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Fong Chan - One of the best experts on this subject based on the ideXlab platform.
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vocational Rehabilitation Services and outcomes for transition age youth with traumatic brain injuries
Journal of Head Trauma Rehabilitation, 2016Co-Authors: Phillip D Rumrill, Cahit Kaya, Paul Wehman, Robert Evert Cimera, Chad Dillard, Fong ChanAbstract:OBJECTIVE: This study examined data provided by the US Department of Education's Rehabilitation Services Administration (RSA) in an effort to evaluate the relationship between (a) demographic variables and vocational Rehabilitation (VR) Services and (b) the employment outcomes of transition-age youth with traumatic brain injuries. SETTING: Not applicable. PARTICIPANTS: Data for 1546 transition-age youth (ie, 16-25 years of age) with traumatic brain injuries were examined. DESIGN: Purposeful selection of multivariate logistic regression was employed to analyze the data. MAIN MEASURES: Not applicable. RESULTS: Receipt of more VR Services at higher expenditure levels over shorter periods of time was related to case closure in successful competitive employment status. Also, higher levels of education at the time of enrollment in the VR program (ie, bachelor's degrees or higher); nonreceipt of social security disability benefits at the time of enrollment in the VR program; and receipt of VR Services such as occupational/vocational training, job search, job placement, on-the-job support, maintenance, and information/referral were associated with competitive employment outcomes. CONCLUSION: Client demographic and VR service-related variables significantly predict competitive employment outcomes for transition-age youth with traumatic brain injuries. Vocational Rehabilitation Services should focus on the specific interventions that are most closely associated with successful Rehabilitation. Language: en
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vocational Rehabilitation Services and outcomes for transition age youth with visual impairments and blindness
Journal of Vocational Rehabilitation, 2015Co-Authors: Robert Evert Cimera, Fong Chan, Cahit Kaya, Phillip D Rumrill, Jill BezyakAbstract:OBJECTIVE: This study examined data provided by the U.S. Department of Education’s Rehabilitation Services Administration (RSA) in an effort to evaluate the impact of demographic variables, vocational Rehabilitation Services, and agency characteristics on the employment outcomes obtained by transition-age youth (i.e., 16 to 25 years old) with visual impairments and blindness. RESULTS: Results indicated that young adults who were male, Hispanic, between the ages of 23 and 25, not receiving Social Security disability benefits, and diagnosed with less severe visual impairments were more likely to become employed than younger, female, Caucasian young adults with more severe visual impairments who were receiving Social Security disability benefits. Receiving reader and assistive technology Services also predicted successful employment outcomes. CONCLUSION: Results of this investigation document the importance of individualized VR Services that promote long-term career success for transition-age youth with visual impairments and blindness.
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state Rehabilitation Services tailored to employment status among cancer survivors
Journal of Occupational Rehabilitation, 2014Co-Authors: Chungyi Chiu, Fong Chan, David R Strauser, Michael Feuerstein, Nicole Ditchman, Elizabeth Da Silva Cardoso, John Oneill, Veronica MullerAbstract:Purpose. Previous analyses of vocational Rehabilitation Services for unemployed cancer survivors indicated that counseling and guidance, job search assistance, and job placement Services are significantly associated with increased odds for employment. However, many cancer survivors with jobs to return to may require vocational interventions that are different from unemployed cancer survivors. It is unclear whether the public Rehabilitation system provides vocational Services that are based on the work status of cancer survivors rather than providing the same set of Services for all cancer survivors. This study examined whether differences in the types of Services were indeed based on the employment status of those with a history of cancer at the time of application. Methods. Administrative data on 1,460 cancer survivors were obtained through the US Rehabilitation Services Administration Case Service Report (RSA-911) dataset for fiscal year 2007. Data on demographic characteristics and vocational service patterns were extracted and analyzed. Multiple discriminant analysis was used to identify differential Services received by cancer survivors based on employment status at time of application for vocational Rehabilitation Services. Results. Results of the multiple discriminant analysis indicated one significant canonical discriminant function, with Wilks’s λ = .92, χ 2(19, N = 1,456) = 114.87, p < .001. The correlations between the discriminating variables and the significant canonical discriminant function were highest for diagnoses and treatment (−.526), job placement (.487), transportation (.419), job search (.403), vocational training (.384), job readiness (.344), university training (.307), and Rehabilitation technology (−.287). The group centroids along the significant discriminant function (the distance of each group from the center of the canonical function) indicated that the employed applicant group (−.542) and the unemployed applicant group (.153) can be differentiated based on vocational Rehabilitation Services received, with the employed applicant group receiving primarily diagnostic and treatment Services and Rehabilitation technology/job accommodation Services, while the unemployed applicant group received more vocational training, job seeking skills training, and job placement Services. Conclusions. Employed cancer survivors who are at risk of losing their job and unemployed cancer survivors who are looking for a job receive different vocational Services tailored to needs, suggesting that state vocational Rehabilitation Services for cancer survivors is responsive to individual client needs.
