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Policy and Practice Considerations to Support College and Career Readiness for Youth With Disabilities: A Systematic Mixed Studies Review 支持残疾青年大学和职业准备的政策和实践考虑:一项系统的混合研究综述
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-11-16 DOI: 10.1177/10442073221130528
Valerie L. Mazzotti, Mary E. Morningstar, Allison R. Lombardi, Stephen M. Kwiatek, Ashley Taconet, Kathryn Buddeke, Jessica L. Monahan, Ryan Harris
Youth with disabilities must be college and career ready to be prepared for adult life. Policy efforts confirm this prioritization (Every Student Succeeds Act [ESSA], 2015; Individuals with Disabilities Education Improvement Act [IDEIA], 2004). Parallel to the emergence of college and career readiness (CCR), transition planning and service requirements have promoted successful transitions to postschool education, employment, and community living (IDEIA, 2004). However, not all high schools provide a range of CCR supports for these students. We conducted a systematic mixed studies review to investigate the prevalence of five domains of CCR identified in the literature. Findings revealed the five domains had a range of coverage across the literature with academic engagement and process-oriented skills comprising more citations and transition competencies least likely to be included. In addition, across the CCR literature, data for students with disabilities were rarely disaggregated, which confirms that we know even less about the effectiveness of the five domains for these students. Clear gaps were identified and suggests research often does not inform CCR policy and/or practice decisions.
残疾青年必须为大学和事业做好准备,为成年生活做好准备。政策努力证实了这种优先顺序(《每个学生成功法案》[ESSA], 2015;残疾人教育促进法[IDEIA], 2004)。与大学和职业准备(CCR)的出现并行,过渡规划和服务要求促进了成功过渡到毕业后教育、就业和社区生活(IDEIA, 2004)。然而,并不是所有的高中都为这些学生提供一系列的CCR支持。我们进行了一项系统的混合研究综述,以调查文献中确定的五个CCR领域的患病率。研究结果显示,这五个领域在整个文献中都有广泛的覆盖范围,其中学术参与和面向过程的技能(包括更多的引用)和过渡能力最不可能被包括在内。此外,在CCR文献中,残疾学生的数据很少被分解,这证实了我们对这五个领域对这些学生的有效性了解得更少。发现了明显的差距,并表明研究往往不能为CCR政策和/或实践决策提供信息。
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引用次数: 5
The Impact of the Workforce Innovation and Opportunity Act on Agency-Level Vocational Rehabilitation Outcomes for Adults and Youth With Blindness and Low Vision 《劳动力创新和机会法》对失明和低视力成年人和青年机构级职业康复结果的影响
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-11-16 DOI: 10.1177/10442073221135811
Michele C. McDonnall, Jennifer L. Cmar, Zhen S. McKnight
The purpose of this study was to evaluate the impact of the Workforce Innovation and Opportunity Act (WIOA) on outcomes (competitive employment rates and median earnings) for adult and youth vocational rehabilitation consumers with blindness or low vision (B/LV) and to determine whether impacts differed by agency type. We utilized RSA-911 data to create two agency-level longitudinal datasets, one for youth and one for adults, with 6-year pre-WIOA and 3-year post-WIOA periods. Data were analyzed using discontinuous growth modeling to assess longitudinal changes in agency-level outcomes through the inclusion of variables representing WIOA and subsequent change in response to WIOA. After WIOA, both youth and adult agency-level competitive employment rates decreased significantly for consumers with B/LV, with a larger impact on youth, and median earnings increased. Results document that the impact of WIOA on agencies varied widely. Separate agencies had a significant decrease in adult competitive employment rates for consumers with B/LV and a significant increase in median earnings compared with combined agencies. Overall, the influence of WIOA on B/LV consumer outcomes appears to be mixed at best, and the effect is surprisingly similar for youth and adults.
