Pub Date : 2003-01-01DOI: 10.1017/S1323892200000399
D. C. Roberts-Yates
This paper will analyse the provision of rehabilitation to injured workers with a registered WorkCover claim in South Australia. It presents the comments of key parties on the practice of rehabilitation, approaches to service delivery, and contradictions and paradoxes of the reality of the practice. The comments of workers, employers, case managers, medical practitioners, and of the rehabilitation providers themselves give ample evidence of the complexity of the demands placed upon providers in this system. Emphasis is placed upon their role in presenting the realities of the situation honestly to the worker and in effectively communicating to other stakeholders the particular strategies needed to overcome barriers to successful return-to-work outcomes.
{"title":"Examining the Role of Rehabilitation in the South Australian Workers' Compensation System","authors":"D. C. Roberts-Yates","doi":"10.1017/S1323892200000399","DOIUrl":"https://doi.org/10.1017/S1323892200000399","url":null,"abstract":"This paper will analyse the provision of rehabilitation to injured workers with a registered WorkCover claim in South Australia. It presents the comments of key parties on the practice of rehabilitation, approaches to service delivery, and contradictions and paradoxes of the reality of the practice. The comments of workers, employers, case managers, medical practitioners, and of the rehabilitation providers themselves give ample evidence of the complexity of the demands placed upon providers in this system. Emphasis is placed upon their role in presenting the realities of the situation honestly to the worker and in effectively communicating to other stakeholders the particular strategies needed to overcome barriers to successful return-to-work outcomes.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S1323892200000399","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57509600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2003-01-01DOI: 10.1017/S1323892200000429
H. Biggs
The global community is experiencing widespread and rapid changes to labour force participation with increasing expectations of flexible and highly adaptable skill sets. Workers can expect demands to acquire new and augment existing competencies as an integral part of he labour contract. Continuing education, professional development, competency augmentation, and lifelong learning are the occupational mantras of the Millennium. If this is an expectation within the workforce, what then are the expectations of support professionals such as rehabilitation counsellors who expect to exercise considerable skill at client workforce re-entry? This paper examines a range of issues for ongoing skilling and provides a set of recommendations for ongoing contemporary professional relevance.
{"title":"Rehabilitation Counselling: The Quest for Professional Relevance","authors":"H. Biggs","doi":"10.1017/S1323892200000429","DOIUrl":"https://doi.org/10.1017/S1323892200000429","url":null,"abstract":"The global community is experiencing widespread and rapid changes to labour force participation with increasing expectations of flexible and highly adaptable skill sets. Workers can expect demands to acquire new and augment existing competencies as an integral part of he labour contract. Continuing education, professional development, competency augmentation, and lifelong learning are the occupational mantras of the Millennium. If this is an expectation within the workforce, what then are the expectations of support professionals such as rehabilitation counsellors who expect to exercise considerable skill at client workforce re-entry? This paper examines a range of issues for ongoing skilling and provides a set of recommendations for ongoing contemporary professional relevance.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S1323892200000429","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57509691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-01-01DOI: 10.1017/S1323892200000843
K. Faull, Thomas J. Kalliath
Disability is commonly viewed as permanent loss of physical, cognitive and social aspects of self. Rehabilitation interventions are aimed to return the individual to full health by either restoration of past physical, cognitive or social capabilities or strengthening aspects of self to counter such loss. However, rehabilitation interventions do not result in a complete return to past physical, mental or social health. Does this mean that people with disability can never be healthy? Or does it indicate that our perception and definition of health does not reflect the essence of health? We argue that when people with disability redefine themselves in terms other than levels of physical, social and cognitive functioning, good health is an attainable goal. We discuss evidence that suggests why spirituality could be a primary determinant of health.
