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Launching! to Adulthood: A Group Counseling Initiative for Young Adults With Neurodevelopmental Differences Transitioning to Adulthood and Their Family members. 启动!走向成年:为即将步入成年的有神经发育差异的青少年及其家庭成员开展的团体辅导活动。
Pub Date : 2024-07-01 DOI: 10.52017/001c.120542
Antonio F. Pagán, Juliana L. Vanderburg, Katherine Loveland
Group therapy may help young adults with neurodevelopmental differences (NDDs; such as autism spectrum disorder [ASD] or attention deficit hyperactivity disorder [ADHD]) socialize and manage mental health difficulties such as anxiety and depression during the transition to adulthood (18-25 years old). Family members may also benefit from group therapy during this transition period. Despite this need, few group therapy programs in a virtual/telehealth format have been developed to help young adults with NDDs and their families during the transition to adulthood. The present study sought to provide initial feasibility and acceptability data for a parallel young adult and family member group treatment program for young adults with NDDs transitioning to adulthood. Launching! to adulthood is an 8-week program utilizing evidence-based interventions to reduce distress and support the transition to independence for young adults with NDDs and their family members. Measures of well-being were collected pre- and post-intervention. Brief qualitative interviews were conducted post-intervention. From our pilot study, we found that the Launching! program was acceptable and feasible for both family members and young adults, with high ratings of satisfaction. Three themes were shared by young adults and family members, including gaining group connection and support from others in a similar life circumstance, learning the importance of self-care, and gaining new skills. Barriers to attendance included work conflicts and internet difficulties. This pilot trial of the Launching! program is novel in that few existing therapies have addressed challenges of the transition to adulthood for individuals with NDDs. Launching! has the potential to help young adults with NDDs prepare for postsecondary goals and may be utilized by businesses to support employees with NDDs.
团体治疗可以帮助患有神经发育异常(NDDs,如自闭症谱系障碍 [ASD] 或注意力缺陷多动障碍 [ADHD])的年轻成年人在向成年(18-25 岁)过渡的过程中实现社交,并处理焦虑和抑郁等心理健康问题。在这一过渡时期,家庭成员也可能从团体治疗中受益。尽管有这样的需求,但很少有虚拟/远程医疗形式的团体治疗项目是为了帮助患有 NDD 的年轻人及其家人向成年过渡。本研究旨在为过渡到成年期的 NDD 患者提供初步的可行性和可接受性数据。启动!迈向成年 "是一项为期 8 周的计划,采用循证干预措施来减少 NDD 患者及其家庭成员的困扰,并支持他们向独立过渡。对干预前后的幸福感进行了测量。干预后还进行了简短的定性访谈。通过试点研究,我们发现 "启动!"计划对于家庭成员和青少年来说都是可接受的、可行的,而且满意度很高。青少年和家庭成员分享了三个主题,包括从处于类似生活环境的其他人那里获得团体联系和支持、学习自我保健的重要性以及获得新技能。参加活动的障碍包括工作冲突和上网困难。这项 "启动!"计划的试点试验具有新颖性,因为现有的疗法很少能解决 NDD 患者向成年过渡所面临的挑战。启动!"有可能帮助患有 NDD 的年轻人为实现中学后的目标做好准备,也可能被企业用来支持患有 NDD 的员工。
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引用次数: 0
An Assessment of Collaborations Between Centers for Independent Living and Vocational Rehabilitation Agencies Around Transition-Age Youth 对独立生活中心和职业康复机构围绕过渡年龄青少年开展合作的评估
Pub Date : 2024-04-09 DOI: 10.52017/001c.92932
Ankita Patnaik, Todd Honeycutt
Centers for independent living (CILs) and vocational rehabilitation (VR) agencies offer transition services that many youth with disabilities could benefit from, but little is known about the existence of and potential for collaborations between these agencies. In this study, we examined data from VR agencies to assess their relationships with CILs involving transition-age youth at the national and state levels, focusing on two types of collaborations: referrals from CILs to VR agencies and VR youth’s use of CIL services. Although many CILs and VR agencies do work together, their relationships vary, and these collaborations reflect only a small fraction of VR youth who are transition age. Further, for each collaboration type, the VR youth involved in these collaborations differ from other people who apply for or use VR services in terms of their characteristics and service use patterns. The findings point to opportunities for greater collaboration between CILs and VR agencies. They also indicate a need for more research to understand the optimal formats and contexts for such collaborations and the criteria for effectively promoting them at the person and agency levels.
