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Current Practices at SBAHC Return to Work and Training Opportunities for Patients

Current Practices at SBAHC Return to Work and Training Opportunities for Patients. Scott Symonds Occupational Training Supervisor. Disability and Employment. Key areas needed for people with a Disability to gain employment Access Employers Government Policy Change in Culture.

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Current Practices at SBAHC Return to Work and Training Opportunities for Patients

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  1. Current Practices at SBAHC Return to Work and Training Opportunities for Patients Scott Symonds Occupational Training Supervisor

  2. Disability and Employment Key areas needed for people with a Disability to gain employment • Access • Employers • Government Policy • Change in Culture

  3. Saudi Arabia and Disability • 23.6 Million – Population in 2006 • 700, 000 – Approximate number of people who have a Disability 2006 Central Department of Statistics

  4. History of Vocational Rehabilitation • Established to treat and rehabilitate injured soldiers • USA – 1920’s; Australia – 1940’s; Canada 1940’s • International Labor Organization (ILO) “part of the continuous and coordinated process of rehabilitation which involves the provision of those vocational services, e. g. vocational guidance, vocational training and selective placement, designed to enable a disabled person to secure and retain suitable employment.” ILO - 1955 (R99 Recommendation) • Saudi Arabia • Vocational Training Centers • Hospital and Rehabilitation Centers • Sultan Bin Abdulaziz Humanitarian City

  5. Sultan Bin Abdulaziz Humanitarian City • Opened in 1422H (2002) • Programs include • Stroke • Traumatic Brain Injury • Spinal Cord Injury • General Medical Services • Women’s Health Services • Pediatric Services • Out Patient Services (both Adult and Pediatric)

  6. Vocational Rehabilitation Service at SBAHC • Program operational for 4 years • Adult and Pediatric Services • Individually tailored programs with an “active partnership” • Focus on providing comprehensive vocational rehabilitation to patients as part of the overall rehabilitation process

  7. Vocational Rehabilitation Program at SBAHC Program Stakeholders Allied Health Team Government Employers Doctor Patient Family Vocational Community Rehabilitation Staff

  8. Vocational Rehabilitation Program at SBAHC • Patients may receive the following services as part of their Vocational Rehabilitation Program: • Initial VR Evaluation • Vocational Assessment • Functional Evaluation • Job Seeking Preparation • Basic Job Development / Up-Skilling • Job Seeking Assistance

  9. Case Study – Mr Abdullah • Age 59 year old Saudi National • Diagnosis: CVA with right side hemiparesis – 16 June 2007 • 1st Admission: 30 June 2007 to 12 September 2007 • 2nd Admission: 27 October 2007 to 12 December 2007

  10. Case Study – Mr Abdullah • Initial Vocational Rehabilitation Evaluation • Married with 8 Children • Educational Background • Completed Post Graduate Studies • Pre-injury position • High Level Management Position within Government Department • Pt Goals were to RTW in Pre-Injury Position • Improve Hand writing • Learn Computer Skills for work

  11. Case Study – Mr Abdullah • Physical Upgrading included: • Occupational Therapy • Physical Therapy • Psychological Services included: • Brief counseling intervention • Vocational Rehabilitation Services • Hand writing • Computer skills • Vocational Counseling and job task analysis • Developing RTW plan • Education on Energy conservation and Activity Pacing skills

  12. Case Study – Mr Abdullah • Outcomes • PT – Walking independently >1km without aid - Able to negotiate stairs without assistance • OT – improved grip strength and UL mobility - Modified Independent to Independent with ALL Activities of Daily Living (ADL’s) • Psychologist – No ongoing issues – Pt is motivated to RTW

  13. Case Study – Mr Abdullah • Vocational Rehabilitation • Mr Abdullah was able to write with his dominant right hand • He was able to perform his signature similar to pre-CVA • He has returned to work and reported he is performing ALL his Pre-Injury Duties • He is continuing with his graduated RTW and is currently working 6 hours / day (pre-injury = 7 hrs)

  14. Current Challenges • Challenges for this program include the following: • Limited follow up with patients (post discharge) • Limited funding / timeframes • Structure of Employment guidelines • Provision of equipment • Location of patients • Accessibility issues

  15. Future for Vocational Rehabilitation at SBAHC • Continuation of present In-Patient Services • Further restructure and training of staff to incorporate best practice • Continued development of relationships with Government Ministries to influence policy development • Continued development of collaboration with key Employers and Training Organizations • Development of an Out-Patient Vocational Rehabilitation Service

  16. Summary • The Program provides a key service to patients to assist them develop independence and secure suitable and realistic employment. • People who have a disability are able to work and should be provided with every opportunity to work in gainful employment.

  17. Current Practices at SBAHC Return to Work and Training Opportunities for Patients Scott Symonds Occupational Training Supervisor QUESTIONS????

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