{"title":"Spirituality as a Determinant of Health for those with Disabilities","authors":"K. Faull, Thomas J. Kalliath","doi":"10.1017/S1323892200000843","DOIUrl":"https://doi.org/10.1017/S1323892200000843","url":null,"abstract":"Disability is commonly viewed as permanent loss of physical, cognitive and social aspects of self. Rehabilitation interventions are aimed to return the individual to full health by either restoration of past physical, cognitive or social capabilities or strengthening aspects of self to counter such loss. However, rehabilitation interventions do not result in a complete return to past physical, mental or social health. Does this mean that people with disability can never be healthy? Or does it indicate that our perception and definition of health does not reflect the essence of health? We argue that when people with disability redefine themselves in terms other than levels of physical, social and cognitive functioning, good health is an attainable goal. We discuss evidence that suggests why spirituality could be a primary determinant of health.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S1323892200000843","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57510446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-01-01DOI: 10.1017/S132389220000082X
A. Young, G. Murphy, S. Kippen, P. Foreman
This paper reports the results from a qualitative study aimed at identifying the factors influencing the rehabilitation experience of people living with an amputation in a rural setting. Following the conduct of an initial focus group, 24 rural-based individuals responded to an invitation to participate in the study's in-depth interviews. Fourteen of those interviewed lived in a ‘regional’ setting (the regional group) and the other ten lived in more remote locations (the ‘distant’ group). Consistent with this population's demography, the sample was comprised mainly of older people (mean age of 66.8 years) who had suffered their amputation as a result of vascular disease. While the groups differed with respect to two aspects of their rehabilitation experience (with the distant group reporting more problems with accommodation and access to health services), many common themes emerged from the interviews, including an overall positive acceptance of the surgical intervention, the call for increased post-operative counselling services, and an endorsement of the usefulness of peer-support (and more generally of social support) services. Results are discussed in terms of their implications for service delivery and endorsement is made of the suggestion that rural health planning be more community-focussed.
{"title":"The Post-Amputation Rehabilitation Experience of People Living in Rural Settings","authors":"A. Young, G. Murphy, S. Kippen, P. Foreman","doi":"10.1017/S132389220000082X","DOIUrl":"https://doi.org/10.1017/S132389220000082X","url":null,"abstract":"This paper reports the results from a qualitative study aimed at identifying the factors influencing the rehabilitation experience of people living with an amputation in a rural setting. Following the conduct of an initial focus group, 24 rural-based individuals responded to an invitation to participate in the study's in-depth interviews. Fourteen of those interviewed lived in a ‘regional’ setting (the regional group) and the other ten lived in more remote locations (the ‘distant’ group). Consistent with this population's demography, the sample was comprised mainly of older people (mean age of 66.8 years) who had suffered their amputation as a result of vascular disease. While the groups differed with respect to two aspects of their rehabilitation experience (with the distant group reporting more problems with accommodation and access to health services), many common themes emerged from the interviews, including an overall positive acceptance of the surgical intervention, the call for increased post-operative counselling services, and an endorsement of the usefulness of peer-support (and more generally of social support) services. Results are discussed in terms of their implications for service delivery and endorsement is made of the suggestion that rural health planning be more community-focussed.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S132389220000082X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57509814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-01-01DOI: 10.1017/S1323892200000855
Roy K. Chen
It is estimated about 200,000 Americans have been diagnosed with Muscular Dystrophy (MD), a neuromuscular disease characterized by gradual degeneration and atrophy of the muscle cells and fibers (Siegel, 1999). Functional limitations associated with MD include cognitive, social, physical/vocational, and emotional functioning. Rehabilitation counselors are advised to use a holistic approach to serving clients with MD. Compassion is key to building a meaningful professional relationship between the client and the rehabilitation counselor. However, rehabilitation counselors should neither communicate an overly pessimistic outlook nor raise false hope.
