Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50...

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Occupational Therapy and Vocational Rehab June 3, 2020

Transcript of Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50...

Page 1: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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Occupational Therapy and Vocational Rehab

June 3, 2020

Page 2: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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CEU REQUIREMENTS

If you plan on requesting continuing education credits, you MUST complete all of the following steps:

1. You must have registered online for today’s session

2. Dial-in to the audio portion of the webinarPlease note that participants who “listen-in” on another participant’s line will NOT be eligible for credit.

3. Within 2 WEEKS of this session:

Complete the evaluation*

Complete the post-test & earn a passing grade*

*An email with links to the evaluation and post-test will be sentThursday afternoon (6/4/2020) by 5:00 pm ET.

**Certificates will be emailed within 4 weeks**

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SPEAKERS

Dorra Blacker, CRC, LMHCRusk Rehabilitation, NYU Langone Health

Gabrielle Miskovitz, OTR/L, CHT, CLT Memorial Sloan Kettering Cancer Center

This publication is designed to provide general information on the topics presented. It is provided with the understanding that the author is not engaged in rendering any legal or professional services by its publication or distribution. Although

these materials were reviewed by a professional, they should not be used as a substitute for professional services.

© Copyright 2020 Cancer and Careers, Dorra Blacker, CRC, LMHC, and Gabrielle Miskovitz, OTR/L, CHT

Page 4: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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AN OVERVIEW OF VOCATIONAL REHAB SERVICES

Dorra Blacker, CRC, LMHCRusk Rehabilitation, NYU Langone Health

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VOCATIONAL REHAB SERVICES AGENDA

• Vocational Counseling• Return to Work — Self-Assessment Techniques• Strategies for a Career Change• Diagnostic Vocational Evaluation• Job Placement Services• Community Resources

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VOCATIONAL COUNSELING

• Helping individuals with disabilities identify a realistic plan to achieve their highest vocational, academic or avocational goal

• Counseling addressing adjustment to disability within a vocational context — ”new normal”

• Return-to-work issues• Change-of-career strategies

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QUESTIONS ASKED DURING COUNSELING

• Will I be able to return to my job?

• How do I know if I can go back to work?

• What if I can’t do the same job as before?

• What if I can only do part of my job?

• What accommodations do I need?

• What do I tell my employer?• What other skills do I have? • What if I don’t want to return to my job?

• Should I give up my disability benefits?

• What do I put on a resume?

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CHALLENGES DEALING WITH TREATMENT; RETURN-TO-WORK ISSUES & RECOVERY

• Renewed goals• Physical and cognitive issues — “chemo brain” (cognitive deficits), fatigue, stamina

• Reasonable accommodations- ADA requests• Compensatory strategies• Financial concerns — medical benefits, long-term disability

Page 9: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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RETURN-TO-WORK ISSUES: SELF-ASSESSMENT

• Important to know your strengths and challenges• May experience cognitive or physical deficits• Fatigue issues — may now need to work part-time, flexible hours or a home-based job, frequent breaks

• May require more structured job duties, extra time for tasks

• Reduced distraction in work environment-quieter office, closer to restroom

• Less stressful work environment• Explore consulting opportunities

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CAREER CHANGE: INDEPENDENT SEARCH

• What do you want to do?• O*Net Interest Profiler — structured tool for career exploration, provided by the U.S. Dept. of Labor

• Computerized system to help identify strongest work-related interests

• Knowing interests can help decide the kinds of jobs & careers to explore

• Assists in identifying interests by responding to questions of likes & dislikes

• Interests & categories are revealed, not aptitudes or skill level

• Provides basic information to start career exploration

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OPPORTUNITIES WITHIN THE SAME FIELD

• Explore opportunities within the same field that provide more accommodations needed for functional purpose

• Reach out to current contacts• Coworkers, friends & family can be valuable resources• Contact professional organizations• Think outside the box• Examine your transferrable skills

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LEARNING ABOUT DIFFERENT CAREERS

• Informational interviews• Contact human resources departments• Contact friends and family• Contact professional organizations• Occupational Outlook Handbook• U.S. Department of Labor website• Take a continuing education course• Read college bulletins as to the direction the field is taking

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VOLUNTEER OPPORTUNITIES• Try out a new area of interest• Gain knowledge regarding job duties• Reveals your hidden strengths• Provides socialization and networking skills• Experience and qualifications to put on a resume (under Community or Work Experience)

• Provides a future reference• Excellent environment to assess stamina/cognitive issues

• Can lead to future job leads

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DIAGNOSTIC VOCATIONAL EVALUATION

• More formalized program sponsored by State VocRehab agency regarding return-to-work issues or forming a realistic vocational goal based upon skills, aptitudes and interests

