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1.
Medicine (Baltimore) ; 99(18): e20108, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32358401

RESUMO

Organ transplantation has become the treatment of choice for end-stage organ failure, including renal and liver failure. The benefits of patient employment after transplantation are numerous, but factors determining the ability to work among these patients are not clearly defined. The growing interest in these factors has strong practical implications for organizations creating vocational rehabilitation programs. Given the interconnection between psychological and physical functioning in patients after transplantation, the present study examined the impact of anxiety on vocational rehabilitation and its relationship with functional tests. A total of 100 patients after liver or kidney transplantation underwent functional tests, including the 6-minute walking test and 30-second chair stand test (30"CST), and psychological tests, specifically the Inventory of Physical Activity Objectives, Work Ability Index, and State-Train Anxiety Inventory. Working ability was affected by psychological factors. State and trait anxiety exhibited inverse relationships with subjective readiness to occupational activity (P < .001, r = -.59 and P < .001, r = -.56, respectively). The level of anxiety was negatively related to the results of the 30"CST. State-Train Anxiety Inventory, State Anxiety subscale and State-Train Anxiety Inventory, State-Trait Anxiety subscale vs 30"CST: P < .001, r = -.43 P < .001, r = -.44). Thus, state and trait anxiety influence perceived work ability and partially functional status. These observations may indicate the potential benefits of including psychologists in interdisciplinary teams for physical and especially vocational rehabilitation of patients after liver or kidney transplantation.


Assuntos
Ansiedade/epidemiologia , Transplante de Rim/psicologia , Transplante de Rim/reabilitação , Transplante de Fígado/psicologia , Transplante de Fígado/reabilitação , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Desempenho Físico Funcional , Testes Psicológicos , Reabilitação Vocacional/métodos , Autorrelato , Avaliação da Capacidade de Trabalho , Adulto Jovem
2.
Top Spinal Cord Inj Rehabil ; 26(1): 21-35, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32095065

RESUMO

Background: Employment rates among people with spinal cord injury or spinal cord disease (SCI/D) show considerable variation across countries. One factor to explain this variation is differences in vocational rehabilitation (VR) systems. International comparative studies on VR however are nonexistent. Objectives: To describe and compare VR systems and practices and barriers for return to work in the rehabilitation of persons with SCI/D in multiple countries. Methods: A survey including clinical case examples was developed and completed by medical and VR experts from SCI/D rehabilitation centers in seven countries between April and August 2017. Results: Location (rehabilitation center vs community), timing (around admission, toward discharge, or after discharge from clinical rehabilitation), and funding (eg, insurance, rehabilitation center, employer, or community) of VR practices differ. Social security services vary greatly. The age and preinjury occupation of the patient influences the content of VR in some countries. Barriers encountered during VR were similar. No participant mentioned lack of interest in VR among team members as a barrier, but all mentioned lack of education of the team on VR as a barrier. Other frequently mentioned barriers were fatigue of the patient (86%), lack of confidence of the patient in his/her ability to work (86%), a gap in the team's knowledge of business/legal aspects (86%), and inadequate transportation/accessibility (86%). Conclusion: VR systems and practices, but not barriers, differ among centers. The variability in VR systems and social security services should be considered when comparing VR study results.


Assuntos
Emprego/estatística & dados numéricos , Internacionalidade , Reabilitação Vocacional/estatística & dados numéricos , Reabilitação Vocacional/normas , Traumatismos da Medula Espinal/reabilitação , Estudos Transversais , Humanos , Retorno ao Trabalho , Inquéritos e Questionários
3.
Scand J Occup Ther ; 27(1): 47-55, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31099284

