Rehabilitation Agencies Research Articles

Continuous Improvement in State Vocational Rehabilitation: A Demonstration and Call to Action

Background State Vocational Rehabilitation Agencies (SVRAs) are the leading provider of employment services for disabled adults in the United States, with achievement of competitive integrated employment as their main outcome. Objective Current data collection policies and practices require counselors to record extensive information for case documentation purposes, however, these data offer limited utility for service planning or for determinations of whether services are having the intended impact. Available data is not structured to support continuous improvement for individual providers or to establish evidence of best practices in day-to-day service provision. Method In this article, we present the many potential benefits of including pre-post assessment of services in measuring the impact of SVRA services. Results The Transition Readiness Toolkit offers a concrete example of the advantages associated with pre-post assessment and continuous use of data to guide services and quality improvement in SVRAs. Conclusion Recommendations and implications for implementing pre-post assessment for other SVRA services are provided.

Engaging BIPOC Out-Of-School Youth With Disabilities Through Interagency Collaborations: Lessons Learned From Centers for Independent Living

This study explored partnerships that Centers for Independent Living (CILs) engaged in to deliver services for out-of-school youth (OSY) with disabilities who identify as Black, Indigenous, or people of color (BIPOC), a historically under-resourced group. The research team conducted semi-structured qualitative interviews with executive directors or staff at seven CILs that serve large populations of BIPOC OSY with disabilities. CILs that participated in this study formed collaborations to support youth with disabilities, including BIPOC OSY. CIL respondents discussed the partnerships they established with vocational rehabilitation agencies, community-based organizations, secondary schools, and institutions of postsecondary education, to provide bidirectional and one-way referrals and connect youth to volunteering, employment, and peer group opportunities. CILs and other organizations that serve transition-age youth might create similar partnerships, particularly with vocational rehabilitation agencies, to reach and engage their minority OSY consumers.

북유럽 출소자의 갱생보호 프로그램 동향

The aim of the study is to make policy suggestions that are suitable for the situation of the Korea Rehabilitation Agency. Therefore, we compared and analyzed the domestic Rehabilitation Policy with advanced North European countries, and derived shortcomings and improvements of the Korea Rehabilitation Agency. As a result, regarding the improvements for the domestic Rehabilitation Policy, first, it is necessary to actively utilize Nordic Rehabilitation policies to solve problems related to addiction and mental illness. Second, actively implementing empathy-building programs such as prison experience programs or camps with peers is needed. Third, we suggest strengthening the willingness for social adaptation by incorporating a motivation reinforcement program (MI) into prior counseling. Fourth, through the procedure of the program certification system, we propose to benchmark advanced programs that have been proven effective in reducing recidivism. Fifth, it is crucial to strengthen the expertise of employees and volunteers who are performing rehabilitation protection tasks by providing systematic and specialized education. Sixth, in order to effectively help released prisoners return to society and manage them professionally and systematically, the scope of social welfare services should be expanded to released prisoners and their families.

Vocational rehabilitation service usage and outcomes for transition-age youth with serious mental health conditions

BACKGROUND: The postsecondary vocational outcomes of students with mental health disabilities (MHD) are poor and vocational rehabilitation factors contributing to better outcomes have not been identified. OBJECTIVE: Characterize demographic, service use and service outcome differences between youth with MHD and youth with other disabilities from state vocational rehabilitation agencies (SVRA) and identify factors predicting service use and service outcomes within youth with MHD. METHODS: Data were from 2015–2017 Rehabilitation Services Administration-911 case closure files. The sample consisted of 14–24-year-old SVRA applicants. Cross-disability characteristics, service use and outcomes were compared. Within youth with MHD, multivariate analyses examined factors contributing to having an Individual Plan for Employment (IPE) and successful case closure (i.e., with employment). RESULTS: Youth with MHD were underrepresented, older at application and were less likely to have IPEs and successful closures than youth in other disability groups. Within youth with MHD, application age and SVRA characteristics were the strongest predictors of having an IPE. Education and employment status at application strongly predicted successful closure. CONCLUSION: Youth with MHD, as in previous cohorts, continue to have lower service use and successful SVRA outcomes. Efforts are needed to increase their connection to SVRAs at younger ages. Youth with MHD without employment at application may need additional supports to achieve successful closures. Addressing several SVRA performance characteristics may improve their service use and outcomes.

