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Vocational rehabilitation services and employment outcomes for adults with cerebral palsy in the United States

HUANG IC; HOLZBAUER JJ; LEE EJ; CHRONISTER J; CHAN F; O'NEIL J
DEV MED CHILD NEUROL , 2013, vol. 55, n° 11, p. 1000-1008
Doc n°: 165298
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1111/dmcn.12224
Descripteurs : JK2 - READAPTATION PROFESSIONNELLE - HANDICAP, AF93- PARALYSIE CEREBRALE ADULTE

The aim of this study was to examine the relationship between vocational
rehabilitation services provided and work outcomes among people with cerebral
palsy (CP), taking in to account demographic characteristics. METHOD: From the US
Department of Education Rehabilitation Service Administration Case Service Report
(RSA-911) database, data from 3162 individuals with CP (1820 males [57.6%] and
1342 females [42.4% age range 16-54y) whose cases were closed in 2009, were used
in this study. A total of 1567 cases (49.6%) were closed with clients being
categorized as 'successful employment' and 1595 cases (50.4%) were closed with
clients being classified as unemployed. RESULTS: Multivariate logistic regression
was used to examine the relationship between services provided and work outcomes
with regard to demographic characteristics. Males aged between 26 and 54 years
old with higher education attainment were more likely to be employed. Individuals
receiving disability benefits were less likely to be employed. After controlling
for the effect of demographic and work disincentive variables, five vocational
rehabilitation services significantly predicted employment outcomes (p<0.05),
including (1) on-the-job training; (2) job placement assistance; (3) on-the-job
support; (4) maintenance services; and (5) rehabilitation technology.
INTERPRETATION: Medical and health professionals need to be aware of vocational
rehabilitation agencies as a resource for providing medical, psychological,
educational, and vocational interventions for adults with CP to help them
maximize their employability, to address their much needed work adjustment
skills, to establish independent living, and to eventually reach their full
potential in participation in society.
CI - (c) 2013 Mac Keith Press.

Langue : ANGLAIS

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