Prediction model for the return to work of workers with injuries in Hong Kong

This study attempts to formulate a prediction model of return to work for a group of workers who have been suffering from chronic pain and physical injury while also being out of work in Hong Kong. The study used Case-based Reasoning (CBR) method, and compared the result with the statistical method of logistic regression model. The database of the algorithm of CBR was composed of 67 cases who were also used in the logistic regression model. The testing cases were 32 participants who had a similar background and characteristics to those in the database. The methods of setting constraints and Euclidean distance metric were used in CBR to search the closest cases to the trial case based on the matrix. The usefulness of the algorithm was tested on 32 new participants, and the accuracy of predicting return to work outcomes was 62.5%, which was no better than the 71.2% accuracy derived from the logistic regression model. The results of the study would enable us to have a better understanding of the CBR applied in the field of occupational rehabilitation by comparing with the conventional regression analysis. The findings would also shed light on the development of relevant interventions for the return-to-work process of these workers.     

Community perceptions of people with disabilities in the North West region of Cameroon: what is the impact on their access to services?

Community perceptions of people with disabilities are not uncommon and also have impact on access to services. This article discusses the results from interviews, participant observations as well as field notes with 62 participants (people with disabilities, families of people with disabilities, regular school teachers and principals, community-based rehabilitation personnel, non-governmental organization personnel, traditional leaders, religious leaders and social workers) regarding their perceptions of people with disabilities and the impact on access to services. The findings from the study revealed that community’s perceptions of people with disabilities are both negative and positive and have an impact on their access to schooling, health and rehabilitation services. The discussions/conclusions include difference in perspectives, beliefs and practices, impact of perceptions as non-linear, sensitization/flow of information and context difference.     

Engaging with the Disability Rights Movement: the experience of community-based rehabilitation in southern Africa

This paper argues that unless community-based rehabilitation CBR programmes enter into genuine consultation with the disability rights movement they are in danger of repeating the mistakes of institution-based rehabilitation. Partnership between CBR programmes, and disabled people's and parents' organisations in southern Africa has led to the development of a more consumer focused approach to CBR Where disabled adults and parents have been fully involved in the design and implementation of programmes, CBR workers have a clearer understanding of disability as a development issue. Education, employment and poverty alleviation have been given a higher priority than medical rehabilitation in these programmes. The evolving concept of CBR and its relationship with the disability rights movement has been observed and documented by The Save the Children Fund, and forms the basis of this paper.     

Rehabilitation Contexts: A Holistic Approach

Psychosocial rehabilitation involves a gamut of activities that need to be personalized to suit an individual's needs. The context in which rehabilitation occurs greatly influences the range and availability of rehabilitation services and their utilization. This study attempts to highlight the contextual factors, with specific reference to globalization and development, the scope of rehabilitation, and the continuum of rehabilitation services that have a bearing on an individual's recovery. The relevance and effectiveness of the bio-psycho-social-spiritual approach in making services more pertinent and applicable are discussed. Implications for program development and policy interventions are suggested. It is hoped that this study will draw attention to the need for openness to a broad range of services even while using specific interventions.     

Perceived Need for Home- and Community-Based Services: Experiences of Urban Chinese Older Adults With Functional Impairments

Guided by Cantor’s social care model, this study identified individual, family, and social support factors that influence urban older adults’ need for home- and community-based services, including medical and rehabilitation, instrumental care and support, and psychosocial services. The data were extracted from the Sample Survey on Aged Population in Urban/Rural China conducted by the China Research Center on Aging in 2006. Results from multiple logistic regression show that older adults’ need for medical and rehabilitation services is significantly related to instrumental activities of daily living, depression, not having filial children, friend support networks, and having a confidant. Older adults’ need for instrumental care and support is related to their educational attainment, financial strain, instrumental activities of daily living, not living with children, and friend support networks. Finally, older adults’ need for psychosocial services is significantly related to educational attainment, depression, not being married, friend support networks, and having a confidant. Implications for social service development are discussed.     