本研究的目的是评估《劳动力创新与机会法案》(WIOA)对失明或低视力(B/LV)的成年和青年职业康复消费者的结果(竞争性就业率和收入中位数)的影响,并确定影响是否因机构类型而异。我们利用RSA-911数据创建了两个机构级纵向数据集,一个针对青年,一个面向成年人,分别为WIOA前6年和WIOA后3年。使用不连续增长模型对数据进行分析,通过纳入代表WIOA的变量和随后对WIOA的反应变化来评估机构层面结果的纵向变化。在WIOA之后,B/LV消费者的青年和成人机构层面的竞争性就业率都显著下降,对青年的影响更大,收入中位数也有所增加。结果表明,WIOA对各机构的影响差异很大。与合并机构相比,独立机构的B/LV消费者的成人竞争性就业率显著下降,收入中位数显著增加。总体而言,WIOA对B/LV消费者结果的影响似乎充其量是喜忧参半的,而且对年轻人和成年人的影响惊人地相似。
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引用次数: 0
Exploring Special Education and Center for Independent Living Professional Beliefs on Collaboration and the Value-Based Principles That Drive Secondary Transition Service Delivery 探索特殊教育和独立生活中心的合作和基于价值的原则的专业信念,推动二次过渡服务的提供
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-11-09 DOI: 10.1177/10442073221131284
A. Plotner, Charles B. Walters, Shelby Gonzalez
The importance of interagency collaboration to support the postschool outcomes of youth with disabilities is underscored in many ways. Perhaps one of the most important among them is the place of interagency collaboration as an evidenced-based predictor of postschool success. Although Centers for Independent Living (CILs) receive federal funding to serve people with disabilities across the lifespan, little research exists to map the nature of their collaboration with local education agencies (LEAs) to this end. The current survey-based study examined perceptions of professionals in both settings (i.e., LEAs and CILs) on their current level of collaboration with one another and the value-based principles they believe influence their work as they support transition-age youth with disabilities ( n = 581). Findings indicate a widespread belief in the importance of CILs in youth transition service delivery, a stark contrast between CIL and school-based transition professional perceptions of current collaboration, and a dynamic landscape of shared and divergent ratings of importance across value-based principles of transition practice. Practical implications are outlined to inform CIL and LEA collaboration to support youth with disabilities alongside directions for future research.
在许多方面强调了机构间合作的重要性,以支持残疾青年的校外成果。也许其中最重要的一点是跨部门合作的地位,它是一个基于证据的校外成功预测因素。尽管独立生活中心(CIL)获得了联邦资助,为残疾人提供终身服务,但几乎没有研究表明他们与当地教育机构(LEA)为此目的的合作性质。目前这项基于调查的研究调查了两种环境中的专业人员(即LEA和CIL)对他们目前相互合作水平的看法,以及他们认为在支持过渡年龄残疾青年时影响他们工作的基于价值的原则(n=581)。调查结果表明,人们普遍相信CIL在青年过渡服务提供中的重要性,CIL和基于学校的过渡专业人员对当前合作的看法形成了鲜明对比,并且在基于价值的过渡实践原则中,对重要性的评价是一致的和不同的。概述了实际影响,为CIL和LEA合作支持残疾青年以及未来研究方向提供信息。
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引用次数: 0
Creeping Normality: Special Education’s Problem of a New Normal 蠕变常态:新常态下的特殊教育问题
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-10-31 DOI: 10.1177/10442073221128910
J. Kauffman, D. Hallahan, Paige C. Pullen
Many alternative opinions about how best to respond educationally to the reality of human diversity in abilities are possible. Opinions and rhetoric now dominant seem to us inimical to a thriving, vibrant, effective special education. We see trends in concepts or ideas, policies, and publications that we believe could lead slowly but inevitably to special education’s diminishment and eventual demise. We describe what could become the “new normal” through the process of “creeping normalization” and suggest seven alternative propositions that we wish to see affirmed by professional associations and policy-making organizations.
