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The relationship between vocational rehabilitation services, demographic variables and outcomes among individuals with psychiatric disabilities

Bromet, Elizabeth

Abstract Details

2005, Doctor of Philosophy, Ohio State University, Physical Activity and Educational Services.
The purpose of this study was to evaluate the types of vocational rehabilitation services provided to individuals with psychiatric disabilities through the federal-state vocational rehabilitation program and the relationship of these services to employment outcome. With the cooperation and support of the Rehabilitation Services Administration (RSA), the data for this study consisted of consumers with psychiatric disabilities who received services during federal fiscal year 2002 (n = 79,967). In addition, this study evaluated and described the demographic variables that were involved in successful employment outcome such as gender, race/ethnicity, age, diagnosis, significant disability, years of education, and disability benefits. To ensure that the regression model had both generalizability and transferability to the population and situations for which it was intended, model validation was accomplished by splitting the sample approximately in half, resulting in a top (n = 40,000) and bottom sample (n = 39,967). Correlational analyses and chi-square analyses were used to assess the bivariate relationship between the dependent variables (program closure status) and each of the predictor variables to identify high intercorrelations and assist in determining which variables were entered into the logistic regression model. The best fit model was identified and interpreted based on the top and bottom halves of data. Neither race/ethnicity nor gender were predictors of employment outcome and after being force entered into the initial logistic regression model, race/ethnicity was dropped in the final model. However, job placement services, on-the-job services, job search assistance and other support services were somewhat predictive of a positive employment outcome for individuals with psychiatric disabilities. This may be due in part to the use of these services as a conduit toward achieving competitive employment, thus consumers receiving such services would be closer to achieving employment. In contrast, recipients of disability benefits, most especially individuals receiving SSI and SSDI, were the least likely to have an employment outcome after receiving services. Likewise, significant disability was also associated with fewer closures with employment outcomes. Many of the results of this study mirrored the existing literature on individuals with psychiatric disabilities, suggesting that additional research is needed to clarify the conflicting results of many studies. Model limitations and recommendations for further research are suggested.
Michael Klein (Advisor)
187 p.

Recommended Citations

Citations

  • Bromet, E. (2005). The relationship between vocational rehabilitation services, demographic variables and outcomes among individuals with psychiatric disabilities [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1116127984

    APA Style (7th edition)

  • Bromet, Elizabeth. The relationship between vocational rehabilitation services, demographic variables and outcomes among individuals with psychiatric disabilities. 2005. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1116127984.

    MLA Style (8th edition)

  • Bromet, Elizabeth. "The relationship between vocational rehabilitation services, demographic variables and outcomes among individuals with psychiatric disabilities." Doctoral dissertation, Ohio State University, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=osu1116127984

    Chicago Manual of Style (17th edition)