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vocational Rehabilitation Services and employment outcomes for adults with cerebral palsy in the united states
Developmental Medicine & Child Neurology, 2013Co-Authors: Ichun Huang, Fong Chan, Jerome J Holzbauer, Eunjeong Lee, Julie Chronister, John OneilAbstract:Aim 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.
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state vocational Rehabilitation Services and employment in multiple sclerosis
Multiple Sclerosis Journal, 2013Co-Authors: Chungyi Chiu, Fong Chan, Elizabeth Da Silva Cardoso, John Oneill, Malachy BishopAbstract:Background:Obtaining and maintaining suitable employment can be a significant challenge for people with multiple sclerosis (MS).Objective:The objective of this article is to identify what vocational Rehabilitation (VR) Services helped MS clients obtain and maintain employment, after controlling for the effect of demographic covariates and disability-related government benefits.Methods:We retrieved data from the Rehabilitation Services Administration (RSA) 911 database in the fiscal year (FY) 2009, and used VR Services as predictors to predict employment outcomes of people with MS by hierarchical logistic regression.Results:A total of 924 out of 1920 MS clients (48.1%) were successfully employed after receiving VR Services. Logistic regression analysis results indicated that cash benefits (OR =0.51, p < 0.001) and public medical benefits (OR =0.76, p < 0.01) were negatively associated with employment outcomes, whereas counseling and guidance (OR = 1.68, p < 0.001), job placement assistance (OR = 2.43, p < ...
Anthony Shakeshaft - One of the best experts on this subject based on the ideXlab platform.
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understanding the client characteristics of aboriginal residential alcohol and other drug Rehabilitation Services in new south wales australia
Addiction Science & Clinical Practice, 2020Co-Authors: Katherine M Conigrave, K Kylie S Lee, Douglas B James, Tania Patrao, Ryan J Courtney, Anthony ShakeshaftAbstract:Aboriginal alcohol and other drug residential Rehabilitation (residential Rehabilitation) Services have been providing treatment in Australia of over 50 years. However, there are no studies in Australia or internationally that document characteristics of clients attending Indigenous residential Rehabilitation Services worldwide. This is the first multi-site paper to describe key client characteristics of six Indigenous (hereafter Aboriginal Australians as the term recommended by the Aboriginal Health and Medical Research Council of New South Wales) residential Rehabilitation Services in Australia. All recorded client admissions between 1 January 2011 to 31 December 2016 were considered from six operating Services in the Australian state of New South Wales. Data collected were classified into categories based on demographics, treatment utilisation, substance use, mental health and quality of life characteristics. Means, median and percentages were calculated (where appropriate). There were 2645 admissions across the six Services in the study period, with an average of 440 admissions per year across all Services. Participants were aged between 26 to 35 years, with fewest participants aged 46 +. Program length ranged from 12 to 52 weeks (mean of 12 weeks). The completion rates and length of stay for each service ranged from less than two to more than 12 weeks. The principal drug of choice was alcohol and amphetamines in half of the Services. Not all Services used them, but a range of tools were used to measure treatment, substance use and mental health or quality of life outcomes. This study is the first internationally to describe the key features of multiple Aboriginal residential Rehabilitation Services. The variation in tools used to collect client data made it difficult to compare client characteristics across Services. Future research could explore predictors of treatment completion, identify opportunities for standardisation in client assessments and validate cultural approaches of care. These efforts would need to be guided by Aboriginal leadership in each service.
