability... policies and procedures which provide accountability in the authorization and payment of program costs...

  8. Vocational Literacy in Mozambique: Historical Development, Current Challenges and Contradictions

    Directory of Open Access Journals (Sweden)

    Oleg Popov

    2016-03-01

    Full Text Available The study analyses the historical development of vocational literacy in basic education and Non-Formal Vocational Education (NFVE in Mozambique, as well as current challenges and contradictions. The theoretical lens of Cultural-Historical Activity Theory (CHAT is employed in the study. Methodologically the study was executed through an analysis of oral, printed and e-resources produced by the main stakeholders and also the reflective experiences of the authors in their extensive educational work in the country. The findings reveal poorly developed vocational literacy education in schools and non-formal settings in spite of recurrent political declarations about its importance. There is a strong dependence by formal and particularly NFVE sectors on the technical and financial support provided by international organisations. Vocational literacy courses are characterized by a lack of adequate equipment and poor practice. As a consequence, theoretical or elementary forms of vocational knowledge are dominant in the courses, resulting in the dissatisfaction of both learners and educators. Vocational literacy development proved to be a complex field that faces many challenges and ischaracterised by diverse internal contradictions.

  9. Abnormalities of Behaviour and Experience in Vocational Education – A Study using the Achenbach System of Empirically Based Assessment

    Directory of Open Access Journals (Sweden)

    Roland Stein

    2015-11-01

    Full Text Available Recent epidemiological studies show that mental disorders in children, adolescents and young adults are vastly spread and cover a wide range. But concerning the sector of vocational education, there are still only a few findings to this matter. Based on an initial survey (Stein & Ebert, 2010, this article presents findings of a new study gathering data on behavioural abnormalities of young people being in vocational preparation and vocational training. The data was received by questioning teachers and trainers as well as learners themselves. The „Teacher’s Report Form“ (TRF und the „Youth Self Report“ (YSR were applied to a rather large sample in a special needs vocational school and a cooperating vocational centre. The study reveals findings concerning rates of disorders, dominant problem areas, gender-specific differentiation, correlation of diagnosed special needs with the syndrome-scales, occurrence of specific abnormalities in different fields of vocational learning from different perspectives, and cross-informant agreement. These findings are being discussed on the basis of the current situation in vocational education and vocational rehabilitation.

  10. Modern Industrialist Zhang Jian Advocated Women’s Vocational Education

    Institute of Scientific and Technical Information of China (English)

    1996-01-01

    IN 1914, China’s modern industrialist Zhang Jian used his own money to set up The Nantong Women’s Training School in Jiangsu Province. This school specialized in teaching embroidery, one of the more than 20 specialities taught in the vocational schools he set up. By looking at the way the school was established, and its curriculum, we can get a glimpse of Zhang Jian’s concept for vocational education. He thougbt it was important to train women to be knowledgeable and skillful workers.

  11. Advances in rehabilitation medicine.

    Science.gov (United States)

    Ng, Yee Sien; Chew, Effie; Samuel, Geoffrey S; Tan, Yeow Leng; Kong, Keng He

    2013-10-01

    Rehabilitation medicine is the medical specialty that integrates rehabilitation as its core therapeutic modality in disability management. More than a billion people worldwide are disabled, and the World Health Organization has developed the International Classification of Functioning, Disability and Health as a framework through which disability is addressed. Herein, we explore paradigm shifts in neurorehabilitation, with a focus on restoration, and provide overviews on developments in neuropharmacology, rehabilitation robotics, virtual reality, constraint-induced therapy and brain stimulation. We also discuss important issues in rehabilitation systems of care, including integrated care pathways, very early rehabilitation, early supported discharge and telerehabilitation. Finally, we highlight major new fields of rehabilitation such as spasticity management, frailty and geriatric rehabilitation, intensive care and cancer rehabilitation.

  12. National Rehabilitation Information Center

    Science.gov (United States)

    ... including News and Notes) Welcome to the National Rehabilitation Information Center! We are conducting improvements to the ... experience. We apologize for any inconvenience The National Rehabilitation Information Center ( NARIC ) is the library of the ...

  13. Overview of Rehabilitation

    Science.gov (United States)

    ... Organ Systems Additional Content Medical News Overview of Rehabilitation By Alex Moroz, MD, FACP, New York University School of Medicine;Rusk Rehabilitation NOTE: This is the Consumer Version. DOCTORS: Click ...

  14. Armenia - Rural Road Rehabilitation

    Data.gov (United States)

    Millennium Challenge Corporation — The key research questions guiding our design of the RRRP evaluation are: • Did rehabilitating roads affect the quality of roads? • Did rehabilitating roads improve...

  15. Pipeline rehabilitation planning

    Energy Technology Data Exchange (ETDEWEB)

    Palmer-Jones, Roland; Hopkins, Phil; Eyre, David [PENSPEN (United Kingdom)

    2005-07-01

    An operator faced with an onshore pipeline that has extensive damage must consider the need for rehabilitation, the sort of rehabilitation to be used, and the rehabilitation schedule. This paper will consider pipeline rehabilitation based on the authors' experiences from recent projects, and recommend a simple strategy for planning pipeline rehabilitation. It will also consider rehabilitation options: external re-coating; internal lining; internal painting; programmed repairs. The main focus will be external re-coating. Consideration will be given to rehabilitation coating types, including tape wraps, epoxy, and polyurethane. Finally it will discuss different options for scheduling the rehabilitation of corrosion damage including: the statistical comparison of signals from inspection pigs; statistical comparison of selected measurements from inspection pigs and other inspections; the use of corrosion rates estimated for the mechanisms and conditions; expert judgement. (author)

  16. Interdisciplinary rehabilitation after whiplash injury

    Science.gov (United States)

    Haiduk, Philipp; Benz, Thomas; Lehmann, Susanne; Gysi-Klaus, Francoise; Aeschlimann, André; Michel, Beat A.; Angst, Felix

    2017-01-01

    Abstract Whiplash injury associated disorders (WAD) cause high costs for public health care. Neck pain is number 16 on the global prevalence lists for the 50 most common sequelae. It is of importance to obtain long-term data on disability and working capacity outcomes after rehabilitation. Long-term prospective data of the outcome course of whiplash are sparse. The aim of this study was to quantify improvements of pain, function/role performance, vitality, and working capacity 5 years after whiplash injury and to compare the state of health to normative values at 5 years after rehabilitation. In this naturalistic, observational, prospective cohort study, 115 patients were assessed 5 years (60 months) after a multidisciplinary rehabilitation program. The assessment set consisted of the Short Form 36 (SF-36), parts of the North American Spine Society's cervical spine assessment questionnaire (NASS) and the coping strategies questionnaire (CSQ). The effects were quantified by effect size (ES) and standardized response mean (SRM). Score differences over the course were tested by the Wilcoxon–Mann–Whitney U test for significance. Comparing data between entry and 60 months after rehabilitation 8 of 15 parameters improved with large ES/SRM. Outcome between 6 and 60 months showed small to moderate ES/SRM. Working capacity increased from 0 at entry to rehabilitation to 21 h/wk at 6 months and to 30 h/wk at 60 months follow-up. After large improvements in health and working capacity in the mid-term, further important improvements were observed in the long-term course. It can be hypothesized that part of those can be attributed to the interventions during inpatient rehabilitation, for example, due to better coping strategies. PMID:28248865

  17. Rheumatologic rehabilitation: towards recommendations

    Directory of Open Access Journals (Sweden)

    S. Maddali Bongi

    2014-11-01

    Full Text Available Rheumatic patients are highly complex and often affected by chronic diseases. Rehabilitation is generally needed for proper management of the underlying disease. This article describes the characteristics of an effective rheumatologic rehabilitation, takes into account data published in international literature, suggests recommendations based on scientific evidence to develop a correct rehabilitation plan for rheumatic patients and proposes the basis to draw up guidelines in the field of rheumatologic rehabilitation.

  18. Factors associated with vocational reintegration among the Thai lower limb amputees.

    Science.gov (United States)

    Dajpratham, Piyapat; Tantiniramai, Suchat; Lukkapichonchut, Pranee; Kaewnaree, Siriluck

    2008-02-01

    Vocational reintegration is an important goal in the rehabilitation process. The amputees had to take time to adjust themselves to their new condition after lower limb amputation and that might have an impact on their vocation. As yet, there has been no information regarding vocational reintegration among the lower limb amputees in Thailand. To study the rate of vocational reintegration, factors associated with vocational reintegration among the lower limb amputees. The postal survey with the questionnaires to 1,300 amputees who received the lower limb prostheses between 2001 and 2005 was conducted. The participants were divided into two groups namely the employed and unemployed groups. The Chi-Square and the Independent Sample T Test were used to compare the difference between the two groups. The multiple variables analysis by stepwise logistic regression was used to determine the associated factors. Three hundred and nine questionnaires were completed among 321 returned questionnaires (response rate 24.7%). Two hundred and forty seven males and 62 females with age ranging from 18-82 years old participated. The rate of vocational reintegration was 66.7%. Demographically, the employed group had less diabetes mellitus (p = 0.001), higher educational level (p = 0.004), were younger at the time of amputation (p reintegration were etiologies of amputation from the blast injury from mines and congenital problems (OR 3.3), educational level from secondary school (OR 2.3), at least satisfactory to good wearing comfort (OR 1.16), and younger at the time of amputation (OR 0.97) respectively. This information can assist the rehabilitation personnel to encourage the vocational reintegration among the Thai lower limb amputees.

  19. 20 CFR 702.507 - Vocational rehabilitation; maintenance allowance.

    Science.gov (United States)

    2010-04-01

    ... LABOR LONGSHOREMEN'S AND HARBOR WORKERS' COMPENSATION ACT AND RELATED STATUTES ADMINISTRATION AND... Director that a trainee is not complying reasonably with the terms of the training plan or is absenting himself without good cause from training so as to materially interfere with the accomplishment of the...

  20. Multidisciplinary vocational rehabilitation for patients with chronic arthritis

    NARCIS (Netherlands)

    Buck, de Petronella D.M.

    2006-01-01

    Working gainfully is a major activity of adult life, providing income, structure, social interaction and an opportunity to learn and practice skills, and a source of self-esteem. In people with chronic arthritis work disability is common, having a major impact upon individuals as well as society. In

  1. Post-Stroke Rehabilitation

    Science.gov (United States)

    ... PDF (704 kb) » Spanish Version » Order Materials » Post-Stroke Rehabilitation In the United States more than 700,000 ... best possible long-term outcome. What is post-stroke rehabilitation? Rehabilitation helps stroke survivors relearn skills that are ...

  2. Supported employment and compensatory strategies for enhancing vocational outcome following traumatic brain injury.

    Science.gov (United States)

    Kreutzer, J S; Wehman, P; Morton, M V; Stonnington, H H

    1988-01-01

    Epidemiological research clearly indicates that traumatic head injury has reached epidemic proportions. Incidence rates for head injury are greater than those for cerebral palsy, multiple sclerosis, and spinal cord injury combined. Many victims suffer from long-term impairments in functional, neurological, medical, neuropsychological and linguistic status. Emotional and behavioural problems are common as well. Additionally, family problems often ensue as a consequence of the victim's dependency and concomitant emotional changes. Investigations of post-injury vocational status indicate that unemployment rates within the first 7 years post-injury range as high as 70% for those with moderate and severe injuries. Researchers have demonstrated that the emotional and neuropsychological changes arising from injury are the greatest contributors to reduced employability. Relatively high unemployment rates strongly suggest that traditional approaches to physical and vocational rehabilitation have been entirely inadequate. To complement existing services and enhance employment outcome, two approaches have been developed and refined for use with victims of head injury. Supported employment is a unique approach which assists the client to select, obtain and maintain suitable employment on the basis of his/her interests and abilities. Compensatory strategies have been developed to help the individual offset intellectual problems which would otherwise interfere with learning job skills and maintaining production levels. Often, compensatory strategies are used in the context of a comprehensive supported employment programme. The greater use of supported employment and compensatory strategies is likely to enhance employment outcomes for those with traumatic head injury. Nevertheless, additional research is needed to more clearly identify the types of techniques which work best for each unique set of problems.

  3. Promoting Vocational Education. A Public Relations Handbook for Vocational Educators.

    Science.gov (United States)

    American Vocational Association, Arlington, VA.

