Hitchen S R
State of Oregon DHS/OVRS, Portland, Oregon, USA.
Am Indian Alsk Native Ment Health Res. 2001;10(2):85-98. doi: 10.5820/aian.1002.2001.85.
One of the most exciting and frustrating times in the treatment process or a client in recovery is the period when that individual moves into aftercare. There are many challenges and obstacles to maintaining his or her clean/sober status, and support systems are key to a client s success in aftercare. Unfortunately, a group of professionals who can have a very strong impact on that success-- those in Vocational Rehabilitation (VR)-- are often left out of the system. Treatment and aftercare counselors may have a good understanding of many of the social services needed by clients who are transitioning into aftercare, but most are not aware of, or are under-informed about, the scope of services offered by VR that can meet the client s rehabilitation needs. Clients in recovery from substance abuse are eligible to apply for VR services. Bringing VR counselors into the process and encouraging them to be active participants in the aftercare of the client can therefore help a client prevent relapse and become a contributing, successful member of society. However, if treatment and aftercare counselors are unfamiliar with VR programs, they will not include VR counselors in aftercare planning and service provision. In an effort to assist such partnerships to be established and maintained, this article will discuss VR and its history, briefly outline its case management format, and discuss the limitations of the format. It will touch upon ways to incorporate VR staff into the aftercare process. This article will also discuss partnership efforts in the state of Oregon between American Indian- based treatment center and the Oregon Department of Human Services; Office of Vocational Rehabilitation Services (OVRS), and outline suggestions to allow the reader to create and maintain ties for improving collaboration in their communities.
对于正在康复的客户而言，治疗过程中最激动人心却又令人沮丧的阶段之一，就是进入后续照护的时期。要维持其戒毒/戒酒状态面临诸多挑战和障碍，而支持系统是客户在后续照护中取得成功的关键。不幸的是，一群对这一成功有着重大影响的专业人士——职业康复（VR）领域的人员——却常常被排除在这个体系之外。治疗和后续照护顾问可能很了解刚进入后续照护阶段的客户所需的许多社会服务，但大多数人并不知晓或了解不足VR所提供的能够满足客户康复需求的服务范围。从药物滥用中康复的客户有资格申请VR服务。因此，让VR顾问参与进来并鼓励他们积极参与客户的后续照护，有助于客户预防复发并成为对社会有贡献的成功成员。然而，如果治疗和后续照护顾问不熟悉VR项目，他们就不会将VR顾问纳入后续照护计划和服务提供之中。为了帮助建立和维持这种合作关系，本文将讨论VR及其历史，简要概述其案例管理模式，并探讨该模式的局限性。文章还将涉及把VR工作人员纳入后续照护过程的方法。本文还将讨论美国印第安人治疗中心与俄勒冈州公共服务部职业康复服务办公室（OVRS）在俄勒冈州开展的合作，并提出一些建议，以便读者能够建立并维持联系，从而在各自社区中加强合作。