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the need to move from describing to evaluating the effectiveness of indigenous drug and alcohol residential Rehabilitation Services a systematic review
Current Drug Abuse Reviews, 2018Co-Authors: Doug James, Anthony Shakeshaft, Alice Munro, Ryan J CourtneyAbstract:BACKGROUND AND OBJECTIVES Despite the importance of Indigenous drug and alcohol residential Rehabilitation, the knowledge supporting these Services is limited. This paper aims to: (i) identify the research output related to Indigenous drug and alcohol residential Rehabilitation Services; (ii) classify identified studies according to their methodology; and (iii) describe key characteristics of clients and Services, and critique the research methods. METHODS A PRISMA compliant search of 10 electronic databases for studies of Indigenous drug and alcohol residential Rehabilitation Services from Australia, United States, Canada and New Zealand, published between 1 January 2000 and 28 March 2016, was conducted. RESULTS Of the 38 relevant studies, 20 were service descriptions, one was a thesis, 16 described treatment or client characteristics and one was a pre/post evaluation. No systematic reviews or the development or evaluation of measures was identified, with reviewed studies found to be of relatively low methodological quality. CONCLUSION There are few published studies on Indigenous drug and alcohol residential Rehabilitation Services, an average of one paper per annum internationally, and only one treatment outcome evaluation. Three key features of the reviewed papers included (i) studied Services were mostly located in regional areas; (ii) Services provided multi-component programs, with little alignment between the models of care of other Services; and (iii) the majority used qualitative, rather than quantitative methods. Client outcomes will likely improve if future research can establish best-practice, culturally acceptable models of care and increase the application of evidence-based, culturally validated quantitative evaluation measures to complement existing qualitative research.
Ryan J Courtney - One of the best experts on this subject based on the ideXlab platform.
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understanding the client characteristics of aboriginal residential alcohol and other drug Rehabilitation Services in new south wales australia
Addiction Science & Clinical Practice, 2020Co-Authors: Katherine M Conigrave, K Kylie S Lee, Douglas B James, Tania Patrao, Ryan J Courtney, Anthony ShakeshaftAbstract:Aboriginal alcohol and other drug residential Rehabilitation (residential Rehabilitation) Services have been providing treatment in Australia of over 50 years. However, there are no studies in Australia or internationally that document characteristics of clients attending Indigenous residential Rehabilitation Services worldwide. This is the first multi-site paper to describe key client characteristics of six Indigenous (hereafter Aboriginal Australians as the term recommended by the Aboriginal Health and Medical Research Council of New South Wales) residential Rehabilitation Services in Australia. All recorded client admissions between 1 January 2011 to 31 December 2016 were considered from six operating Services in the Australian state of New South Wales. Data collected were classified into categories based on demographics, treatment utilisation, substance use, mental health and quality of life characteristics. Means, median and percentages were calculated (where appropriate). There were 2645 admissions across the six Services in the study period, with an average of 440 admissions per year across all Services. Participants were aged between 26 to 35 years, with fewest participants aged 46 +. Program length ranged from 12 to 52 weeks (mean of 12 weeks). The completion rates and length of stay for each service ranged from less than two to more than 12 weeks. The principal drug of choice was alcohol and amphetamines in half of the Services. Not all Services used them, but a range of tools were used to measure treatment, substance use and mental health or quality of life outcomes. This study is the first internationally to describe the key features of multiple Aboriginal residential Rehabilitation Services. The variation in tools used to collect client data made it difficult to compare client characteristics across Services. Future research could explore predictors of treatment completion, identify opportunities for standardisation in client assessments and validate cultural approaches of care. These efforts would need to be guided by Aboriginal leadership in each service.
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the need to move from describing to evaluating the effectiveness of indigenous drug and alcohol residential Rehabilitation Services a systematic review
Current Drug Abuse Reviews, 2018Co-Authors: Doug James, Anthony Shakeshaft, Alice Munro, Ryan J CourtneyAbstract:BACKGROUND AND OBJECTIVES Despite the importance of Indigenous drug and alcohol residential Rehabilitation, the knowledge supporting these Services is limited. This paper aims to: (i) identify the research output related to Indigenous drug and alcohol residential Rehabilitation Services; (ii) classify identified studies according to their methodology; and (iii) describe key characteristics of clients and Services, and critique the research methods. METHODS A PRISMA compliant search of 10 electronic databases for studies of Indigenous drug and alcohol residential Rehabilitation Services from Australia, United States, Canada and New Zealand, published between 1 January 2000 and 28 March 2016, was conducted. RESULTS Of the 38 relevant studies, 20 were service descriptions, one was a thesis, 16 described treatment or client characteristics and one was a pre/post evaluation. No systematic reviews or the development or evaluation of measures was identified, with reviewed studies found to be of relatively low methodological quality. CONCLUSION There are few published studies on Indigenous drug and alcohol residential Rehabilitation Services, an average of one paper per annum internationally, and only one treatment outcome evaluation. Three key features of the reviewed papers included (i) studied Services were mostly located in regional areas; (ii) Services provided multi-component programs, with little alignment between the models of care of other Services; and (iii) the majority used qualitative, rather than quantitative methods. Client outcomes will likely improve if future research can establish best-practice, culturally acceptable models of care and increase the application of evidence-based, culturally validated quantitative evaluation measures to complement existing qualitative research.