    This handbook for vocational educators was developed as a tool to help them in their public relations efforts. Following a brief introduction, the content is presented in twelve sections. The first discusses the roles of various professionals and groups in vocational education. Section 2 covers planning a total public relations program and…

  4. Setting Examinational Subjects and Measuring Vocational Aptitudes in National College Entrance Examination:Breaking the Predicament in the New Wave of Reform%高考科目设置与专业性向测定--破解新一轮高考改革困局

    Institute of Scientific and Technical Information of China (English)

    柳学智

    2015-01-01

    The main challenges faced by the current National College Entrance Examination(NCEE)system are following:college’s autonomy of enrolling new students and examinee’s vocational aptitude are ignored, and only one testing opportunity is a bit on chance. In order to solve these problems, the highly uniform model of setting examinational subjects and weights in NCEE system must be reformed, and examinee’s individual differences in abilities in different subjects and college’s admission requirements in different majors must be highly valued. Under the uniform framework of NCEE, examinational subjects are suggested to be classified as obligatory and optional subjects. The obligatory subjects and weight ranges of all obligatory and optional subjects are nationally uniform. The optional subjects and individual weights of all obligatory and optional subjects in every college major are set by colleges and universities. All examinees are free to choose optional subjects and corresponding college majors. After raw scores are linearly transformed into standard scores, scores of every examinational subject in every college major are added together by its weight to get total scores. New students are enrolled based on the sequence of total scores in every college major and the sequence of every examinee’s choices for college majors. What is crucial in the new wave of NCEE reform is following: in the light of balancing uniformity and variability in the NCEE, examinee’s vocational aptitudes are measured by means of setting examinational subjects and their weights, examinees can choose college majors favorable for their vocational aptitudes based on advantages in abilities of examinational subjects, colleges and universities can enroll new students of corresponding vocational aptitudes based on characteristics of college majors.%当前高考制度面临着高校招生自主权难以落实、考生专业性向未受重视、一次考试机会偶然性大等主要问题。

  5. Properties and outcomes of spinal rehabilitation units in four countries

    DEFF Research Database (Denmark)

    Fromovich-Amit, Y; Biering-Sørensen, F; Baskov, V

    2009-01-01

    for rehabilitation (TAR), length of stay in rehabilitation (LOS), SCIM and spinal cord ability realization measurement index (SCI-ARMI) scores, SCIM gain, SCI-ARMI gain and rehabilitation efficiency (RE). RESULTS: Differences were found between the units in rehabilitation objectives, facilities and special equipment......OBJECTIVE: Compare rehabilitation after spinal cord lesions (SCL) in different countries. DESIGN: Multicenter comparative study. SETTING: Four spinal rehabilitation units, in Denmark, Russia, Lithuania and Israel. SUBJECTS: 199 SCL patients. INTERVENTIONS: Information was collected about unit...... properties, rehabilitation objectives, American Spinal Injury Association (ASIA) scale and spinal cord independence measure (SCIM) assessments, and patient data. chi (2)-test, t-test, ANOVA and ANCOVA were used for statistical analysis. MAIN OUTCOME MEASURES: Time from lesion onset to admission...

  6. Cancer rehabilitation in Denmark

    DEFF Research Database (Denmark)

    Hansen, Helle Ploug; Tjørnhøj-Thomsen, Tine

    2008-01-01

    A fundamental assumption behind cancer rehabilitation in many Western societies is that cancer survivors can return to normal life by learning to deal with the consequences of their illness and their treatment. This assumption is supported by increasing political attention to cancer rehabilitation...... and a growth in residential cancer-rehabilitation initiatives in Denmark (Danish Cancer Society 1999; Government of Denmark 2003). On the basis of their ethnographic fieldwork in residential-cancer rehabilitation courses, the authors examine the new rehabilitation discourse. They argue that this discourse has...

  7. Rehabilitation of cancer patients.

    Directory of Open Access Journals (Sweden)

    Pandey M

    2001-01-01

    Full Text Available With the developments in cancer treatment, more and more patients are surviving their disease. However, very little emphasis is being placed to rehabilitate these cancer survivors. Ignorance, social structure, stigma attached in seeking psychological help, and poor communication skills of oncology staff all contribute to poor rehabilitative efforts. The priority of governmental agencies and health efforts to fight rampant communicable diseases, malnutrition, maternal health, and the frequent natural calamities, puts rehabilitation movements in the back seat. Treatment and prevention of disability and its rehabilitation requires comprehensive and multidisciplinary approach. There is an urgent need to promote physical and psychological rehabilitation.

  8. Occurrence and predictors of pressure ulcers during primary in-patient spinal cord injury rehabilitation

    NARCIS (Netherlands)

    Verschueren, J. H. M.; Post, M. W. M.; de Groot, S.; van der Woude, L. H. V.; van Asbeck, F. W. A.; Rol, M.

    Study design: Multicenter prospective cohort study. Objectives: To determine the occurrence and predictors for pressure ulcers in patients with spinal cord injury (SCI) during primary in-patient rehabilitation. Setting: Eight Dutch rehabilitation centres with specialized SCI units. Methods: The

  9. ILO's Work in Vocational Training

    Science.gov (United States)

    Educational Documentation and Information, 1971

    1971-01-01

    The work of the Vocational Training Branch of the Human Relations Department, International Labour Office (Unesco), is described. The essential purpose is to develop improved practices in vocational training, with a view to progressive establishment of standards at the international level. (JB)

  10. Legal Scholarship as a Vocation.

    Science.gov (United States)

    Luban, David

    2001-01-01

    Explores the more purely theoretical side of the legal scholar's vocation, using Max Weber's text on the scholar's role titled "Science as a Vocation." Discusses the consequences of the tension between law schools' generalist "pretensions" and increasingly specialist character, and Weber's fact/value distinction. (EV)

  11. A Spotlight on Vocational Learning

    Science.gov (United States)

    Williams, Jenny

    2012-01-01

    Announced by government in "New Challenges, New Chances" in December 2011, the sector-led Commission on Adult Vocational Teaching and Learning has been tasked with raising the quality, and improving the outcomes and impact, of adult vocational teaching and learning for learners and employers. It is a commission focused on the future--of…

  12. A Spotlight on Vocational Learning

    Science.gov (United States)

    Williams, Jenny

    2012-01-01

    Announced by government in "New Challenges, New Chances" in December 2011, the sector-led Commission on Adult Vocational Teaching and Learning has been tasked with raising the quality, and improving the outcomes and impact, of adult vocational teaching and learning for learners and employers. It is a commission focused on the future--of people,…

  13. The Role of Setting-up Exercise on Rehabilitation in Patients with Depressive Episode%健身操在抑郁发作患者康复中的作用

    Institute of Scientific and Technical Information of China (English)

    石贵凤

    2015-01-01

    目的:探讨健身操对抑郁发作患者康复的影响。方法:对70例住院抑郁发作患者在药物治疗的同时,随机分为研究组35例辅以健身操训练8周,采用汉密尔顿抑郁量表( HAMD-24)于入组第一天、4周、8周进行评定,护士用住院精神病人观察量表( NOSIE-30)于入组前后进行评定,并与单纯药物治疗的35例抑郁发作患者进行对照。结果:经8周健身操训练后,研究组汉密尔顿抑郁量表总分明显低于对照组,差异有极显著性( t=-5.761, P<0.01),研究组治愈率达88.57%,对照组治愈率62.85%(χ2=6.293,P<0.05),护士用住院病人观察量表研究组总积极因子分、病情总估计明显高于对照组,总消极因子分明显低于对照组,差异有极显著性(P均<0.01).结论:健身操训练能明显改善抑郁发作患者的抑郁情绪,提高疗效,较单用抗抑郁剂治疗效果更显著。%Objective:To discuss the influences of setting -up exercise on rehabilitation in patients with depressive episode .Methods:70 cases of hospitalized patients with depressive episode in drug treat-ment were randomly divided into control group and research group .The research group was supplemented by setting-up exercise training for 8 weeks.And Hamilton depression scale(HAMD-24)were used in the first day,4h week,8h week.The nurse in hospitalized psychiatric patients observation scale (NOSIE-30 ) was used before and after the grouping treatment ,and the scores were compared between two groups . Results:After 8 weeks,the Hamilton depression rating scale total score was significantly lower in the re-search group than that in the control group (t=-5.761,P<0.01),group cure rate was 88.57%,control group cure rate 62.85%(χ2 =6.293,P<0.05),the nurses with inpatient observation scale 'positive fac-tors'scores,total estimate were significantly higher than those in the control group ,the

  14. 高职院校开设拓展训练课的意义与实施途径%On the Meaning and Implementation Approach Setting up Vocational Expanding Training Courses

    Institute of Scientific and Technical Information of China (English)

    浦北娟

    2011-01-01

    Outward bound is a way of experiencing study and also a new teaching idea.It can meet the needs of the teaching reform of physical training courses,benefit the college students in enhancing comprehensive quality.It suits for the requirement of physical training reform in our higher vocational institutes because it enriches the teaching contents and reaches the goal of outward bound.Therefore it is an effective way to carry out quality education.%拓展训练是一种体验式学习方式,是一种新的教学理念,符合高校体育教学改革的需要,有利于培养大学生的综合素质。把拓展训练引进到高职院校体育课中,符合我国高校体育改革的方向,既丰富了教学的内容,又达到了拓展训练的目的,是实施素质教育行之有效的方法。

  15. Vocational Skills Training Model for English Normal Students in the Setting of New Curriculum Reform%新课改背景下英语师范生职业技能训练模式研究

    Institute of Scientific and Technical Information of China (English)

    杨渊艺; 黄莉

    2015-01-01

    新一轮基础课程改革顺应时代发展潮流,摒弃落后的教学内容和模式,构建以素质教育为核心的基础课程体系。本文分析了传统教育模式中存在的问题,并且根据新课改的要求提出了英语师范生职业技能训练新模式,来弥补和完善传统模式的不足。%The new curriculum reform follows the development trend of the times, abandons outdated teaching content and mode, and builds a foundation curriculum concentrated on quality education. The paper analyses the problems in the traditional education mode, and proposes a new vocational training model for English normal students based on the requirements of new curriculum, so as to make up and improve the shortcomings of traditional models.

  16. On Evolvement of Connotation of Occupational Ability and Setting of Higher Vocational Curriculum Objectives%职业能力内涵的发展与高职课程目标的开发

    Institute of Scientific and Technical Information of China (English)

    向丽

    2011-01-01

    The focus of occupational ability has shifted from special skills under CBE mode to professional competence, methodological ability, social ability and ability of personality under German dual mode. The objectives of higher vocational curricular should reflect the requirement of comprehensive occupational ability. The paper proposes directing the cultivation of methodological and social ability with representative objectives, prescribing the development of professional ability with action objectives, promoting students' ability of personality with generative objectives.%职业能力的内涵经历了从“CBE”模式下强调专项技能,到德国“双元制”模式下着重专业能力、方法能力、社会能力和个性能力的发展过程。我国高职教育的课程目标应反映综合职业能力的要求。可从以下三方面着手开发高职课程目标:以表现性目标方式规范方法能力与社会能力的培养,以行为目标方式明确学生专业能力的发展要求,以生成性目标方式促进学生个性能力的养成。

  17. Ensuring Quality Assurance in Vocational Education

    Science.gov (United States)

    Idialu, Ethel E.