Focus on:• Career development• Enhance self-awareness• Identify cognitive

processing style• Generate worker profile• Generate viable work

goals• Short-term program

• Provide academic/aptitude assessments

• Assess work stamina/endurance

• Assess cognitive status• Assess needed

accommodations and strategies

• Simulate job duties

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JOB PLACEMENT SERVICES

• Job applications and telephone contacts• Writing cover letters & resumes• Finding job leads and the hidden job market• Electronic job search• Social media sites• Interviewing skills & techniques• Disclosure/non-disclosure of disability• Reasonable accommodations• Job-retention & career-enhancement strategies

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CAREER INTERNSHIPS

Pre-requisites• Job goal• Appropriate work

behaviors• Job skills related to field• Job ready

Benefits• Obtain valuable work

experience and a current job reference

• Opportunity to refine and develop job skills

• Increase work stamina

Page 17: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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STATE VOCATIONAL REHABILITATION AGENCIES

• All 50 states, the District of Columbia, and the U.S. Territories have VR agencies

• Provides services to assist eligible individuals with disabilities to obtain employment

• Helps people prepare for and obtain a job

• Provides services (i.e.,: diagnostic vocational evaluation, training and placement)

• Career counseling• Rehabilitation and

assistive technology• Other services necessary

to achieve the employment goal

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REFERRALS AND RESOURCES

National Resources• Department of Labor: www.dol.gov• O*Net: www.onetcenter.org• Volunteer sites: www.idealist.org, www.volunteermatch.org• Google: State Vocational Rehabilitation Agency

– List of State VR Agencies: www.fda.gov/downloads/AboutFDA/WorkingatFDA/UCM277757.pdf• Job Accommodations: www.jan.org• U.S. Equal Employment Opportunity Commission: www.eeoc.gov

NYC Resources • ACCES-VR

• Vocational Rehab: Rusk Rehab, 212-263-6052 • [email protected]

Brooklyn 718-722-6700 Staten Island 718-816-4800

Manhattan 212-630-2300 Bronx 718-931-3500 Queens 347-510-3100

http://www.dol.gov/
http://www.onetcenter.org/
http://www.idealist.org/
http://www.volunteermatch.org/
http://www.fda.gov/downloads/AboutFDA/WorkingatFDA/UCM277757.pdf
http://www.jan.org/
http://www.eeoc.gov/
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AN OVERVIEW OF OCCUPATIONAL THERAPY SERVICES

Gabrielle Miskovitz, OTR/L, CHT, CLTMemorial Sloan Kettering Cancer Center

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OCCUPATIONAL THERAPY SERVICES: KEY TOPICS

• Posture• Home & Office Workstation Ergonomics• Tool Modifications• Cognitive Challenges• Strategies for Performance Improvement• Energy Conservation Tips

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WHAT IS OCCUPATIONAL THERAPY?“… a health profession whose goal is to help people achieve independence, meaning and satisfaction in all aspects of their lives.”

“The occupational therapist’s goal is to provide the client with skills for the job of living — those necessary to function in the community or in the client’s chosen environment.”

— http://steinhardt.nyu.edu/ot/definition/

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ROLE OF OCCUPATIONAL THERAPY IN CANCER CARE

“…to facilitate and enable an individual patient to achieve maximum functional performance, both physically and psychologically, in everyday living skills regardless of his or her life expectancy.”

– Penfold S, 1996

Page 23: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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COMMON PHYSICAL ISSUES

• Shoulder pain–Impingement–Rotator-cuff pathology–Adhesive capsulitis

• Elbow pain –Lateral/medial epicondylitis

• Joint pain–Wrists–Fingers

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• Dropping coins, utensils• Difficulty with fasteners• Difficulty using phone• Difficulty manipulating medications

CHEMOTHERAPY INDUCED PERIPHERAL NEUROPATHY

• Numbness• Tingling• Weakness• Cramping

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TREATMENT ACTIVITIES

• Theraputty• Fine Motor retraining• Sensory Re-education• Vibration

Page 26: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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ERGONOMIC ASSESSMENT FOR WORK & HOME

• Workstation setup–Monitor–Keyboard, mouse–Phone

• Seated posture–Back support–Foot support

• Person/tool interface–What is the movement pattern?

Page 27: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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ERGONOMIC TOOLS FOR WORK & HOME

• Keyboard and mouse

Page 28: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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COMMON COGNITIVE CHALLENGES

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MEMORY

• Lost items (e.g., keys, glasses)• General “forgetfulness”• Medications — missed doses• Forgotten conversation/interactions

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MEMORY STRATEGIES

• Categorization• Context• Visualization• Verbalization

• Rehearsal• Repetition• Phone alarms

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ATTENTION

• Breakdown with multi-step activities – meal preparation

• Difficulty reading the newspaper

• No longer reading books• Difficulty with activities later in

the day

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ATTENTION STRATEGIES

• Avoid multitasking – One task at a time

• Challenging tasks – When energized

• Avoid distractions– Earbuds/Earplugs

• Chunking

• Outlining• Focus questions

– What is my point?– What is my plan?– What did I just read/

learn?

