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The Role of the Counselor
Published in Stanley R. Resor, Henn Kutt, The Medical Treatment of Epilepsy, 2020
Many local epilepsy affiliates have training and placement or supported employment programs, and the team should utilize these services by making referrals. These programs are helpful whether the person is unemployed or underemployed, which is often the case with persons with epilepsy. In the absence of an affiliate, the counselor may make a direct referral to the Division of Vocational Rehabilitation for vocational assessment and training. The counselor acts as a liaison between the medical community and the support agency.
Glossary of terms
Published in Patricia A. Murphy, A Career and Life Planning Guide for Women Survivors:, 2020
Vocational rehabilitation: A process which involves overcoming physical and/or mental disabilities in order to return to work in a usual and customary occupation, a modification of the usual and customary occupation, an alternative job with the same employer, a change in occupation, or the obtaining of waged work for the first time. See A Feminist Vocational Rehabilitation Model.
Returning to Work
Published in Michael S. Margoles, Richard Weiner, Chronic PAIN, 2019
If you are unable to return to your usual occupation, you may need to find another one. One of your priorities should be to determine whether vocational rehabilitation is a benefit under your insurance coverage; if it is not, you can go the office of your state rehabilitation agency. If vocational rehabilitation benefits are covered, your counselor may work for the medical center itself, a private company, a private nonprofit agency, or a state agency. Like medical rehabilitation, vocational rehabilitation is not something done to you; again it is something in which you have to participate fully to get anything out of. One of the differences between medical and vocational rehabilitation lies in their methods of reaching objectives. One author put it this way: Working with a vocational counselor can be a disappointment for physicians, because the counselor cannot consistently produce the desired result: a job. The patient reaches goals set by the rehabilitation team and leaves the hospital. Vocational rehabilitation is not endowed with advanced technology. It is the newest field in rehabilitation….The vocational counselor usually is only a small part of the adjustment process. Employment usually involves the entire sum of a person’s capacities and abilities to adjust to a complex and challenging situation (Walker, 1965).
Exploring the lived return-to-work experience of individuals with acquired brain injury: use of vocational services and environmental, personal and injury-related influences
Published in Disability and Rehabilitation, 2022
Charlotte L. Brakenridge, Charmaine Kai Ling Leow, Melissa Kendall, Ben Turner, Donna Valiant, Ray Quinn, Venerina Johnston
For three participants, insurance providers (NIIS-Q, WorkCover and income protection) funded experienced private occupational therapists or physiotherapists to assist in vocational rehabilitation such as designing a graded RTW process, interview skills and resume writing, and visits to the participant’s workplace. One participant received some vocational rehabilitation support through a transitional specialist community rehabilitation service. For another participant, the workplace provided an in-house rehabilitation officer to assist in the RTW process. Five participants had accessed or were currently utilising disability employment service providers to assist with finding work. Three participants did not seek or use any vocational rehabilitation services when returning to work; though subsequently, one of these participants did use a disability employment service provider to assist in identifying new employment.
First-episode psychosis integrative treatment: Estonian experience
Published in Nordic Journal of Psychiatry, 2022
Karola Peebo, Erika Saluveer, Harri Küünarpuu, Teele Orgse, Jaanus Harro
Treatment program consisted of pharmacological treatment, psychotherapy and rehabilitation. All patients were prescribed second-generation antipsychotics. Patients additionally received individual psychotherapy by their treatment team psychologist. Psychotherapeutical interventions included cognitive-behavioral and family and/or psychodynamic therapy, from which most patients received one. In addition to individual psychotherapy patients also took part of group therapies. Two times a week patients participated in a computer-based cognitive remediation program Cogpack Software® [18,19]. Once a week there was a metacognitive therapy group to help improve socio-cognitive skills and provide psychoeducational information in a peer-group setting. The program also offered individual and group art therapy. Cognitive remediation and metacognitive therapy were started during hospitalization and continued during outpatient visits as needed. Families of the patients were involved as soon as possible after admission and were offered psychoeducation and family therapy. The treatment team also collaborated with rehabilitation service providers, social and vocational rehabilitation services were offered to patients.
Low gait speed is associated with low physical activity and high sedentary time following stroke
Published in Disability and Rehabilitation, 2021
Natalie A. Fini, Julie Bernhardt, Anne E. Holland
Gait speed, age, and employment status were found to be independent predictors of daily step count. Gait speed and employment status are modifiable factors and may thus be important targets for therapy. This highlights that in addition to physical rehabilitation, vocational rehabilitation may be important. Age was the only independent predictor of moderate to vigorous physical activity duration. We found that it was more difficult to predict the factors that account for the variation in moderate to vigorous physical activity duration than step count, with only 21.3% of variation predicted when modelling three variables (age, gait speed, and cognition). This is consistent with previous work [42] where gait speed and the physical domain of the stroke impact scale accounted for 21% of the variance in moderate to vigorous physical activity duration. In contrast, our model for step count was able to account for 57.3% of the variance, suggesting that it is easier to account for variations in step count than moderate to vigorous physical activity in stroke survivors. Similar to exercise, moderate to vigorous physical activity is likely to involve planning and require an element of motivation and even self-efficacy. These variables were not included in our model and perhaps factors like this should be measured following stroke to gain a better understanding of physical activity and how clinicians can influence and improve the physical activity of stroke survivors.