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Vocational rehabilitation for persons with dual diagnosis: An examination of outcomes for minority and non-minority clients

Robinson, Hermona Cozella
http://rave.ohiolink.edu/etdc/view?acc_num=osu1117396642

Abstract Details

2005, Doctor of Philosophy, Ohio State University, Physical Activity and Educational Services.
The purpose of this study was to examine vocational rehabilitation outcomes of persons who were dually diagnosed with substance abuse and mental health disorders. The study sought to examine whether differences existed in vocational rehabilitation outcomes based upon the individuals’ race. This ex-post facto study utilized national data from closure records of 54,937 dually diagnosed consumers who sought services from the state-federal rehabilitation system in federal fiscal year 2002. Disparities between minority and non-minority consumers have long been documented in vocational rehabilitation, thus this study examined the extent of those disparities when the individual also had a dual diagnosis of mental illness and substance abuse. This study further addressed the issues of inequities in the state-federal VR system and the need for the provision of culturally competent services to minorities. A multivariate analysis of variance (MANOVA) was selected for evaluating the relationship between race and variables such as earnings, number of services, duration the case was opened, and case expenditures. Additionally, Chi -square analysis was used to address any statistical differences that existed in the type of services that minority and non-minority clients received. MANOVA and Chi-square results of the study concluded that statistically significant differences existed in vocational rehabilitation outcomes between minority and non-minority clients at closure with minorities faring worse than their non-minority counterparts. Minority clients earned $8.82 per hour while non-minority clients earned $9.79 per hour at closure. Minority clients’ cases were open for a shorter duration than non-minority clients and fewer dollars were spent on case services for minority than non-minority clients when comparing successful closures. However, on a positive note minority and non-minority clients both worked an average of 37 hours per week. Minority consumers with a dual diagnosis face formidable challenges in rehabilitation that are compounded by both disorders. Thus, the desired results of this study would be to strengthen the awareness about the need for culturally competent service delivery to individuals with a dual diagnosis and to subsequently offer recommendations that will challenge rehabilitation practitioners, educators, and administrators to move from awareness to action.
Michael Klein (Advisor)
135 p.
DUAL DIAGNOSIS; MINORITY; REHABILITATION

Recommended Citations

Citations

  • Robinson, H. C. (2005). Vocational rehabilitation for persons with dual diagnosis: An examination of outcomes for minority and non-minority clients [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1117396642

    APA Style (7th edition)

  • Robinson, Hermona. Vocational rehabilitation for persons with dual diagnosis: An examination of outcomes for minority and non-minority clients. 2005. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1117396642.

    MLA Style (8th edition)

  • Robinson, Hermona. "Vocational rehabilitation for persons with dual diagnosis: An examination of outcomes for minority and non-minority clients." Doctoral dissertation, Ohio State University, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=osu1117396642

    Chicago Manual of Style (17th edition)

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© 2005, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.