Fortune 500 companies and employment of people with disabilities: The intermediary role of disability inclusion policies and practices

BACKGROUND: Employing qualified individuals with disabilities can improve organizational competitiveness and promote diversity, equity, and inclusion (DEI) policies. However, research on disability inclusion policy and practices among employers committed to hiring people with disabilities is limited. OBJECTIVE: This study aimed to investigate efforts of Fortune 500 companies to include disability in their DEI policy and examine the effect of disability inclusion policy and practices on employment of people with disabilities METHODS: Four hundred sixty-six human resource and project managers with hiring authority participated in the present study. The Disability Inclusion Profiler-23 (DIP-23) was used to assess the perceived importance and implementation level of disability inclusion policy and practices in Fortune 500 and non-Fortune 500 companies. Two-sample independent t-tests were used to compare disability-employment rates and disability inclusion scores between Fortune 500 and non-Fortune 500 groups. Parallel mediation analysis was conducted to examine the extent to which executive level and mid-manager level DIP scores mediated the relationship between Fortune 500 companies and disability employment rates. RESULTS: Fortune 500 companies demonstrated higher disability employment rates and better disability inclusion policies and practices compared to non-Fortune 500 companies. CONCLUSION: State vocational rehabilitation agencies and other disability service providers should engage Fortune 500 executives to bolster disability inclusion efforts. Collaboration between vocational rehabilitation professionals and mid-level managers can enhance DIP policy implementation, thereby improving employment opportunities for people with disabilities.

Department of Education Rehabilitation Services Administration (RSA)-911 Data: Research Study Concerns and Recommendations

The Rehabilitation Services Administration (RSA)-911 is a potent dataset. The purpose of this study is to improve the veracity of research using the RSA-911 dataset. To achieve this, 43 research studies that were published between 2018 and 2022 that used Rehabilitation Services Administration (RSA)-911 data were evaluated in a scoping review. The articles were assessed on several characteristics–reporting of data cleaning strategies utilized, discussion of variable definitions, and the methodological rigor of the statistical analyses that were reported. Opportunities for improvement in data cleaning strategies, reporting accurate definitions of the variables that were selected for the studies, improving the rigor of study methodologies, and recommendations for practice in State Vocational Rehabilitation (VR) agencies were found. Recommendations are provided that may improve research studies that are conducted with the RSA-911 data which may ultimately improve services for participants with disabilities served in State VR agencies.

Customized employment for transition-age youth in state vocational rehabilitation program PY2017 - PY2020: Analysis of service outcomes and related factors

BACKGROUND: Customized employment (CE) is positively correlated with competitive integrated employment (CIE) outcomes and potentially supports transition-age youth in achieving sustainable employment. OBJECTIVE: This study examines the employment outcomes and related factors for transition-age youth with disabilities who received CE services through state vocational rehabilitation agencies (SVRAs) and their vendors from program year 2017 to 2020. METHODS: Employing a combination of descriptive analysis, binary logistic and multiple regression, chi-square tests, and t-tests, the study investigates the demographics, potential barriers, and vocational rehabilitation (VR) services received by the research sample using the RSA-911 dataset. RESULTS: The sample comprised 672 individuals with a mean age of 22.30 years. The most prevalent barrier to employment among CE participants was long-term unemployment, while Supplemental Security Income (SSI) was the most common social security benefit. Furthermore, only 13.2% of transition-age youth achieved CIE status, compared to 30.1% of adults. The key predictors of employment outcomes, including CIE status, weekly earnings, and working hours were identified. CONCLUSION: The research reveals significant differences in employment outcomes between transition-age youth and adult VR consumers. These insights emphasize the necessity for SVRAs to consider a range of factors, including demographics, potential employment barriers, and the effects of various VR services, to increase the CE service effectiveness for transition-age youth.

An Assessment of Collaborations Between Centers for Independent Living and Vocational Rehabilitation Agencies Around Transition-Age Youth

Centers for independent living (CILs) and vocational rehabilitation (VR) agencies offer transition services that many youth with disabilities could benefit from, but little is known about the existence of and potential for collaborations between these agencies. In this study, we examined data from VR agencies to assess their relationships with CILs involving transition-age youth at the national and state levels, focusing on two types of collaborations: referrals from CILs to VR agencies and VR youth’s use of CIL services. Although many CILs and VR agencies do work together, their relationships vary, and these collaborations reflect only a small fraction of VR youth who are transition age. Further, for each collaboration type, the VR youth involved in these collaborations differ from other people who apply for or use VR services in terms of their characteristics and service use patterns. The findings point to opportunities for greater collaboration between CILs and VR agencies. They also indicate a need for more research to understand the optimal formats and contexts for such collaborations and the criteria for effectively promoting them at the person and agency levels.