Douglas B James - One of the best experts on this subject based on the ideXlab platform.
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understanding the client characteristics of aboriginal residential alcohol and other drug Rehabilitation Services in new south wales australia
Addiction Science & Clinical Practice, 2020Co-Authors: Katherine M Conigrave, K Kylie S Lee, Douglas B James, Tania Patrao, Ryan J Courtney, Anthony ShakeshaftAbstract:Aboriginal alcohol and other drug residential Rehabilitation (residential Rehabilitation) Services have been providing treatment in Australia of over 50 years. However, there are no studies in Australia or internationally that document characteristics of clients attending Indigenous residential Rehabilitation Services worldwide. This is the first multi-site paper to describe key client characteristics of six Indigenous (hereafter Aboriginal Australians as the term recommended by the Aboriginal Health and Medical Research Council of New South Wales) residential Rehabilitation Services in Australia. All recorded client admissions between 1 January 2011 to 31 December 2016 were considered from six operating Services in the Australian state of New South Wales. Data collected were classified into categories based on demographics, treatment utilisation, substance use, mental health and quality of life characteristics. Means, median and percentages were calculated (where appropriate). There were 2645 admissions across the six Services in the study period, with an average of 440 admissions per year across all Services. Participants were aged between 26 to 35 years, with fewest participants aged 46 +. Program length ranged from 12 to 52 weeks (mean of 12 weeks). The completion rates and length of stay for each service ranged from less than two to more than 12 weeks. The principal drug of choice was alcohol and amphetamines in half of the Services. Not all Services used them, but a range of tools were used to measure treatment, substance use and mental health or quality of life outcomes. This study is the first internationally to describe the key features of multiple Aboriginal residential Rehabilitation Services. The variation in tools used to collect client data made it difficult to compare client characteristics across Services. Future research could explore predictors of treatment completion, identify opportunities for standardisation in client assessments and validate cultural approaches of care. These efforts would need to be guided by Aboriginal leadership in each service.
Erin Godecke - One of the best experts on this subject based on the ideXlab platform.
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healing right way study protocol for a stepped wedge cluster randomised controlled trial to enhance Rehabilitation Services and improve quality of life in aboriginal australians after brain injury
BMJ Open, 2021Co-Authors: Elizabeth Armstrong, Juli Coffin, Deborah Hersh, Judith M Katzenellenbogen, Sandra C Thompson, Leon Flicker, Meaghan Mcallister, Dominique A Cadilhac, Tapan Rai, Erin GodeckeAbstract:Introduction Despite higher incidence of brain injury among Aboriginal compared with non-Aboriginal Australians, suboptimal engagement exists between Rehabilitation Services and Aboriginal brain injury survivors. Aboriginal patients often feel culturally insecure in hospital and navigation of Services post discharge is complex. Health professionals report feeling ill-equipped working with Aboriginal patients. This study will test the impact of a research-informed culturally secure intervention model for Aboriginal people with brain injury. Methods and analysis Design: Stepped wedge cluster randomised control trial design; intervention sequentially introduced at four pairs of healthcare sites across Western Australia at 26-week intervals. Recruitment: Aboriginal participants aged ≥18 years within 4 weeks of an acute stroke or traumatic brain injury. Intervention: (1) Cultural security training for hospital staff and (2) local, trial-specific, Aboriginal Brain Injury Coordinators supporting participants. Primary outcome: Quality-of-life using EuroQOL-5D-3L (European Quality of Life scale, five dimensions, three severity levels) Visual Analogue Scale score at 26 weeks post injury. Recruitment of 312 participants is estimated to detect a difference of 15 points with 80% power at the 5% significance level. A linear mixed model will be used to assess the between-condition difference. Secondary outcome measures: Modified Rankin Scale, Functional Independence Measure, Modified Caregiver Strain Index, Hospital Anxiety and Depression Scale at 12 and 26 weeks post injury, Rehabilitation occasions of service received, hospital compliance with minimum care processes by 26 weeks post injury, acceptability of Intervention Package, feasibility of Aboriginal Brain Injury Coordinator role. Evaluations: An economic evaluation will determine the potential cost-effectiveness of the intervention. Process evaluation will document fidelity to study processes and capture changing contexts including barriers to intervention implementation and acceptability/feasibility of the intervention through participant questionnaires at 12 and 26 weeks. Ethics and dissemination The study has approvals from Aboriginal, university and health Services human research ethics committees. Findings will be disseminated through stakeholder reports, participant workshops, peer-reviewed journal articles and conference papers. Trial registration number ACTRN12618000139279.