RESUMO

Background: Stress-related disorders are increasing in western societies and are the main reason for sick-leave in Sweden. Previous research justifies occupation-based interventions to increase health and work ability.Aim: To investigate if the occupation-based intervention ReDO™-10 predicts work ability for women at risk for or on sick-leave.Material and Methods: A longitudinal cohort study design including the REDOTM-10. The participants answered a questionnaire about their perceptions of health, work ability, occupational balance, occupational values and mastery at baseline, after intervention and at 12 months follow-up. Differences before and after the intervention as well as at 12 months follow-up and possible predictors of work ability were analyzed.Results: Eighty-six women (response rate 70%) answered the questionnaire at follow-up. Perceived health, occupational balance, occupational value, mastery and work ability were improved after intervention. Perceived health, mastery and socio-symbolic value predicted work ability.Conclusion: The intervention increased perceived health and perceived health predicted work ability. However, the occupational aspects in the intervention did not predict work ability. For the intervention to predict work ability, the work placement might be necessary.Significance: The results of the present study add to earlier evidence that a work focus is of importance both in prevention of sick leave and in return to work interventions.


Assuntos
Licença Médica , Avaliação da Capacidade de Trabalho , Adulto , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Ocupações , Valor Preditivo dos Testes , Reabilitação Vocacional , Fatores Sexuais , Inquéritos e Questionários , Suécia
4.
Neuropsychiatr ; 34(1): 5-14, 2020 Mar.
Artigo em Alemão | MEDLINE | ID: mdl-31270695

RESUMO

BACKGROUND: This study provides insights into the work demands associated with the "world of work 4.0" as well as employee needs from the perspectives of clients, staff, and executives of an Austrian work integration social enterprise (WISE). The WISE offers two main types of rehabilitation and support programs for individuals with psychological health conditions: 1) counselling and assistance programs, and 2) training and employment programs. METHODS: The study employed a mixed-method design, using both quantitative (online survey) and qualitative methods (semi-structured interviews). N = 620 clients and N = 188 employees from of the rehabilitation programs were invited to take part in an online survey on work demands and employee needs. The response rates were 40.81% (n = 253) among clients and 54.79% (n = 103) among employees. Additionally, semi-structured interviews were conducted among six executives. RESULTS: The results demonstrate that, with respect to the future labour market, participants feel that it is important to develop competences related to new technologies and resilience, but also to train social competences. Employees and clients in counselling and advice programs evaluated the support (provided by the WISE) in achieving methodological competences, resilience, and social competences more positively as compared with employees and clients in training and employment programs. The latter, however, evaluated the support in achieving manual skills more positively. CONCLUSIONS FOR PRACTICE: In general, the rehabilitation programs do well in fostering social competences and resilience among their clients, but need to improve their promotion of media competences. Participants' needs can hardly be satisfied through the future labour market, especially the need for low-demand work and the needs for autonomy and personal growth. Additionally, the executives noted that in the future labour market, many jobs in the production sector would be cut, jobs would become more complex, and high technical know-how would be required. They feel that these trends will make it more difficult to place participants into first labour market employment. Accordingly, it would be especially important to secure the second labour market.


Assuntos
Emprego/psicologia , Emprego/estatística & dados numéricos , Reabilitação Vocacional/psicologia , Reabilitação Vocacional/estatística & dados numéricos , Áustria , Humanos , Inquéritos e Questionários
5.
Work ; 64(3): 569-577, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31683498

RESUMO

BACKGROUND: Expert employment information helps life insurers to decide total and permanent disability claims. The employability assessment model was developed a decade ago by rehabilitation counselors and has not been critically examined. OBJECTIVE: This exploratory descriptive study aims to elicit key issues of employability assessment within Australian life insurance. METHODS: Ten rehabilitation advisors with knowledge of employability assessment in the total and permanent disability sector participated in a single focus group. They each nominated issues of concern about employability assessment. These issues were collated then discussed within the group. Qualitative thematic analysis was used to identify key issues. RESULTS: The predominant theme was the forensic nature of employment evidence. There were three categories of key issues. First, assessment providers- their training, qualifications, experience, and role. Second, methodology- approaches that provide most realistic information about a claimant's likelihood of work. Third, policy definitions that illustrate reliance on legal interpretation of employability. CONCLUSIONS: To withstand legal scrutiny, the credentials of providers, assessment methodology, and quality of forensic reports are key issues which need to be addressed. This foundational study will contribute to broader research on this topic, with implications particularly for rehabilitation, life insurance, and claimants.


