Agency Decision-Making Control and Employment Outcomes by Vocational Rehabilitation Consumers who are Blind or Visually Impaired

Abstract

Introduction

We hypothesized that consumers who are blind or visually impaired (that is, those who have low vision) who were served by state vocational rehabilitation agencies with decision-making control over administrative functions would experience better vocational rehabilitation outcomes than consumers served by vocational rehabilitation agencies with less control in these areas.

Methods

We merged person-level RSA-911 (fiscal year 2010) data with agency-level data collected as part of the National Survey of State Vocational Rehabilitation Agencies, which we conducted in 2011. We employed multilevel modeling, controlling for select person-level characteristics, and agency-level indicators of primary decision-making control by vocational rehabilitation agencies in six key administrative functions: human resources, infrastructure, management information systems, policies and procedures, program evaluation, and purchasing. Dependent variables were measures of “any employment” and “competitive employment” outcomes.

Results

We report a positive association between agency decision-making control over policies and procedures and competitive employment outcomes by consumers who were blind (odds ratio = 2.64; 95% confidence interval 1.23–5. 72). Among consumers who are visually impaired, agency decision-making control over human resources was negatively associated with any employment closures (odds ratio = 0.56; 95% confidence interval = 0.36–0.93) and competitive employment outcomes (odds ratio = 0.56; 95% confidence interval = 0.33–0.97).

Discussion

Results demonstrate the potential for factors related to agencies, in addition to factors related to individuals, to function as mediators of vocational rehabilitation outcomes for consumers who are blind or visually impaired.

Implications for practitioners

Findings highlight the importance of understanding how management control over areas such as policy and procedures have the potential to influence service delivery and subsequent employment outcomes.

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References

American Foundation for the Blind. (2012a). Rationale for specialized employment services for people who are blind or visually impaired. Retrieved October 3, 2012, from http://www.afb.org/section.aspx?Documentid=1246

American Foundation for the Blind. (2012b). Interpreting Bureau of Labor Statistics employment data. Retrieved June 21, 2012, from http://www.afb.org/section.aspx?SectionID=15&SubTopicID=177

Bureau of Labor Statistics. (2010). Employment status of the civilian noninstitutional population by age, sex, and race. Retrieved June 21, 2012, from ftp://ftp.bls.gov/pub/special.requests/lf/aa2010/aat3.txt

Capella-McDonnall

M. E.

(2005). Predictors of competitive employment for blind and visually impaired consumers of vocational rehabilitation services. Journal of Visual Impairment & Blindness, 99, 303–315.

Cavenaugh

(2010). National Council of State Agencies for the Blind: An update on services and outcomes of blind and visually impaired consumers served in separate and general/combined VR agencies. Mississippi State: Mississippi State University Rehabilitation Research and Training Center on Blindness and Low Vision.

Cavenaugh

, Giesen

, & Pierce

(2000). Rehabilitation of visually impaired persons in separate and general agencies. Journal of Visual Impairment & Blindness, 94, 133–145.

Crudden

, & McBroom

L. W.

(1999). Barriers to employment: A survey of employed persons who are visually impaired. Journal of Visual Impairment & Blindness, 93, 341–350.

Giesen

J. M.

, Graves

W. H.

, Schmitt

, Lamb

A. M.

, Cook

, Capps

, & Boyet

(1985). Predicting work status outcomes of blind/severely visually impaired clients of state rehabilitation agencies (technical report). Mississippi State: Mississippi State University Rehabilitation Research and Training Center on Blindness and Low Vision.

Giesen

J. M.

, & Cavenaugh

B. S.

(2012). Transition-age youths with visual impairments in vocational rehabilitation: A new look at competitive outcomes and services. Journal of Visual Impairment & Blindness, 106, 475–487.

10.

Government Accountability Office. (September 23, 2005). Better measures and monitoring could improve the performance of the VR program (GAO-05-865). Washington, DC: Author.

11.

Kirchner

, Schmeidler

, & Todorov

(1999). Looking at employment through a lifespan telescope: Age, health, and employment status of people with serious visual impairment. Mississippi State: Mississippi State University Rehabilitation Research and Training Center on Blindness and Low Vision.

12.

McDonnall

M. C.

(2011). Predictors of employment for youths with visual impairments: Findings from the second National Longitudinal Transition Study. Journal of Visual Impairment & Blindness, 105, 453–466.

13.

McDonnall

M. C.

, & Crudden

(2009). Factors affecting the successful employment of transition-age youths with visual impairments. Journal of Visual Impairment & Blindness, 103, 329–341.

14.

Rehabilitation Act of 1998. Pub. L. No. 105-220.

15.

Rubin

S. E.

, & Roessler

R. T.

(2008). Foundations of the vocational rehabilitation process (6th Ed.). Austin, TX: ProEd.

16.

StataCorp. (2009). Stata Statistical Software: Release 11. College Station, TX: Stata-Corp.

17.

U.S. Department of Education (2012). Technical assistance circular. RSA-TAC-12-03 (April 16, 2012).

18.

Vocational Rehabilitation Act of 1943, Pub. L. No. 78-113.

19.

Vocational Rehabilitation Act of 1954, Pub. L. No. 83-565.

20.

Vocational Rehabilitation Act of 1965, Pub. L. No. 89-333.