Using an action research approach to involving service users in the assessment of professional competence

This paper reports on a piece of action research that has involved people who use mental health services in systematically providing feedback from a user perspective on participants’ assessed work completed for one module of a masters’ training programme in mental health. In an attempt to improve professional practice and include people who were accessing mental health services in so doing, it outlines how users were trained to provide feedback and the training methods employed. The findings summarise the kind of issues users raised in their feedback to participants about the evidence professionals provided to demonstrate their learning from the training programme. A focus group interview with professionals provides a contrasting insight into the participants’ experience of having their work commented upon from a user perspective. The paper draws on the experience of a five-year external evaluation of an interdisciplinary programme in community mental health at Birmingham University in the UK which has highlighted the involvement of people who use mental health services as a particular innovation in the design, delivery and evaluation of the curriculum.     

Vocational rehabilitation in multiple sclerosis (MS): a profile of clients seeking services

Although a number of innovative vocational rehabilitation (VR) demonstration projects have been completed with MS populations, there remains a lack of clarity as to a profile of these VR participants. An effort is made in this article to carefully describe the demographic and occupational characteristics of people with MS seeking vocational services at intake, as well as their self-perceived psychosocial functioning across a range of pertinent measures. The issue of "program dropouts" in VR services for people with MS is also addressed. Implications for better understanding participants with MS within the VR process and improved nuances in service delivery are then discussed.     

Extending Economic Democracy

Although vocabulary development is an important part of the social studies curriculum, vocabulary activities are often inadequate, leaving students with cursory knowledge of terms. Worse still is the fact that many of the most critical words demarcating the field are not included in those activities. Therefore, a transformation from viewing vocabulary instruction as a single activity that takes time away from social studies instruction to recognizing vocabulary development as a powerful learning strategy is needed. This article offers an educational model that threads vocabulary development throughout the social studies curriculum in a non-intrusive manner, enhancing and reinforcing students’ understanding of social studies. This model is based on educational theories that stress the importance of activating prior knowledge, considering the relationships between concepts, comparing and contrasting ideas, and encouraging students to generate their own meaning of terms. Explanations and examples of vocabulary activities that draw on each of these components are provided.     

Redesigning the curriculum for Social Work Education: complexity,conformity, chaos,creativity, collaboration?

Across the UK social work programmes in universities have been re‐designed for the introduction of the new degree. Despite its importance, the nature and process of curriculum design for social work is not well understood, and the research‐base is thin. With more detailed content requirements there is a potential danger of increasing conformity. The wider literature on curriculum design in higher education identifies different paradigms to conceptualise curriculum design, and has recently focussed on the extent to which creativity can be engendered within a highly complex context. Starting with these concepts, this paper analyses the issues for curriculum design in social work. Given the new academic and professional requirements, the interplay of practice and university‐based learning, and the engagement with multiple stakeholders, it is argued that this entails a level of complexity greater than that for many other disciplines. The value of complexity theory as a framework to understand the processes involved is discussed. The constraints arising from the short time frame available to re‐design the curriculum are discussed, with the danger of chaotic transition. It is argued that curriculum design for social work should be better understood, through research and debate, so that all participants may be better able to contribute through collaboration.     

Rehabilitation outlooks for rural Louisiana: educational developments,economic trends,and global perspectives

The objective of this article is to examine current medical, economic, and social trends affecting the provision of rehabilitation services for rural citizens with disabilities. While the population of interest is citizens of Louisiana, the concepts are applicable across all geographic boundaries. The article is a review of clinical practice, job placement alternatives, economic trends, and assessment of process applications. It is concluded numerous steps may be taken to enhance the availability and quality of services provided for rural citizens with disabilities: greater statistical inquiry into rural disability trends, increased incorporation of the Internet into all aspects of rural economic and educational developments, further development of distance learning, promotion of sensitivities towards rural cultures, and continued recruitment of rural allied and vocational rehabilitation professionals.     

Child Protection,Public Services and the Chimera of Market Force Efficiency

The different agencies and professions that contribute towards child protection services have all recently had to begin to take account of the impact of market forces on their activities, yet detailed consideration of the consequences of this are slow to emerge. This article begins to consider these changes for child protection services. Having briefly described the child protection systems in England and Wales, it looks at the theoretical underpinning to the market forces approach which has become a significant ideological position in respect of public services in the UK and increasingly throughout the world. The article then considers the impact of a market forces approach on the organization of child protection services in relation to coordination versus fragmentation, profit versus professionalism, planning versus short-termism, and cooperation versus competition. It concludes that the argument that a market forces approach to child protection will lead to greater efficiency in relation to protecting children is a chimera. The article is thus of relevance for the different professions who contribute to child protection services in all countries where a market approach to public welfare is being suggested or implemented.     

