Preparing and Planning for the Rehabilitation Program

1
Preparing and Planning for the Rehabilitation
Program

• Chapter 8
• Roessler Rubin
• 3rd Edition

2
Chapter 8

• A counselors ability to identify potentially
  appropriate vocational alternatives for a client
  to consider is greatly dependent on the
  sufficiency of information from the intake
  interview, medical evaluation, and other
  necessary specialty evaluations

3
Shirley Steed

• Shirley expressed an interest in office work
• Physician ruled out heavy work because of
  varicose veins and emphysema
• However, with proper medical treatment and
  self-care, Shirley could return to a sedentary
  job requiring little physical exertion

4
Shirley Steed, cont

• Psychological evaluation revealed personal
  adjustment problems that must be resolved before
  she resumes work (??discussion??)
• Also, Shirley should avoid work that cause high
  levels of tension or pressure (discussion)

5
Shirley Steed, cont

• By updating her office/clerical skills, Shirley
  became highly competitive for a number of
  clerical positions
• Knowing the local job market and Shirleys
  physical, psychosocial, educational,
  intellectual, and interest attributes, the
  counselor was able to select from the vocational
  evaluators list of vocational objectives

6
Shirley Steed, cont

• From this list of vocational objectives, a number
  of potential job titles were tentatively chosen
  to pursue.
• The particular job titles were chosen because of
• Their availability in the local economy
• Opportunities for advancement
• Think career not just job

7

• To help manage and make sense out of all of the
  myriad information sources relating to Shirley,
  the counselor can use
• Table 8.1 (pgs.115 118)
• Table 8.2 (pgs. 118 - 120)

8

• Thorough consideration of client assets and
  limitations provides a basis for identifying the
  services needed to remove or reduce physical,
  psychosocial, or educational-vocational
  limitations for the jobs in question.

9

• From a practical point of view, these
  rehabilitation services must be available either
  locally or within reasonable traveling distance.
• The counselor should also have a specific
  provider in mind and an idea of the cost of the
  services.

10

• The intent of introducing the forms in this
  chapter is not to create new reporting and
  recording demands for the counselor. Rather, the
  purpose of the discussion is to concretize a
  diagnostic thinking process. In thinking through
  the demands on the Information Processing Summary
  form, rehabilitation counselors are involved in
  synthesizing information vital to their
  vocational counseling role.

11
Development of the Rehabilitation Program

• Co-management A Prerequisite for Vocational
  Planning
• Client as Colleague
• Team approach with consumer not hierarchical
  (expert) approach of the medical model

12

• Client involvement in goal planning results in
  improved therapeutic outcomes for a variety of
  reasons
• Increases clients knowledge of process
• Improves precision of goals
• Strengthens personal motivation to achieve goals
• Encourages commitment of time and energy

13

• People participating in rehabilitation who chose
  their own job goals, as opposed to accepting the
  counselors choice, tended to spend more time in
  training and had greater persona earnings at
  closure.

14

• Choosing vocational goals consistent with ones
  interests is extremely important in the long run
  because congruence between preferred work
  activities and eventual job placement is related
  to higher levels of job satisfaction among
  rehabilitation clients

15
Understanding Vocational Planning

• Goal Setting
• Information processing
• Decision making
• Planning
• Action and self-evaluation

16
Goal Setting

• Establishing a primary objective for
  counselor-client involvement (i.e., employment)
• Sine qua non
• Client explores personal images and idealized
  images of self as worker

17
Information Processing

• Considering all relevant data collected during
  the evaluation process
• Consumer and counselor jointly explore
• Evaluation results pertinent to the vocational
  plan
• Occupational information
• Client emotions

18
Information Processing, cont

• Occupational information is introduced to help
  the client understand the day-to-day demands,
  rewards, and frustrations of the work world
• Issues affecting the feasibility of various
  vocational choices, e.g., distance to job
• Employment opportunities are closely tied to the
  state of the economy and to the natural resources
  or attributes of a given geographic area

19
Information Processing, cont

• Affective components
• What are reasons you (client) are unemployed now?
• What are some of the things you want from a job?
• What personal accomplishments give you a sense of
  pride?
• But dont lose sight of reality

20
Decision Making

• Selecting a vocational goal to guide the
  development of the rehabilitation plan
• Local job opportunities
• Personal preferences for extrinsic and intrinsic
  reinforcers
• Skills, self-images, and vocational interests
• Impact of the choice on ones own lifestyle and
  the lifestyle of ones family

21
Decision Making, cont

• Balance Sheet
• Gains and losses for self
• Gains and losses for others
• Approval or disapproval by others (social
  approval)
• Self-approval or self-disapproval
• See Shirleys balance sheet, Table 8.3, p. 126

22
Planning

• Identifying intermediate objectives and
  rehabilitation services pertinent to the
  vocational goal and developing the steps of an
  action plan
• Goal analysis
• Physical functioning (medical condition)
• Psychosocial functioning (personal problems)
• Educational-vocational functioning
• Special considerations

23
Planning, cont

• Vocational goal and Intermediate Objectives for
  Shirley Steed, p. 128

24
Action and Self-Evaluation

• Following the action plan, using available data
  to evaluate progress, and making necessary course
  corrections when warranted by results

25
The Individualized Written Rehabilitation Plan
(IWRP)

• Now called the Individual Plan for Employment
  (IPE)
• IWRP, IPE, IEP, IHP, IRP, IPP, etc. are all
  functionally the same type of document. Each
  specifies what is going to occur, who is
  responsible for bringing the events about, and
  the time frames for achieving each step.
• Should be individualized (hence the name!), but
  in reality..

26
IWRP

• The rehabilitation goal (i.e., vocational goal)
• Intermediate rehabilitation objectives
• Objective criteria, evaluation procedures, and
  schedules for determining whether the
  rehabilitation goal and intermediate objectives
  are being achieved
• Jointly planned vocational rehabilitation services

27
IWRP, cont

• The projected dates initiating and completing
  services (i.e., the anticipated duration of
  services)
• The clients views regarding the planned
  objectives and services
• The date for a periodic review of the program

28
Rehabilitation Goal

• May be a specific job, including the nine-digit
  DOT code
• If possible, should include specific vocational
  objective, expected date of completion/accomplishm
  ent, and diagnostic rationale

29
Intermediate Objectives

• To reach vocational objective, major gains must
  be made in physical, psychosocial,
  educational-vocational, and special
  considerations areas by the client
• Intermediate goals emanate from the goal analysis

30
Intermediate Objectives, cont

• Appropriate objectives state the action or
  behavior the individual is expected to be capable
  of, the extent, level or amount of the desired
  behavior, and the date by which the person should
  be able to perform the desired behavior.

31
Progress Evaluation

• Goal and objectives must be stated in observable
  and measurable terms
• Dates for progress and completion need to be
  specified
• Identification of outcome information
• Accountability

32
Shirley Steeds IWRP

• Table 8.5, pgs. 132-134