Assuntos
Avaliação da Deficiência , Pessoas com Deficiência/reabilitação , Revisão da Utilização de Seguros , Seguro por Invalidez , Austrália , Grupos Focais , Humanos , Pesquisa Qualitativa , Reabilitação Vocacional
6.
Occup Environ Med ; 76(12): 913-919, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31594839

RESUMO

OBJECTIVES: Since 2014, the Federal German Pension Insurance has approved several departments to implement work-related medical rehabilitation programmes across Germany. Our cohort study was launched to assess the effects of work-related medical rehabilitation under real-life conditions. METHODS: Participants received either a common or a work-related medical rehabilitation programme. Propensity score matching was used to identify controls that were comparable to work-related medical rehabilitation patients. The effects were assessed by patient-reported outcome measures 10 months after completing the rehabilitation programme. RESULTS: We compared 641 patients who were treated in work-related medical rehabilitation with 641 matched controls. Only half of the treated patients had high initial work disability risk scores and were intended to be reached by the new programmes. The dose of work-related components was on average in accordance with the guideline; however, the heterogeneity was high. Work-related medical rehabilitation increased the proportion of patients returning to work by 5.8 percentage points (95% CI 0.005 to 0.110), decreased the median time to return to work by 9.46 days (95% CI -18.14 to -0.79), and improved self-rated work ability by 0.38 points (95% CI 0.05 to 0.72) compared with common medical rehabilitation. A per-protocol analysis revealed that work-related medical rehabilitation was more effective if patients were assigned according to the guideline and the minimal mandatory treatment dose was actually delivered. CONCLUSIONS: The implementation of work-related medical rehabilitation in German rehabilitation centres affected work participation outcomes. Improving guideline fidelity (reach and dose delivered) will probably improve the outcomes in real-world care. TRIAL REGISTRATION NUMBER: DRKS00009780.


Assuntos
Reabilitação Vocacional/métodos , Retorno ao Trabalho , Adolescente , Adulto , Idoso , Estudos de Casos e Controles , Feminino , Alemanha , Humanos , Masculino , Pessoa de Meia-Idade , Pontuação de Propensão
7.
Work ; 64(3): 477-486, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31658081

RESUMO

BACKGROUND: Traumatic Brain Injury (TBI) is a serious global public health problem. Globally and annually, at least 10 million individuals live with TBI that is serious enough to result in death or hospitalisationOBJECTIVE:This study aimed to explore and describe the experiences of women with traumatic brain injury, in their work environments utilising the Model of Occupational Self-efficacy as a vocational rehabilitation approachMETHOD:Ten females with mild to moderate traumatic brain injury participated in the study. Semi-structured interviews were conducted and data were analysed utilising a qualitative approach to elucidate themes. Semi-structured interviews were also conducted with two occupational therapists who served as key informants. RESULTS: Two themes emerged depicting the participants' experiences and perceptions of barriers and facilitators which influenced their return to work: (1) Barriers to work participation for women with TBI, 2) Re-establishing a worker identity by means of vocational rehabilitation. CONCLUSION: Both personal and environmental factors emerged as hindrances to returning to work for women with traumatic brain injury. Vocational rehabilitation proved successful in establishing a worker identity amongst participants; however, particular focus should be placed on the function-dysfunction continuum of the process of work place integration to further develop and enhance sustainable return to work programmes for women with traumatic brain injury.


Assuntos
Lesões Encefálicas Traumáticas/reabilitação , Reabilitação Vocacional , Retorno ao Trabalho , Adulto , Lesões Encefálicas Traumáticas/psicologia , Feminino , Humanos , Pessoa de Meia-Idade , Motivação , Pesquisa Qualitativa , Autoeficácia , Estigma Social , África do Sul , Avaliação da Capacidade de Trabalho , Adulto Jovem
8.
Work ; 64(3): 507-514, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31658084