关于如何在教育上最好地应对人类能力多样性的现实,有许多不同的观点是可能的。在我们看来,现在占主导地位的观点和言论似乎不利于繁荣、充满活力、有效的特殊教育。我们看到了概念或想法、政策和出版物的趋势,我们认为这些趋势可能会缓慢但不可避免地导致特殊教育的衰落和最终消亡。我们描述了通过“逐渐正常化”的过程可能成为“新常态”的情况,并提出了我们希望看到专业协会和决策组织确认的七个备选命题。
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引用次数: 8
Intermediary Services to Assist People With Disabilities to Implement Individualized Funding Plans: A Rapid Systematic Review 协助残疾人实施个性化资助计划的中介服务:快速系统回顾
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-10-27 DOI: 10.1177/10442073221130529
L. O'Brien, Ivana Randjelovic
A systematic review was conducted to describe, and evaluate the effectiveness and cost-effectiveness of, intermediary services to support people with a disability to implement individualized funding plans. We included six records, including one subanalysis of randomized trial data, three qualitative studies, and two systematic reviews (reporting on 73 and 18 studies, respectively). No studies directly compared “consumer-directed plan plus intermediary services” to “consumer-directed plan with no/alternative intermediary,” so effectiveness of these interventions is uncertain. There is qualitative evidence from the perspective of disability planners and workers that intermediary interventions are important enablers of successful plan implementation. There is also qualitative evidence from consumer and family perspectives that external support is required to successfully navigate self-directed systems and that strong, trusting, and collaborative relationships with both paid and unpaid individuals in the person’s support network were facilitators of successful plan implementation. There was evidence of disabling practices and attitudes among some support agencies, resulting in coordinators being very risk averse in order to safeguard their clients. Suggestions for future research include carefully planned and ethically robust comparative trial designs, clear description and consistent delivery of interventions, and long-term evaluation of impact. The protocol was published on PROSPERO (CRD42020177607).
进行了一次系统审查,以描述和评估支持残疾人实施个性化资助计划的中介服务的有效性和成本效益。我们纳入了六项记录,包括一项随机试验数据的亚分析、三项定性研究和两项系统综述(分别报告了73项和18项研究)。没有研究直接将“消费者导向计划加中介服务”与“没有/替代中介的消费者导向计划”进行比较,因此这些干预措施的有效性尚不确定。从残疾规划人员和工作人员的角度来看,有定性证据表明,中介干预措施是成功实施计划的重要推动者。从消费者和家庭的角度来看,也有定性证据表明,成功驾驭自我导向系统需要外部支持,与个人支持网络中的有偿和无偿个人建立牢固、信任和合作关系是成功实施计划的推动者。有证据表明,一些支持机构的做法和态度令人致残,导致协调员为了保护客户而非常厌恶风险。对未来研究的建议包括精心规划和道德稳健的比较试验设计、明确的干预措施描述和一致的实施,以及对影响的长期评估。该方案发表在PROSPERO上(CRD42020177607)。
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引用次数: 0
The Relationships Among Parent Involvement, Student Self-Determination, and Postsecondary Education Enrollment for Students With Learning Disabilities 家长参与、学生自主性与学习障碍学生中学后入学的关系
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-10-27 DOI: 10.1177/10442073221130748
Wen Zeng, Song Ju, Dalun Zhang
In light of the lower rates of postsecondary education enrollment by students with learning disabilities (LD), researchers have sought to identify predictors of enrollment so that improvement efforts can target specific predictors. Taking advantage of the rich data provided in the National Longitudinal Transition Study-2, we conducted a secondary data analysis to investigate how parent involvement and student self-determination predict postsecondary education enrollment for students with LD. Findings from structural equation modeling analyses showed that parent involvement and student self-determination predict postsecondary education enrollment, and the influence of parent involvement is mediated by student self-determination. These results suggest that parents play an essential role in the secondary transition process, and schools need to make concerted efforts to work with parents to foster student self-determination, which ultimately promotes students’ participation in postsecondary education.