独立生活中心(CILs)和职业康复(VR)机构提供的过渡服务可以让许多残疾青少年从中受益,但人们对这些机构之间是否存在合作以及合作的潜力知之甚少。在这项研究中,我们检查了职业康复机构的数据,以评估他们与涉及过渡年龄青少年的 CIL 在国家和州一级的关系,重点关注两种类型的合作:CIL 向职业康复机构的转介以及职业康复青少年对 CIL 服务的使用。尽管许多社区学习中心和退伍军人机构确实在合作,但它们之间的关系各不相同,而且这些合作只反映了一小部分退伍军人中的过渡适龄青年。此外,就每种合作类型而言,参与这些合作的 VR 青少年与其他申请或使用 VR 服务的人在特征和服务使用模式上都有所不同。研究结果表明,社区学习中心(CILs)和职业康复机构之间有更多的合作机会。研究结果还表明,有必要开展更多的研究,以了解此类合作的最佳形式和背景,以及在个人和机构层面有效促进此类合作的标准。
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引用次数: 0
The Influence of Demographics and Workforce Innovation Opportunity Act (WIOA) Employment and Training Services on Employment Outcomes for Teenagers Receiving Supplemental Security Income (SSI) and Their Parents 人口统计和《劳动力创新机会法案》(WIOA)就业与培训服务对领取补充安全收入(SSI)的青少年及其父母就业结果的影响
Pub Date : 2024-04-09 DOI: 10.52017/001c.92939
Ellie C. Hartman, Danielle R. Russell, Emily A. Brinck, C. Anderson, D.J. Ralston
Transition age youth with disabilities and their families can access a variety of Workforce Innovation Opportunity Act (WIOA)-funded employment and training services. This study evaluated the impact of these services on youth and parent employment outcomes. These services were coordinated as part of the Wisconsin Promoting Readiness of Minors in SSI (PROMISE) federal demonstration grant. Youth with disabilities receiving Supplemental Security Income (SSI) benefits were randomly assigned to ‘usual’ services, including those available through school and vocational rehabilitation (VR) transition services, or ‘enhanced’ case management and transition services through the Wisconsin PROMISE demonstration. Parents who consented to participate could receive educational, employment, and financial self-sufficiency services and support through the Family Service Plan (FSP) connected to the youth’s PROMISE VR case. Youth and parents could also choose to receive WIOA Title I and Title III employment and training services, as well as Youth Apprenticeship, available through the Wisconsin Department of Workforce Development’s Division of Employment and Training (DET). A hierarchical logistic regression analysis demonstrated that VR services predicted higher youth employment rates and DET services predicted higher youth and parent employment rates. A linear regression analysis demonstrated that PROMISE services predicted higher youth wages and DET services predicted higher youth and parent employment wages. Findings suggest the coordination of employment-focused services across programs leads to increases in employment outcomes. Limitations and implications are discussed regarding the relationship between VR services, DET employment and training services, and employment outcomes.