RESUMO

BACKGROUND: Work rehabilitation programs were developed to help workers with an injury return to work (RTW). While studies have examined intervention characteristics, prognostic factors, and disability level, there is little or no research examining interdisciplinary interventions, lifting capacity/strength and the level of a patient's RTW status (e.g., not working, new job, or ongoing restrictions) at the time of discharge. OBJECTIVE: To evaluate outcomes (RTW status and lifting capacity/strength changes) of an interdisciplinary work rehabilitation program and examine whether time off work prior to the program and type of injury were related to RTW status and strength changes. METHODS: A retrospective database analysis was conducted with a sample of 495 participants (Mage = 44.44 years, SD = 10.13) of which 375 (76%) were male. Participants were workers with injuries who participated in an interdisciplinary work rehabilitation program from 2006 to 2010. RESULTS: A significantly higher number of participants were working at the end of the program than at the beginning (83.9% vs. 31.6%, p < 0.0001). Mean strength was higher at the time of discharge compared to at admission (p < 0.0001). The participants that did not RTW had had significantly more days off work prior to the program (U = 11757, z = -3.152, p = 0.002). The type of injury was not related to strength at the time of discharge. CONCLUSIONS: Findings suggest the interdisciplinary program is associated with positive outcomes and early intervention may be an important factor when treating patients with work-related injuries.


Assuntos
Traumatismos Ocupacionais/reabilitação , Equipe de Assistência ao Paciente , Reabilitação Vocacional/métodos , Retorno ao Trabalho , Adulto , Feminino , Humanos , Extremidade Inferior/lesões , Masculino , Pessoa de Meia-Idade , Força Muscular/fisiologia , Traumatismos Ocupacionais/fisiopatologia , Estudos Retrospectivos , Traumatismos da Coluna Vertebral/reabilitação , Extremidade Superior/lesões , Avaliação da Capacidade de Trabalho
9.
Occup Ther Int ; 2019: 3867816, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31656455

RESUMO

The South African labour law serves as a guide for employers to accommodate injured individuals in the work place. The aim of the study was to explore and describe the experiences of individuals with traumatic brain injury regarding returning to work through the use of the Model of Occupational Self-Efficacy (MOOSE). The study utilized a multiple case study research design, and 10 participants participated in the study. An analytical strategy of explanation building was used to analyse the data. Three themes emerged from the study, i.e., Theme 1: the model has its limitations (barriers), Theme 2: the model helps facilitate work integration (facilitators), and Theme 3: further enhancements to improve the model. The findings of this study indicated that the participant experiences of the MOOSE are a useful model to facilitate the return of individuals living with a TBI back to work. Coping skills and support groups were also viewed as being an important part of the vocational rehabilitation program.


Assuntos
Lesões Encefálicas Traumáticas/reabilitação , Terapia Ocupacional/métodos , Reabilitação Vocacional/métodos , Retorno ao Trabalho , Autoeficácia , Adaptação Psicológica , Adulto , Lesões Encefálicas Traumáticas/psicologia , Feminino , Humanos , Masculino , Modelos Psicológicos , Terapia Ocupacional/psicologia , Pesquisa Qualitativa , Reabilitação Vocacional/psicologia , Retorno ao Trabalho/psicologia
10.
Rehabil Psychol ; 64(4): 435-444, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31424238

RESUMO

PURPOSE/OBJECTIVE: To examine the relationship of cognitive status to employment outcomes at 1-year post moderate-severe traumatic brain injury (TBI), using a brief telephone-administered instrument. Research Method/Design: Prospective longitudinal study in which 320 people with moderate-severe TBI, all employed at injury, were enrolled during inpatient rehabilitation and evaluated at 1-year postinjury. Follow-up measures included whether and when participants had returned to work (RTW), and cognitive status assessed with the Brief Test of Adult Cognition by Telephone (BTACT). Multivariable logistic regression and survival analyses were used to assess the contribution of BTACT (overall and subscale scores) to employment outcomes, controlling for covariates with known associations to those outcomes, including demographic variables, injury severity, and driving status. RESULTS: Fewer than 40% of participants (n = 124) were employed at 1-year follow-up. BTACT scores were strongly associated with RTW even after controlling for known covariates. Females had faster and higher rates of RTW compared to males. Resumption of driving and injury severity were also related to RTW. CONCLUSIONS/IMPLICATIONS: Neurocognitive status is a potentially modifiable factor with an important relationship to RTW following TBI. Vocational rehabilitation efforts should provide cognitive remediation or compensation as well as addressing transportation barriers. As a brief telephone-based assessment, the BTACT offers a new and efficient tool for evaluation of episodic memory and executive function. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Lesões Encefálicas Traumáticas/complicações , Lesões Encefálicas Traumáticas/reabilitação , Transtornos Cognitivos/complicações , Retorno ao Trabalho/estatística & dados numéricos , Adolescente , Adulto , Bases de Dados Factuais , Feminino , Seguimentos , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos/estatística & dados numéricos , Estudos Prospectivos , Reabilitação Vocacional , Índice de Gravidade de Doença , Fatores Sexuais , Fatores de Tempo , Adulto Jovem
11.
Int J Rehabil Res ; 42(4): 322-329, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31425370