    2013-01-01

    Vocational education emphasises skill acquisition. Quality assurance in vocational education is a concept that is concerned with high performance involving activities with vocational education such as teaching, learning, infrastructures, students' behaviour and the entire academic process. Quality vocational education refers to input and output of…

  18. Post stroke rehabilitation based on SMART goals: a case study

    Directory of Open Access Journals (Sweden)

    Amir-ur Rehman

    2014-02-01

    Full Text Available Post stroke rehabilitation has been consistently reported in physiotherapy as being difficult to manage and limiting to rehabilitation outcome. It is reported that the first few months post stroke are crucial for rehabilitation to reach a maximum potential. However, after this period further recovery is unlikely. Specific, measurable, achievable, realistic, and time-framed (SMART goals are used for goal setting for rehabilitation. They can provide coordination between a multidisciplinary team to develop a plan for the individual needs of patients. This case study explored the use of SMART goals, which are often not used in a rehabilitation setting due to being time-consuming and difficult to create. This case report provides the first evidence that SMART goals may serve as a powerful tool for rehabilitation following stroke. The case study illustrates the clinical role of physiotherapists in the management of a patient with stroke. [J Exp Integr Med 2014; 4(1.000: 71-73

  19. A Vocational Calling: Exploring a Caring Technology in Elderly Care

    Science.gov (United States)

    Fejes, Andreas; Nicoll, Katherine

    2010-01-01

    In this article we explore the relationship of care of a group of health care workers in elderly care, through their descriptions of themselves and their work. We have an interest in how relationships of care may be explored and characterised in and across disparate vocational settings. This is a critical response to policy discourses of…

  20. Congressional District Schools: Forerunner of Federally Supported Vocational Agriculture.

    Science.gov (United States)

    Hillison, John

    1989-01-01

    Before the Smith-Hughes Act, Congressional district agricultural schools in Alabama, Georgia, and Virginia provided an early example of federal support for vocational agriculture. Although agricultural instruction was included, these schools were in reality comprehensive high schools that set precedents for subsequent agricultural curricula. (SK)

  1. Advances in wearable technology for rehabilitation.

    Science.gov (United States)

    Bonato, Paolo

    2009-01-01

    Assessing the impact of rehabilitation interventions on the real life of individuals is a key element of the decision-making process required to choose a rehabilitation strategy. In the past, therapists and physicians inferred the effectiveness of a given rehabilitation approach from observations performed in a clinical setting and self-reports by patients. Recent developments in wearable technology have provided tools to complement the information gathered by rehabilitation personnel via patient's direct observation and via interviews and questionnaires. A new generation of wearable sensors and systems has emerged that allows clinicians to gather measures in the home and community settings that capture patients' activity level and exercise compliance, the effectiveness of pharmacological interventions, and the ability of patients to perform efficiently specific motor tasks. Available unobtrusive sensors allow clinical personnel to monitor patients' movement and physiological data such as heart rate, respiratory rate, and oxygen saturation. Cell phone technology and the widespread access to the Internet provide means to implement systems designed to remotely monitor patients' status and optimize interventions based on individual responses to different rehabilitation approaches. This chapter summarizes recent advances in the field of wearable technology and presents examples of application of this technology in rehabilitation.

  2. On the Teaching of Computer Course in Medical Specialty in Higher Vocational Colleges--A Case Study on the Rehabilitation and Nursing College of Yunnan University of Business Management%高职院校医学专业计算机课程教学探讨--以云南经济管理学院康复与护理学院为例

    Institute of Scientific and Technical Information of China (English)

    龙继飞; 杨丽华

    2016-01-01

    为适应时代需求,医学专业毕业生必须具备较好的计算机应用能力。这就要求我们计算机教师在教学中要不断探索,努力提高计算机教学水平和质量,培养出计算机实践操作能力强的医学专业学生。本文以康复与护理学院计算机教学为例,从计算机课程教学现状出发,找出存在的问题,并针对现存问题进行分析,进而提出对高职院校医学专业计算机课程教学的一些思考和建议。%In order to meet the needs of the times, medical graduates must have good computer application ability. This requi-res us to continue to explore computer teachers in teaching, and strive to improve the level and quality of computer teaching, training of computer practice and operation of a strong ability of medical students. The computer teaching of rehabilitation and nursing College as an example, from the current status of computer course teaching of find out the existing problems, and anal-yzes the existing problems, puts forward some thoughts and suggestions on the medical specialty in higher vocational college computer course teaching.

  3. Program organization in pulmonary rehabilitation.

    Science.gov (United States)

    Garvey, Chris; Carlin, Brian; Raskin, Jonathan

    2014-06-01

    Variable aspects of pulmonary rehabilitation (PR) programs include staff composition, setting, structure, and duration. Longer PR programs generally translate into greater improvements in outcomes and (perhaps) prolonged maintenance of benefits. Barriers to PR include transportation issues, inconvenience for the patient, cost and insurance coverage problems, lack of perceived benefit, concurrent illness, and influence of the provider. PR settings include inpatient and outpatient environments. PR has been shown to improve health care utilization during or immediately following chronic obstructive pulmonary disease exacerbations. Challenges to providing PR may be partially addressed by technological developments.

  4. Rehabilitating equipoise.

    Science.gov (United States)

    Miller, Paul B; Weijer, Charles

    2003-06-01

    When may a physician legitimately offer enrollment in a randomized clinical trial (RCT) to her patient? Two answers to this question have had a profound impact on the research ethics literature. Equipoise, as originated by Charles Fried, which we term Fried's equipoise (FE), stipulates that a physician may offer trial enrollment to her patient only when the physician is genuinely uncertain as to the preferred treatment. Clinical equipoise (CE), originated by Benjamin Freedman, requires that there exist a state of honest, professional disagreement in the community of expert practitioners as to the preferred treatment. FE and CE are widely understood as competing concepts. We argue that FE and CE offer separable and, in themselves, incomplete justifications for the conduct of clinical trials. FE articulates conditions under which the fiduciary duties of physician to patient may be upheld in the conduct of research. CE sets out a standard for the social approval of research by institutional review boards. Viewed this way, FE and CE are not necessarily competing notions, but rather address complementary moral concerns.

  5. Rehabilitating torture survivors

    DEFF Research Database (Denmark)

    Sjölund, Bengt H; Kastrup, Marianne; Montgomery, Edith;

    2009-01-01

    , "Rehabilitating Torture Survivors", was organized by the Rehabilitation and Research Centre for Torture Victims (a rehabilitation clinic and global knowledge and research centre with government support) in collaboration with the Centre for Transcultural Psychiatry at Rigshospitalet in Copenhagen, Denmark...... to rehabilitation, but scientifically rigorous studies of comprehensive rehabilitation programmes for torture survivors are lacking. Therefore, effect studies are urgently warranted. Nevertheless, by combining expertise from different scientific and professional areas, important elements in the problems of torture...... survivors can be addressed from an evidence base generated both from traumatized and non-traumatized patient populations. Thus, trauma-focused cognitive behavioural therapy and/or eye movement desensitization and reprocessing, as well as interdisciplinary pain rehabilitation, should be components...

  6. A Review on Role of Prakruti in Vocational Guidance

    Directory of Open Access Journals (Sweden)

    Hemangini Waghulade

    2013-05-01

    Full Text Available Ayurved is an eternal science with sound & absolute principles. Prakruti is an important concept of Ayurveda & plays a very important role in the designing lifestyle of a person for maintenance of health. At the time of union of sperm & ovum, predominance of trigunas, panchamahabhutas & doshas decide the prakruti or constitution of every individual. Once this proportion is set, generally it remains permanent for the lifetime of that individual. Vocational exploration courses offer students the opportunity to research different career possibilities as well as to learn in which vocational areas they have aptitude or talent in. By knowing the prakruti of a particular person, we can get an appropriate idea about his likings or the things he is comfortable with. So, we can guide the person in choosing appropriate profession which will be according to his liking or passion & also he will have the ability to become successful in that particular profession. Through this article, I have made an attempt to evaluate the interrelationship between prakruti & vocational guidance. From this study, I conclude that all the physiological processes are directly controlled by tridosha and thus by the predominant dosha in a particular type of prakriti. Vocational guidance is closely related with prakriti. This conceptual study will be helpful in various vocational guidance centers & also in assigning a particular designation to an employee based on his ability.

  7. INTEGRATING VOCATIONAL STREAM IN SECONDARY SCHOOL: A QUALITATIVE CASE STUDY

    Directory of Open Access Journals (Sweden)

    Mohamad Hisyam Mohd. Hashim

    2010-11-01

    Full Text Available Vocational stream is a new set-up in the education system of developing countries especially for countries with low population and limited area of land. Nevertheless, this countries are working on providing vocational education to their citizen particularly for their youngsters in secondary school. There are few important elements or items that can be used as guidence in a certain implementation that might be the basics of the implementation. The qualitative methodology (Inteviews, Documents analysis and observation are used. Research findings show that there are some items that can be adopted as the Guidelines On International Best Practices In Integrating Vocational Education In Secondary School especially for the vocational streamed school. It is also found that, it is still too soon for the implementation of vocational stream in the existing secondary schools if the basic requirements for it are not being formed or improved. It is suggested that, the implementation of International Best Practices in Integrating TVET in the Secondary School which was also being suggested previously for other developing countries by model pathway of voational stream student.

  8. Vocational intervention based on the Model of Human Occupation: a review of evidence.

    Science.gov (United States)

    Lee, Jenica; Kielhofner, Gary

    2010-09-01

    Work is a growing concern in disability and rehabilitation fields. Specific evidence related to occupational therapy in the area of vocational rehabilitation is somewhat limited. With increased demands for occupation-focused, evidence-based, and theory-informed practice, this review aims to use clinically relevant questions to organize and synthesize evidence regarding work-related interventions specifically related to an occupation-focused theory, the Model of Human Occupation. A total of 45 published works related to both the MOHO and vocational issues were identified and included in the review. The review demonstrates that there is a range of evidence that supports the use of the MOHO and its tools as a basis for work-based clinical interventions. Evidence supports the conclusion that MOHO-based work assessments have good psychometric properties and are useful in evaluating vocational potential and needs. MOHO-based work programs have been shown to have a positive impact in improving vocational outcomes to a range of clients.

  9. Georgia - Energy Rehabilitation

    Data.gov (United States)

    Millennium Challenge Corporation — Gustavson Associates was retained by Millennium Challenge Georgia (MCG) to prepare a model to calculate the economic rate of return (ERR) for rehabilitation work...

  10. Psychiatrists and psychiatric rehabilitation.

    Science.gov (United States)

    Torrey, William C; Green, Ronald L; Drake, Robert E

    2005-05-01

    Interventions that focus directly on functional impairments related to mental illnesses are termed psychiatric rehabilitation. Research demonstrates that rehabilitation services are increasingly able to help adults with psychiatric disabilities achieve the functional outcomes they desire, particularly in the areas of housing and employment. To support the community lives of adults with severe mental illnesses, psychiatrists must stay current with advances in this field and know how to integrate psychiatric rehabilitation with other interventions. This article reviews the concept of psychiatric rehabilitation, current approaches in the field, the psychiatrist's role in these services, and implications for psychiatric training and continuing education.

  11. Rehabilitation of the disabled mentally III in the community.

    Science.gov (United States)

    Elizur, Avner

    2004-01-01

    The purpose of this article is to review the latest developments in the area of rehabilitation of disabled mentally ill patients. Rehabilitation is a comprehensive and multi-disciplinary treatment. It involves a wide variety of interventions. These interventions are designed to enable the client to integrate into the normal life of the community and to improve his quality of life. This review discusses the different approaches and their effectiveness. The approaches that are described include comprehensive psychiatric, psycho-social and psycho-educational interventions including family therapy, training in social skills, and vocational intervention in programs and services in the community. The approaches that have been shown to be the most effective in controlled studies include: follow-up psychiatric drug treatment, individual and family psycho-educational treatment; social skills training; community sheltered-housing facilities and vocational rehabilitation programs. It has been emphasized that the effectiveness of treatment is conditional not only on the client's resilience and a comprehensive and multidisciplinary treatment approach, but also on the community financial resources and the level of training of the professionals.

  12. Exercise-Based Oncology Rehabilitation: Leveraging the Cardiac Rehabilitation Model

    Science.gov (United States)

    Dittus, Kim L.; Lakoski, Susan G.; Savage, Patrick D.; Kokinda, Nathan; Toth, Michael; Stevens, Diane; Woods, Kimberly; O’Brien, Patricia; Ades, Philip A.

