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Vocational Rehabilitation For Life Care Planners 7/17/2015 Howard Caston, PhD 1 Introduction 7/17/2015 Background Overview Relevance to life care planning Related to the objectives 2 Overview 7/17/2015 Vocational Evaluation Americans With Disabilities Act (ADA) Vocational rehabilitation resources 3 Vocational Evaluation 7/17/2015 Reason for referral Work History Education Training Testing Clinical observations Medical status Social Motivation Transferability of skills analysis (TSA) Labor market analysis Other 4 Pre-evaluation conference 7/17/2015 Discuss with attorney Staff with agency Discuss with case manager 5 Reason for referral 7/17/2015 Rehabilitation assessment Return to Work Training Earnings capacity Costs File review Litigation only Agency specific 6 Interview 7/17/2015 Should be structured Have appropriate intake form Explain purpose Discuss confidentiality Explain reasons for testing Prepare for discussion of outcomes with client/family Validate data Notice pain behaviors Unusual statements/behaviors 7 Work History 7/17/2015 Jobs/resume Job descriptions-accurate Primary duties Worker characteristics 8 Analysis of work history 7/17/2015 Job titles DOT numbers Physical demands Educational requirements Supervision Complexity Training time 9 Testing 7/17/2015 Achievement Aptitude Interests Questionnaire Psychological 10 Achievement testing 7/17/2015 Reading Math Spelling Basic academic levels Scoring-grade level/percentile Example-WRAT 11 Aptitude testing 7/17/2015 General Verbal Numerical Clerical Motor cord Finger dexterity Eye-hand-foot Color discrimination 12 Aptitude 7/17/2015 Usually pencil/paper or dexterity Normed on age/industrial group Face validity Commercial Examples-DAT, GATB, OASIS Work sample systems – valpar, work simulators, etc. 13 Interest 7/17/2015 Questions about vocational and life interests Similar jobs Similar interests of workers Examples-Strong, Career Assessment, Self-directed Search. 14 Clinical observations 7/17/2015 Attention/concentration Ability to follow instuctions Interpersonal communication Personal appearance Tolerance Verbal motivation Demonstrated motivation Memory 15 Transferable skills analysis (TSA) 7/17/2015 Physical demand Aptitudes General Educational Development (GED) Specific Vocational Preparation (SVP) Environmental Conditions Temperaments 16 Physical Demands Lifting 7/17/2015 Sedentary Light Medium Heavy Very heavy 17 Physical Demands Functional Capacities 7/17/2015 Climbing Balancing Stooping Kneeling Crouching Crawling Reaching Handling 18 Physical Demands Functional Capacities (Contd.) 7/17/2015 Fingering Feeling Talking Hearing Tasting/smelling Near/far acuity Depth perception Accommodation Color and field of vision 19 Aptitudes 7/17/2015 G-Intelligence V-Verbal N-Numerical S-Spatial P-Form perception Q-Clerical perception K-Motor coordination F-Finger dexterity M-Manual dexterity E-Eye-hand-foot coordination C-Color discrimination 20 General Educational Development (GED) 7/17/2015 Reasoning Mathematics Language 21 Specific Vocational Preparation (SVP) Level 7/17/2015 1 2 3 4 5 6 7 8 9 Short demonstration Up to one month One month to three months Three months to six months Six months to one year One year to two years Two to four years Four to ten years Over ten years 22 Skill Level 7/17/2015 Unskilled Semi-skilled Skilled SVP 1-2 SVP 3-4 SVP 5-9 23 Environmental Conditions 7/17/2015 Exposure to Weather Extreme cold Extreme heat Wet and/or humid Noise intensity Vibration Atmospheric conditions Hazards N-not present O-occasionally F-frequently C-constantly 24 Temperaments 7/17/2015 ADEI JPRSTUV- working alone controlling/planning activities expressing personal feelings influencing people making judgments and decisions dealing with people performing routine activities performing under stress attaining precise tolerances working under specific instructions performing a variety of duties 25 Process of analysis 7/17/2015 Prioritize factors Manual analysis Computerized report Labor market relevance 26 Labor market analysis 7/17/2015 Computerized search Internal data base O*NET-links to jobs Local advertised jobs Internet web sites Confer with job developer Other 27 American with Disabilities Act (ADA) 7/17/2015 Employment Public accommodations Transportation State and local government 28 ADA-Employment 7/17/2015 It is unlawful for an employer to discriminate against a qualified individual with a disability who can perform the essential functions of the job with or without reasonable accommodation that does not provide undue hardship on an employer. 29 Disability 7/17/2015 Any physical/mental condition that causes a substantial limitation of a major life activity. 30 Major life activity 7/17/2015 Self care Walking Seeing Hearing Speaking Learning Working Sitting 31 Examples of disability 7/17/2015 Paraplegia Learning disabled Schizophrenia Record of impairment Perceived as being disabled 32 Exclusions 7/17/2015 Temporary conditions Nearsighted Flu Skin disorder that prevents shaving Left handedness Raised in Kentucky Addiction to Big Mac’s 33 Discrimination 7/17/2015 Segregating/classifying Using administration methods Not making reasonable accommodations Using inappropriate tests to screen Hiring Promotion policy Retaliation Prohibited medical exams Reassignment $alary 34 Qualified individual 7/17/2015 Knowledge of the essential functions Education Experience Specific skills licenses 35 Essential functions 7/17/2015 Job description Employer’s judgment Duties Equipment Environmental Functional requirements Production standards 36 Reasonable Accommodation Areas covered 7/17/2015 Application process Work environment Benefits 37 Examples of accommodation 7/17/2015 Job restructuring Rehab engineering Modified work schedules Qualified readers/interpreters Telecommuting Paid leave/FMLA/unpaid leave Reserved parking places Transitional work Change duties 38 Case examples 7/17/2015 Back injury-change duties, job swapping, change duties, engineering Hearing impairments-hearing aide device, noise reduction, interpreter Visual impairment-large print type, voice text, coach Learning disabled-job coach, longer training time, longer time for work TBI-written detailed job description, visual clues, computer aided prompting Psychiatric- reduced interpersonal, low stress, 39 distribute medications Undue hardship 7/17/2015 Cost to employer Extensive Substantial Disruptive Fundamentally alter the job Affect other employees Unsafe 40 Cases 7/17/2015 U.S. Airways Inc. v. Barnettseniority prevails usually Chevron USA Inc. v Echazabalcan reject workers at risk to own health U.S. v. Cinemark USA, Inc.- Line of sight for movies. Toyota 41 Summary Objectives 7/17/2015 Vocational testing Vocational rehabilitation evaluation ADA 42 Class Evaluation/Assessment Grading 7/17/2015 Project Exam 43