Effects of disability compensation on participation in and outcomes of vocational rehabilitation
Effects of disability compensation on participation in and outcomes of vocational rehabilitation
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DOI：
10.1176/appi.ps.52.11.1479
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发表时间：
2001-11-01
影响因子：
3.8
通讯作者：
Rosenheck, RA
中科院分区：
文献类型：
--
作者：
Drew, D;Drebing, CE;Rosenheck, RA
目的：作者试图确定残疾补偿的领取与参与者在职业康复计划中取得成功之间的关系。方法：对 1993 年至 1998 年间参加退伍军人健康管理局补偿工作治疗计划的 22,515 名个人的管理数据进行了分析。对接受残疾补偿的参与者和未接受残疾补偿的参与者之间的六个因变量进行了比较：参与补偿工作治疗的持续时间、每周工作时数、平均每小时收入、补偿工作治疗的总收入、辍学率和出院时的竞争性就业状况。确定每个因变量的回归方程，以评估与残疾程度、残疾补偿金额和补偿计划类型的关联。结果：接受残疾福利的参与者每周在有偿工作治疗中工作的时间更少，收入更少，辍学率更高，并且在出院时不太可能有竞争性就业。补偿金额和计划类型与参加有偿工作治疗和结果有适度但显着的相关性。结论：残疾补偿计划的意外影响阻碍了职业康复的充分参与，并导致康复结果较差。
Objective: The authors sought to determine the relationship between receipt of disability compensation and participants' success in a vocational rehabilitation program. Methods: Administrative data for 22,515 individuals who participated hi the Veterans Health Administration compensated work therapy program between 1993 and 1998 were analyzed. Six dependent variables were compared between participants who were receiving disability compensation and those who were not: duration of participation in compensated work therapy, number of hours worked per week, mean hourly earnings, total income from compensated work therapy, dropout rate, and competitive employment status at discharge. Regression equations were determined for each dependent variable to assess associations with the degree of disability, the amount of disability compensation, and the type of compensation program. Results: Participants who were receiving disability benefits worked fewer hours in compensated work therapy each week, earned less income, had a higher dropout rate, and were less likely to be competitively employed at discharge. The amount of compensation and the type of program were modestly but significantly associated with participation in compensated work therapy and with outcome. Conclusions: Unintended effects of disability compensation programs discourage full participation in vocational rehabilitation and result in poorer rehabilitation outcomes.