    2014-01-01

    PURPOSE The value of exercise and rehabilitative interventions for cancer survivors is increasingly clear and oncology rehabilitation programs could provide these important interventions. However, a pathway to create oncology rehabilitation has not been delineated. Community-based cardiac rehabilitation (CR) programs staffed by health care professionals with experience in providing rehabilitation and secondary prevention services to individuals with coronary heart disease are widely available and provide a potential model and location for oncology rehabilitation programs. Our purpose is to outline the rehabilitative needs of cancer survivors and demonstrate how oncology rehabilitation can be created using a cardiac rehabilitation model. METHODS We identify the impairments associated with cancer and its therapy that respond to rehabilitative interventions. Components of the CR model that would benefit cancer survivors are described. An example of an oncology rehabilitation program using a CR model is presented. RESULTS Cancer survivors have impairments associated with cancer and its therapy that improve with rehabilitation. Our experience demonstrates that effective rehabilitation services can be provided utilizing an existing CR infrastructure. Few adjustments to current cardiac rehabilitation models would be needed to provide oncology rehabilitation. Preliminary evidence suggests that cancer survivors participating in an oncology rehabilitation program experience improvements in psychological and physiologic parameters. CONCLUSIONS Utilizing the CR model of rehabilitative services and disease management provides a much needed mechanism to bring oncology rehabilitation to larger numbers of cancer survivors. PMID:25407596

  13. Rehabilitation Counseling Practicum: A National Survey of Design and Implementation

    Science.gov (United States)

    Dalgin, Rebecca Spirito; Bruch, Lori A.; Barber, Gerianne

    2010-01-01

    This national study documents current processes and practices used in the master's level rehabilitation counseling practicum such as type of supervision provided, training setting, activities related to rehabilitation skill development, written documentation used during practicum, and use of microskills training. Results are described in relation…

  14. Problems of Hemophilia and the Role of the Rehabilitation Counselor.

    Science.gov (United States)

    Carrai, Edward B.; Handford, H. Allen

    1983-01-01

    Because of the multiple problems associated with hemophilia, optimal treatment is usually provided in a comprehensive care setting by a team of medical and nonmedical professionals. The rehabilitation counselor contributes expertise to that of other team members in development and implementation of an individual rehabilitation plan for…

  15. Will Robots Ever Replace Attendants? Exploring the Current Capabilities and Future Potential of Robots in Education and Rehabilitation.

    Science.gov (United States)

    Lees, David; LePage, Pamela

    1994-01-01

    This article describes the current capabilities and future potential of robots designed as supplements or replacements for human assistants or as tools for education and rehabilitation of people with disabilities. Review of robots providing educational, vocational, or independent living assistance concludes that eventually effective, reliable…

  16. Cognitive and Affective Predictors of Rehabilitation Participation After Stroke

    Science.gov (United States)

    Skidmore, Elizabeth R.; Whyte, Ellen M.; Holm, Margo B.; Becker, James T.; Butters, Meryl A.; Dew, Mary Amanda; Munin, Michael C.; Lenze, Eric J.

    2009-01-01

    Objective To examine associations between cognitive and affective impairments and rehabilitation participation during stroke rehabilitation. Design Secondary analyses of stroke patients who received acetylcholinesterase inhibitors during inpatient rehabilitation. Setting University-affiliated inpatient rehabilitation facilities. Patients Individuals admitted to inpatient stroke rehabilitation with impairment in attention, memory or executive functions (N=44). Interventions Secondary analysis of individuals receiving inpatient stroke rehabilitation care plus random assignment to one of two acetylcholinesterase inhibitors or no drug at rehabilitation admission. Main Outcome Measure(s) Correlations between measures of cognitive (Digit Span, Hopkins Verbal Learning Test, and Executive Interview) and affective impairments (Hamilton Rating Scale for Depression and Apathy Evaluation Scale) and participation (Pittsburgh Rehabilitation and Participation Scale) were examined. Significant correlates of participation were examined in a linear multiple regression model. Results Executive functions and depressive symptoms were significant correlates of participation. After controlling for baseline disability, executive functions predicted participation, but depressive symptoms did not, F4,32=9.35; R2=.54, Prehabilitation participation, and overall functional status after rehabilitation. A better understanding of cognitive impairment and rehabilitation participation may be used to develop strategies for improving functional outcomes after stroke. PMID:20159122

  17. 78 FR 66271 - Final Priority; Rehabilitation Training: Rehabilitation Long-Term Training Program-Vocational...

    Science.gov (United States)

    2013-11-05

    ... obtain employment in today's economy and that such information is invaluable in assisting individuals... knowledge critical in assisting individuals to achieve employment in today's economy. In addition, one... skills and skills in critical thinking and collaborative relationships. ] Discussion: The Department...

  18. 78 FR 35808 - Proposed priority-Rehabilitation Training: Rehabilitation Long-Term Training Program-Vocational...

    Science.gov (United States)

    2013-06-14

    ... employment, and train consumers to use such technology; (6) The curriculum will teach students to identify... internship experiences, and the required service obligation; (2) Educate potential students about the terms...) Ensure that all students complete an internship in a State VR agency as a requirement for program...

  19. Team assessment in stroke rehabilitation.

    Science.gov (United States)

    Duff, Jane

    2009-01-01

    Goal planning is one of the most universal approaches in rehabilitation, yet its application is much more than just setting specific behavior-focused goals. This article aims to emphasize the fundamental aspects of the process and reference the key literature in the area. At its heart, goal planning is about producing lasting behavior change, and the central role of the patient in the assessment and rehabilitation process is highlighted throughout. The team-based nature of assessment is promoted and the benefit of measuring verbal (a patient's knowledge of his or her condition and ability to instruct others in its management) as well as physical capability, as incorporated by one of the measures, is discussed. A hierarchical approach to the setting of goals is suggested so that individual patient need can be reflected in the process rather than setting goals which centre on specific professional skills. The article provides information about the long-term benefits for the patient and service that arise from this change of emphasis and maps the goal-planning process onto an adjustment model. Practical case examples of patient involvement in the assessment and goal-setting process are given.

  20. Namibia - Vocational Training Grant Fund

    Data.gov (United States)

    Millennium Challenge Corporation — The impact evaluation of the Vocational Training Grant Fund (VTGF) subactivity in Namibia uses a random assignment design to determine the effects of VTGF-funded...

  1. A rehabilitation training partnership in Madagascar.

    Science.gov (United States)

    Andrianabela, Sonia; Hariharan, Ram; Ford, Helen L; Chamberlain, M Anne

    2015-09-01

    We describe here the development of a mid-level training programme for doctors in Madagascar to direct regional and national rehabilitation services. Eight doctors enrolled and all gained their diplomas and have gone on to form the Association of Physical and Rehabilitation Medicine of Madagascar, which is leading further training and service developments. The course was specific to Madagascar's needs, and was devised according to the vision of the senior rehabilitation specialist in the Ministry of Health in Madagascar with support from the University of Antananarivo. The syllabus was developed with a senior Rehabilitation Medicine consultant responsible for setting up a comprehensive range of services and teaching in a University teaching hospital in the UK. Major barriers to success include the economic and political situation in Madagascar, which worsened steadily over the period of the training, the lack of resources for health, rehabilitation and rehabilitation workshops, and the withdrawal of aid. The sustainability of the training and the improved services that have been initiated will be evaluated, but these will be influenced by the situation of the country. It is hoped that this description of a highly practical training using modern teaching methods will be of use in other low-resource countries. Much of the teaching input was given by clinicians from a UK teaching hospital, and this resource will continue to be needed.

  2. Rehabilitation of Female Prisoners

    Institute of Scientific and Technical Information of China (English)

    1996-01-01

    CHINESE women imprisoned for various crimes undergo a reeducation and rehabilitation program which often results in repentance for past wrongdoings, and providing an avenue for them to make a fresh start. Female prisoners study general education courses, learn basic legal concepts and working skills as part of a rehabilitation program that helps reintigrate them into society upon release.

  3. [Guideline "Cancer rehabilitation"].

    Science.gov (United States)

    van den Berg, Jan-Paul; Velthuis, Miranda J; Gijsen, Brigitte C M; Lindeman, Eline; van der Pol, Marjolein A; Hillen, Harry F P

    2011-01-01

    Initiated by IKNL (Integraal Kankercentrum Nederland), a multidisciplinary guideline for cancer rehabilitation for adult oncology patients has been developed. The guideline describes the rehabilitation care of adult patients with cancer, during and after treatment. The guideline focuses on (a) prevalence of complaints either resulting from cancer or the treatment, (b) detection of these complaints and indicated referral, (c) the intake procedure before cancer rehabilitation, (d) intervention and evaluation within cancer rehabilitation and (e) the importance of patient empowerment. The guideline is directed at all professionals giving care to patients with cancer. It concerns those (such as medical specialists, general practitioners and nurses) who are responsible for detecting cancer-related complaints and for referral to cancer rehabilitation, as well as health care professionals involved in cancer rehabilitation care (such as consultants in rehabilitation medicine, physiotherapists and psychologists). The main goal of the guideline is that every cancer patient or ex-cancer patient with (residual) complaints resulting from cancer or its treatment receives timely and appropriate cancer rehabilitation.

  4. Postacute Stroke Rehabilitation Utilization: Are There Differences between Rural-Urban Patients and Taxonomies?

    Science.gov (United States)

    Jia, Huanguang; Cowper, Diane C.; Tang, Yuhong; Litt, Eric; Wilson, Lauren

    2012-01-01

    Purpose: To assess the association between Veterans Affairs (VA) stroke patients' poststroke rehabilitation utilization and their residential settings by using 2 common rural-urban taxonomies. Methods: This retrospective study included all VA stroke inpatients in 2001 and 2002. Rehabilitation utilization referred to rehabilitation therapy received…

  5. Postacute Stroke Rehabilitation Utilization: Are There Differences between Rural-Urban Patients and Taxonomies?

    Science.gov (United States)

    Jia, Huanguang; Cowper, Diane C.; Tang, Yuhong; Litt, Eric; Wilson, Lauren

    2012-01-01

    Purpose: To assess the association between Veterans Affairs (VA) stroke patients' poststroke rehabilitation utilization and their residential settings by using 2 common rural-urban taxonomies. Methods: This retrospective study included all VA stroke inpatients in 2001 and 2002. Rehabilitation utilization referred to rehabilitation therapy received…

  6. Analysis on Reform of Practical Teaching Strategies for Financial Management Major in Higher Vocational School

    Institute of Scientific and Technical Information of China (English)

    Hou Shangfa

    2016-01-01

    Financial management major put emphasis on professional practice, and it set aim on train professional financial management person from higher vocational education; continue to expand the field of practice. And it has become an important part of teaching. This thesis analyze professional practice teaching principle and the necessity of the hand from the construction of financial management into the higher vocational education, pay attention to the problem of the practical teaching of financial management specialty in higher vocational education, and put forward the reform strategy to improve financial management professional students' practical ability.

  7. Socially differentiated cardiac rehabilitation

    DEFF Research Database (Denmark)

    Meillier, Lucette Kirsten; Nielsen, Kirsten Melgaard; Larsen, Finn Breinholt;

    2012-01-01

    to a standard rehabilitation programme (SRP). If patients were identified as socially vulnerable, they were offered an extended version of the rehabilitation programme (ERP). Excluded patients were offered home visits by a cardiac nurse. Concordance principles were used in the individualised programme elements......%. Patients were equally distributed to the SRP and the ERP. No inequality was found in attendance and adherence among referred patients. Conclusions: It seems possible to overcome unequal referral, attendance, and adherence in cardiac rehabilitation by organisation of systematic screening and social......Aim: The comprehensive cardiac rehabilitation (CR) programme after myocardial infarction (MI) improves quality of life and results in reduced cardiac mortality and recurrence of MI. Hospitals worldwide face problems with low participation rates in rehabilitation programmes. Inequality...

  8. Rehabilitation and multiple sclerosis

    DEFF Research Database (Denmark)

    Dalgas, Ulrik

    2011-01-01

    In a chronic and disabling disease like multiple sclerosis, rehabilitation becomes of major importance in the preservation of physical, psychological and social functioning. Approximately 80% of patients have multiple sclerosis for more than 35 years and most will develop disability at some point...... of their lives, emphasising the importance of rehabilitation in order to maintain quality of life. An important aspect of multiple sclerosis rehabilitation is the preservation of physical functioning. Hot topics in the rehabilitation of physical function include (1) exercise therapy, (2) robot-assisted training...... and (3) pharmacological interventions. Exercise therapy has for many years been a controversial issue in multiple sclerosis rehabilitation and the advice generally given to patients was not to participate in physical exercise, since it was thought to lead to a worsening of symptoms or fatigue. However...