{"title":"Helping Adults with Muscular Dystrophy: Rehabilitation Counseling Implications","authors":"Roy K. Chen","doi":"10.1017/S1323892200000855","DOIUrl":"https://doi.org/10.1017/S1323892200000855","url":null,"abstract":"It is estimated about 200,000 Americans have been diagnosed with Muscular Dystrophy (MD), a neuromuscular disease characterized by gradual degeneration and atrophy of the muscle cells and fibers (Siegel, 1999). Functional limitations associated with MD include cognitive, social, physical/vocational, and emotional functioning. Rehabilitation counselors are advised to use a holistic approach to serving clients with MD. Compassion is key to building a meaningful professional relationship between the client and the rehabilitation counselor. However, rehabilitation counselors should neither communicate an overly pessimistic outlook nor raise false hope.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S1323892200000855","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57510502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-01-01DOI: 10.1017/S1323892200000818
D. Mcananey, B. Webster, M. Lohan, R. Wynne
Adebate is emerging regarding the best way to ensure the timely and efficient return to work (RTW) of workers who have become long term absent (LTA) for health reasons. Elements of this debate center on the roles of the individual, the rehabilitation agent, the employing organisation and the rehabilitation and reintegration system. Recent years have seen the emergence of new approaches to managing LTA, mostly focusing on disability management and on amendments to welfare and rehabilitation systems. This paper discusses these trends in the light of a 6-year research programme carried out in Ireland, involving both national and transnational studies which have sought to identify the key elements of successful LTA policies and practices. It also reviews recent international work in the area in order to assess the relative importance of systemic, organisational and individual factors in ensuring timely and effective LTA policies and practices.
{"title":"Disability Management: A system of response or a response to a system?","authors":"D. Mcananey, B. Webster, M. Lohan, R. Wynne","doi":"10.1017/S1323892200000818","DOIUrl":"https://doi.org/10.1017/S1323892200000818","url":null,"abstract":"Adebate is emerging regarding the best way to ensure the timely and efficient return to work (RTW) of workers who have become long term absent (LTA) for health reasons. Elements of this debate center on the roles of the individual, the rehabilitation agent, the employing organisation and the rehabilitation and reintegration system. Recent years have seen the emergence of new approaches to managing LTA, mostly focusing on disability management and on amendments to welfare and rehabilitation systems. This paper discusses these trends in the light of a 6-year research programme carried out in Ireland, involving both national and transnational studies which have sought to identify the key elements of successful LTA policies and practices. It also reviews recent international work in the area in order to assess the relative importance of systemic, organisational and individual factors in ensuring timely and effective LTA policies and practices.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S1323892200000818","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57509770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-01-01DOI: 10.1017/S1323892200000831
F. Alpass, N. Long, N. Pachana, J. Blakey
Audiometric tests do not adequately reflect the hearing handicap experienced by individuals with hearing loss and account for only part of the variance in hearing handicap perceptions (Weinstein & Ventry, 1983). The present study investigates the relationship between degree of hearing impairment, psychosocial factors and hearing handicap in a New Zealand war veteran sample. Forty-seven veterans (Mean age = 77.51, SD = 5.99) with some degree of hearing impairment completed a questionnaire which included the Hearing Handicap Inventory (HHI) (Newman et al., 1990), the SF36 sub-scales for general health and mental health (Ware, Kosinski & Keller, 1994), questions relating to hearing aid use and demographic details. Audiometric test information for each veteran was accessed through the national war pensions organisation. Analyses revealed no significant relationship between percentage hearing loss and perceptions of hearing handicap. Those who reported lower satisfaction with their hearing aids, those in poorer physical health and those who had been using hearing aids for a longer time reported higher scores on the HHI. These findings suggest that aspects of the rehabilitation process are important factors in the individual's experience of hearing handicap and that non-auditory factors (such as general health) may be essential considerations in this process.
