John O’Neill

State vocational rehabilitation services and employment in multiple sclerosis

Background: Obtaining and maintaining suitable employment can be a significant challenge for people with multiple sclerosis (MS). Objective: The objective of this article is to identify what vocational rehabilitation (VR) services helped MS clients obtain and maintain employment, after controlling for the effect of demographic covariates and disability-related government benefits. Methods: We retrieved data from the Rehabilitation Services Administration (RSA) 911 database in the fiscal year (FY) 2009, and used VR services as predictors to predict employment outcomes of people with MS by hierarchical logistic regression. Results: A total of 924 out of 1920 MS clients (48.1%) were successfully employed after receiving VR services. Logistic regression analysis results indicated that cash benefits (OR =0.51, p < 0.001) and public medical benefits (OR =0.76, p < 0.01) were negatively associated with employment outcomes, whereas counseling and guidance (OR = 1.68, p < 0.001), job placement assistance (OR = 2.43, p < 0.001), on-the-job supports (OR = 1.62, p < 0.01), maintenance services (OR = 1.59, p < 0.01), and assistive technology services (OR =2.09, p < 0.001) were significant predictors of positive employment outcomes. Conclusion: VR services were found to be associated with employment status. MS patients experiencing problems obtaining or maintaining employment should be encouraged to pursue services from state VR agencies.

Return to Work of Disability Insurance Beneficiaries Who Do and Do Not Access State Vocational Rehabilitation Agency Services

This study examines the relationship between services provided by state vocational rehabilitation agencies (SVRAs) and return-to-work outcomes of Social Security Disability Insurance (DI) beneficiaries. DI beneficiaries who enrolled in SVRA services were compared with matched and unmatched comparison groups of beneficiaries who did not enroll in these services. We examined the progression to substantial employment milestones for DI beneficiaries over a 10-year period beginning with their entry into the DI program. Employment outcomes of the SVRA enrollee group are substantially better than those of their matched and non-matched non-enrollee counterparts, and the timing of their employment outcomes is strongly associated with the timing of vocational rehabilitation (VR) enrollment. These findings indicate that differences in employment outcomes between DI beneficiaries who received VR services and those who did not are not simply due to observable differences.

Effect of college or university training on earnings of people with disabilities: A case control study

OBJECTIVE: To examine the effect of college or university training on earnings of individuals with disabilities receiving services through the public vocational rehabilitation system. METHODS: A non-experimental case-control study design. Data for 178,290 individuals closed as successfully rehabilitation in fiscal year 2011 were extracted from the Rehabilitation Services Administration Case Service Report (RSA-911) database. RESULTS: Propensity scores were estimated based on demographic variables using the classification and regression tree (CART) method, which yielded six homogeneous subgroups, ranging from high propensity to received college or university training as a vocational rehabilitation intervention to low propensity to receive such service. Individuals who received college/university training had higher weekly earnings than those who did not, and had the greatest benefit for young adults; White, Asian, or Native American women with physical impairments; and people with mental impairments. CONCLUSION: College or university training should be considered as a viable and beneficial option to improve employment outcomes and job quality for individuals with disabilities.

How Individual and Environmental Factors affect Employment Outcomes

State Vocational Rehabilitation (VR) agencies provide services to a diverse population of approximately one million people with disabilities annually (RSA, 2016) seeking support to achieve their independent living and employment goals. There is growing interest among policymakers and practitioners in improving the delivery of VR services to improve the recipients’ long-term employment outcomes. Reflecting concerns of fiscal responsibility, there is also interest in measuring the return on investment of these services (Dean et al., 2014). The Workforce Investment Opportunity Act (WIOA) places a renewed emphasis on the role of state VR agencies in improving employment outcomes for individuals with disabilities. It has several goals that could alter how state VR agencies provide services to eligible applicants, including increased emphases on (1) competitive integrated employment and (2) serving transition-age youth. One major challenge VR agencies must address when administering their programs in general, and implementing WIOA in particular, is the heterogeneity of their customers. Beyond obvious differences in the nature of their impairments, customers are diverse in terms of their education, skills, and other personal characteristics. In addition, customers’ needs are