Developing vocational rehabilitation services for people with long-term neurological conditions : Identifying facilitators and barriers to service provision / Kate Hayward [i 3 més]Material type: ArticleContent type: text Media type: informàtic Carrier type: recurs en líniaSubject(s): Teràpia Ocupacional | Rehabilitació vocacional | Rehabilitació neurològicaOnline resources: Accés restringit usuaris EUIT
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|Journal article||Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa Internet||En línia||Link to resource||Not for loan||0001017291573|
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Bilal A Mateen, E Diane Playford, Gail Eva
This study aimed to understand existing vocational rehabilitation service provision in one locality in London (population 3.74 million), identify any gaps and explore reasons for this, to support service development.
Using soft systems methodology to guide the research process, semi-structured interviews were completed with nine participants, who were clinicians and managers providing vocational rehabilitation within a National Health Service context. Data were analysed thematically to build a ‘rich picture’ and develop a conceptual model of vocational rehabilitation service delivery. Findings were then ratified with participants at an engagement event.
The findings indicate a spectrum of vocational rehabilitation service provision for long-term neurological conditions with differing levels of funding in place. Vocational rehabilitation often takes place ‘under the radar’ and therefore the true vocational rehabilitation needs of this population, and the extent of service provision, is not known. There is inconsistency of understanding across the services as to what constitutes vocational rehabilitation and outcomes are not routinely measured.
For vocational rehabilitation services to develop they require appropriate funding, driven by government policy to commissioners. Clear definitions of vocational rehabilitation, collecting and sharing outcome data and effective communication across services are needed at a local level. This is expressed in a conceptual model of vocational rehabilitation service delivery.