  9. Ambivalence in rehabilitation

    DEFF Research Database (Denmark)

    Christensen, Jan; Langberg, Henning; Doherty, Patrick

    2017-01-01

    BACKGROUND: Knowledge about the organization and factors of importance to rehabilitation of veterans with lower limb amputation is sparse. The aim of this study was, therefore, to improve understanding of the influences of "military identity" on the organization of rehabilitation services...... and to investigate those factors influential in achieving successful rehabilitation, including interprofessional collaboration between different sectors involved in the rehabilitation of veterans with lower limb amputations. METHODS: We used a qualitative exploratory design, triangulating interviews and participant...... observation. Data were generated using in-depth semi-structured interviews (n = 6) exploring in-hospital and post-hospital rehabilitation in Danish veterans after unilateral lower limb amputation due to trauma. We conducted four sessions of participant observation, during weekly post...

  10. [Facilitating Processes of Disintegration instead of Occupational Reintegration: A Qualitative Study on Employer-Involvement in Rehabilitation].

    Science.gov (United States)

    Schwarz, Betje; Specht, Timo; Bethge, Matthias

    2017-06-30

    Purpose To explore the patient's perspective on the involvement of employers into rehabilitation. Methods 8 participants of a work-related medical rehabilitation were interviewed by telephone 4 weeks after discharge. Qualitative content analysis was used to analyze generated data. Results Beside a poor employer-involvement, the interviews revealed that the process of returning to work was characterized and hampered by unused measures of supporting vocational reintegration during rehabilitation, intersection problems in the health care and social security system, and a strategy of waiting by all involved actors. Conclusion Beside an improved employer-involvement, systematic intersection management and full usage of existing measures are demanded to support vocational reintegration. © Georg Thieme Verlag KG Stuttgart · New York.

  11. Vocatives and discourse markers in textualinteractive grammar

    Directory of Open Access Journals (Sweden)

    Eduardo Penhavel

    2012-12-01

    Full Text Available In this paper, we discuss the class of Vocatives and the class of Discourse Markers as proposed within Textualinteractive Grammar, and we try to demonstrate that Vocatives can work as Discourse Markers.

  12. Imperatives of Vocational Education and Sustainable Development ...

    African Journals Online (AJOL)

    Toshiba

    vocational education play in contributing to sustainable development is the focal point ... and vocational education as a comprehensive term referring to those aspects of the ... technical institutions are highly skilled entrepreneurs. They rely on.

  13. Tracking rehabilitative progress with Fitts and starts

    DEFF Research Database (Denmark)

    Knoche, Hendrik; Hald, Kasper; Tamsen, Danny

    2015-01-01

    We designed a tablet game to diagnose, train, and assess the rehabilitative progress of hemi-spatial neglect patients. We found that a set of parameters from fitting Fitts’ law to hit delays in a whack-a-mole game can be used to identify neglect patients due to the asymmetry between performance o...

  14. [Implementation of quality management in medical rehabilitation--current challenges for rehabilitation facilities].

    Science.gov (United States)

    Enge, M; Koch, A; Müller, T; Vorländer, T

    2010-12-01

    The legal responsibilities imposed upon rehabilitation facilities under section 20 (2a) SGB IX, necessitate fundamental decisions to be taken regarding the development of quality management systems over and above the existing framework. This article is intended to provide ideas and suggestions to assist rehabilitation facilities in implementing a quality management system, which is required in addition to participation in the quality assurance programmes stipulated by the rehabilitation carriers. In this context, the additional internal benefit a functioning quality management system can provide for ensuring a high level of quality and for maintaining the competitiveness of the rehabilitation facility should be taken into account. The core element of these observations, hence, is a list of requirements which enables assessment of the quality of consultants' performance in setting up a quality management system.

  15. [Pediatric neurology in rehabilitation].

    Science.gov (United States)

    Kurihara, Mana

    2007-07-01

    There are some criteria for administering pediatric rehabilitation, such as (1) plasticity of the child's brain sometimes plays an enormous roles in recovery, (2) on the other hand, break-down of the child's brain is sometimes worse than expected, (3) rehabilitation should be continued with the prospect that child grows and develops everyday, (4) family members should join their child's rehabilitation. The team approach is very effective for pediatric rehabilitation. The pediatric neurologist will be one of the best members of the team because he/she can manage a disabled child and his/her family members well, and is familiar with a normal child's development. Rehabilitation should be performed appropriates, which means that the child is evaluated first, a rehabilitation program is developed and rehabilitation is implemented. The World Health Organization published the International Classification of Functioning, Disability and Health (ICF), which moves away from being a "consequence of disease" classification to "components of health". The concept of disability is changing.

  16. Rehabilitation design of flexible pavements in South Africa.

    CSIR Research Space (South Africa)

    De Beer, Morris

    1997-01-01

    Full Text Available This report contains a set of practical course notes on the Rehabilitation Design of flexible pavements in southern Africa based on extensive research by various researchers and / or practitioners in South Africa. The course is intended...

  17. Measurement of social participation outcomes in rehabilitation of veterans with traumatic brain injury

    Directory of Open Access Journals (Sweden)

    William Stiers, PhD

    2012-02-01

    Full Text Available Traumatic brain injury (TBI is a significant concern in the veteran population, and the Department of Veteran Affairs (VA has devoted substantial healthcare resources to the rehabilitation of veterans with TBI. Evaluating the outcomes of these rehabilitation activities requires measuring whether they meaningfully improve veterans’ lives, especially with regard to community and vocational participation, which are strongly linked to perceived quality of life. In January 2010, the VA Rehabilitation Research and Development Service convened an invitational conference focused on outcome measurement in rehabilitation with a specific focus on veterans’ community and vocational participation. This article reports on the working group, addressing the issues of conceptualizing and operationalizing such participation outcome measures for veterans with TBI; we discuss conceptual models of participation, review participation subdomains and their instruments of measurement, and identify current research issues and needs. Two avenues are identified for advancing participation measurement in veterans with TBI. First, we describe suggestions to facilitate the immediate implementation of participation measurement into TBI clinical practice and rehabilitation research within the VA healthcare system. Second, we describe recommendations for future VA research funding initiatives specific to improving the measurement of participation in veterans with TBI.

  18. Vocational Education and Equality of Opportunity.

    Science.gov (United States)

    Horowitz, Benjamin; Feinberg, Walter

    1990-01-01

    Examines the concepts of equality of opportunity and equality of educational opportunity and their relationship to vocational education. Traces the history of vocational education. Delineates the distinction between training and education as enumerated in Aristotelian philosophy. Discusses the role vocational education can play in the educative…

  19. Connecting Mathematics Teaching with Vocational Learning

    Science.gov (United States)

    Dalby, Diane; Noyes, Andrew

    2015-01-01

    For many vocational students in England, mathematics is now a compulsory part of their programme, yet the inclusion of an academic subject within a vocational course presents challenges. In this paper, an analysis of a series of case studies of vocational student groups in Further Education colleges in England shows how contrasting practices in…

  20. Vocation as the Quest for Authentic Existence.

    Science.gov (United States)

    Homan, Kenneth B.

    1986-01-01

    Examines the concept of vocation and demonstrates that vocation is the organizing, existential principle of the concept of work. Presents a critical examination of Green's (1968) delineation of job and work and asserts that vocation as the quest for authentic existence is the unifying concept that gives grounding to Green's notion of work. (NB)

  1. Medical rehabilitation in disaster relief: Towards a new perspective

    Directory of Open Access Journals (Sweden)

    Bhasker Amatya

    2017-06-01

    Full Text Available With increasing frequency of natural disasters, there has been greater focus recently on the importance and role of rehabilitation services in disaster management. In past disasters, rehabilitative needs were often neglected, with emphasis on acute response plans focused on saving lives and treating acute injuries. There was a lack of, or inadequate, rehabilitation-inclusive disaster response plans and rehabilitation services in many disaster-prone developing countries. The World Health Organization (WHO Emergency Medical Team (EMT initiative recognizes rehabilitation as an integral part of medical response and patient-centred care in disaster settings. Current developments under this initiative include: the development of minimum standards for rehabilitation in emergencies to allow rapid, professional, coordinated medical response by both national and international EMTs. These guidelines ensure that EMTs deliver effective and coordinated patient care during disasters and continuum of care beyond their departure. The aim is to strengthen national capacity, foster an environment of self-empowerment of EMTs and local health services, and work in rehabilitation within defined coordination mechanisms in disaster-affected areas. A brief overview of rehabilitation in natural disasters, highlighting current developments, challenges; and gaps in the implementation of WHO guidelines for Minimum Standards for Rehabilitation in Emergencies is discussed in order to improve care for victims of future disasters.

  2. Multiple vasculogenic disabilities : a challenge in rehabilitation.

    Directory of Open Access Journals (Sweden)

    Handa G

    2001-01-01

    Full Text Available A 37 year old male presented with left hemiplegia, left below knee amputation, right partial foot amputation and claudication pain. The limitations in the rehabilitation management in such a high-risk patient are multiplied. The appreciable benefits from supervised rehabilitation and judicious goal setting can help in improving the functional status and retard the disease progression in such patients. This study highlights that coexisting cerebrovascular, coronary and peripheral vascular diseases can pose a real challenge and can result in multiple disabilities.

  3. In a Rehabilitation Center for Drug Addicts

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    WHEN China opens its doors to the outside world, fresh air comes in. So do flies. While drug addicts were unknown in China for 30 years, there are now reports of drug users and their related crimes. In an effort to abolish drug abuse in China, rehabilitation centers are being set up throughout the country to give medical aid to drug users trying to kick the habit. These photos were taken in a rehabilitation center in a small town in Gansu Province in the northwestern part of China.

  4. Rehabilitation of swallowing and communication following glossectomy.

    Science.gov (United States)

    LaBlance, G R; Kraus, K; Steckol, K F

    1991-01-01

    Patients who have had surgical removal of part or all of the tongue are left with varying degrees of swallowing and speech deficiencies. The extent of resection, mobility of the residual tongue segment, and adequacy of the remaining structures determine the amount and type of deficiency. While communicative impairment and dysphagia commonly are seen in a rehabilitation setting, the problems of the glossectomy patient often are unique. This article reviews the anatomy and physiology of the oral and pharyngeal musculature, discusses the speech and swallowing of the glossectomy patient, and presents nursing considerations for successful rehabilitation.

  5. Motivational Rehabilitation using Serious Games

    OpenAIRE

    Antoni Jaume i Capó; Javier Varona Gómez; Gabriel Moyà; Francisco Perales

    2013-01-01

    Research studies show that serious games help to motivate users in rehabilitation processes, and rehabilitation results are better when users are motivated. In long term rehabilitation for maintaining capacities, the demotivation of chronic patients is common. In this work, we have implemented balance rehabilitation video game for cerebral palsy patients. The video game was developed using the prototype development paradigm and following desirable features for rehabilitation serious games pre...

  6. Models for integrating rehabilitation and primary care: a scoping study.

    Science.gov (United States)

    McColl, Mary Ann; Shortt, Samuel; Godwin, Marshall; Smith, Karen; Rowe, Kirby; O'Brien, Patti; Donnelly, Catherine

    2009-09-01

    To describe the scope and breadth of knowledge currently available regarding the integration of rehabilitation and primary care services. Peer-reviewed journals were searched using CINAHL, MEDLINE, and EBM Reviews for the years 1995 through 2007. This process identified 172 items. To be considered for the subsequent review, the article had to describe a service delivery program that offered primary care and rehabilitation, or services specifically designed for people with chronic conditions/disabilities. Further, it had to be available in English or French. No methodological limitations were applied to screen for levels of evidence. Based on these criteria, 38 articles remained that pertained to both primary care and rehabilitation. These were reviewed, sorted, and categorized to discover commonalities and differences among the approaches used to integrating rehabilitation into primary care. In consultation with the team of investigators, it was determined that there were 6 different models for providing primary health care and rehabilitation services in an integrated approach: clinic, outreach, self-management, community-based rehabilitation, shared care, and case management. In addition, a number of themes were identified across models that may act as either supports or impediments to the integration of rehabilitation services into primary care settings: team approach, interprofessional trust, leadership, communication, compensation, accountability, referrals, and population-based approach. Rehabilitation providers interested in working in the primary care sector may be assisted in conceptualizing the benefits that they bring to the setting by considering these models and issues.

