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A Perspective on Vocational Rehabilitation for the Physician

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Physician's Field Guide to Neuropsychology

Abstract

Vocational rehabilitation—The profession of vocational rehabilitation counseling, or rehabilitation counseling, began in the early 1920s but gained crucial momentum in the United States after World War II as an effort to help veterans with disabilities access employment or return to work after disabling injury (Leahy and Szymanski, J Couns Dev 74:163–166, 1995). In 1954, the Vocational Rehabilitation Amendments (Vocational Rehabilitation Amendments of 1954, Pub. L. No. 83-565, 1954) established funding through the Rehabilitation Services Administration (RSA) for the development of master’s-level counselor education programs, and accreditation standards for these programs emerged in 1972. As of this writing, there are approximately 93 programs in 44 US states and territories (Council on Rehabilitation Education (CORE), CORE Master’s programs in rehabilitation counselor education 2014–15 academic year. Schaumberg, IL: CORE, 2015). Typical coursework encompasses medical and psychosocial aspects of disability, diverse counseling approaches, vocational assessment, disability evaluation, career development and assessment, job placement and case management strategies, legal and legislative foundations, and ethics (Riggar and Maki, Handbook of Rehabilitation Counseling. New York: Springer, 2004). For the past 40 years, the Commission on Rehabilitation Counselor Certification (CRCC) has regulated professional practice. The associated credential (CRC) is available and awarded to those who complete qualifying graduate training, including a supervised practicum and internship, and pass a national exam (Leahy and Szymanski, J Couns Dev 74:163–166, 1995).

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Correspondence to Robert T. Fraser .

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Appendices

Chapter Review Questions

  1. 1.

    What information is critical for the neuropsychologist to be most helpful in evaluating an individual and providing helpful information to the vocational rehabilitation counselor?

    1. A.

      Neurological history.

    2. B.

      A medication list.

    3. C.

      A detailed job description.

    4. D.

      Psychosocial history.

  2. 2.

    What transition mechanism can be very helpful in an individual’s successful work return?

    1. A.

      Selective placement.

    2. B.

      Clearance to return by human resources.

    3. C.

      Medical team discussion.

    4. D.

      US Department of Labor waiver for nonpaid work.

  3. 3.

    What can be said about reasonable accommodation and work access/return?

    1. A.

      Reasonable accommodations are procedural in nature.

    2. B.

      Reasonable accommodations involve workstation modifications.

    3. C.

      Reasonable accommodations utilize assistive technology.

    4. D.

      Reasonable accommodations can involve several (or all) of the above.

Appendix A Certified Rehabilitation Counselor (CRC) Information Sheet

What is a Certified Rehabilitation Counselor (CRC)?

The professional CRC has expertise in vocational evaluation assessing transferable skills, knowledge of the medical aspects of disability and relationship to working, job analysis, job placement, the legal rights of individuals with disabilities as related to employment, and similar knowledge and skills useful in assisting qualified workers with disabilities to access or return to employment

What specific services would the CRC provide?

The CRC can provide relevant vocational rehabilitation services depending upon your needs. Examples include:

• Vocational evaluation

• Graduated work return or nonpaid tryout on a former job or a new job in the public or private sector (up to 215 h)

• Employment search and benefits (SSDI) advisement

• Job placement assistance

• Job retention assistance to include accommodation consultation with an employer, job coaching, or engaging a co-worker as your mentor/trainer

• Work with your physician, psychologist, neuropsychologist, and other members of your rehabilitation team to optimize your work adjustment

How can I access a rehabilitation counselor?

In your case, you are being referred directly to the following RC provider:

Name: ___________________________________

Contact at: ________________________________

__________________________________________

It is best to contact the following state vocational rehabilitation agency for an appointment: ____________________________________________

____________________________________________

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Fraser, R.T., Johnson, E.K., Strand, D. (2019). A Perspective on Vocational Rehabilitation for the Physician. In: Sanders, K. (eds) Physician's Field Guide to Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-8722-1_31

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  • DOI: https://doi.org/10.1007/978-1-4939-8722-1_31

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