Consumer participation in the employment rehabilitation process: contextual factors and implications for practice

Rehabilitation models of practice have emerged that offer persons' with disabilities opportunities to have an active role in the work entry or re(entry) process. Despite the growth and interest in empowering client involvement in practice, consumer views on the determinants of participation are not fully understood. Thus, consumer feedback on using a self-directed approach to employment rehabilitation was elicited to identify factors integral to their participation in the process. Focus groups were conducted with 35 adult consumers with developmental, mental health, physical and learning disabilities to gain insights into their involvement in a participatory approach to find employment. Content analysis of data revealed barriers and facilitators, which hindered or enabled consumer involvement in the vocational service process. This article discusses the importance of considering issues across the rehabilitation system, practice and lived contexts when implementing participatory approaches in vocational rehabilitation settings.     

Worker perceptions of organizational support and return-to-work policy: associations with post-injury job satisfaction

This study evaluates the psychometric properties of an industry-based employee measure of employer responses to injuries (i.e., organizational support and return-to-work policies) and explores the relationship of these variables to post-injury job satisfaction. Survey data were collected from 1438 employees with work-related injuries in 13 construction companies and 13 transportation companies. Factor analyses supported the two-factor structure of the scale, and both organizational support and return-to-work policies were independently associated with post-injury job satisfaction. The results suggest a need for understanding organizational responses to injuries, employee perceptions of injury response, and the impact of both on organizational outcomes.     

Cutting Edge Issues in Social Work Research

Correspondence to Ian Shaw, Cardiff University, School of Social Sciences, Glamorgan Building, King Edward VII Avenue, Cardiff, CF10 3WT, Wales. E-mail: shawif{at}cardiff.ac.uk Summary Taking the panel report on social work submissions to the British2001 Research Assessment Exercise as a starting point, I commenton some of the central questions facing social work research.These include social work research methodology; social work'srelationship to science; the relationship between social workpractice and research; governance and research ethics; buildingresearch capacity; and establishing research quality. I outlineaction that is needed by social work academics and researchers,social work agencies and government departments.     

Assessing quality in mental health care. The United Kingdom experience

Quality assessment in mental health services is undergoing change in the United Kingdom following the introduction of market reforms. Traditionally, service quality was monitored by professional practitioners with reference to user satisfaction. This became formalized, and the two main forms of quality assurance currently used are outlined. However, the government is concerned that this may be inadequate for the monitoring of quality standards, specified in contracts between service purchasers and providers, and that existing systems provide an insufficient indication of service outcome. As a consequence, the government financed the development of a new set of health outcome scales. The importance of these scales are discussed.     

Bending the urban flow: a construction-migration strategy

The excess rate of migration to urban centers is a problem affecting over 50 developing countries and 18 developed ones (68% of the world's population). Policies that rely on compulsion or disincentives have mostly failed because they do not deal with the cause of the problem. This paper proposes a strategy of increasing or decreasing the rate of housing construction in different urban areas as a means of stimulating or reducing migration to those areas; in most developing areas priority is given to residential construction in already congested metropolitan areas. 5 assumptions are the basis for this approach: 1) migrants tend to gravitate to the most powerful growth poles; 2) residential construction is a leading sector of regional and urban economies; 3) the encouragement of construction activity will make itself felt indirectly via its effect on construction-related employment; 4) rates of residential construction may be manipulated through government policy affecting the cost of materials, availability of loans, level of unionization, and price of housing; and 5) residential construction is amenable to quick policy action. The central idea of the strategy is that an increase in residential construction will exercise a pull on migrants, increasing job opportunities, raising incomes, lowering housing costs, and improving the chances of home ownership. This idea has been verified by various projects in Hong Kong, Ghana, Venezuela, Brazil, Bahrain, Mexico, Colombia, Poland, USSR, and the UK. In Bahrain low-income housing programs have been used to relocate Bahraini nationals in new outlying suburbs and to promote population growth in rural villages. In Mexico self-help and low-income housing programs have helped to redirect migrants headed for small towns toward smaller communities. There is also evidence to show that building construction has the potential to expand and contribute to economic growth. Some problems of implementation might be finding an adequate economic base, the need to place new communities close to primate cities, the use of large portions of the national budget, and profit-maximizing plans have been detrimental to the speed and development of construction migration. Some benefits for smaller urban areas of construction migrants in developing countries are: 1) emphasis on the development of a labor-intensive industry, 2) little training of workers as needed, 3) it can provide the housing required by industries planning to move to smaller areas, 4) this housing will be cheaper, and 5) incentives will exist to save and invest in the smaller areas.     

Body composition and physical self-concept in older women

We sought to determine the performance and anthropometric correlates of physical self-concept and self-esteem and to observe whether long-term resistance training would alter these variables in postmenopausal women. Forty-four nonsmoking, community-dwelling, Caucasian women aged 50-75 years participated in the study. Half of the subjects participated in a 9-month regimen of weight-bearing exercises performed 3 times per week which emphasized lower body muscle strength and power development. At baseline, total body fat was negatively associated with physical self-concept and perception of physical appearance but not with self-esteem. Perception of physical appearance improved in both exercisers and controls after the 9-month trial but was most noticeable in exercisers who had low self-esteem at baseline. The only predictor of improvement in perception of physical appearance was a decrease in lower body fat mass. Minimal or nonsignificant change in psychological measures associated with the training may be due to high initial values.     

Community development and the politics of community

In a context in which ‘community empowerment’ isvirtually government policy, it is hardly surprising that thereis almost no area of social policy that is immune from the communitytreatment. Of course, this is not new, despite the zeal withwhich each new initiative is ‘rolled out’. In fact,sometimes it seems that policy development needs to reinventthe wheel of community every decade or so. The question, therefore,is what this ideological recycling of community tells us: first,about the meaning of the term itself; second, about its contemporarysignificance within the wider politics of the state. This articleargues that we need to draw on those historical and theoreticalresources which help us to think our way through to the contemporarycontext. Only an active and engaged recognition of the politicsof community will enable us to get to the root of the problematicyet promising nature of community development.     

Impact of hearing loss in the workplace: raising questions about partnerships with professionals

The number of adults with hearing loss who continue to work later in life is growing. Persons with hearing loss are generally unaware of the role that audiologists, occupational therapists, and vocational rehabilitation counsellors might play in the assessment of the workplace environment and appropriate accommodations. Three narratives of adults with hearing loss are used to demonstrate the gaps in accessing information, technology and services needed to maintain optimal work performance and productivity. The lack of recognition of the multidimensional needs of older workers with hearing loss and the lack of timely coordination of services led to all three persons acting alone in trying to access services and supports. In two of the three cases the impact of the hearing loss resulted in further unexpected losses such as the loss of employment and the loss of a worker-identity. There is an urgent need for partnering with persons who are hard of hearing to develop new strategies for knowledge exchange, more thorough assessment of hearing demands and modifications in the workplace, and interdisciplinary approaches to service specific to the needs of hard of hearing persons.