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- W30486057 abstract "Vocational Rehabilitation (VR) is a service utilized to serve individuals that have a disability, mental or physical, resulting in substantial barriers to employment. These services are offered through public funded VR agencies, such as Division of Rehabilitation Services (Illinois). VR agencies provide comprehensive, coordinated, effective, efficient, and accountable services needed by those individuals who are deemed eligible for services to help obtain and retain employment (Indiana Family and Social Services Association, 2011). Alcohol and other drug abuse (AODA) barriers is one functional limitation that persons with disabilities (PWD) experience when seeking employment and PWD are likely to experience AODA disorders at rates far in excess of the general population (Koch & Dotson, 2008; Koch, 2002; CSAT, 1998). Functional limitations are understood to be the impairments in physical, behavioral, or emotional functioning that result directly from (Janikowski, Donnely, & Lawrence, 2007, p 1). The goal of this study is to discuss AODA and the barriers they cause, provide the necessary literature describing the need for screening, and offer a potential option to help detect this functional limitation. According to the Office on Disability-Substance Abuse and Disability (2010), substance use disorders occur more often in PWD, due to a number of possible risks, including medication and health problems, societal enabling, lack of identification of potential problems, and a lack of accessible and appropriate prevention and treatment services. As many as 1.5 million persons with disabilities may need treatment for their substance use disorders (Moore, 2002) and substance abuse prevalence rates increase with specific types of disabilities. The exact amount of persons with disabilities (PWD) that use substances are uncertain, but in 2002 the Substance Abuse and Mental Health Services Administration (SAMHSA) suggests that approximately 4.7 million Americans with disabilities experience co-existing substance abuse challenges (Office on Disability-Substance Abuse and Disability, 2010). The SAMHSA statistics report indicates that there are approximately 22.3 million individuals in the U.S. aged 12 or older (9% of the general population) who met the DSM-IV TR diagnostic criteria for substance abuse or dependence in 2007 (Walls, Moore, Batiste, & Loy, 2009; SAMHSA, 2008). According to the National Survey on Drug Use and Health (NSDUH), in 2008 the current illicit drug use rate was 8.7 percent of the general population (SAMHSA, 2008). Recent data suggests that 50% of persons with traumatic brain injury, spinal cord injuries, or mental illness use substances and 40-50% of persons with spinal cord injury, orthopedic disabilities, vision impairment, and amputations can be classified as heavy drinkers (SAMHSA, 2011). As noted earlier, the exact prevalence of substance use disorders among PWD varies by type of disability; however, the Office on Disability (2010) estimates that substance use disorders (SUDS) occur 2-4 times more often with PWD than the general population and using data to describe occurrence of SUDS in the general population is a starting point when understanding the number of PWD affected by AODA. As PWD are estimated to experience SUDS at 2-4 times the general population and with some types of disability groups as high as 50%, substance abuse poses a significant barrier to rehabilitation success that must be addressed for PWD. Vocational Rehabilitation and Substance Abuse Employment is a primary concern of both public and private vocational rehabilitation professionals. Identifying functional limitations or barriers that may prevent PWD from finding employment is of critical importance. West (2008) suggests that VR services may aid substance abusers by helping them obtain competitive employment and maintaining a substance free lifestyle. However, policies and procedures that dictate each client must be screened haven't been implemented in all State-funded VR programs (Moore, McAweeney, Keferl, Glenn, & Ford, 2008). …" @default.
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- W30486057 date "2012-04-01" @default.
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- W30486057 title "Supported Education for Returning Veterans with PTSD and Other Mental Disorders" @default.
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