鉴于学习障碍学生的中学后教育入学率较低,研究人员试图确定入学的预测因素,以便改进工作能够针对特定的预测因素。利用国家纵向过渡研究2提供的丰富数据,我们进行了二次数据分析,以调查家长参与和学生自决如何预测LD学生的中学后教育入学率。结构方程模型分析的结果表明,父母参与和学生自决可以预测中学后教育的入学率,而父母参与的影响是由学生自决调节的。这些结果表明,家长在中学过渡过程中发挥着至关重要的作用,学校需要与家长共同努力,培养学生的自决权,最终促进学生参与中学后教育。
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引用次数: 0
Perceptions of Federal Workplace Attributes: Interactions Among Disability, Sex, and Military Experience 对联邦工作场所属性的认知:残疾、性别和军事经验之间的相互作用
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-10-19 DOI: 10.1177/10442073221128917
S. von Schrader, Lester H. Shaw, A. Colella
The U.S. federal government strives to be a model employer of people with disabilities. Although it has been successful in recent years in increasing disability hiring, retention of this workforce remains a concern. The researchers of this mixed-methods study sought to understand the perceptions of workplace attributes by employees with disabilities in federal agencies through analysis of the Federal Employee Viewpoint Survey (FEVS) and focus groups. The study results indicate that people with disabilities, in general, have lower perceptions of workplace attributes than their peers without disabilities; however, looking at groups differentiated by disability, military experience, and sex tells a richer story. This article incorporates the voices of agency representatives and employees with disabilities to provide additional context to the survey findings. Based on the results, the authors offer practice and policy recommendations to support improved workplace experiences and retention of employees with disabilities.
美国联邦政府努力成为残疾人的模范雇主。尽管近年来它在增加残疾人招聘方面取得了成功,但留住这一劳动力仍然是一个令人担忧的问题。这项混合方法研究的研究人员试图通过分析联邦雇员观点调查(FEVS)和焦点小组,了解联邦机构残疾雇员对工作场所属性的看法。研究结果表明,一般来说,残疾人对工作场所属性的认知低于非残疾人;然而,观察按残疾、军事经历和性别区分的群体,会讲述一个更丰富的故事。这篇文章结合了机构代表和残疾员工的声音,为调查结果提供了更多的背景。根据研究结果,作者提出了实践和政策建议,以支持改善工作场所体验和留住残疾员工。
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引用次数: 0
The 30th Anniversary of the Americans With Disabilities Act: An Interview With Dr. Jane West 美国残疾人法案颁布30周年——简·韦斯特博士访谈录
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-09-04 DOI: 10.1177/10442073221118863
J. West, M. Yell
Dr. Jane West was involved in the passage of the Americans with Disabilities Act. This law, which has been called the emancipation proclamation for persons with disabilities, was signed into law by President George H.W. Bush over 30 years ago. Dr. West sat down for an interview in which she addressed the origins, importance, and future of this remarkable law.
简·韦斯特博士参与了《美国残疾人法案》的通过。这项被称为《残疾人解放宣言》的法律在30多年前由乔治·h·w·布什总统签署成为法律。韦斯特博士坐下来接受采访,在采访中,她谈到了这项非凡法律的起源、重要性和未来。
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引用次数: 1
The Effects of Medicaid Expansion Under the Affordable Care Act on Health Insurance Coverage, Health Care Access, and Health Care Use for People with Disabilities: A Scoping Review 根据《平价医疗法案》扩大医疗补助对残疾人医疗保险覆盖、医疗服务可及性和医疗服务使用的影响:范围界定综述
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-09-04 DOI: 10.1177/10442073221118124
Xiaobei Dong, N. Miller
More than 27% of individuals in the United States experience a disability. We conducted a scoping review of the literature to examine what is known about the impact of the 2010 Affordable Care Act Medicaid expansion on individuals with disabilities’ health care insurance coverage, health care access, and health care use. We followed the approach of Arskey and O’Malley in conducting our review. Electronic journal databases, hand searching of key health and disability journals, and reference checking were used to identify potential articles for the review. Individuals with disabilities or with conditions that could be disabling were included. The intervention used was the 2010 Affordable Care Act Medicaid expansion. Study eligibility criteria were peer-reviewed studies published in 2014 or later that conducted multivariate analyses of the effect of the Medicaid expansion on people with disabilities’ health insurance coverage, health care access, and health care use. The most consistent finding across studies was that the Medicaid expansion had a positive effect on health insurance coverage. It was generally found to have increased Medicaid coverage and decreased the uninsured rate. Its effect on private or employer-sponsored insurance coverage was a mix of no and negative effects. Findings related to health care access and use of care were more mixed. On a scale of 0 to 8 (highest quality), the quality of individual studies ranged from 2 to 6, with an average across studies of 4.2, the low end of adequate quality. Future studies should develop a more consistent approach to measuring disability and develop a core set of health care access and use measures to facilitate comparisons across studies so as to systematically evaluate the evidence related to the Medicaid expansion.