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ORGANIZATION

• Medication management

• Community access• Household

management• Multiple work projects

Page 34: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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ORGANIZATION STRATEGIES

• Visualize directions before community access

• Energy-conservation techniques

• Day Planner• Set time limits• Color coding

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• PowerPoint presentations• Managing email• Coping with distractions• Meetings

WORK TASKS

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• Practice use of software program• Immediate notes after meetings• Plan each day

– Periodic email checks– Time limits

WORK TASKS STRATEGIES

Page 37: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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OTHER SYMPTOM SOLUTIONS

• Fatigue mat • Heating / cooling vest • Compression garments• Exercises to increase strength • Mobility solutions • Reaching tools• Get creative!

– What do you need to function best in your work environment?

Page 38: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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ENERGY-CONSERVATION TECHNIQUES

• Seated position• Rest breaks• Gather materials

• Pace activity• Minimize overhead

reaching• Breathe

Page 39: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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WHAT CAN I DO FROM HERE?

• Symptom modulation• Set realistic daily goals• Activity Analysis

Page 40: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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WHERE CAN I GO FROM HERE?

• Tips for finding an OT near you– Must have a doctor’s referral– Check local hospital outpatient rehabilitation

therapy services– Contact state OT association

• http://www.aota.org/advocacy-policy/state-policy/state-ot-associations.aspx

http://www.aota.org/advocacy-policy/state-policy/state-ot-associations.aspx
Page 41: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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WHERE CAN I GO FROM HERE?

• AOTA – www.aota.org/About-Occupational-Therapy/Patients-Clients.aspx

• Other National Resources– Oncology OT Fact Sheet: http://www.aota.org/-

/media/corporate/files/aboutot/professionals/whatisot/rdp/facts/oncology%20fact%20sheet.pdf

– Peripheral Neuropathy: http://jama.jamanetwork.com/article.aspx?articleid=185714– Cognitive Challenges: http://jama.jamanetwork.com/article.aspx?articleid=182657

• MSKCC Survivorship Articles and Videos– www.mskcc.org/playlists/neuropathy-care-survivors– www.mskcc.org/blog/managing-chemotherapy-induced-peripheral-neuropathy-after-

treatment

http://www.aota.org/About-Occupational-Therapy/Patients-Clients.aspx
http://www.aota.org/-/media/corporate/files/aboutot/professionals/whatisot/rdp/facts/oncology%20fact%20sheet.pdf
http://jama.jamanetwork.com/article.aspx?articleid=185714
http://jama.jamanetwork.com/article.aspx?articleid=182657
https://www.mskcc.org/playlists/neuropathy-care-survivors
http://www.mskcc.org/blog/managing-chemotherapy-induced-peripheral-neuropathy-after-treatment
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SUMMARY

• When to seek OT/VR services?• Strategies to improve tolerance and performance of

work– Postural principles– Ergonomics– Cognitive strategies– Energy-conservation techniques

Page 43: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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UPCOMING CAC EVENTSBALANCING WORK & CANCER WEBINAR SERIES ENHANCING YOUR SKILLS: PREPPING FOR SUCCESS

Wednesday, July 8 at 1 PM ET/10 AM PT

Body Confidence, Self-Confidence in the Workplace

Wednesday, August 5th at 1 PM ET/10 AM PT

Setting Boundaries

Wednesday, September 9th at 1 PM ET/10 AM PT

Newly Diagnosed: Getting Started

Wednesday, October 7th at 1 PM ET/10 AM PT

Health Insurance Options

Wednesday, November 4th at 6 PM ET/3 PM PT

Communicating Effectively: Tips and Techniques

Wednesday, December 9th at 1 PM ET/10 AM PT

NATIONAL CONFERENCE 10th Annual National Conference on Work & Cancer

Friday, June 19th at 8:45 AM ET

VIRTUAL PROGRAMSAsk the Experts with Julie Larson, LCSW

Thursday, June 4th at 1 PM ET/10 AM PT

Ask the Experts with Matthew Leone, CFP

Thursday, June 11th at 1 PM ET/10 AM PT

Networking During Social Distancing

Thursday, June 25th at 1 PM ET/10 AM PT

Ask the Experts with Kathy Flora, MA, NCCC

Tuesday, June 30th at 1 PM ET/10 AM PT

Visit www.cancerandcareers.org/en/community/events for a full list of 2020 events.

http://www.cancerandcareers.org/en/community/events
Page 44: Occupational Therapy and Vocational Rehab · STATE VOCATIONAL REHABILITATION AGENCIES • All 50 states, the District of Columbia, and the U.S. Territories have VR agencies • Provides

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CEU REQUIREMENTS

If you plan on requesting continuing education credits, you MUST complete all of the following steps:

1. You must have registered online for today’s session

2. Dial-in to the audio portion of the webinarPlease note that participants who “listen-in” on another participant’s line will NOT be eligible for credit.

