Individual status at the start of rehabilitation: Implications for vocational rehabilitation programs

This research investigated the situation of 143 unemployed sick leavers at the start of vocational rehabilitation in Sweden. It is argued in this paper that in order to gain a meaningful picture of the vocational rehabilitation process it is necessary to know and understand something of individual differences and status at the onset. In doing so, assessment was carried out of the possible influence of one contextual factor and five individual factors on health, duration of sick leave and unemployment. Findings suggest that individual differences exist in health status, length of sick leave and unemployment, at the upstart of vocational rehabilitating. Locus of control was found to exert important influence on the differences between the individuals in the study sample, with persons of external locus of control having a less favourable point of departure at the start of vocational rehabilitation compared to other groups. It is therefore assumed that these persons will be in greater need of support during the vocational rehabilitation process. The level of unemployment within a geographical area was also found to influence the length of sick leave. CONCLUSIONS: Our suggestion is for rehabilitation programs to be developed and selected to match the special needs and differences whether they are of individual or of social nature.     

Work rehabilitation programs: a 1997 survey

By adapting to the changing health care environment, legislative reforms, and consumer needs, work rehabilitation programs have experienced a metamorphosis. This study surveyed occupational therapists currently employed in work programs to ascertain a current demographic profile of work rehabilitation programs. Respondents indicated the delivery of services in the areas of prevention, assessment and rehabilitation. The majority of work rehabilitation programs in this study provide services in the form of ergonomics, education and training, and job analyses at the worksite. The area of work injury prevention services is forecasted for increased growth among work rehabilitation programs.     

Qualitative research strategies in rehabilitation

This article presents an overview of the qualitative research methods that social scientists use to explore human phenomena. The authors describe the philosophical and historical foundations of qualitative research, coupled with illustrations of specific qualitative designs. Applications of qualitative methods in the contemporary rehabilitation literature are also presented.     

Methodological strategies for evaluating youth gang prevention programs

This article reflects on common challenges and lessons learned during the evaluation of gang prevention programs based on case studies of three federally funded Canadian programs. Elements of evaluation design, implementation, data analysis and reporting of results are discussed. More specifically, the article highlights issues that occur when evaluating community projects focused on preventing extreme risks for violence and the complexity of working in potentially dangerous and/or unstable work environments. Topics covered include the problem with quasi-experimental designs, model fidelity adherence, program documentation, client recruitment and retention, and data collection. Recommendations are provided to improve evaluations of youth gang prevention programs and similar community-based interventions that focus on the prevention of youth violence.     

Long-term effects of teaching behavioral strategies for managing persistent auditory hallucinations in schizophrenia

1. Attendance at a 10-week class designed to teach behavioral management strategies to people with schizophrenia was effective in reducing some of the negative characteristics of auditory hallucinations for 12 months and in reducing anxiety for 9 months after completion of the class. 2. The sustained improvement experienced by class participants was characterized by their voices being less frequent and more mumbled and the participants feeling more in control, less distractible, and less anxious. 3. Participants recommended that other mental health consumers take similar classes to learn how to better manage their voices. 4. Monthly support groups may help participants maintain gains lost during the follow-up period.     

Designing and managing public housing self-sufficiency programs: the Youngs Lake Commons Program

This article evaluates an experimental public housing self-sufficiency program that encourages home ownership among low-income families. A quasi-experimental design, in combination with focus groups, records review, and key informant interviews, provides data to focus on four questions: (a) Do these programs simply accelerate move-outs for those who would have left without intervention? (b) Are program elements replicable given the importance of the local context in public housing move-outs? (c) How do housing authorities resolve tensions that arise between housing management and social service delivery? (d) What should housing authority response be to those who fail?     