处于过渡年龄段的残疾青少年及其家庭可以获得由《劳动力创新机会法案》(WIOA)资助的各种就业和培训服务。本研究评估了这些服务对青少年和家长就业结果的影响。这些服务是威斯康星州 "促进未成年人做好社会保障计划准备"(PROMISE)联邦示范拨款的一部分。领取社会保障收入补助金(SSI)的残疾青少年被随机分配到 "常规 "服务(包括通过学校和职业康复(VR)过渡服务提供的服务)或通过威斯康星州 PROMISE 示范项目提供的 "强化 "个案管理和过渡服务。同意参与的家长可以通过与青少年的 PROMISE 职业康复案例相关联的家庭服务计划 (FSP) 获得教育、就业和财务自立方面的服务和支持。青少年和家长还可以选择接受威斯康星州劳动力发展部就业与培训处(DET)提供的 WIOA Title I 和 Title III 就业与培训服务以及青年学徒计划。分层逻辑回归分析表明,VR 服务可预测更高的青年就业率,DET 服务可预测更高的青年和家长就业率。线性回归分析表明,PROMISE 服务可预测更高的青年工资,而 DET 服务可预测更高的青年和家长就业工资。研究结果表明,协调各计划中以就业为重点的服务可提高就业率。本文还讨论了有关 VR 服务、DET 就业和培训服务以及就业结果之间关系的局限性和影响。
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引用次数: 0
Disability Adjustment Counseling: Experiences and Perspectives of Certified Rehabilitation Counselors 残疾适应咨询:注册康复咨询师的经验和观点
Pub Date : 2024-01-23 DOI: 10.52017/001c.92320
Malachy Bishop, Kaiqi Zhou, Hannah Fry, Constance Richard, Sara Park, Susan Wiegmann, Guy Blackstone, Jay Kim
Disability adjustment counseling (DAC) focuses on the diverse process of adjusting to chronic illness or disability, including responding to the initial diagnosis or the onset and adjusting to changes and barriers that arise from living with a disability. Although DAC is a primary role and function of rehabilitation counselors, there have been limited efforts to explore the use of DAC in the field. The purpose of this study was to survey certified rehabilitation counselors (CRCs) about the extent of DAC utilization and its focus, the theoretical basis for DAC, and professional preparation. A cross-sectional survey was completed with 109 CRCs recruited through the Commission on Rehabilitation Counselor Certification (CRCC). The research team developed a 35-item survey questionnaire for this study. Most respondents identified as white women with master’s degrees (mean age = 51.41 years). Approximately two-thirds of the respondents (67.78%) reported engaging in DAC for approximately a third (31.15%) of their professional time. Many respondents reported wanting to spend more of their professional time providing DAC. Most respondents (75%) indicated they do not operate from a specific model of psychosocial adjustment to chronic illness or disability. Nearly half (48.6%) of the respondents reported that there were not adequate options for DAC counseling. The survey results confirm that DAC is an important role and function for rehabilitation counselors. Although the sample was too small to permit broad generalizations, the results imply that further exploration of the research questions among a larger sample is warranted.
残疾适应咨询(DAC)侧重于适应慢性疾病或残疾的不同过程,包括对最初诊断或发病做出反应,以及适应残疾生活中出现的变化和障碍。虽然适应性调整是康复咨询师的主要角色和职能,但在该领域对适应性调整的使用进行的探索却很有限。本研究旨在调查认证康复咨询师(CRCs)对 DAC 的使用程度及其重点、DAC 的理论基础以及专业准备情况。通过康复咨询师认证委员会(Commission on Rehabilitation Counselor Certification,CRCC)招募的 109 名 CRC 完成了一项横向调查。研究小组为本研究开发了 35 个项目的调查问卷。大多数受访者都认为自己是拥有硕士学位的白人女性(平均年龄 = 51.41 岁)。约三分之二的受访者(67.78%)表示,参与 DAC 的时间约占其专业时间的三分之一(31.15%)。许多受访者表示希望将更多的专业时间用于提供 DAC。大多数受访者(75%)表示,他们并没有针对慢性疾病或残疾的社会心理调适的特定模式。近一半的受访者(48.6%)表示,没有足够的 DAC 咨询选择。调查结果证实,DAC 是康复咨询师的一个重要角色和职能。虽然样本太少,无法进行广泛的概括,但这些结果意味着有必要在更大的样本中进一步探讨研究问题。
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引用次数: 0
An Assessment of Collaborations Between Centers for Independent Living and Vocational Rehabilitation Agencies Around Transition-Age Youth. 独立生活中心与职业康复机构围绕过渡年龄青少年开展合作的评估。
Ankita Patnaik, Todd Honeycutt

Centers for independent living (CILs) and vocational rehabilitation (VR) agencies offer transition services that many youth with disabilities could benefit from, but little is known about the existence of and potential for collaborations between these agencies. In this study, we examined data from VR agencies to assess their relationships with CILs involving transition-age youth at the national and state levels, focusing on two types of collaborations: referrals from CILs to VR agencies and VR youth's use of CIL services. Although many CILs and VR agencies do work together, their relationships vary, and these collaborations reflect only a small fraction of VR youth who are transition age. Further, for each collaboration type, the VR youth involved in these collaborations differ from other people who apply for or use VR services in terms of their characteristics and service use patterns. The findings point to opportunities for greater collaboration between CILs and VR agencies. They also indicate a need for more research to understand the optimal formats and contexts for such collaborations and the criteria for effectively promoting them at the person and agency levels.