高职护理多专业方向培养模式的构想

从护理人才市场需求出发,依据紧缺护理岗位市场调研结果,提出通过建构特色明显的课程体系,优化组合现有实验设备和教学力量,实现后期分流培养,重点向院前急救护理、康复护理、老年护理方向培养,为提高就业竞争力,拓宽就业渠道提供了新思路。     

全过程培养学生职业能力的实践与探索——以河北旅游职业学院导游专业为例

从导游专业人才培养模式构建、课程体系重构、实境教学和学生课外活动等方面，对该专业学生职业能力培养过程进行了探索，提出了全过程培养导游专业学生职业能力的观点，取得了明显成效。     

Benefits of psychosocial rehabilitation programming in a treatment mall

Psychiatric patients need educational interventions that help them recover and increase their ability to live and work independently following discharge from the hospital. The psychosocial rehabilitation treatment mall model is designed to meet this educational need. Treatment malls are a new approach to psychosocial rehabilitaion for patients in state psychiatric hospitals. Treatment malls provide psychoeducation and skill-building activities in a centralized, school-like setting for participants from all patient care units. It differs from traditional strategies that use decentralized one-on-one or unit-based models. Treatment malls provide a self-directed learning experience that meets the person-centered needs of participants. Evidence is increasing that this psychosocial educational model can provide lasting benefits for psychiatric patients, including symptom management, reduced psychiatric hospital readmission rates, and improved quality of life.     

Community Relationships and the Course in Social Problems

This article describes the Native American History in a Box curriculum which is designed to introduce elementary and middle-level students to Native American cultures. The curriculum consists of a five day unit addressing the following concepts pertaining to Native American Nations: settlements, tools, sustenance, pottery, and contact with Europeans. In addition, the development of the curriculum, the daily lessons, and the activities are discussed. Each daily lesson includes step-by-step instructions and the required materials. Finally, the authors discuss some of the pragmatic issues that influenced the development and implementation of the curriculum.     

The Parameters of Agency-School Social Work Educational Planning

Abstract

Reduced financial support and increased service demand have led many human service administrators to undertake coordination activities with other organizations in order to maintain services for clients. Many social work administrators have little understanding of interorganizational theory and techniques. This paper suggests, from a political economy perspective, that interorganizational theory and practice skills should be further developed in the social work administration curriculum. As a step in this direction, the paper first identifies key interorganizational concepts and research. Factors crucial to successful coordination are then summarized, and strategies for promoting successful coordination are detailed, with attention to benefits and costs of each strategy. Finally, the paper describes several alternative ways to integrate interorganizational content in the social work administration classroom and field placement.     

Multivariate methods in rehabilitation

The complexity of relationships between variables in a variety of rehabilitation settings can be appropriately addressed by the use of multivariate methods of statistical analysis. The purpose of this article is to describe (a) some basic concepts and principles of multivariate methods as well as (b) common misconceptions in the application of such methods. Specifically, the authors focus on the use of multivariate analysis of variance (MANOVA) in rehabilitation research and some pitfalls that rehabilitation researchers face when choosing between MANOVA for a set of outcome variables versus separate analyses of variance (ANOVAs) for each outcome variable. Examples of the use of MANOVA in rehabilitation research, as well as references to other multivariate methods, are also provided.     

Construct validity of the instrument DOA: a dialogue about ability related to work

This study examined the construct validity of the newly developed instrument A Dialogue About Ability Related To Work (DOA). DOA [18] was developed using concepts from the Model of Human Occupation [20] as theoretical framework. The instrument assumes the assessment of work ability by both the client and the occupational therapist, and is followed by a dialogue which is expected to distinguish possible goal-setting for further rehabilitation [18,19]. Twenty-one professionals and 126 clients from three clinics in Sweden participated in the study. All clients were involved as outpatients in psychiatric work rehabilitation in county councils or community services. Results of a Rasch analysis test indicated that items are well separated and generally work together in five unidimensional continuums to measure work ability. Twenty-nine of 34 items showed goodness-of-fit statistics, which means acceptable infit MnSq values from > or = 0.6 to < or = 1.4 in association with Z values from -2 to 2. The five misfit items have to be revised. The study has indicated that DOA is a valid instrument in psychiatric work rehabilitation and ought to be useful in the dialogue between occupational therapists and clients about goalsetting and treatment planning.