{"title":"Correlates of Perceived Hearing Handicap in a Veteran Sample","authors":"F. Alpass, N. Long, N. Pachana, J. Blakey","doi":"10.1017/S1323892200000831","DOIUrl":"https://doi.org/10.1017/S1323892200000831","url":null,"abstract":"Audiometric tests do not adequately reflect the hearing handicap experienced by individuals with hearing loss and account for only part of the variance in hearing handicap perceptions (Weinstein & Ventry, 1983). The present study investigates the relationship between degree of hearing impairment, psychosocial factors and hearing handicap in a New Zealand war veteran sample. Forty-seven veterans (Mean age = 77.51, SD = 5.99) with some degree of hearing impairment completed a questionnaire which included the Hearing Handicap Inventory (HHI) (Newman et al., 1990), the SF36 sub-scales for general health and mental health (Ware, Kosinski & Keller, 1994), questions relating to hearing aid use and demographic details. Audiometric test information for each veteran was accessed through the national war pensions organisation. Analyses revealed no significant relationship between percentage hearing loss and perceptions of hearing handicap. Those who reported lower satisfaction with their hearing aids, those in poorer physical health and those who had been using hearing aids for a longer time reported higher scores on the HHI. These findings suggest that aspects of the rehabilitation process are important factors in the individual's experience of hearing handicap and that non-auditory factors (such as general health) may be essential considerations in this process.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S1323892200000831","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57509995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-01-01DOI: 10.1017/S1323892200001095
R. van der Veen
People born in non-English Speaking Countries (NESCs) and resident in Australia make up 14.2% of the Australian population and a sizeable proportion of the current immigration program — the humanitarian and non-humanitarian components. This article presents some background about the numbers of overseas born people resident in Australia especially those from NESCs, a brief history of the Australian immigration program, and the present policy of multiculturalism in the context of settlement. Some of these overseas born people have already, or are likely to, participate in rehabilitation counselling, and it is argued that rehabilitation counselling processes will be enhanced with a knowledge of such clients' culture as well as the practical application of general cross-cultural casework skills.
{"title":"Rehabilitation Counselling with Clients from Non-English Speaking Countries","authors":"R. van der Veen","doi":"10.1017/S1323892200001095","DOIUrl":"https://doi.org/10.1017/S1323892200001095","url":null,"abstract":"People born in non-English Speaking Countries (NESCs) and resident in Australia make up 14.2% of the Australian population and a sizeable proportion of the current immigration program — the humanitarian and non-humanitarian components. This article presents some background about the numbers of overseas born people resident in Australia especially those from NESCs, a brief history of the Australian immigration program, and the present policy of multiculturalism in the context of settlement. Some of these overseas born people have already, or are likely to, participate in rehabilitation counselling, and it is argued that rehabilitation counselling processes will be enhanced with a knowledge of such clients' culture as well as the practical application of general cross-cultural casework skills.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S1323892200001095","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57510105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1997-01-01DOI: 10.1017/S1323892200001502
Roger Van Der Veen
{"title":"Unequal Opportunities: Growing Up Disabled, Michael Hirst and Sally Baldwin, London: HMSO, 1994","authors":"Roger Van Der Veen","doi":"10.1017/S1323892200001502","DOIUrl":"https://doi.org/10.1017/S1323892200001502","url":null,"abstract":"","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S1323892200001502","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57510169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1996-01-01DOI: 10.1017/S1323892200001824
Elizabeth da Silva Cardoso
The prevalence of substance abuse among people with disabilities is a major concern in the field of rehabilitation. Recent research has indicated that substance abuse increases incidents that lead to disability and undermines rehabilitation gain. However, most rehabilitation counsellors lack sophistication concerning the dual problems of substance abuse and disability because of their unfamiliarity with and inadequate training for substance abuse and disability issues. This paper provides an overview of (a) important issues related to substance abuse and disability, (b) procedures and techniques for identifying, assessing, counselling and referring clients with substance abuse problems for treatment, and (c) implications for rehabilitation counselling training and practices.
{"title":"Substance Abuse and Disability: Implications for Rehabilitation Counselling Practices","authors":"Elizabeth da Silva Cardoso","doi":"10.1017/S1323892200001824","DOIUrl":"https://doi.org/10.1017/S1323892200001824","url":null,"abstract":"The prevalence of substance abuse among people with disabilities is a major concern in the field of rehabilitation. Recent research has indicated that substance abuse increases incidents that lead to disability and undermines rehabilitation gain. However, most rehabilitation counsellors lack sophistication concerning the dual problems of substance abuse and disability because of their unfamiliarity with and inadequate training for substance abuse and disability issues. This paper provides an overview of (a) important issues related to substance abuse and disability, (b) procedures and techniques for identifying, assessing, counselling and referring clients with substance abuse problems for treatment, and (c) implications for rehabilitation counselling training and practices.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S1323892200001824","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57510272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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