RESUMO

This study aimed to create a valid and reliable instrument to measure people with disabilities' perceptions regarding the extent of application of international standards issued by the Council of Europe, International Labour Organization, and the International Classification of Functioning, Disability and Health in vocational rehabilitation centers in the Basque country, Spain. The instrument items were selected from international recommendations and conventions issued by the International Labour Organization, Council of Europe, International Classification of Functioning, Disability and Health, and a vocational rehabilitation literature review. The instrument was translated from English to Spanish, and the content validity index of an expert panel survey was used to assess content validity. For the Spanish version of the instrument, internal consistency reliability, confirmatory factor analysis and factor analysis were examined with 186 people with disabilities in 10 vocational rehabilitation centers in the Basque country. The coefficient alpha estimate was 0.945, indicating excellent internal consistency. Three factors were identified: job-related services, aims of vocational rehabilitation center, and vocational rehabilitation guidance. The instrument appears to have good validity and reliability but requires further validation. Support is provided for its use in both English and Spanish. Implications for vocational rehabilitation practice and suggestions for future research are provided.


Assuntos
Atitude Frente a Saúde , Avaliação da Deficiência , Pessoas com Deficiência/psicologia , Pessoas com Deficiência/reabilitação , Internacionalidade , Reabilitação Vocacional/normas , Adulto , Idoso , Europa (Continente) , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Orientação Vocacional , Adulto Jovem
12.
Work ; 64(1): 117-134, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31450535

RESUMO

BACKGROUND: Matching an individual's capabilities, interests and needs with corresponding job demands and characteristics is an established procedure in vocational rehabilitation (VR). Yet, a systematic exposition of specific factors affecting the determination and attainment of a person-job match in VR practice is currently missing. OBJECTIVE: To examine factors, assessments and interventions related to job matching (JM) in VR of persons with spinal cord injury (SCI) by using a literature-based conceptual JM framework. METHODS: Applying a qualitative descriptive design, data were collected by overt non-participant observations across the VR process of two individuals with SCI, representing major return-to-work scenarios (returning to the pre-injury job and preparing for vocational retraining). RESULTS: Person-related, job-related and environmental factors were identified that either played a direct or indirect role in determining and attaining a person-job match. The factors were evaluated by different work-related and medical assessments and were targeted by a number of JM-related interventions. CONCLUSIONS: While our conceptual framework may serve as a generic blueprint to facilitate JM approaches in VR practice, the specific factors identified in our study are particularly valuable for developing JM applications aimed at promoting sustainable return to work for persons with SCI.


Assuntos
Reabilitação Vocacional/métodos , Retorno ao Trabalho , Traumatismos da Medula Espinal/reabilitação , Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Paraplegia/reabilitação , Quadriplegia/reabilitação , Pesquisa Qualitativa , Reabilitação Vocacional/psicologia , Suíça , Educação Vocacional
13.
Artigo em Inglês | MEDLINE | ID: mdl-31387320

