A Scoping Review of Vocational Rehabilitation Programs for People with Acquired Physical Disabilities.

Abstract

Purpose: Well-designed vocational rehabilitation programs (VRPs) are needed to ensure that people with acquired physical disabilities (PAPD) receive the optimal support to return to work. The aim of our scoping review was to summarize the literature on both international and local VRPs that support PAPD to return to work.

Methods: We conducted a scoping review based on Arksey and O'Malley's framework. We searched databases (PubMed, CINAHL, and PsycINFO) throughout March 2023. To be included, studies must have been published in a peer-reviewed scientific journal, be available in the English language, and describe a VRP for PAPD. We added a grey literature search to better understand local VRPs. We summarized the VRPs' characteristics and services narratively.

Results: We screened 2894 citations and included 20 in our review. These 20 articles discussed 16 VRPs. We identified 46 unique service components and categorized them into six domains - vocational, physical, financial, social, psychological, and others. The vocational domain comprised the majority of components identified (n = 18, 40%). However, no VRPs were exactly alike.

Conclusion: VRPs facilitate PAPD to return to work via a range of services. Our review is useful for vocational rehabilitation providers to enhance existing VRPs or to design new ones. We recommend that VRPs offer a set of standardized services with the option of expanding services based on emerging needs of service users. Our scoping review provides a valuable evidence synthesis of the services offered within the field of vocational rehabilitation. Future research to better understand the effectiveness of VRPs is warranted.