Ergonomics and Kaizen as strategies for competitiveness: a theoretical and practical in an automotive industry

With increased international competitiveness in the automotive industry, came the concern of the companies save costs and lower production costs. For this purpose many ways are designed to reduce costs and waste of raw materials and reduce activities that do not aggregate value to manufacturing processes. In the early XVII appears the manufacturing system, which processes were hard with little concern for the health and safety of employees and conditions of the workplace. After the advent of the production system called lean manufacturing, a new paradigm in terms of production system capable of providing high levels of productivity and quality. It is based on waste elimination that occur during the production process. After began a new way of thinking, creating a culture of continuous improvement and lean process with no waste and reducing costs, without neglecting the welfare worker and improving the conditions of their work environment. This paper presents a reflection on the application of ergonomics in a lean production system of an automotive industry, using methodology based on the Kaizen (Continuous Improvement) to gain performance and improving the conditions of the workplace, also will be presented with positive and negative points in using this methodology in relation to ergonomics. The research will be conducted by collecting data 'in loco' and interviews with workers. Some studies show that in companies that are lean system and using the methodology of Kaizen, the results of product quality, levels of absenteeism and accidents are better than those obtained in companies that do not apply the same concept.     

Establishing therapeutic programs in the public sector psychiatric hospital: rethinking the possibilities and priorities

In public sector hospitals, many patient therapeutic needs are easily identified, but multiple variables present in the system obscure the planning and implementation to meet these needs. Contextual variables that hinder program development include the physical environment; patient population; lack of guiding treatment philosophy; inconsistent approach; staff limitations; resistance to change; morale issues; and bureaucratic impasses. Assessment of the system culture is essential; determining the possibilities and priorities of the system will aid in designing and implementing projects or programs.     

Strengthening child and youth programs: A look at inter-organizational mentoring strategies

Community-based non-profit organizations rarely have access to research or evaluation evidence to inform their programs and often lack the capacity to gather or use this information independently. In 2016, Wisdom2Action—a network of knowledge mobilization (KMb) experts, policy makers and service providers across Canada—launched an inter-organizational mentorship program to facilitate the implementation and sharing of best and promising practices within community-based programs for young people. This article outlines the findings from a developmental evaluation of eight mentoring relationships. Drawing on the Promoting Action on Research in Health Sciences (PARiHS) model of KMb, we look at mentoring as a type of facilitation that supports the increased use of evidence and evaluation information by non-profit organizations and identify key themes that support effective organizational mentorship in this sector. Findings reinforce the importance of establishing connected relationships and understanding context in mentoring relationships, creating adaptive and responsive work plans, ensuring consistent communication, and maintaining a focus on capacity-building if knowledge mobilization is to occur.     

Beyond access and supply: youth-led strategies to captivate young people's interest in and demand for youth programs and opportunities

Increasing access, even increasing supply, may not be sufficient to attract young teens who do not typically participate in youth programs. Several youth mapping projects in rural and urban communities have led to these conclusions: youth do not know what is available even in their own neighborhoods, young teens have a strong voice in how they spend their discretionary time, and we need to learn how to market youth programs much more effectively. This author reviews important findings from youth community-mapping experiences and showcases a project attempting to move beyond access and supply issues to increasing young people's interest and engagement in community youth development programs.     

The treatment of posttraumatic stress disorder in an extended care psychiatric rehabilitation program

This research study intended to determine which patient diagnostic group benefited most from an extended care psychiatric rehabilitation program (Program). Archival data were used to assess the completion rates among those subjected to one or more of the Program's treatment modalities. A correlational design was used to determine whether demographic or diagnostic variables were related to program completion. The results indicate that patients with a diagnosis of posttraumatic stress disorder or bipolar disorder are the most likely diagnostic groups to benefit from participation in an extended care psychiatric rehabilitation program. Those patients with a diagnosis of schizophrenia or substance abuse may not be appropriate for this type of treatment program, and in this study, were the least likely to benefit.     

Skill acquisition and client movement indices. Implementing cost-effective analysis in rehabilitation programs.