RESUMO

The assessment of work-related functioning is a key process in vocational rehabilitation to identify specific domains of disability that can be considered within return to work strategies. The Work Rehabilitation Questionnaire (WORQ) was developed to evaluate work-related functioning based on the International Classification of Functioning, Disability, and Health (ICF) framework and is available in different languages. The aim of this study was to assess the French version of the WORQ using item response theory to further validate the scale. Rasch analysis of WORQ and the WORQ-BRIEF (a brief version of the WORQ) was performed using a calibration sample of 221 persons with musculoskeletal injuries. A four-testlet solution indicated the unidimensionality of WORQ, with no differential item functioning for age, education, physical job demands, and injury severity. Reliability was 0.969 and 0.918 for WORQ and WORQ-BRIEF, respectively. The minimal detectable change was calculated to be 4.2% of its operational range for WORQ and 8.5% for WORQ-BRIEF. Consequently, the French version of WORQ can be considered a good measure of work-related functioning in musculoskeletal conditions. WORQ can be used in rehabilitation practice to comprehensively identify the disability and guide clinical decision making and intervention planning. Further studies are needed to evaluate the psychometric properties of WORQ in other health conditions.


Assuntos
Avaliação da Deficiência , Pessoas com Deficiência/reabilitação , Reabilitação Vocacional , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
14.
Int J Occup Med Environ Health ; 32(4): 475-488, 2019 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-31309764

RESUMO

Objectives: The objective of this study is to present the barriers existing in Poland to professional integration and reintegration of people with chronic diseases, including mental health conditions, and discuss them on the basis of expert opinions and in comparison with the situation in other European countries. Material and Methods: The research methodology was based on a mixed-methods approach, including literature review, in-depth expert interviews, and a survey (based on a structured questionnaire) performed with experts. Results: The mapping of policies, systems and services facilitating the integration and reintegration of people with chronic diseases in Poland, as well as expert opinions, made it possible to identify many barriers regarding access to support, such as an obligation to have a certificate of disability, and a system of certification by 2 institutions. There are also barriers regarding the support itself, including problems with subsidies and with professional (re)integration services. Conclusions: Poland has a multi-level and multi-sector system of public institutions, which should provide support for people with disabilities and chronic diseases. Nevertheless, the research conducted in Poland indicates an insufficient implementation of the existing solutions. Int J Occup Med Environ Health. 2019;32(4):475­88


Assuntos
Doença Crônica , Pessoas com Deficiência/reabilitação , Emprego , Transtornos Mentais , Pessoas com Deficiência/legislação & jurisprudência , Feminino , Humanos , Masculino , Polônia , Políticas , Reabilitação Vocacional/métodos , Oficinas de Trabalho Protegido/legislação & jurisprudência , Seguridade Social , Inquéritos e Questionários
15.
Issues Ment Health Nurs ; 40(10): 861-869, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31283360

RESUMO

It is recognised that physical activity has a positive impact on quality of life, social well-being and overall health of people with severe mental illness. However, there is a lack of theory informed programmes that support people with mental illness to adopt regular physical activity behaviour. The aim of this case study was to identify determinants of long-term physical activity among people with severe mental illness that may then inform the development of more suitable physical activity programmes. Semi-structured interviews were conducted with 15 people (13 men and 2 women) with a mean age of 36.7 [standard deviation (SD)=11.8] who had a diagnosed mental illness and were attending a physical activity programme run by a mental health non-governmental organisation. Interview data was analysed using the documentary method to emphasise the perspective of people with severe mental illness. Three participation types were generated in the context of individuals' physical activity orientation and social background-first 'rehabilitative orientated' (physical activity as a supportive measure to re-enter the labour market and develop a daily routine); second 'social-orientated' (social well-being within the group as the primary motive); finally, 'trust-orientated' (a sense of trust that encourages participation). Based on these type-specific categories, it is suggested that different settings (mental health care centres and sport clubs) might be needed to attract and maintain the physical activity engagement of people with severe mental illness. In the context of sport clubs, it is recommended that coaches undergo training in mental health literacy.


