Data Collection in Rehabilitation Counseling

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Data Collection in Rehabilitation Counseling

• Lecture 8
• September 21, 1998

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Wednesday

• No class, IRA Conference
• Questions?
• Thursday Dr. Tarvydas and I will be presenting
  on credentialling in the profession

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Next Monday

• Research in Rehabilitation
• Meet over at the Main Library, North side, wait
  in the lobby outside of the Information Arcade
  room
• Come prepared with topics to do a literature
  review
• Film review due Wed, 9/30

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Last Thursday

• Intake Interview
• Medical Evaluation
• Psychological Evaluation

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APA Presentation

• Mentoring Program Sponsored
• Dr. Tarvydas
• Second Wednesday in October

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Review

• Intake Interview
• Pre-planning is crucial
• Microcounseling skills are essential here
• Certain general goals
• Providing the client with information about the
  role of the agency, available services, and
  client responsibilities
• Initiating the diagnostic process
• Development of rapport

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Review Four General Questions for Planning

• (1) What are my goals for interview ?
• (2) What information should be provided to the
  client during the intake interview ?
• (3) What information do I need to collect from
  the client during the intake interview?
• (4) What is the most efficacious manner to
  exchange information?

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Review Service Orientation Session

• During the intake interview a service orientation
  should include
• (a) agency purpose
• Use Handouts
• (b) service eligibility criteria
• c) rehabilitation counselors function
• Scope of practice, informed consent
• d) clients responsibilities

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Review 5 questions...(see also table 3.1)

• 1) Does the client have a specific vocational
  objective?
• 2) Does the client have more than one potential
  vocational goal?
• 3) How optimistic or pessimistic is the client
  about their ability to achieve each vocational
  goal?
• 4) Is the client interested in vocational
  training?
• 5) Is the client interested in any specific type
  of vocational training?

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Review Response Style

• The style of nonverbal and verbal counselor
  responses
• Attending skills
• Basic Listening Skills
• Use of questions
• Reflecting feeling, meaning
• Influencing skills caution

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Medical Evaluation

• Purpose To determine the clients ability to
  fulfill various vocational demands
• Areas of Focus
• (a) choosing an physician
• (b) making an effective medical referral
• (c) knowing what to expect from evaluating
  physicians
• (d) using the medical consultant

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Choosing a Physician

• The guidelines for a selecting are
• physicians ability to establish rapport with
  their patients
• physicians knowledge of the clients medical
  history
• physicians medical expertise with specific
  disabilities
• See Table 4.1 (great future resource!)

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Making an Effective Referral

• Specifying information needed
• Clients general health
• Progressive nature, stability, or controllability
  of the disability(ies)
• Recommended treatment (source location)
• Life stressors/exacerbating factors
• Disability-imposed limitations on daily
  activities
• Potential effects of prescribed medications on
  work performance
• Potential future complications stemming from the
  disability
• Additional medical evaluation needed

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Knowing What to Expect From Evaluation Physicians

• Types of information
• (a) the presence of physical or mental disability
  
• (b) the degree to which the condition limits the
  activities that the individual can perform
• c) the extent and means by which the disabling
  condition may be corrected or ameliorated through
  physical restoration services.

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The Medical Report

• The medical report should discuss
• extent of residual effects
• medical terminology
• You need an adequate understanding of medical
  terminology to comprehend both oral and written
  reports.
• Decisions
• the degree to which heavy work vs. sedentary work
  are appropriate
• or the client is not fit for work at all at the
  present time

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Using a Medical Consultant

• Effective use of a medical consultant, to
  clarify...
• basic understanding of disease, disability, or
  injury
• process of medical diagnosis and treatment
• role of medical specialists in the process
• The medical consultant can help in clarifying
  aspects of the medical report contain technical
  data, provide further diagnosis, and treatment,
  help counselors coordinate services, assisting
  counselors in selecting rehabilitation facilities
  with medical programs.