  7. Strategies for Translating Vocative Texts

    Directory of Open Access Journals (Sweden)

    Olga COJOCARU

    2014-12-01

    Full Text Available The paper deals with the linguistic and cultural elements of vocative texts and the techniques used in translating them by giving some examples of texts that are typically vocative (i.e. advertisements and instructions for use. Semantic and communicative strategies are popular in translation studies and each of them has its own advantages and disadvantages in translating vocative texts. The advantage of semantic translation is that it takes more account of the aesthetic value of the SL text, while communicative translation attempts to render the exact contextual meaning of the original text in such a way that both content and language are readily acceptable and comprehensible to the readership. Focus is laid on the strategies used in translating vocative texts, strategies that highlight and introduce a cultural context to the target audience, in order to achieve their overall purpose, that is to sell or persuade the reader to behave in a certain way. Thus, in order to do that, a number of advertisements from the field of cosmetics industry and electronic gadgets were selected for analysis. The aim is to gather insights into vocative text translation and to create new perspectives on this field of research, now considered a process of innovation and diversion, especially in areas as important as economy and marketing.

  8. Consumer Involvement in Rehabilitation

    Science.gov (United States)

    Daniels, Susan

    1976-01-01

    With the emphasis on consumer involvement in the Rehabilitation Act of 1973, changes in the counseling relationship must occur. This article discusses new interaction patterns for consumer and counselor. (Author)

  9. [Dermato-oncological rehabilitation].

    Science.gov (United States)

    Buhles, N; Sander, C

    2005-07-01

    National insurance companies in Germany support health cures for patients with malignant tumors (malignant melanoma, squamous cell carcinoma, Merkel cell tumor, malignant cutaneous lymphoma). The clinical requirements are an invasively growing tumor, problems of self-assurance, and dis-integration of the patient regarding his social and/or professional environment. The decision for a health cure is made by the treating dermatologist in the hospital. In this context, the following sociomedical criteria should be applied: impairment, disability, and handicap. Usually, rehabilitation starts after the patient is discharged from the hospital. The inpatient rehabilitation program should be performed at an institution capable of providing dermatological and psychological treatment. The dermatologist acts as a manager for the members of the rehabilitation team (psychologists, physiotherapists, social workers, and ergo-therapists). In conclusion, dermato-oncologic rehabilitation plays an important role in re-integrating the patient into his professional life to avoid retirement.

  10. 高职类医药营销专业课程体系设置的分析探讨%Analysis of the Pharmaceutical Marketing Curriculum System Settings of Higher Vocational College

    Institute of Scientific and Technical Information of China (English)

    安中原

    2012-01-01

    With the rapid growth of the pharmaceutical industry, pharmaceutical marketing professionals are growing rapid- ly. A higher demand for pharmaceutical marketing professionals training. As a new professional course, how to set up the curriculum system in order to meet the needs of the market. This paper analyzes the basic content and the problems need to be resolved of pharmaceutical marketing professional curriculum settings.%随着医药行业的快速增长,对医药营销人才的需求也快速增长,对医药营销专业人才培养提出了更高的要求,一个新生的专业,课程怎样设置才能适应市场的需要。本文分析探讨了医药营销专业课程设置的基本内容以及课程设置过程中需要解决的问题。

  11. Rehabilitation im Alter

    OpenAIRE

    Meinck, Matthias

    2003-01-01

    Internationale kontrollierte Studien haben die Wirksamkeit geriatrischer Rehabilitation grundsätzlich bestätigt. Die Ergebnisse sind jedoch nur eingeschränkt auf Deutschland übertragbar. Geriatrische Rehabilitation gewinnt in Deutschland aufgrund der demographischen Veränderungen an Bedeutung. Der Vorrang ambulanter vor stationärer Leistungserbringung wurde schon vor einigen Jahren gesetzlich verankert. Der Anteil ambulanter Reha-Maßnahmen an den geriatrischen Reha-Leistungen ist jedoch gerin...

  12. Ethical perspectives on knowledge translation in rehabilitation.

    Science.gov (United States)

    Banja, John D; Eisen, Arri

    2013-01-01

    Although the literature on the ethical dimensions of knowledge creation, use, and dissemination is voluminous, it has not particularly examined the ethical dimensions of knowledge translation in rehabilitation. Yet, whether research is done in a wet lab or treatments are provided to patients in therapeutic settings, rehabilitation professionals commonly use (as well as create) knowledge and disseminate it to peers, patients, and various others. This article will refer to knowledge creation, use, and transfer as knowledge translation and examine some of its numerous ethical challenges. Three ethical dimensions of knowledge translation will particularly attract our attention: (1) the quality of knowledge disseminated to rehabilitationists; (2) ethical challenges in being too easily persuaded by or unreasonably resistant to putative knowledge; and (3) organizational barriers to knowledge translation. We will conclude with some recommendations on facilitating the ethical soundness of knowledge translation in rehabilitation.

  13. The Advantage of Going For Vocational Education

    Institute of Scientific and Technical Information of China (English)

    王文辉

    2008-01-01

    With the entering of the 21st century,information technology has become the world's economic and social development trend,China is beginning to see vocational education as important to maintaining fast economic growth and social stability.Every one wants to have a lucrative career and bright future.That is the reason why most people these days take up vocational education.Vocational education is a type of educational attainment that teaches the student trade skills and aptitudes.Vocational school is a school that provides vocational education to individuals who desire to be trained in job-specific skills.

  14. 78 FR 38840 - Final Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-06-28

    ... CFR Chapter III Final Priority--National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... Rehabilitative Services announces a priority for the Disability and Rehabilitation Research Projects and...

  15. 78 FR 35758 - Final Priority; National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-06-14

    ... CFR Chapter III Final Priority; National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... Rehabilitative Services announces a priority for the Disability and Rehabilitation Research Projects and...

  16. 78 FR 28543 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-05-15

    ... CFR Chapter III Proposed Priority--National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... and Rehabilitative Services proposes a priority under the Rehabilitation Research and Training...

  17. 78 FR 34261 - Final Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-06-07

    ... CFR Chapter III Final Priority--National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... Rehabilitative Services announces a priority for the Disability and Rehabilitation Research Projects and...

  18. 78 FR 12002 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-02-21

    ... CFR Chapter III Proposed Priority--National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... and Rehabilitative Services proposes a priority for the Rehabilitation Research and Training...

  19. 77 FR 8234 - National Institute on Disability and Rehabilitation Research-Disability and Rehabilitation...

    Science.gov (United States)

    2012-02-14

    ... National Institute on Disability and Rehabilitation Research-- Disability and Rehabilitation Research... Disability and Rehabilitation Research-- Disability and Rehabilitation Research Projects and Centers Program-- Disability and Rehabilitation Research Project--Center on Knowledge Translation for Disability...

  20. Efficient rehabilitation care for joint replacement patients: skilled nursing facility or inpatient rehabilitation facility?

    Science.gov (United States)

    Tian, Wenqiang; DeJong, Gerben; Horn, Susan D; Putman, Koen; Hsieh, Ching-Hui; DaVanzo, Joan E

    2012-01-01

    There has been lengthy debate as to which setting, skilled nursing facility (SNF) or inpatient rehabilitation facility (IRF), is more efficient in treating joint replacement patients. This study aims to determine the efficiency of rehabilitation care provided by SNF and IRF to joint replacement patients with respect to both payment and length of stay (LOS). This study used a prospective multisite observational cohort design. Tobit models were used to examine the association between setting of care and efficiency. The study enrolled 948 knee replacement patients and 618 hip replacement patients from 11 IRFs and 7 SNFs between February 2006 and February 2007. Output was measured by motor functional independence measure (FIM) score at discharge. Efficiency was measured in 3 ways: payment efficiency, LOS efficiency, and stochastic frontier analysis efficiency. IRF patients incurred higher expenditures per case but also achieved larger motor FIM gains in shorter LOS than did SNF patients. Setting of care was not a strong predictor of overall efficiency of rehabilitation care. Great variation in characteristics existed within IRFs or SNFs and severity groups. Medium-volume facilities among both SNFs and IRFs were most efficient. Early rehabilitation was consistently predictive of efficient treatment. The advantage of either setting is not clear-cut. Definition of efficiency depends in part on preference between cost and time. SNFs are more payment efficient; IRFs are more LOS efficient. Variation within SNFs and IRFs blurred setting differences; a simple comparison between SNF and IRF may not be appropriate.

  1. Commentary on Stiers and colleagues' guidelines for competency development and measurement in rehabilitation psychology postdoctoral training.

    Science.gov (United States)

    Hatcher, Robert L

    2015-05-01

    Comments on the article, "Guidelines for competency development and measurement in rehabilitation psychology postdoctoral training," by Stiers et al. (see record 2014-55195-001). Stiers and colleagues have provided a thorough and well-conceived set of guidelines that lay out the competencies expected for graduates of postdoctoral residencies in rehabilitation psychology, accompanied by a set of more specific, observable indicators of the residents' competence level. This work is an important aspect of the broader project of the Rehabilitation Psychology Specialty Council (APA Division 22, the American Board of Rehabilitation Psychology, the Foundation for Rehabilitation Psychology, the Academy of Rehabilitation Psychology, and the Council of Rehabilitation Psychology Postdocotral Training Programs) to develop overall guidelines for programs providing postdoctoral training in this field (Stiers et al., 2012).

  2. Developing, testing, and sustaining rehabilitation interventions via participatory action research.

    Science.gov (United States)

    Ehde, Dawn M; Wegener, Stephen T; Williams, Rhonda M; Ephraim, Patti L; Stevenson, Jennifer E; Isenberg, Patricia J; MacKenzie, Ellen J

    2013-01-01

    Few published intervention studies in the rehabilitation literature have included consumers in the research process other than as study participants. This lack of consumer involvement in intervention research may contribute to the challenges encountered developing, translating, disseminating, and sustaining evidence-based rehabilitation interventions in clinical practice. The overall objective of this article is to promote the integration of participatory action research (PAR) into rehabilitation intervention research as a mechanism for addressing these gaps. First, we outline essential components of a PAR model across 5 key phases of intervention research, specifically: agenda setting, methods, implementation, diffusion/dissemination, and sustainability. Second, we describe the use of PAR in rehabilitation intervention research within each of these phases by reviewing relevant literature and by providing an illustrative research example from a randomized controlled trial that integrated PAR throughout the research process. Finally, we conclude with a discussion of 5 specific recommendations for promoting the integration of PAR into rehabilitation intervention research.

  3. A Serious Games Platform for Cognitive Rehabilitation with Preliminary Evaluation.

    Science.gov (United States)

    Rego, Paula Alexandra; Rocha, Rui; Faria, Brígida Mónica; Reis, Luís Paulo; Moreira, Pedro Miguel

    2017-01-01

    In recent years Serious Games have evolved substantially, solving problems in diverse areas. In particular, in Cognitive Rehabilitation, Serious Games assume a relevant role. Traditional cognitive therapies are often considered repetitive and discouraging for patients and Serious Games can be used to create more dynamic rehabilitation processes, holding patients' attention throughout the process and motivating them during their road to recovery. This paper reviews Serious Games and user interfaces in rehabilitation area and details a Serious Games platform for Cognitive Rehabilitation that includes a set of features such as: natural and multimodal user interfaces and social features (competition, collaboration, and handicapping) which can contribute to augment the motivation of patients during the rehabilitation process. The web platform was tested with healthy subjects. Results of this preliminary evaluation show the motivation and the interest of the participants by playing the games.

  4. 运动康复专业医疗体育学课程性质内容设置初探%The explore of course property and content settings about sports medinice educarion in professional athletic rehabilitation

    Institute of Scientific and Technical Information of China (English)

    张维凯; 陈庆合

    2015-01-01

    The main application of this research literature,interviews and logical analysis of the concept of medical sports science ,and defined the nature of the medical sports science disciplines were positioning. According to the train objective of athletic rehabilitation,Select and organize the medical physical education teaching contents, select the appropriate teaching methods, reasonable arrangements for the course schedule, developed assessment criteria. At the same time established a medical mission hosted by sports science.%本研究主要应用文献资料法、访谈法和逻辑分析法对医疗体育学的概念进行了界定,对医疗体育学的学课程质进行了定位.根据运动康复专业的培养目标,对医疗体育学的课程内容进行了选择和整理,选取了适当的教学方法,合理的安排了课程进度,制定了考核标准,同时确立了医疗体育学所承载的任务.