Assuntos
Exercício Físico , Necessidades e Demandas de Serviços de Saúde , Transtornos Mentais/enfermagem , Adulto , Atitude Frente a Saúde , Áustria , Estudos de Avaliação como Assunto , Feminino , Humanos , Assistência de Longa Duração , Masculino , Transtornos Mentais/psicologia , Transtornos Mentais/reabilitação , Pessoa de Meia-Idade , Reabilitação Psiquiátrica/organização & administração , Qualidade de Vida/psicologia , Reabilitação Vocacional/métodos , Reabilitação Vocacional/psicologia , Instalações Esportivas e Recreacionais/organização & administração , Resultado do Tratamento , Adulto Jovem
16.
Work ; 63(2): 283-289, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31156209

RESUMO

BACKGROUND: PTSD is associated with high levels of vocational difficulty, and research on relationships between PTSD and vocational adjustment may be relevant to vocational rehabilitation services to achieve optimal outcomes. Veteran perception of ability to cope with stressors in the workplace setting may play a role in rehabilitation outcome. OBJECTIVE: This article outlines preliminary steps in the development of the Vocational Efficacy in Trauma Survivors Scale (VETSS), to measure perceived efficacy in managing PTSD symptoms in the workplace. This has potential to expand future options for research in vocational rehabilitation for veterans with PTSD. METHODS: Veterans in outpatient treatment for PTSD at a large, mid-western Veterans Affairs Health Care System facility responded to items on the proposed instrument and items on other measures of vocational and psychological functioning to assess the potential validity of items for an instrument to measure vocational self-efficacy among veterans managing PTSD. RESULTS: In a sample of 63 working veterans who receive outpatient care for PTSD, exploratory factor analysis identified two viable subscales, one tapping Workplace Coping, and another tapping Self-Disclosure. CONCLUSIONS: Preliminary findings indicate that the measure demonstrated acceptable indications of reliability and validity, suggesting promise for future use in vocational rehabilitation research.


Assuntos
Adaptação Psicológica , Percepção , Transtornos de Estresse Pós-Traumáticos/complicações , Adulto , Feminino , Humanos , Masculino , Minnesota , Psicometria/instrumentação , Psicometria/métodos , Psicometria/estatística & dados numéricos , Reabilitação Vocacional/métodos , Reabilitação Vocacional/psicologia , Reabilitação Vocacional/estatística & dados numéricos , Autoeficácia , Transtornos de Estresse Pós-Traumáticos/psicologia , Estados Unidos , United States Department of Veterans Affairs/organização & administração , United States Department of Veterans Affairs/estatística & dados numéricos , Local de Trabalho/psicologia , Local de Trabalho/normas
17.
Soc Work ; 64(3): 259-269, 2019 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-31190070

RESUMO

As defined by the International Federation of Social Workers, social work is a human rights profession. This is explicitly stated in the professional codes of ethics in many nations. However, the most recent version of the Code of Ethics of the National Association of Social Workers continues to exclude any mention of human rights, fitting in with the history of U.S. exceptionalism on this subject. Social workers around the world have a long history of working for the achievement of human rights, including an explicit grounding of practice in human rights principles: human dignity, nondiscrimination, participation, transparency, and accountability. Utilizing these principles, U.S. social workers can move from the deficit model of the needs-based approach to competently contextualizing individual issues in their larger human rights framework. In this way, social work can address larger social problems and make way for the concurrent achievement of human rights. This article explains these principles and provides a case example of how to apply them in practice.


Assuntos
Ética Profissional , Direitos Humanos/ética , Pobreza/psicologia , Serviço Social/ética , Adulto , Fortalecimento Institucional/ética , Empoderamento , Feminino , Humanos , Pobreza/ética , Prática Profissional , Racismo/ética , Reabilitação Vocacional/ética , Estados Unidos
18.
Rehabilitation (Stuttg) ; 58(3): 172-180, 2019 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-31212336