独立生活中心(CILs)和职业康复(VR)机构提供的过渡服务可以让许多残疾青少年从中受益,但人们对这些机构之间是否存在合作以及合作的潜力知之甚少。在这项研究中,我们检查了职业康复机构的数据,以评估他们与涉及过渡年龄青少年的 CIL 在国家和州一级的关系,重点关注两种类型的合作:CIL 向职业康复机构的转介以及职业康复青少年对 CIL 服务的使用。尽管许多社区学习中心和退伍军人机构确实在合作,但它们之间的关系各不相同,而且这些合作只反映了一小部分退伍军人中的过渡适龄青年。此外,就每种合作类型而言,参与这些合作的 VR 青少年与其他申请或使用 VR 服务的人在特征和服务使用模式上都有所不同。研究结果表明,社区学习中心(CILs)和职业康复机构之间有更多的合作机会。研究结果还表明,有必要开展更多的研究,以了解此类合作的最佳形式和背景,以及在个人和机构层面有效促进此类合作的标准。
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引用次数: 0
COVID-19, Employment, and Quality of Life Among People Living With HIV COVID-19、就业和艾滋病毒感染者的生活质量
Pub Date : 2023-09-08 DOI: 10.52017/001c.87476
Y. Chiu, K. Boomer, L. Conyers, Mark Misrok
The COVID-19 pandemic led to substantial changes in the work conditions related to employment status and health-related quality of life (HRQOL) of many people. The pandemic also magnified systemic inequities among marginalized groups, including people with disabilities and chronic illnesses, and people living with HIV (PLHIV). The purpose of this study is to (a) understand PLHIV’s employment status, employment needs, and use of employment services during the COVID-19 pandemic; and (b) to examine the factors associated with HRQOL among both employed and unemployed PLHIV during the COVID-19 pandemic. This cross-sectional survey study was conducted from 2020 to 2021 as the COVID-19 pandemic emerged in the U.S. We used both online surveys and structured phone interviews for data collection. A total of 759 responses were used in the current analysis. Study findings show that 65.5% of the employed participants experienced changes in work conditions (i.e., layoffs, reduced work hours, furloughs) and 73% of the unemployed participants reported that the pandemic had an impact on their interest and/or ability to enter employment. Our results show that concern about contracting COVID-19 at work or commuting to work, and employment status have significant relationships with HRQOL. Implications for rehabilitation counseling practice and research are discussed.
COVID-19大流行导致与许多人的就业状况和与健康有关的生活质量(HRQOL)相关的工作条件发生了重大变化。这一流行病还加剧了边缘化群体(包括残疾人和慢性病患者以及艾滋病毒感染者)之间的系统性不平等。本研究的目的是(a)了解2019冠状病毒病大流行期间艾滋病毒感染者的就业状况、就业需求和就业服务使用情况;(b)审查与COVID-19大流行期间就业和失业的艾滋病毒感染者的HRQOL相关的因素。这项横断面调查研究是在2020年至2021年美国出现COVID-19大流行期间进行的,我们使用在线调查和结构化电话访谈来收集数据。目前的分析共使用了759份回复。研究结果表明,65.5%的就业参与者经历了工作条件的变化(即裁员、缩短工作时间、休假),73%的失业参与者报告说,疫情影响了他们的就业兴趣和(或)就业能力。我们的研究结果表明,对工作或上下班途中感染COVID-19的担忧以及就业状况与HRQOL有显着关系。讨论了对康复咨询实践和研究的启示。
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引用次数: 0
Potential Benefits of Mindfulness-Based Strength Practice for Individuals With Disabilities in Vocational Rehabilitation Settings 基于正念的力量练习对职业康复环境中残疾人的潜在好处
Pub Date : 2023-08-08 DOI: 10.52017/001c.84885
Katelyn Matkin, M. Bhattarai, S. Smedema
Positive psychology has brought us two key tools to support the well-being of individuals: character strengths and mindfulness. Character strengths, or the positive characteristics that make up who a person is, can be utilized to build awareness on identity and ability. Character strengths interventions have been researched for several decades, with newer utilizations in rehabilitation settings. Similarly, mindfulness, while originating centuries ago, has found modern uses in vocational settings. Mindfulness, defined as the ability to maintain attention in an intentional way, has been scientifically shown to improve well-being. These two interventions have recently been combined within Mindfulness-Based Strength Practice (MBSP; Niemiec, 2014). This intervention focuses on character strengths and mindfulness in a combined format and has shown preliminary evidence for benefit in a variety of settings. This paper explores MBSP and proposes its potential benefits in vocational rehabilitation settings, along with additional research implications and considerations for practice.
