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Family Perspectives of the Vocational Rehabilitation Needs of People with Disabilities. Mark Tucker Michael Shoemaker San Diego State University Utah State Office of Rehabilitation. Family Definitions.
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Family Perspectives of the Vocational Rehabilitation Needs of People with Disabilities Mark Tucker Michael Shoemaker San Diego State University Utah State Office of Rehabilitation
Family Definitions • Only the family, society's smallest unit, can change and yet maintain enough continuity to rear children who will not be "stranger ... s in a strange land," who will be rooted firmly enough to grow and adapt. Salvador Minuchin • My father used to play with my brother and me in the yard. Mother would come out and say, 'You're tearing up the grass'; 'We're not raising grass,' Dad would reply. 'We're raising boys.‘ Harmon Killebrew
Family Functions • To grow in love and to develop harmony in relationships • For marriages to find fulfillment • To provide a setting where talents and skills can be developed • To rear children • To provide for some of the physical, mental, social, emotional and spiritual needs of family members • To protect and not to harm
The Family as a System • The family is a unit • Each family member plays a crucial if not unique role • When one person changes in the family the whole family can not prevent being impacted as well • Homeostatic forces within families work towards dampening the effects of change and move toward stability • Change happens more quickly, thoroughly and is maintained better when more than the individual makes changes
Families in a Broad Context Urie Broffenbrenner’s Ecological Systems Theory • A theory of individual development • We both act and are acted upon. • Four systems: microsystem, mesosystem, exosystem, macrosystem • A lens to understand and impact families
Families From Various Cultures • Have different sets of rules for behavior • Most individuals can not articulate their culture’s rules of behavior, but navigate them quite well • There are some generalizations if not stereotypes • Native Americans families value children and include them in work and social events. • Many Hispanic children have godparents or companion parents that provide advice, discipline and watch over the development of children.
Family Interactions with VR and Supported Employment • Making room for families: general state guidelines, 100 square feet • Attitude is big: hindrance or valuable resource • Families encourage individuals to apply for and follow through with vocational rehabilitation • Families are a source for transportation, housing, income and support to maintain employment • What are family members seeing that the individual is not seeing or acknowledging?
The Rehabilitation Act • Family roles: • Provide information pertinent to eligibility • Provide information about the vocational rehabilitation needs of an individual • Serving as an applicant’s or client’s representative • Services to family members: • Services may be provided to family members when necessary to the vocational rehabilitation of the individual
Comprehensive Statewide Needs Assessment • Purpose • Identify needs of individuals with disabilities • Informs development of State Plan • Required under the Rehabilitation Act • Conducted at least once every three years • Focal points: • Most significant disabilities, racial/ethnic minorities, workforce investment system, community rehabilitation programs
Comprehensive Statewide Needs Assessment • Processes • Methods vary among agencies • Extant data • National, state, and local population statistics and estimates, VR agency data, • Direct contact with stakeholders • Surveys, interviews, focus groups, public forums • Typical stakeholder groups: individuals with disabilities, VR staff, partner agencies, employers
Methods • Document analysis/content analysis • Obtained 25 CSNA reports • Time frame: 2007 - 2013 • Identification of family-related needs in reports • Primary themes • Secondary themes
Roles Played by Families • Primary Themes: • Financial support • Encouragement • Transportation • Secondary Themes: • Bridging gaps in services • Networking
Family-Related Needs • Primary Themes: • Lack of family support as a barrier • Family issues as barriers • Awareness of services • Child care • Systematic efforts to involve families
Family-Related Needs • Secondary Themes: • Involvement in IPE • Understanding rights • Counselor-client-family partnership • Low family expectations for the individual • After-school programming for transition youth • Faster access to services for youth • Respite
Family-Related Needs • Racial/Ethnic Minority Families: • Higher incidence of disability (African American, Hispanic/Latino, Native American) • Underserved by VR (Hispanic/Latino, Asian, migrant families) • Cultural barriers • Language barriers • Difficulties remaining engaged in VR process • Discrepancies in outcomes (expenditures, earnings)
Strategies to Work with Families from CSNAs • Engaging the family in understanding the individual’s capacities and interests • Helping families to understand rights • Enhancing family awareness of available services • Engaging family capacity to provide emotional support and to network on behalf of the individual • Assessing family expectations concerning the individual • Designing intentional process for involving family in vocational rehabilitation • Intentionally soliciting information from families as part of the needs assessment process
Additional Strategies • Make families feel welcome • Be an active listener; genuinely consider their ideas • Communicate regularly and clearly • If the client is fine with it include the family in decision making conversations and ask family members to commit to help the client to be successful • Build trust by following through on promises
Exercise • What ways have you found to engage families and improve their participation? • What have you found that does not work well? • What are you already doing that you might do more of? • What have you not tried yet that you think might help to increase family participation? • If you are a family member of a person with a disability, what has been your experience working with employment service professionals?
Summit Group/RPEN • The Summit Group http://vocational-rehab.com/ • The 6th Annual Summit on Vocational Rehabilitation Program Evaluation, Sept 16,17, Providence, RI www.vrsummit.org • The Rehabilitation Program Evaluation Network http://vocational-rehab.com/rpen/what-is-rpen/
Contact Michael Shoemaker, M.A., CRC Utah State Office of Rehabilitation (801) 538-7746 mtshoemaker@utah.gov Mark Tucker, Ph.D., CRC Interwork Institute/SDSU (619) 594-3498 mtucker@interwork.sdsu.edu