RESUMO

OBJECTIVE: The basic aim of this study was to analyse health-related exit processes from working life and their conditional constellations. It focused on biographical coping in the context of professional reorientation and Return to Work (RTW). The aim was to describe, among other things, phases, characteristics and mechanisms of coping with a double-folded biographical disruption, i. e. coping with the chronic disease and the vulnerable occupational situation. METHODS: The study focused on 6 women and 4 men between 25 and 57 years of age who were interviewed (episodically-narrative) at 2 different points in the survey period from 2011 to 2014: during their medical respectively vocational rehabilitation (t1) and again about one year later (t2). The overall characteristic of all cases was the initiated or already faced health-related occupational biographical disruption caused by a chronic musculoskeletal disease partly accompanied by psychosomatic issues or triggered by a mental illness. This study followed the methodological approach and research style of the Grounded Theory 1. RESULTS: A health-related exit from working life is usually gradual and is caused by complex risk constellations. Only in the interplay of personal and contextual factors does a framework for the double-folded biographical disruption develop. The resulting social, biographical and health challenges lie in the areas of private and working life. RTW is experienced as an experimental phase to return to everyday working life under limited health conditions. A key finding of this study is the recognition that the transformation of the importance of health is taking place in exit and reorientation processes. This paper focuses on its significance for the rehabilitation and RTW process. CONCLUSION: The applied perspective on biographical processes makes it possible to describe health-related breaks as a change in status from healthy to sick, from high performance to limited performance. Professional stakeholders in medical and rehabilitative settings should be made more aware of the identity-building processes, individual professional biographical crises and disease management processes of those affected. It is important not only to evaluate RTW as the one and only success, key outcome and end of the rehabilitation process, but to understand RTW as a continuing process of occupational reorientation under limited health conditions and to design it as a participatory process.


Assuntos
Conflito Psicológico , Doenças Musculoesqueléticas/psicologia , Reabilitação Vocacional , Retorno ao Trabalho/psicologia , Adulto , Doença Crônica , Feminino , Alemanha , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
19.
Tijdschr Psychiatr ; 61(5): 326-334, 2019.
Artigo em Holandês | MEDLINE | ID: mdl-31180571

RESUMO

BACKGROUND: Mental health complaints are among the most important causes for drop-out in the of labour market. At the same time, work has a positive influence on people's psychological health.
AIM: To describe and evaluate the integrated approach of specialist mental health care and Employee Insurance Agency (UWV).
METHOD: The integrated approach was evaluated for a group of 15 clients with anxiety and depressive disorders. Experiences with the approach were explored by treatment evaluation reports and semi-structured interviews with clients, practitioners, an insurance physician, a labour expert and several reintegration coaches. The degree of work participation was measured with the Participation Scale and the complaints were measured by regular ROM measurements.
RESULTS: The degree of work participation increased during the integrated approach: 8 clients found an unpaid work experience placement, 2 found a paid job. No indications were found that the approach negatively influenced complaint recovery. The interviews showed that clients felt helped and that they experienced a clearly supportive network of committed professionals.
CONCLUSION: The integrated approach, including work-focused therapy, was evaluated positively by all stakeholders and seems to contribute to work participation.


Assuntos
Comunicação Interdisciplinar , Transtornos Mentais/reabilitação , Retorno ao Trabalho/psicologia , Terapia Cognitivo-Comportamental , Emprego/psicologia , Humanos , Seguro Saúde , Transtornos Mentais/psicologia , Saúde Mental , Países Baixos , Projetos Piloto , Reabilitação Vocacional , Licença Médica
20.
J Autism Dev Disord ; 49(9): 3915-3923, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31177369

RESUMO

A course of action often suggested in an attempt to improve employment outcomes of adults with autism spectrum disorder, is to match between special interests and job opportunities. In this commentary, we propose that the match may be more complicated than it seems, possibly overseeing more pressing employment needs that should be answered such as: the job's characteristics, labor market demands, and stress resulting from job expectations. Self determination theory of motivation is suggested as a lens through which the association between special interests and a paying job can be examined, highlighting important considerations that hold the potential to increase employment success. Recommendations for new research directions and vocational rehabilitation practice are discussed.


Assuntos
Transtorno do Espectro Autista/reabilitação , Conflito de Interesses , Emprego , Motivação , Adulto , Transtorno do Espectro Autista/epidemiologia , Transtorno do Espectro Autista/psicologia , Feminino , Humanos , Masculino , Reabilitação Vocacional/métodos
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