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What VR counselors need to know about Substance Use Disorders Margaret Glenn and Joseph E.Keferl RRTC project funded by

What VR counselors need to know about Substance Use Disorders Margaret Glenn and Joseph E.Keferl RRTC project funded by National Institute on Disability and Rehabilitation Research and National Center for Dissemination of Disability Research. Background. RRTC project

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What VR counselors need to know about Substance Use Disorders Margaret Glenn and Joseph E.Keferl RRTC project funded by

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  1. What VR counselors need to know about Substance Use Disorders Margaret Glenn and Joseph E.Keferl RRTC project funded by National Institute on Disability and Rehabilitation Research and National Center for Dissemination of Disability Research

  2. Background • RRTC project • Substance Abuse in Vocational Rehabilitation – Screener (SAVR-S) • Evaluation component

  3. Why screen? • Percentage of people with substance use disorders in VR system

  4. Health implications • Barriers to success in VR Most importantly for… the client

  5. LIFEOSAVR-S

  6. Drug free workplace policies • Screening practices • Barriers to success in employment …the employers

  7. …and for the counselor • Derails goals & plans • Depletes resources • Decreases positive outcomes • Impacts evaluation of their work • Need a process for screening

  8. Target population for training • Vocational rehabilitation counselor • Field supervisors

  9. Training Intervention • Short format • Learning objectives • Understand goals of screening research project • Be able to communicate how project will support successful VR outcomes • Review agency’s policy regarding serving people with substance use disorders • Understand strengths & limitations of substance abuse screening & how to use/ interpret screening results • Develop an action plan for implementing the screening project

  10. Data Collection • Initial interviews • Pre & Post surveys • Trainer debriefings

  11. Pre/Post Perception • Understanding of goal of screening • Ability to communicate • Ability to discuss policy • Understanding strengths & limitations • Understand how to use results • Readiness to act

  12. Open ended • What is the goal of substance use disorder screening? • How will you go about doing screening in your VR work? Where will you start? • What procedural/ethical/issues arise in implementing this effort in your system? • What resources do you have or need to implement this effort? What will be provided as support?

  13. Perceptions Vocational Rehabilitation Counselors n = 464

  14. What knowledge or skills do you feel you are missing re screening • Majority unaware of SUD screening effort • Unfamiliar/lack of exposure • Lack of knowledge of VR policies

  15. What is the goal/purpose of substance use screening in VR? • Identify if problem exists in VR consumers • Improving service • Identifying/addressing obstacles • Improve outcomes • Identify if a problem exists • Better assist consumers to improve employment outcomes

  16. How/when to screen? • Ask the person – beginning of service • Formal assessment–psychological or vocational • Refer out to qualified professional • After workshop • Employ screening early • Intake or initial interview • Use SAVR-S

  17. What are the procedural, ethical, &/or legal issues of SUD screening • Person’s right to privacy • Confidentiality • How counselor/agency uses screening information

  18. What resources do you need? • Resources • Need for technical support • Online &/or website for resources and information

  19. Now to the interesting part

  20. Borrowing from Mark Twain • It is not what he doesn’t know that worries me so, it’s what he knows that just ain’t so!

  21. Need new presentation title! What VR Needs To Know:What They Don’t Know They Don’t Know About Substance Use Disorders

  22. Interpretation/Hypothesis • Support need for additional training/investigation • Use/administration/timing of screening for SUD • “It’s positive, what next” scenario • Interpretation/understanding of SUD & barriers to employment • Incorporating screening info into employment planning • Understanding agency policy surrounding SUD • Developing linkages/resources with formal tx providers • Navigating attitudinal issues • Addressing concerns • impact on counseling relationship • confidentiality

  23. www.myvrtraining.com • Screening for substance abuse barriers to successful vocational rehabilitation outcomes (2 CEUs) • Determining eligibility for services (2 CEUs) • Delivering services to ensure successful VR outcomes (2 CEUs) • Addressing job development & placement (2 CEUs)

  24. On the horizon… • VR Counselors Desk Reference • Administrators’ supplement

  25. For Educators… • E-paks • Material for rehabilitation courses • Psychological aspects • Medical aspects • Counseling • Career development & job placement • Case management

  26. In the end…

  27. Questions?

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