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Vocational Rehabilitation For Life Care Planners

Vocational Rehabilitation For Life Care Planners. Howard Caston, PhD. Introduction . Background Overview Relevance to life care planning Related to the objectives. Overview . Vocational Evaluation Americans With Disabilities Act (ADA) Vocational rehabilitation resources.

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Vocational Rehabilitation For Life Care Planners

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  1. Vocational Rehabilitation ForLife Care Planners Howard Caston, PhD

  2. Introduction • Background • Overview • Relevance to life care planning • Related to the objectives

  3. Overview • Vocational Evaluation • Americans With Disabilities Act (ADA) • Vocational rehabilitation resources

  4. Vocational Evaluation • Reason for referral • Work History • Education • Training • Testing • Clinical observations • Medical status • Social • Motivation • Transferability of skills analysis (TSA) • Labor market analysis • Other

  5. Pre-evaluation conference • Discuss with attorney • Staff with agency • Discuss with case manager

  6. Reason for referral • Rehabilitation assessment • Return to Work • Training • Earnings capacity • Costs • File review • Litigation only • Agency specific

  7. Interview • Should be structured • Have appropriate intake form • Explain purpose • Discuss confidentiality • Explain reasons for testing • Prepare for discussion of outcomes with client/family • Validate data • Notice pain behaviors • Unusual statements/behaviors

  8. Work History • Jobs/resume • Job descriptions-accurate • Primary duties • Worker characteristics

  9. Analysis of work history • Job titles • DOT numbers • Physical demands • Educational requirements • Supervision • Complexity • Training time

  10. Testing • Achievement • Aptitude • Interests • Questionnaire • Psychological

  11. Achievement testing • Reading • Math • Spelling • Basic academic levels • Scoring-grade level/percentile • Example-WRAT

  12. Aptitude testing • General • Verbal • Numerical • Clerical • Motor cord • Finger dexterity • Eye-hand-foot • Color discrimination

  13. Aptitude • Usually pencil/paper or dexterity • Normed on age/industrial group • Face validity • Commercial • Examples-DAT, GATB, OASIS • Work sample systems – valpar, work simulators, etc.

  14. Interest • Questions about vocational and life interests • Similar jobs • Similar interests of workers • Examples-Strong, Career Assessment, Self-directed Search.

  15. Clinical observations • Attention/concentration • Ability to follow instuctions • Interpersonal communication • Personal appearance • Tolerance • Verbal motivation • Demonstrated motivation • Memory

  16. Transferable skills analysis (TSA) • Physical demand • Aptitudes • General Educational Development (GED) • Specific Vocational Preparation (SVP) • Environmental Conditions • Temperaments

  17. Physical Demands Lifting • Sedentary • Light • Medium • Heavy • Very heavy

  18. Physical DemandsFunctional Capacities • Climbing • Balancing • Stooping • Kneeling • Crouching • Crawling • Reaching • Handling

  19. Physical DemandsFunctional Capacities (Contd.) • Fingering • Feeling • Talking • Hearing • Tasting/smelling • Near/far acuity • Depth perception • Accommodation • Color and field of vision

  20. Aptitudes • G-Intelligence • V-Verbal • N-Numerical • S-Spatial • P-Form perception • Q-Clerical perception • K-Motor coordination • F-Finger dexterity • M-Manual dexterity • E-Eye-hand-foot coordination • C-Color discrimination

  21. General Educational Development (GED) • Reasoning • Mathematics • Language

  22. Specific Vocational Preparation (SVP) Level • 1 Short demonstration • 2 Up to one month • 3 One month to three months • 4 Three months to six months • 5 Six months to one year • 6 One year to two years • 7 Two to four years • 8 Four to ten years • 9 Over ten years

  23. Skill Level • Unskilled SVP 1-2 • Semi-skilled SVP 3-4 • Skilled SVP 5-9

  24. Environmental Conditions • Exposure to Weather • Extreme cold • Extreme heat • Wet and/or humid • Noise intensity • Vibration • Atmospheric conditions • Hazards N-not present O-occasionally F-frequently C-constantly

  25. Temperaments • A - working alone • D - controlling/planning activities • E - expressing personal feelings • I - influencing people • J - making judgments and decisions • P - dealing with people • R - performing routine activities • S - performing under stress • T - attaining precise tolerances • U - working under specific instructions • V- performing a variety of duties

  26. Process of analysis • Prioritize factors • Manual analysis • Computerized report • Labor market relevance

  27. Labor market analysis • Computerized search • Internal data base • O*NET-links to jobs • Local advertised jobs • Internet web sites • Confer with job developer • Other

  28. American with Disabilities Act (ADA) • Employment • Public accommodations • Transportation • State and local government

  29. ADA-Employment • It is unlawful for an employer to discriminate against a qualified individual with a disability who can perform the essential functions of the job with or without reasonable accommodation that does not provide undue hardship on an employer.

  30. Disability • Any physical/mental condition that causes a substantial limitation of a major life activity.

  31. Major life activity • Self care • Walking • Seeing • Hearing • Speaking • Learning • Working • Sitting

  32. Examples of disability • Paraplegia • Learning disabled • Schizophrenia • Record of impairment • Perceived as being disabled

  33. Exclusions • Temporary conditions • Nearsighted • Flu • Skin disorder that prevents shaving • Left handedness • Raised in Kentucky • Addiction to Big Mac’s

  34. Discrimination • Segregating/classifying • Using administration methods • Not making reasonable accommodations • Using inappropriate tests to screen • Hiring • Promotion policy • Retaliation • Prohibited medical exams • Reassignment • $alary

  35. Qualified individual • Knowledge of the essential functions • Education • Experience • Specific skills • licenses

  36. Essential functions • Job description • Employer’s judgment • Duties • Equipment • Environmental • Functional requirements • Production standards

  37. Reasonable AccommodationAreas covered • Application process • Work environment • Benefits

  38. Examples of accommodation • Job restructuring • Rehab engineering • Modified work schedules • Qualified readers/interpreters • Telecommuting • Paid leave/FMLA/unpaid leave • Reserved parking places • Transitional work • Change duties

  39. Case examples • Back injury-change duties, job swapping, change duties, engineering • Hearing impairments-hearing aide device, noise reduction, interpreter • Visual impairment-large print type, voice text, coach • Learning disabled-job coach, longer training time, longer time for work • TBI-written detailed job description, visual clues, computer aided prompting • Psychiatric- reduced interpersonal, low stress, distribute medications

  40. Undue hardship • Cost to employer • Extensive • Substantial • Disruptive • Fundamentally alter the job • Affect other employees • Unsafe

  41. Cases • U.S. Airways Inc. v. Barnett-seniority prevails usually • Chevron USA Inc. v Echazabal- can reject workers at risk to own health • U.S. v. Cinemark USA, Inc.- Line of sight for movies. • Toyota

  42. SummaryObjectives • Vocational testing • Vocational rehabilitation evaluation • ADA

  43. Class Evaluation/Assessment Grading • Project • Exam

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