The Impact of Pre-Employment Transition and Individualized Vocational Rehabilitation Services on Employment Outcomes for Youth With Disabilities

Despite increased attention by policymakers to improve postsecondary employment outcomes, rates of entry into the competitive workforce for transition-age youth with disabilities continue to lag behind their peers without disabilities. The passing of the Workforce Innovation and Opportunity Act of 2014 provided increased opportunities for transition-age youth with disabilities to prepare for the world of work through coordinated service delivery between schools and state vocational rehabilitation (VR) agencies, including work-based learning, an established predictor of competitive employment. The current study uses the Rehabilitation Services Administration’s Case Service Report (RSA-911) data between the fiscal years 2017 to 2020. Multiple logistic regression was used to identify predictors associated with successful employment among 15,295 transition-age youth with disabilities who received both Pre-ETS and individualized VR services. Findings indicate discrepancies between the most effective and most frequently provided services. Implications for future policy, practice, and research are discussed.

State-level characteristics and trends in pre-employment transition service delivery to students with disabilities

BACKGROUND: The Workforce Innovation and Opportunity Act of 2014 (WIOA) substantially changed the way state vocational rehabilitation (VR) agencies prepare transition-age students with disabilities for competitive integrated employment through the provision of pre-employment transition services (Pre-ETS). However, little is known about how state VR agencies are delivering Pre-ETS to students with disabilities in practice. OBJECTIVE: The purpose of this study was to examine state-level provision of Pre-ETS across the United States. METHOD: Descriptive analyses of Rehabilitation Services Administration’s Case Service Report (RSA-911) data of Pre-ETS recipients between 2017 and 2020 were conducted across states. RESULTS: Substantial state-level differences were noted in the type of Pre-ETS provided, how many Pre-ETS were provided to each recipient, the disability characteristics of students, and state use of Pre-ETS provider types (VR staff or vendor). CONCLUSION: State differences in Pre-ETS implementation require further research to investigate best practices within and across states. More differentiated training and technical assistance models aligned with these state-level differences are needed.

Building a foundation for competitive integrated employment: What does the future hold for pre-employment transition services

One of the more creative aspects of the Workforce Innovation Opportunities Act (WIOA, 2014) is the pre-employment transition services program (Pre-ETS). In WIOA, for the first time a federal rehabilitation law has been reauthorized to include a requirement that 15% of the state case management service funding must be devoted to Pre-ETS activities. However, a significant number of state vocational rehabilitation (VR) agencies have been unable to spend this required 15% and therefore millions and millions of dollars nationally have been returned to the Rehabilitation Services Administration. In this paper, we describe how Pre-ETS can be used to get youth with disabilities into competitive and integrated employment, while also outlining many of the systems challenges related to these efforts— specifically for VR and schools. We also provide recommendations for the future to improve outcomes by making Pre-ETS work more effectively.

Transition self-assessment tool: The development and field testing of a statewide assessment of pre-employment transition services

BACKGROUND: Under the Workforce Innovation and Opportunity Act of 2014 (WIOA), vocational rehabilitation (VR) agencies are required to evaluate their students’ need for pre-employment transition services and use this information to inform their goals, priorities and strategies. OBJECTIVE: This manuscript presents the development and field testing of the Transition Self-Assessment Tool (TSAT), a web-based instrument designed to support VR agencies’ evaluation and strategic planning initiatives by measuring the availability, accessibility, and coordination of school-based transition services. METHOD: Our methods describe the TSAT development procedures and the methods of conducting a TSAT field test. RESULTS: Findings suggest high schools offer a broad array of career-related services for their students. However, not all potentially eligible students with disabilities have access to those services and when these services are provided, they are frequently delivered without coordination with VR. Additionally, data show more services are available, accessed, and coordinated in high schools participating in a statewide transition program. CONCLUSION: Results from the TSAT field test suggest it is feasible to conduct a statewide needs assessment of school-based transition services using this instrument. Furthermore, the findings from the TSAT align with prior knowledge about school-based transition services, and can be used to inform a state’s goals, priorities and strategies.

Enhancing transition outcomes: A toolkit to facilitate data-driven pre-employment transition services

BACKGROUND: The Rehabilitation Act, as amended in the Workforce Innovation and Opportunity Act of 2014 (WIOA), highlights the need to improve outcomes for transition-age students and youth with disabilities. The amendments require state vocational rehabilitation agencies to allocate 15% of their federal funding to provide pre-employment transition services (Pre-ETS) to an expanded population of transition-age students and youth with disabilities. Rapid implementation of this mandate required state vocational rehabilitation agencies to begin offering the five required Pre-ETS before mechanisms for monitoring and improvement could be created and field-tested. Nearly a decade since the passage of WIOA, many states are still without practical mechanisms for evaluating Pre-ETS despite increasing emphasis on using evidence-based practices in public programs. OBJECTIVE: The objective of this article is to present insights from the systematic implementation of The Transition Readiness Toolkit (TRT) within a state vocational rehabilitation agency. METHODS: We detail the creation of the TRT, our approach for implementing it across multiple states, and how it supports data-driven decision making for Pre-ETS providers and agencies. RESULTS: Initial results of implementation are promising. State VR agencies and Pre-ETS providers are using the data to increase accountability and understand the impact of their services. CONCLUSION: We present reflections on use of the TRT in a state agency and implications from an evidenced-based policy framework.

