Identifying Racial Differences in Vocational Rehabilitation Services

IF 1.9 4区 医学 Q2 REHABILITATION
Michelle Yin, Aditi Pathak, Dajun Lin, Nevin Dizdari
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引用次数: 3

Abstract

The literature on racial differences in vocational rehabilitation (VR) services has not been updated for over a decade. Using the 2017 individual-level U.S. national RSA-911 data, supplemented with the 2017 American Community Survey and publicly available information from the Kaiser Family Foundation, we investigated racial differences at each step of the VR process—application, eligibility, service provision, and employment outcomes at closure. At the first step, application, White individuals with disabilities were less likely to apply than their African American, American Indian/Alaska Native, and Hispanic counterparts, and more likely to apply than their Asian counterparts. For the remaining three steps, the results were inverted: the White subgroup had higher eligibility rates, service rates, and employment rates than the African American, American Indian/Alaska Native, and Hispanic subgroups, and lower rates than the Asian subgroup. These findings suggest that racial and ethnic differences continue to exist in the VR process despite several legislative acts and policy efforts. Within each racial and ethnic minority group, we also found large variation in application rates and employment rates across states, which indicates a need for developing performance measures and standardized guidelines for state VR agencies to better serve individuals with disabilities from racial and ethnic minorities.
识别职业康复服务的种族差异
关于职业康复服务中种族差异的文献已经十多年没有更新了。使用2017年美国国家RSA-911个人级数据,再加上2017年美国社区调查和凯撒家庭基金会的公开信息,我们调查了VR过程中每一步的种族差异——申请、资格、服务提供和关闭时的就业结果。在申请的第一步,白人残疾人比非裔美国人、美洲印第安人/阿拉斯加原住民和西班牙裔残疾人申请的可能性更小,比亚裔残疾人更有可能申请。对于剩下的三个步骤,结果是相反的:白人亚组的合格率、服务率和就业率高于非裔美国人、美洲印第安人/阿拉斯加原住民和西班牙裔亚组,而低于亚裔亚组。这些调查结果表明,尽管有几项立法和政策努力,但在虚拟现实过程中仍然存在种族和族裔差异。在每个种族和少数民族群体中,我们还发现各州的申请率和就业率存在很大差异,这表明有必要为州VR机构制定绩效衡量标准和标准化指南,以更好地为少数种族和少数族裔的残疾人服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.90
自引率
15.40%
发文量
28
期刊介绍: Rehabilitation Counseling Bulletin (RCB) publishes articles on rehabilitation counseling with a major emphasis on data-based research reports, although other types of contributions to professional knowledge in rehabilitation counseling will be considered. Examples include articles that explain an innovative technique or application, point/ counterpoint debates on a current controversy challenging the profession, or insightful essays on an important issue. Contributions of these kinds may be considered for a special section of RCB. Article topics cover a wide range—from ethical dilemmas related to counseling clients with HIV/AIDS to clinical problem solving in micro–case management.
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