积极心理学给我们带来了支持个人幸福的两个关键工具:性格优势和专注力。性格优势,或构成一个人的积极特征,可以用来建立对身份和能力的认识。性格优势干预已经研究了几十年,在康复环境中有新的应用。同样,正念虽然起源于几个世纪前,但在职业环境中也有了现代用途。正念,被定义为以一种有意识的方式保持注意力的能力,已经被科学证明可以提高幸福感。这两种干预措施最近在正念力量练习(MBSP;Niemiec解释到,2014)。这种干预以综合形式关注性格优势和正念,并已显示出在各种环境中有益的初步证据。本文探讨了MBSP,并提出了其在职业康复环境中的潜在益处,以及其他研究意义和实践考虑。
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引用次数: 0
Pedagogical Technologies for Remote Learning in Counselor Education: HyFlex Course Design 辅导员教育中远程学习的教学技术:HyFlex课程设计
Pub Date : 2023-07-31 DOI: 10.52017/001c.84544
Aaron P. Mertes
This article discusses a model of teaching called HyFlex, or ‘hybrid’ and ‘flexible,’ which is primarily for programs teaching both in-person and online. It discusses how the HyFlex model works, including initial development, with guidance on language to help students understand its application. During and after the COVID-19 pandemic, some programs were forced to provide online options, and then transition back to classrooms. This article discusses curricular design strategies for student engagement and technology options for facilitating HyFlex teaching in a way that allows people to attend in person and online still. Important descriptions of accessibility options are included, as well, to meet the needs to students with disabilities. Finally, discussions of potential value to institutions for the purposes of enrollment and faculty critiques of the model will also be included.
本文讨论了一种名为HyFlex的教学模式,即“混合”和“灵活”,主要适用于面对面和在线教学的课程。它讨论了HyFlex模型是如何工作的,包括最初的开发,并提供了语言指导,以帮助学生理解其应用。在2019冠状病毒病大流行期间和之后,一些项目被迫提供在线选项,然后再切换回教室。本文讨论了学生参与的课程设计策略,以及促进HyFlex教学的技术选择,使人们能够亲自或在线参加教学。还包括对无障碍选项的重要描述,以满足残疾学生的需求。最后,还将讨论以招生为目的对机构的潜在价值,以及对该模式的教师批评。
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引用次数: 0
Eight Key Areas in Need of In-Depth Examination in the Field of Psychosocial Adaptation to Chronic Illness and Disability 在慢性疾病和残疾的社会心理适应领域需要深入研究的八个关键领域
Pub Date : 2023-07-25 DOI: 10.52017/001c.74780
H. Livneh
The primary aim of this brief paper is to suggest fertile research areas that could serve to both navigate and enrich our understanding of psychosocial adaptation to chronic illness and disability (PACID). More specifically, the paper seeks to outline broadly, for future consideration, eight such areas that span a wide range of theoretical and research venues. Included are, first, PACID-associated domains based on concepts that may be regarded as predictors, as well as moderators and mediators, of PACID. These include concepts such as duration of CID, level of existing psychological energy (e.g., motivation, vigor), presence of denial, and the influence of early-in-life, single, and cumulative traumatic events. Second, consideration of concepts embedded in the adaptation process itself is offered, including personal perceptions and beliefs about CID impact, such as illness intrusion and self-identity; the nature and unfolding of personal growth following onset of CID; and more generally, the inherent veracity of models advocating imminent psychological growth following traumatic experiences, including the onset of CID.