Leveraging the stages of learning to optimize pre-employment transition service delivery

Pre-employment transition services (Pre-ETS) is a specific set of services outlined in Section 113 of the Rehabilitation Act as amended by WIOA, with the purpose of expanding career exploration, postsecondary training options, and the development of career readiness skills for students with disabilities through work-based learning experiences. Pre-ETS aims to facilitate the transition of students with disabilities from school to adulthood by equipping them with the essential skills, knowledge, and experiences needed to thrive in the workforce. However, there is great variability across states on how vocational rehabilitation agencies work with State and local education agencies to coordinate and sequence services to facilitate the development of a more comprehensive career pathway for students with disabilities. This paper provides insights and applicable guidance for practitioners seeking to optimize Pre-ETS by aligning interventions with the phases of learning. Grounded in experiential knowledge and effective practices for secondary transition and Pre-ETS, this paper offers a strategic framework designed to enhance the effectiveness of transition services for diverse individuals preparing to enter the workforce. It aims to equip practitioners with a toolbox of effective strategies and approaches, fostering a more dynamic and personalized delivery of Pre-ETS. By offering practical guidance on navigating the learning phases, this paper seeks to empower practitioners to create more impactful and tailored programs, ultimately enhancing the workforce readiness of individuals with diverse abilities.

A scoping review of pre-employment transition services for transition aged youth with disabilities

BACKGROUND: The Workforce Innovation and Opportunity Act (2014) requires state vocational rehabilitation agencies to dedicate 15% of their budget to providing pre-employment transition services (Pre-ETS) to transition aged youth (TAY) with disabilities. OBJECTIVE: The purpose of this study was to summarize the peer-reviewed, empirical literature focused on Pre-ETS for TAY with disabilities. METHOD: An initial search was completed on October 24th, 2023. A second search was conducted on January 1, 2024 to determine whether any additional publications that met inclusion criteria were published. We used scoping review methods to review, summarize, and identify gaps within the existing literature about Pre-ETS for TAY with disabilities. We identified study characteristics and main areas of foci for each study. RESULTS: A total of 26 peer-reviewed articles published in the United States between 2017–2023 focused on Pre-ETS for TAY with disabilities. Articles focused on (a) participants’ perceptions of Pre-ETS, (b) program and TAY outcomes, and (c) policy analyses. CONCLUSION: Our findings suggest that Pre-ETS are a promising set of practices to increase the postschool outcomes of TAY with disabilities. Implications for practice, research, and policy are discussed.

Pre-employment transition and vocational rehabilitation services: Experiences in response to Vermont’s work-based learning program

BACKGROUND: State vocational rehabilitation (VR) agencies offer pre-employment transition services (pre-ETS) and other VR services to high school students, but the literature has not documented differences in pre-ETS use by individual characteristics or across individual services. OBJECTIVE: We describe variation in how high school students used services from the Vermont VR agency and how a demonstration program emphasizing work-based learning experiences affected that use. METHOD: The study uses a descriptive approach to explore patterns in youth’s pre-ETS and VR services and outcomes two years after enrolling in a demonstration program. It compares youth with access to demonstration services (the treatment group) to those using usual services (the control group). RESULTS: Among all control group youth, more than half only used pre-ETS during a 24-month period, while about one-quarter used VR services and the remainder used no services from the VR agency. In contrast, nearly all treatment group youth used some VR services, with a majority (59 percent) using both VR services and pre-ETS. Control group youth who used pre-ETS and VR services differed from those who did not use these services by gender, disability type, employment, and service receipt characteristics; treatment group youth had fewer such differences. Earnings outcomes did not vary in consistent or interpretable ways. CONCLUSION: The findings demonstrate how an intervention designed to promote work-based learning experiences increased pre-ETS and VR use and decreased subgroup differences in service utilization. VR administrators might consider collecting information on potentially eligible students to increase access to and use of services.