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Psychological Evaluation

• What to expect from psychological evaluation?
• Diagnosis of a learning disability, mental
  retardation
• Diagnosis of an emotional disturbance
• Awareness of intellectual functioning for career
  exploration
• Awareness of personality and interests for
  congruence with a given vocation, coping skills
• Neuropsychological functioning post brain trauma

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Exercise

• I want to be a rocket scientist.

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The main objective...

• in psychological evaluation is to determine
  persons ability to cope with vocational demands
• Interpersonal skills
• ability to learn new jobs
• emotional stability
• commitment to vocational goals

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Choosing a Consulting Psychologist

• Rehabilitation Psychologists
• Understanding the psychosocial and medical
  aspects of disability
• Knowledge of the world of work
• Neuropsychologists
• For more in-depth assessment of complex
  functioning
• Attitude...
• toward disability (assessment practices)
• Professionals can be prejudiced (recommendations)
• Professionals can have pre-conceived notions that
  are harmful to your client (limiting potential)

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Psychological Reports

• The psychological reports contain descriptions of
  psychological function
• The counselor needs statements from the
  psychologist that predict the persons potential
  reactions to specific situations
• Results from the report will be strongly
  associated to the specificity of your questions
• Information you provide (pp. 73-75)
• Sample referral, pp. 75-76

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Exercise

• Lets use Donald Jones as an example of writing a
  medical referral
• Same three groups

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Planning the Rehabilitation Program

• Vocational Evaluation
• Vocational Analysis
• Planning the Rehabilitation Program

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Vocational Evaluation

• In the vocational evaluation process, clients
  vocational aptitudes, interests, and behavior are
  assessed
• The process is client-centered and must
  facilitate the persons understanding of his or
  her current functional capacities

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Vocational Evaluation

• Vocational Evaluation should include
• Information on clients levels of social,
  educational, psychological, and physiological
  functioning.
• Individuals potential for change and skill
  acquisition
• Clients learning style
• Jobs client can do with out assistance
• Potential jobs that are feasible, the client can
  do with vocational services
• Community support services

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Characteristics of Vocational Evaluator

• Have training in the areas of rehabilitation
  philosophy, medical, psychological, and
  psychometric testing, and interpersonal skill
  training.
• Specialized training in interpreting work
  samples, behavioral observation, group and
  individual testing, interpret and synthesize
  evaluation data, and develop evaluation reports
• Vocational evaluators are certified by Commission
  on Certification of Work Adjustment (CCWA) and
  Vocational Evaluation Specialist (Certified in
  Vocational Evaluator, CVE)

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Developing an Evaluation Plan

• 1. Initial evaluation begins with referral
  questions from rehab counselor (example in the
  RR case of Shirley Steed, written goals and
  questions)
• 2. The evaluation plan provides a written
  description of initial questions with an
  evaluation method, which includes techniques to
  gather the information. For example to measure
  potential benefits from educational training -- a
  Differential Aptitude Test (DAT) for Verbal,
  Numerical, and Spelling.
• 3. Be sensitive to cultural and gender variation
  on evaluation process. (Parker Schaller, 1996)

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Developing a Evaluation Plan

• 4. Motivation and willingness to perform on
  evaluation such as written paper and pencil test
  or mistrust of the evaluator.
• 5. Be sensitive to acculturation and language
  proficiency. Different values or belief systems
  have bearing on issues in vocational assessment.
  Language barriers can affect testing outcomes.
• 6. Using norms appropriate to interpret scores of
  a person with a disability.Some persons with
  disabilities might not have work experience.
  Norms with male and females combined do not
  accurately relate to women in nontraditional
  occupational roles.

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Evaluation Report

• The evaluation report contains
• Summary of reason(s) for referral
• background and disability information
• vocational significance on behavioral
  observations
• results from tests and work samples

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Vocational Alternatives
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Preparing and Planning for the Rehabilitation
Program