3. Within 2 WEEKS of this session:

Complete the evaluation*

Complete the post-test & earn a passing grade*

*An email with links to the evaluation and post-test will be sentThursday afternoon (6/4/2020) by 5:00 pm ET.

**Certificates will be emailed within 4 weeks**


Funding Assistive Technology for Individuals who are Blind to Support Work and Independence: Looking to State Vocational Rehabilitation Agencies, other.

Funding Assistive Technology for Individuals who are Blind to Support Work and Independence: Looking to State Vocational Rehabilitation Agencies, other.

Clubhouse Profile Questionnaire (CPQ) - 2009 - iccd.org · Clubhouse Profile Questionnaire (CPQ) - 2009. ... Vocational Rehab Agency ... Clubhouse Profile Questionnaire 2009 7 Please

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Ticket to Work Program State Vocational Rehabilitation Agencies Reports at your fingertips through the Secure Provider Portal May 14, 2013.

Ticket to Work Program State Vocational Rehabilitation Agencies Reports at your fingertips through the Secure Provider Portal May 14, 2013.

Skill Development in Rural Areas through CBVT R. Narasimham Chairman, Expert Committee for Developing courses in Vocational Rehab, Rehab Social Work etc…

Skill Development in Rural Areas through CBVT R. Narasimham Chairman, Expert Committee for Developing courses in Vocational Rehab, Rehab Social Work etc…

Vocational Rehab Marketing Webinar for NTI

Vocational Rehab Marketing Webinar for NTI

ORGANIZING FOR PERFORMANCE: A Systematic Approach for Ensuring Breakthrough Performance for Vocational Rehabilitation Agencies Steven W. Collins, Ph.D.

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DRUG REHAB FAQ’s - Alcohol Rehab Centerswedorecover.com/.../2017/01/DRUG-REHAB-FAQs-1.pdf · Drug rehab programs are designed to successfully detox the substances from the addict’s

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Vocational Rehab (VROC) State Psychologist (SPOC ... · 2 promoted to Supervisors, 1 separated from State service, 1 transferred to DSH-Atascadero. New hires past 60 days: September

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RCOT Lives, …  · Web viewDedicated vocational rehab services which offer condition specific support can help in tandem with flexible services which are able to tailor support

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Vocational Psychological Assessment · Vocational Psychological Assessment | Back in Motion Rehab Inc. Page | 1 Vocational Psychological Assessment Name: John Doe* DOB: February 2nd,

Vocational Psychological Assessment · Vocational Psychological Assessment | Back in Motion Rehab Inc. Page | 1 Vocational Psychological Assessment Name: John Doe* DOB: February 2nd,

RAISE YOUR PROFILE GLOBALLY INTERNATIONAL SKILLS … · • quality assurance agencies • sector skills organisations • skills agencies • training providers • vocational institutions

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Vocational HenaDllltaUOn :>ervlce Statewide Locations EMPLOYMENT The Right …c1-preview.prosites.com/74794/wy/docs/Voc. Rehab..pdf · 2010-02-03 · Vocational HenaDllltaUOn :>ervlce

Vocational HenaDllltaUOn :>ervlce Statewide Locations EMPLOYMENT The Right …c1-preview.prosites.com/74794/wy/docs/Voc. Rehab..pdf · 2010-02-03 · Vocational HenaDllltaUOn :>ervlce

Rehab Centers in Utah - The Different Rehab Centers in Utah

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Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

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Fiscal Year 2009 Monitoring Report on the … › rschstat › eval › rehab › 107-repor… · Web viewFiscal Year 2009 Monitoring Report on the Vocational Rehabilitation and Independent

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The Cost-effectiveness of Vocational Rehabilitation …...The Cost-effectiveness of Vocational Rehabilitation Services (A-02-17-14048) 2 State VR agencies may participate in SSA’s

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Psoas Rehab

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Vocational rehab for Persons with Multiple disabilities

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Fiscal Year 2007 Monitoring Report on the … › rschstat › eval › rehab › 107-repor… · Web viewTitle Fiscal Year 2007 Monitoring Report on the Vocational Rehabilitation

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Regional OHS Regional meeting November 2011. AGENDA WELCOME ACHIEVEMENTS AND CHALLENGES CHANGES TO VOCATIONAL REHAB PROGRAMS CLAIMSCONNECT SERVICE AND.

Regional OHS Regional meeting November 2011. AGENDA WELCOME ACHIEVEMENTS AND CHALLENGES CHANGES TO VOCATIONAL REHAB PROGRAMS CLAIMSCONNECT SERVICE AND.