在美国,超过27%的人有残疾。我们对文献进行了范围界定审查,以检查2010年《平价医疗法案》医疗补助计划的扩大对残疾人医疗保险覆盖范围、医疗服务获得和医疗服务使用的影响。我们遵循了Arskey和O'Malley的方法进行审查。电子期刊数据库、主要健康和残疾期刊的手工搜索以及参考文献检查被用于确定潜在的审查文章。残疾人或有可能致残的情况的个人也包括在内。使用的干预措施是2010年《平价医疗法案》医疗补助计划的扩大。研究资格标准是2014年或之后发表的同行评审研究,这些研究对医疗补助计划的扩大对残疾人的医疗保险覆盖范围、医疗服务获得和医疗服务使用的影响进行了多变量分析。研究中最一致的发现是,医疗补助计划的扩大对医疗保险覆盖范围产生了积极影响。人们普遍认为,它增加了医疗补助的覆盖范围,降低了未参保率。它对私人或雇主赞助的保险范围的影响既有负面影响,也有负面影响。与获得医疗保健和使用医疗保健有关的调查结果更为复杂。从0到8(最高质量),单项研究的质量从2到6不等,各研究的平均质量为4.2,这是足够质量的低端。未来的研究应该制定一种更一致的方法来衡量残疾,并制定一套核心的医疗保健获取和使用措施,以促进研究之间的比较,从而系统地评估与医疗补助扩展相关的证据。
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引用次数: 0
Hard LRE Choices in the Era of Inclusion: Rights and Their Implications 包容性时代LRE的艰难选择:权利及其启示
IF 1.6 4区 医学 Q3 REHABILITATION Pub Date : 2022-08-17 DOI: 10.1177/10442073221113074
J. Kauffman, Mack D. Burke, D. Anastasiou
Rights of students are often misunderstood. Civil rights of minorities granted by the U.S. Supreme Court are confused with human rights of individuals with disabilities granted by the U.S. Congress. Federal law applying to the education of individuals with disabilities requires that difficult decisions be made by families and schools regarding how to address four different and interrelated provisions of Public Law 94-142 of 1975 (now the Individuals with Disabilities Education Improvement Act of 2004 or IDEA): (a) a free, appropriate public education (FAPE), (b) an Individualized Education Program (IEP), (c) placement in the least restrictive environment (LRE), and (d) a full continuum of alternative placements (CAP). Special attention is given to LRE because the full inclusion movement and other influences related to a portion of disability studies have made it the central issue in special education. Under the law, three hard-to-answer questions must be asked in all cases involving special education: (a) What is an appropriate special education for a particular student with a disability? (b) What is the LRE in which that most appropriate education can occur for that individual student? (c) What is the CAP related to that individualized appropriate education?
学生的权利经常被误解。美国最高法院授予的少数族裔公民权利与美国国会授予的残疾人人权相混淆。适用于残疾人教育的联邦法律要求家庭和学校就如何处理1975年第94-142号公法(现为2004年《残疾人教育改善法》或IDEA)中四项不同且相互关联的规定做出艰难的决定:(a)免费、适当的公共教育,(b)个性化教育计划(IEP),(c)在限制最少的环境中安置(LRE),以及(d)完整的替代安置(CAP)。LRE受到特别关注,因为全面包容运动和与部分残疾研究相关的其他影响使其成为特殊教育的中心问题。根据法律,在所有涉及特殊教育的案件中,必须提出三个难以回答的问题:(a)对于特定的残疾学生来说,什么是合适的特殊教育?(b) 什么是LRE,可以为每个学生提供最合适的教育?(c) CAP与个性化的适当教育有什么关系?
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引用次数: 6
期刊
Journal of Disability Policy Studies
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