  5. Employment Outcomes for Persons with Acquired Brain Injury. Report from the Institute on Rehabilitation Issues Study Group (20th, New Orleans, Louisiana, November 1993).

    Science.gov (United States)

    Corthell, David W., Ed.

    This document provides a resource and problem-solving guide for vocational rehabilitation counselors serving people with brain injuries acquired through trauma or other circumstances. An introduction defines acquired brain injury, characterizes the uniqueness of people with acquired brain injury, and describes community resources. Chapter 2,…

  6. Clinical Data Illustrating the Need for Greater Involvement of Behaviourally-Oriented Psychologists in the Design and Delivery of Rehabilitation Services

    Science.gov (United States)

    Murphy, Gregory C.; King, Neville J.

    2007-01-01

    Post-injury vocational achievement is an important index of successful rehabilitation. This study involved the identification of factors reported to influence (positively or negatively) labour force participation of people with spinal cord injury (SCI). Forty participants were selected from a larger study of 450 based on the most extreme…

  7. School Engagement, Risky Peers, and Student-Teacher Relationships as Mediators of School Violence in Taiwanese Vocational versus Academically Oriented High Schools

    Science.gov (United States)

    Chen, Ji-Kang; Astor, Ron Avi

    2011-01-01

    Educational tracking based on academic ability accounts for different school dynamics between vocational versus academically-oriented high schools in Taiwan. Many educational practitioners predict that the settings of vocational schools and academic schools mediate school violence in different ways. Alternatively, some researchers argue the actual…

  8. The Influence Personality and Leader Behaviours Have on Teacher Self-Leadership in Vocational Colleges

    Science.gov (United States)

    Marshall, Glenn; Kiffin-Petersen, Sandra; Soutar, Geoffrey

    2012-01-01

    Teacher self-leadership includes a set of individual cognitive and behavioural strategies that, when practised together, can lead to improved performance. This study examines the influence personality and leader behaviours have on teacher self-leadership in a vocational education and training setting. Survey data from 418 teachers from an…

  9. Vocational perspectives and neuromuscular disorders

    NARCIS (Netherlands)

    Andries, F; Wevers, CWJ; Wintzen, AR; Busch, HFM; Howeler, CJ; deJager, AEJ; Padberg, GW; deVisser, M; Wokke, JHJ

    1997-01-01

    The present study analyses the actual occupational situation, vocational handicaps and past labour career of a group of about 1000 Dutch patients suffering from a neuromuscular disorder (NMD). On the basis of the likelihood of a substantial employment history and sufficient numbers of patients, four

  10. Vocationally Oriented Language Learning Revisited

    Science.gov (United States)

    Vogt, Karin; Kantelinen, Ritva

    2013-01-01

    Vocationally oriented language learning (VOLL) is often seen as a part of English for Specific Purposes/Language for Specific Purposes (ESP/LSP), which it is not in every case. The diverging characteristics and lines of development that these two branches of ELT have undergone are outlined and contrasted. Then, a discussion of the added value of a…

  11. Set up the secondary vocational school fine arts discipline adapted to regional development——In Xinjiang art school fine arts discipline specialties, for example%设置与区域发展相适应的中职学校美术学科专业——以新疆艺术学校美术学科专业设置为例

    Institute of Scientific and Technical Information of China (English)

    宋晶

    2015-01-01

    本文针对新疆艺术学校这所中等职业学校近三年的美术学科专业设置、专业建设情况进行综合对比,并对现状与问题进行客观分析,提出中职学校美术学科专业设置与调整应以促进国家、地方经济和社会发展以及中职教育自身发展为目的,主动适应社会发展、适应市场经济体制改革的要求,按美术学科专业发展基本原则进行战略性调整,逐步建立与区域发展形势相适应的中职美术学科专业结构体系这一观点.并就本校美术学科专业结构调整提出了初步的改革思路和目标.%This paper compares the Xinjiang art school in nearly three years the art discipline professional settings, the specialty construction, and carry on objective analysis of the status quo and problems, proposed secondary vocational school fine arts discipline professional setting and adjustment should be to promote national and local economic and social development as well as the development of secondary vocational education itself, for the purpose of the initiative to adapt to the social development, to meet the needs of market economic system reform, according to the fine arts discipline development basic principles of strategic adjustment, gradually establish a compatible with regional development situation of secondary vocational art structure system of disciplines that view. Put forward in the school fine arts discipline structure adjustment preliminary reform train of thought and goal.

  12. Comprehensive cardiac rehabilitation

    DEFF Research Database (Denmark)

    Kruse, Marie; Hochstrasser, Stefan; Zwisler, Ann-Dorthe O;

    2006-01-01

    OBJECTIVES: The costs of comprehensive cardiac rehabilitation are established and compared to the corresponding costs of usual care. The effect on health-related quality of life is analyzed. METHODS: An unprecedented and very detailed cost assessment was carried out, as no guidelines existed...... for the situation at hand. Due to challenging circumstances, the cost assessment turned out to be ex-post and top-down. RESULTS: Cost per treatment sequence is estimated to be approximately euro 976, whereas the incremental cost (compared with usual care) is approximately euro 682. The cost estimate is uncertain...... and may be as high as euro 1.877. CONCLUSIONS: Comprehensive cardiac rehabilitation is more costly than usual care, and the higher costs are not outweighed by a quality of life gain. Comprehensive cardiac rehabilitation is, therefore, not cost-effective....

  13. Ragged Chute rehabilitation project

    Energy Technology Data Exchange (ETDEWEB)

    Kemp, Paul; Slopek, Richard [Canadian Projects Ltd., Calgary, (Canada); Guzwell, Robert [TransAlta, Calgary, (Canada)

    2010-07-01

    The Ragged Chute development, located in northern Ontario, was originally constructed to provide compressed air to a local silver mining company. It was composed of a free overflow spillway, the air plant intake, a concrete gravity retaining wall and an earthfill dyke abutment. The advantage of the river flow and the head developed by the dam for the air plant was recently put to use by the addition of a hydro plant. This paper provided an overview of the use of the river flow over the years and described the recent rehabilitation work being done to upgrade the installations to current dam safety standards. Site inspections were carried out in 2006 as part of the dam safety review to assess the overall condition of the structures. The major operation of the rehabilitation work involved the upgrading of the original fixed crest spillway with a new labyrinth spillway structure. Canadian Hydro completed the dam safety safety rehabilitation work by October 2009.

  14. Vocational teachers and the notion of ’good teaching’

    DEFF Research Database (Denmark)

    Duch, Henriette; Jensen, Lars Bang

    2016-01-01

    lines of education. Vocational teachers thus hail from a diverse range of vocational- and educational backgrounds and experience. The pedagogical course envisioned as a universal pedagogical training thus has an intrinsic problematic when facing the differentiated background and vocational training...

  15. Problems in Employment Trend of Higher Vocational Graduates and Countermeasures

    Science.gov (United States)

    Tan, Jianhua; Sheng, Zhichong

    2011-01-01

    Based on analyzing the regional character of higher vocational graduates employment, this paper analyzes the reasons for this employment trend, advances relevant countermeasures for employment of higher vocational graduates, and explores the direction for higher vocational graduates employment.

  16. Emotional disorders in neurological rehabilitation.

    Science.gov (United States)

    House, Allan; Hosker, Christian

    2013-01-01

    Depression, anxiety, emotionalism, irritability, and apathy are common findings in the neurological rehabilitation setting and are associated with poorer outcomes. This chapter outlines the importance of detecting and attending to these disorders. The authors recommend the systematic use of self-report measures, tailored for those with cognitive or motor difficulties, in combination with interview-based assessments where suspicion of the presence of a disorder is aroused. A stepped care scheme for coordinating rehabilitation services is presented which highlights the importance of training all staff to be aware of the possibility of patients presenting with emotional disorders and the need to equip all staff with the skills to make emotional enquiries and to carry out brief interventions where indicated. Interventions should be based upon a combination of watchful waiting and optimization of clinical care followed by evidence-based brief therapies such as problem solving, motivational interviewing, and behavioral activation. Antidepressant prescribing should be reserved for the more severe cases and protocols should involve a system for reviewing and time-limiting prescriptions. This chapter aims to aid those designing services to produce simple and widely understood programs that meet the needs of this inherently heterogeneous client base.

  17. Rehabilitation courses for road users.

    NARCIS (Netherlands)

    2010-01-01

    Rehabilitation courses are educational measures directed at deviant driving behaviour of car drivers. The Netherlands has four rehabilitation courses: EMA (Educational Measure Alcohol and traffic), LEMA (Lighter version of EMA), EMG (Educational Measure Behaviour and traffic) and ASP (Alcohol Interl

  18. Skilled nursing or rehabilitation facilities

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000435.htm Skilled nursing or rehabilitation facilities To use the sharing features ... facility. Who Needs to go to a Skilled Nursing or Rehabilitation Facility? Your health care provider may ...

  19. Robotics in Neuro-Rehabilitation

    National Research Council Canada - National Science Library

    Pignolo, Loris

    2009-01-01

    Objective: The aims of this study were to review robot-assisted motor and functional rehabilitation of the upper limb in patients with stroke and to outline possible clinical applications of robotics in neuro-rehabilitation. Methods...

  20. Games for Rehabilitation

    DEFF Research Database (Denmark)

    Petersson, Eva; Brown, David

    This anthology on games for rehabilitation contains a serious chapters on game methods and apps or research that compares game systems or modified games or interface devices (Wii, Eyetoy, Kinect, DDR) applied across all areas of clinical care and clinically focused research.......This anthology on games for rehabilitation contains a serious chapters on game methods and apps or research that compares game systems or modified games or interface devices (Wii, Eyetoy, Kinect, DDR) applied across all areas of clinical care and clinically focused research....

  1. [Dysphagia and swallowing rehabilitation].

    Science.gov (United States)

    Shigematsu, Takashi; Fujishima, Ichiro

    2015-02-01

    Dysphagia is a life-threatening disorder caused by many medical conditions such as stroke, neurological disorders, tumors, etc. The symptoms of dysphagia are quite variable and diagnosed by observation or through screening involving instrumental swallowing examinations such as video-fluoroscopy and video-endoscopy, to determine functional severity and treatment-prognosis. Direct- and indirect-therapy is used with and without food, respectively. Swallowing rehabilitation is very effective, and could be used in conjunction with compensatory techniques. Here we present an overview of dysphagia and swallowing rehabilitation.

  2. Activity-promoting gaming systems in exercise and rehabilitation.

    Science.gov (United States)

    Taylor, Matthew J D; McCormick, Darren; Shawis, Teshk; Impson, Rebecca; Griffin, Murray

    2011-01-01

    Commercial activity-promoting gaming systems provide a potentially attractive means to facilitate exercise and rehabilitation. The Nintendo Wii, Sony EyeToy, Dance Dance Revolution, and Xbox Kinect are examples of gaming systems that use the movement of the player to control gameplay. Activity-promoting gaming systems can be used as a tool to increase activity levels in otherwise sedentary gamers and also be an effective tool to aid rehabilitation in clinical settings. Therefore, the aim of this current work is to review the growing area of activity-promoting gaming in the context of exercise, injury, and rehabilitation.

  3. Rehabilitation in vestibular system diseases

    Directory of Open Access Journals (Sweden)

    Maksim Valeryevich Zamergrad

    2013-01-01

    Full Text Available Vestibular rehabilitation is an important component of combination treatment in a patient with vertigo. Vestibular rehabilitation is indicated for different diseases of the central or peripheral vestibular system. The goal of vestibular rehabilitation is to ensure gaze stabilization, to train postural stability, and to reduce subjective vertigo. Vestibular rehabilitation is based on the stimulation of vestibular adaptation, sensory substitution, and habituation. Vestibular suppressants, inadequate mobility, anxiety, and depression decelerate vestibular compensation whereas early activation, mobility, and betaserc use accelerate it.