The role of associations in the social and cultural integration of refugees in Nea Kokkinia (Nikea)

Abstract: Nea Kokkinia, today’s Nikaia, is a city that is about five kilometers from the port of Piraeus. It was founded in 1923 by refugees from Asia Minor and constitutes the largest organized urban refugee settlement in Piraeus, which was created through the collaboration of rehabilitation agencies, the Greek State, foreign charities, but also the active participation of the refugees themselves through the associations they created. The refugee associations were established simultaneously with the settlement of the refugees in the area. The study of the integration of refugees and the efforts they made for their rehabilitation and social integration constitute an invisible aspect of the refugee issue. However, a “bottom-up” approach transforms refugees into active subjects of history and co‑shapers of their place and life, since within the cities these individuals live, work, have fun, play sports, and socialize, they form their identities, and claim their rights and even organize themselves. This article presents these unseen aspects of the complex process of urban regeneration and associations.

Vocational Rehabilitation Counselors’ Perspectives on Rehabilitation Success

Vocational rehabilitation (VR) agencies often encounter challenges to help persons with disabilities successfully attain their employment goals. This study was conducted to understand how VR counselors define “success” and what practices they deem to be most successful. Ninety-one VR counselors from a Midwestern state were asked to write about a typically successful case from their caseload. Participants were asked to describe the demographic characteristics of the counseling recipient, the rehabilitation goals, whether the consumer received support from family and/or community members, the counseling outcomes, services provided, and best practices that could lead to positive outcomes. Case summaries were content analyzed to identify how “success” is defined by VR counselors. Findings revealed that 74% of the cases were related to a successful employment outcome, 30% to an educational outcome, and 33% to an independent living outcome. Several best practices for serving VR customers were identified. Counselors have clear perceptions about their successful clients, and they may use those perceptions when engaging with their clients. Implications for VR service provision are discussed.

출소자 긴급지원 문제점 및 전달체계 개선방안 연구

This study proposes alternatives for improving the delivery system of emergency welfare support for ex-prisoners, particularly suggesting ways to integrate the emergency support system with the rehabilitative welfare system. The aim is to propose alternatives for ex-prisoners' independence and recidivism prevention. Based on existing research data, this study explores the current status, trends, and operational issues of emergency welfare support. It identifies issues and key points of contention in emergency welfare support for ex-prisoners. Drawing from this analysis, the study aims to present policy alternatives and development strategies to enhance the effectiveness and efficiency of the emergency welfare support system for ex-prisoners.
 The study results reveal a continuous and sharp increase in the number of cases and the amount of support provided through the emergency welfare support. Among these, the number of support cases for ex-prisoners has drastically risen from 1,135 cases in 2014 to 49,513 cases in 2020. Given the nature of the emergency support system, the entire process, from application-related investigations to decisions, disbursement management, and post-assessment, is carried out by dedicated personnel in a one-stop delivery system. This has led to burdens on frontline local government agencies due to heavy workloads and stresses from public complaints. Notably, many challenges have been raised concerning support for ex-prisoners.
 Consequently, this study aims to discuss integrated community services by proposing a delivery system and case management system linkage and improvement approach with the Korea Rehabilitation Agency responsible for ex-prisoners' recidivism prevention and social integration.

An examination of vocational rehabilitation requirements for self-employment technical assistance and consultative services

BACKGROUND: The Rehabilitation Act references self-employment in its definition of competitive integrated employment (CIE) and description of vocational outcomes. The Act also references self-employment within its scope of services and stipulates that rehabilitation services include “technical assistance and other consultation services to conduct market analyses, develop business plans, and otherwise provide resources, to the extent those resources are authorized to be provided through the statewide workforce development system, to eligible individuals who are pursuing self-employment or telecommuting or establishing a small business operation as an employment outcome” 34 CFR 361.48(b)(19). OBJECTIVE: This policy review identifies and highlights specific SVRA policy regarding TA and consultation for self-employment. METHODS: Policies from all 50 states and the District of Columbia’s combined or general SVRAs and policies from 18 blind SVRAs were reviewed and coded into categories (no reference, generic, internal, and external references) to determine the types of TA and consultation for self-employment that are outlined in state policy. RESULTS: The majority of general or combined SVRAs (n = 38) have policies for self-employment technical assistance and consultation that are generic and the majority of blind SVRAs (n = 16) have generic policies for self-employment technical assistance and consultation. These rehabilitation agencies’ policies only reference generic services and do not identify dedicated resources designed to meet the intent and scope of rehabilitation services. CONCLUSION: SVRAs must make a concerted effort to ensure that self-employment policy is adequately aligned to account for necessary supports, activities, and interventions that lead to positive self-employment outcomes.