这篇简短的文章的主要目的是建议肥沃的研究领域,可以帮助导航和丰富我们对慢性疾病和残疾的社会心理适应(PACID)的理解。更具体地说,本文试图概括地概述八个这样的领域,以供将来考虑,这些领域涵盖了广泛的理论和研究领域。首先包括与PACID相关的域,这些域基于可被视为PACID的预测器以及调节器和中介器的概念。这些概念包括CID的持续时间、现有的心理能量水平(例如,动机、活力)、否认的存在,以及早期生活、单一和累积创伤事件的影响。其次,考虑到适应过程本身所包含的概念,包括个人对CID影响的看法和信念,如疾病入侵和自我认同;CID发作后个人成长的性质和展开;更普遍的是,在创伤经历(包括CID的发作)之后,倡导即将到来的心理成长的模型的固有真实性。
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引用次数: 0
Job Satisfaction and Receiving Prosocial Workplace Behaviors Among Rehabilitation Counselors 康复咨询师工作满意度与亲社会职场行为的接受
Pub Date : 2023-07-25 DOI: 10.52017/001c.74451
Amanda McCarthy, Randy J. McCarthy
Job satisfaction represents how an employee evaluates their job as favorable to unfavorable. Job satisfaction is widely studied because it can affect how an employee thinks, feels, and behaves in relation to their job. There is evidence that a supportive work environment tends to have outcomes that are more positive for the individual employees and the organization in general. While the rehabilitation counseling supervisor is a source of support (e.g., supervisor shows that they value counselor’s contributions; supervisor supports counselor decisions; supervisor trusts counselor to try new things), supervisors are often tasked with many duties in addition to their critical role of supervision and rehabilitation counselors may experience barriers to receiving support from supervisors. The purpose of this study was to explore the relationship between job satisfaction and support, in the form of prosocial behaviors from individuals in their organization (e.g., one member of an organization helping another complete a task; one member of the organization conveying actions of respect towards another; one member of the organization listening to anxiety and fears at work of another). Among the sample of rehabilitation counselors employed in the state vocational rehabilitation program studied, results indicate that rehabilitation counselors who received support from their supervisor and support from others in the organization reported the highest levels of job satisfaction. For counselors receiving low levels of support from their supervisor, receiving support from others in the organization seemed to make up for lack of support from the supervisor in terms of job satisfaction. In terms of job satisfaction, results indicate it is critical for rehabilitation counselors to receive support from individuals in the workplace in some capacity.
工作满意度代表员工如何评价他们的工作是有利的还是不利的。工作满意度被广泛研究,因为它会影响员工在工作中的想法、感觉和行为。有证据表明,一个支持性的工作环境往往会对员工个人和整个组织产生更积极的影响。而康复咨询主管是一个支持的来源(例如,主管表示他们重视咨询师的贡献;主管支持咨询师的决定;主管信任咨询师尝试新事物),除了监督的关键角色之外,主管通常还承担许多职责,康复咨询师在接受主管的支持时可能会遇到障碍。本研究旨在探讨工作满意度与支持之间的关系,其表现形式为组织中个体的亲社会行为(例如,组织中的一名成员帮助另一名成员完成任务;尊重者:组织中对另一个人表示尊重的成员;一个组织的成员在工作中倾听另一个成员的焦虑和恐惧)。在国家职业康复计划的康复咨询师样本中,得到上级支持和组织内其他人支持的康复咨询师工作满意度最高。对于从上级获得低水平支持的咨询师来说,从组织中获得其他人的支持似乎可以弥补上级在工作满意度方面的支持不足。在工作满意度方面,结果表明,康复咨询师在工作场所获得个人的某种支持是至关重要的。
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引用次数: 0
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Rehabilitation counselors and educators journal
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