This article outlines the development and implementation of a cost-effective approach to client and program evaluation. The indices presented summarize a client's acquisition of behavioral skills (Skill Acquisition Index) and progression along a continuum of becoming less dependent and more productive (Client Movement Index). Data are presented summarizing how the two non-monetary outcome measures have been used in formative program evaluation. The paper also discusses some of the problems involved in implementing cost-effective analyses in rehabilitation programs and suggests specific strategies to overcome the problems.     

Present and accounted for: measuring attendance in out-of-school-time programs

Evidence is emerging that youth who attend out-of-school-time (OST) programs more frequently and for longer periods of time benefit more than youth who attend less frequently or do not attend at all. It is also increasingly clear that children and youth will not reap the benefits of programs if they do not attend regularly. Collecting attendance data can help program leaders gauge demand for services, plan and manage programs effectively, and evaluate participant outcomes in relation to attendance. This chapter presents these and other reasons for collecting attendance data, as well as the methods and techniques that program leaders and researchers have at their disposal for measuring attendance. It describes four indicators of attendance--absolute attendance, intensity, duration, and breadth--that can provide detailed information and insight about youth participants and their use of programs. The chapter also provides tips for collecting attendance data and features examples from OST programs. Throughout, the chapter illustrates that the right indicators and data collection methods depend on program needs, characteristics, and goals.     

Don't call me ibu: challenges of belonging for childless transnational Indonesian women

New forms of transnational families are being created by the feminization of migration, particularly of mobile Southeast Asian female workers who take on the financial responsibility of supporting their nieces and nephews who remain in the home country. This understudied kin relationship provides important insights into the complexities of transnational belonging among childless women. Fieldwork conducted in 2015 with Indonesian professional migrant women in Melbourne, Australia, reveals a translocalized Javanese cultural practice of fostering nieces and nephews. Using a framework that extends the anthropology of belonging into a gendered transnational context, in this article I argue that children who are absent, whether living in another country or never born, are yet present in women's narratives and are key to a larger migrant project of recreating oneself as an ambiguously valued subject.     

Designing for diversity: incorporating cultural competence in prevention programs for urban youth

Low-income urban youth of color frequently confront a wide variety of challenges and hardships that other young people never experience. The offering of prevention programs represents one strategy to help urban youth avoid the risks associated with substance abuse. In this chapter, an alternative program strategy is posited-one that places diversity with respect to culture, class, and environment at the center of prevention efforts. Such an approach, the authors argue, is more effective not only in appealing to the sensibilities of urban youth but also in altering their behavior.     

Evidence-based programs registry: Blueprints for Healthy Youth Development

There is a growing demand for evidence-based programs to promote healthy youth development, but this growth has been accompanied by confusion related to varying definitions of evidence-based and mixed messages regarding which programs can claim this designation. The registries that identify evidence-based programs, while intended to help users sift through the findings and claims regarding programs, has oftentimes led to more confusion with their differing standards and program ratings. The advantages of using evidence-based programs and the importance of adopting a high standard of evidence, especially when taking programs to scale,are described. One evidence-based registry is highlighted—Blueprints for Healthy Youth Development hosted at the University of Colorado Boulder.Unlike any previous initiative of its kind, Blueprintsestablished unmatched standards for identifying evidence-based programs and has acted in a way similar to the FDA – evaluating evidence, data and research to determine which programs meet their high standard of proven efficacy.     

Evaluating mission drift in microfinance: lessons for programs with social mission

The article contributes to a better understanding of implications of scaling up on the social mission of microfinance programs. It proposes a methodology to measure the extent, if any, to which a microfinance program with a poverty alleviation mission drifts away from its mission during rapid scaling up and presents findings from a field research using the proposed methodology at Activists for Social Alternatives (ASA), a microfinance organization that serves poor women in rural India. The findings indicate that mission drift is not a result of deliberate decisions by the management or board but rather is a result of the challenges posed by the scaling-up process. At times, changing trends in social outcomes were not obvious, and management was not aware of the changes indicated by the proposed measures of social performance.