ARTICLES

 

Re-conceptualising vocational rehabilitation services towards an inter-sectoral model

 

 

Z Coetzee^I; Charlyn Goliath^II; Ronel van der Westhuizen^III; Lana Van Niekerk^IV

^IDip Occ Ther (UP), M Sc (Occ Th) UCT, Lecturer Division of Occupational Therapy, Department of Inter- disciplinary Sciences, Faculty of Health Science, University of Stellenbosch
^IIB OT (US), M.OccTh (US), Lecturer, Lecturer Division of Occupational Therapy, Department of Inter- disciplinary Sciences, Faculty of Health Science, University of Stellenbosch
^IIIB. OT (UOFS), Part-time lecturer, Division of Occupational Therapy, Department of Inter- disciplinary Sciences, Faculty of Health Science, University of Stellenbosch
^IVB(OccTher)UOFS, M(OccTher)UOFS, PhD UCT, Division of Occupational Therapy, Department of Health and Rehabilitation Sciences, University of Cape Town

Correspondence

 

 

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ABSTRACT

This paper reports on a process that was undertaken by a group of occupational therapists, to re-conceptualise vocational rehabilitation in the Western Cape Province. A critical action research inquiry method was used to review the role and positioning of the vocational rehabilitation services. The traditional vocational services, situated within the Department of Health, were found to be limited in a number of ways. The positioning of vocational rehabilitation as predominantly a health concern created a barrier that limited the scope of service delivery, thus hindering the outcome of employment. An alternate inter-sectoral approach was conceptualised; such an approach could have significant implications for the application of vocational rehabilitation. The implementation of the model that is proposed in this article will depend on the identified key stakeholders' acceptance thereof and their efforts to collaborate.

Key words: Vocational rehabilitation, Inter-sectoral model, Domains of practice

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References

1. Higson-Smith C, Richter L, Altman M. Care as vocation and occupation. In: Watson R Swartz L. Transformation through Occupation. London: Whurr publishers, 2004.         [ Links ]

2. Statistics South Africa. Disability - Western Cape by District. <http://www.str.com.au (11 June 2004).         [ Links ]

3. Statistics South Africa. Disability - Western Cape Open Labour Market Employment Rates. <http://www.str.com.au (24 August 2004).         [ Links ]

4. Kiernan WE, Shalock R L. Economics, Industry, and Disability. Baltimore: Paul H Brookes Publishing Co, 1989.         [ Links ]

5. Perry DA . Vocational Rehabilitation and Employment: From Principles to Practice. Technical Background Paper. International labour Office. East Asia Multidisciplinary Team: 1998, p.1.         [ Links ]

6. Bradshaw D, Nannan N. 2004. Health Status. In: Ijumba P Day C and Ntuli A. (Eds). South African Health Review 2003/4. Durban: Health Systems Trust; 2004.         [ Links ]

7. Integrated Provincial Disability Strategy. Office of the Premier, Western Cape, June 2003.         [ Links ]

8. Cimera, R.E. and G. Oswald. An Exploration of the Costs of Services Funded by Vocational Rehabilitation. Journal of Rehabilitation, 2009. 75(1): p. 18-26.         [ Links ]

9. Millet, PB. and P Vaittinen, Job functions of Swedish public and private sector vocational rehabilitation workers. Disability & Rehabilitation, 2009; 31(19): 1614-1624.         [ Links ]

10. Boutin, D.L. Where Vocational Rehabilitation Consumers Work According to the Standard Occupational Classification System. Journal of Rehabilitation, 2010; 76(3): 32-39.         [ Links ]

11. Walls, R.T., et al. Vocational Rehabilitation and Job Accommodations for Individuals with Substance Abuse Disorders. Journal of Rehabilitation, 2009; 75(4): 25-44.         [ Links ]

12. Michon, H., et al. Person-related predictors of employment outcomes after participation in psychiatric vocational rehabilitation programmes. Social Psychiatry & Psychiatric Epidemiology, 2005; 40(5): 408-416.         [ Links ]

13. Stuckley R. In: Pratt J, Jacobs K. Work Practice: International Perspectives. Oxford: Butterworth- Heinemann, 1997, Chapter 1, p 21.         [ Links ]

14. International Labour Organisation. CI59 Vocational Rehabilitation and Employment: (Disabled Persons) Convention. Geneva: 1983, p.1.         [ Links ]

15. Skorikov V.B. Continuity in adolescent career preparation and its effects on adjustment. Journal of Vocational Behaviour, 2007; 70: 8-24.         [ Links ]

16. Newman B.M, Newman PR. Development through Life- A Psychosocial Approach. 5th Edition. California: Brooks/Cole Publishing Company, I99I.         [ Links ]

17. World Health Organization. International Classification of Functioning, Disability and Health, 2001.         [ Links ]

18. Koch L, Egbert N, Coeling H. The Working Alliance as a Model for Interdisciplinary Collaboration. Work, 2005; 25: 369-373.         [ Links ]

19. Office of Deputy President. Integrated National Disability Strategy White Paper. Rustica Press, November, 1997.         [ Links ]

20. Denzin NK, Lincoln YS. Strategies of Qualitative Enquiry. London: Sage Publications, 1998.         [ Links ]

21. Streubert H J, Carpenter D R. Qualitative Research in Nursing: Advancing the Humanistic Imperative. Lippincott, 1995.         [ Links ]

22. Department of Health. National Rehabilitation Policy-Rehabilitation for all. November 2000.         [ Links ]

23. Department of labour Labour Centres. http://www.labour.gov.za/about/labourcetnres.html        [ Links ]

24. Proceedings of an Inter-sectoral Meeting on the Economic Empowerment of Persons with Disabilities, 4 March 2005. A Partnership Project between the Work Assessment Group, The Department of Health Provincial Rehabilitation Programme and the Office on the Status of Disabled Persons within the Department of the Premier.         [ Links ]

25. Copyright© Vocational Rehabilitation Task team-Occupational Therapists in Department of Health, Universities of Stellenbosch and Cape Town, Work Assessment and Vocational Rehabilitation Interest Groups. Proposal for an Inter-sectoral Partnership in Vocational Rehabilitation Services in the Western Cape Province- A Discussion Document. Cape Town: 2004.         [ Links ]

 

 

Correspondence:
Z Coetzee
Zelda@sun.ac.za