  4. Baltes' SOC model of successful ageing as a potential framework for stroke rehabilitation.

    Science.gov (United States)

    Donnellan, C; O'Neill, D

    2014-01-01

    The aim of this paper is to explore approaches used to address some stroke rehabilitation interventions and to examine the potential use of one of the life-span theories called the Baltes' model of selective optimisation with compensation (SOC) as a potential framework. Some of the key considerations for a stroke rehabilitation intervention framework are highlighted including accommodating for the life management changes post stroke, alterations in self-regulation, acknowledge losses and focusing on a person-centred approach for transition from acute rehabilitation to the home or community setting. The Baltes' SOC model is then described in terms of these considerations for a stroke rehabilitation intervention framework. The Baltes' SOC model may offer further insights, including ageing considerations, for stroke rehabilitation approaches and interventions. It has potential to facilitate some of the necessary complexities of adjustment required in stroke rehabilitation. However, further development in terms of empirical support is required for using the model as a framework to structure stroke rehabilitation intervention. Implications for Rehabilitation There is a scarcity of theoretical frameworks that can facilitate and be inclusive for all the necessary complexities of adjustment, required in stroke rehabilitation. In addition to motor recovery post stroke, rehabilitation intervention frameworks should be goal orientated; address self-regulatory processes; be person-centred and use a common language for goal planning, setting and attainment. The Baltes' SOC model is one such framework that may address some of the considerations for stroke rehabilitation, including motor recovery and other life management aspects.

  5. A protocol for the methodological steps used to evaluate the alignment of rehabilitation services in the Western Cape, South Africa with the National Rehabilitation Policy.

    Science.gov (United States)

    Mji, Gubela; Rhoda, Anthea; Statham, Sue; Joseph, Conran

    2017-03-14

    Rehabilitation medicine plays an integral part in attainment of optimal functioning after injury or disease. The National Rehabilitation Policy of South Africa (NRP) (2000) highlights the need for access to professional health care services, redistribution and optimal utilisation of resources and research in the field of disability and rehabilitation. The government further ratified the Convention on the Rights of Persons with Disabilities (CRPD) (2007), which validate the urgency in advancing the agenda of persons with disabilities. This paper outlines the methodological plan for evaluating rehabilitation services in the Western Cape, South Africa against the aims and objectives of the NRP as well as its principles and concepts. The evaluation process further focused on specific articles in the CRPD that were aligned with disability, health and rehabilitation. A mixed-method design was used to evaluate the alignment of rehabilitation services with the NRP in the Western Cape. Four rehabilitation study settings were selected to ensure that both inpatient and outpatient rehabilitation levels of care were covered at different contexts (rural and peri-urban). The sites were checked for the most prevalent rehabilitation-related conditions to ensure the identification of suitable instruments for measuring rehabilitation outcomes. Each study setting was linked to two researchers with one exploring the rehabilitation organizational structure of the sites and the other exploring the client outcomes after receiving rehabilitation services. Patients were evaluated at baseline and discharge, within seven days after admission and seven days prior to discharge. The evaluation was based on the rehabilitation organizational capacity to provide patient-oriented rehabilitation and the measurement of rehabilitation outcomes. Kaplan's framework of organisational capacity was used in the context of each study setting. For the measurement of service users' outcomes, the International

  6. An Inquiry into the Setting of Professional Courses for Higher Vocational College Business English Majors in the Background of Working-Learning Combination%探析工学结合背景下高职院商务英语专业的课程设置

    Institute of Scientific and Technical Information of China (English)

    郝素珍

    2013-01-01

    School-enterprise cooperative talent cultivation mode has been accepted by more and more colleges, and it has been expanding to literature and foreign language majors with the in-creasing of employment problems and the continuous deepening of school-enterprise cooperation. Business English is a major re-quiring more practical ability, and it is more and more widely used in enterprise trade, so it has become a rapid developing ma-jor in the background of working-learning combination. But the problems existing in the present business English curriculum setting is about to be revealed with the enriching of enterprise types and the expanding of enterprise trade. Starting from the problems existing, this paper explores the new plan to improve the curriculum setting of higher vocational business English.%  校企合作人才培养模式已经被越来越多的高等院校所接受,随着就业问题的加大以及人校企合作不断加深,其专业应用范围不再局限于操作性强的技术类专业,而是向文学类、外语类等专业延展。商务英语专业是对学生实践要求较高的专业,其在企业交易中的应用范围不断扩大,成为工学结合背景下成长迅速的专业之一。但是,随着企业类型的不断丰富,企业交易范围的不断扩大,企业对掌握商务英语技能的学生要求有了相应提升,商务英语专业的课程设置上存在的问题随即暴露。本文将从目前工学结合背景下商务英语课程设置存在的问题入手,探讨改善高职院商务英语课程设置的新方案。

  7. The Stages of Vocational/Academic Integration for Vocational Educators. Tip Sheet #5.

    Science.gov (United States)

    Kisner, Mary J.

    This brief suggests that vocational educators may be unclear as to whether they have accomplished integration of vocational and academic education because of the multistage nature of the process. The three stages suggest a continuum of professional growth, as vocational and academic educators first become aware of limitations of the status quo,…

  8. Description of a return-to-work occupational therapy programme for stroke rehabilitation in Singapore.

    Science.gov (United States)

    Chan, Mei Leng

    2008-01-01

    Stroke is the fourth leading cause of death and the major cause of disability in Singapore. The number of stroke survivors is expected to rise with the increase in the ageing population. This paper describes how occupational therapists are involved in stroke and work rehabilitation in Singapore. A retrospective study of stroke clients referred to a vocational assessment unit in 2004 showed that 55% of the clients were able to return to work. The majority of the clients changed their job positions from blue-collar workers to clerical workers. On the other hand, the main reasons for poor outcome were: unfit to work in general, needed further rehabilitation, further medical care was indicated, failed to meet appointments and withdrawal from the job trial. Three case vignettes are discussed to illustrate the multifactorial aspects influencing positive work outcomes. Further research is needed in exploring the factors that affect stroke rehabilitation and return-to-work outcomes.

  9. Identity Change during Vocational Teacher Education

    DEFF Research Database (Denmark)

    Duch, Henriette

    New vocational teachers cross a boundary when they move from one occupation to a job as teacher. A vocational teacher already has an education when he becomes a teacher. He also has several years of work experience. In Denmark, the educational background is related to the type of vocational schoo...... educations, reduce dropout rates and increase the supply of labor. The theoretical framework is identity theories....

  10. Scientific research projects in vocational training schools

    OpenAIRE

    2010-01-01

    Vocational schools are a resource for many students, with usually low motivation and high learning difficulties. The fact that this type of teaching is of a more practical, experimental, and job oriented type, points to teaching strategies less theoretical and focus on a more practical student involvement. Profiting from those characteristics, the study of the use of scientific projects on vocational teaching was initiated. It was proposed to vocational school st...

  11. Vocational teachers' identity formation through boundary crossing

    OpenAIRE

    Fejes, Andreas; Köpsén, Susanne

    2014-01-01

    Vocational teachers’ prior occupational experiences are construed as those that will guarantee high-quality teaching in vocational education, although individuals are no longer required to have formal teaching qualifications to be employed as teachers in Sweden. This lack of strict requirements raises the issue of the preparedness of vocational teachers to teach their subject matter. Drawing on a socio-cultural understanding of identity, and based on twenty semi-structured interviews with voc...

  12. VOCATIONAL PEDAGOGY A DIMENSION OF VOCATIONAL LEARNING WITH WORKPLACE REQUIREMENT

    OpenAIRE

    Mimi Mohaffyza Mohamad; Yee Mei Heong; Tee Tze Kiong; Muhammad Rashid Rajuddin

    2012-01-01

    Rapid changes are taking place in industry, the labor market, work to work organization. The changes of taking places in industry have an important implication for Vocational Education and Training (VET). These widespread changes have significant implications for the learning requirement of workers and for the pedagogical methods to facilitate that learning. This paper focuses in the learning of instructor, learners in the perspective of their readiness with teaching and learning challenge in...

  13. VOCATIONAL PEDAGOGY A DIMENSION OF VOCATIONAL LEARNING WITH WORKPLACE REQUIREMENT

    OpenAIRE

    Mimi Mohaffyza Mohamad; Yee Mei Heong; Tee Tze Kiong; Muhammad Rashid Rajuddin

    2012-01-01

    Rapid changes are taking place in industry, the labor market, work to work organization. The changes of taking places in industry have an important implication for Vocational Education and Training (VET). These widespread changes have significant implications for the learning requirement of workers and for the pedagogical methods to facilitate that learning. This paper focuses in the learning of instructor, learners in the perspective of their readiness with teaching and learning challenge in...

  14. Acupuncture and Equine Rehabilitation.

    Science.gov (United States)

    le Jeune, Sarah; Henneman, Kimberly; May, Kevin

    2016-04-01

    Acupuncture is one of the most common veterinary integrative medicine modalities. Acupuncture can greatly contribute to a rehabilitation protocol by promoting analgesia, tissue healing, and muscle strength. Acupuncture is safe, has minimal detrimental side effects, and is well tolerated by most horses.

  15. The ritualization of rehabilitation

    DEFF Research Database (Denmark)

    Tjørnhøj-Thomsen, Tine; Hansen, Helle Ploug

    2013-01-01

    There is widespread and increasing political interest in devising plans to support people who have or have had cancer to recover and recommence 'normal' lives. Educating cancer patients for this purpose is a central element in cancer rehabilitation in both Europe and the United States. One of the...

  16. Crossroads in aphasia rehabilitation

    NARCIS (Netherlands)

    W.M.E. van de Sandt-Koenderman (Mieke)

    2007-01-01

    textabstractThis thesis focusses on two types of aphasia rehabilitation, cognitive linguistic treatment (CLT) and AAC (Augmentative and Alternative Communication) training. In a study of the effect of nonlinguistic variables on the outcome of CLT, it was shown, that neuropsychological data con

  17. The Juvenile Rehabilitation Reader.

    Science.gov (United States)

    Greenwood, Peter W., Ed.; And Others

    This document contains several essays on topics of interest to researchers of rehabilitative efforts. The subjects covered include an historical look at chronic delinquents and their treatment programs; a review of West European programs; legal constraints on intervention; a review of evidence concerning biological contributions to criminality and…

  18. Games for Rehabilitation

    DEFF Research Database (Denmark)

    Petersson, Eva; Brown, David

    This anthology on games for rehabilitation contains a serious chapters on game methods and apps or research that compares game systems or modified games or interface devices (Wii, Eyetoy, Kinect, DDR) applied across all areas of clinical care and clinically focused research....

  19. Penile Rehabilitation and Neuromodulation

    Directory of Open Access Journals (Sweden)

    Fernando Facio

    2009-01-01

    Full Text Available Erectile dysfunction (ED following treatment for clinically localized prostate cancer, particularly radical prostatectomy (RP, is a major quality of life issue that remains unsatisfactorily addressed. With the introduction and use of cavernous nerve–sparing procedures over the past 25 years, many men recover erections postoperatively that enable sexual intercourse unlike in the prior surgical era, when permanent ED postoperatively was certain. Despite this advance, 26–100% of these patients may never recover normal erectile function (EF. Recent advances in the understanding of ED after RP have stimulated great attention to develop penile rehabilitation programs and neuromodulation. The purpose of penile rehabilitation is to prevent adverse corpus cavernosal tissue structural alterations and thereby maximize the chances of recovering functional erections. Rehabilitation programs are common in clinical practice, but there is no definitive evidence to support their efficacy. Neuromodulation represents another strategy for promoting erection recovery postoperatively. This therapy involves the application of neuroprotective interventions, conceivably targeting biological elements involved in the erection response that are affected by neuropathic injury. Well-conducted, controlled trials with adequate follow-up are required in order to determine the erection preservative benefits of these therapeutic strategies. The purpose of this essay is to describe the mechanisms related to post-RP ED, assess the need for penile rehabilitation and neuromodulation following surgery, and analyze the basic science and clinical trial evidence associated with these applications for preserving EF following prostate cancer treatment.

  20. Providing rehabilitation online

    DEFF Research Database (Denmark)

    Bødker, Malene; Juul, Annegrete

    2015-01-01

    Purpose – Telecare promises to deliver healthcare services more efficiently while, at the same time, improving the quality of care. The purpose of this paper is to challenge these promises by analysing the implications of introducing telecare in the rehabilitation of patients suffering from chronic...