University of Texas-Rio Grande Valley, Edinburg, USA.
Department of Educational Sciences, Harran University, Şanlıurfa, Turkey.
J Occup Rehabil. 2023 Sep;33(3):538-549. doi: 10.1007/s10926-022-10092-1. Epub 2023 Jan 18.
Millions of Americans receiving Social Security Administration (SSA) disability benefits aspire to work and reduce reliance on disability benefits, but find the rules about entering or rejoining the workforce too complex or confusing and fear that working will cause loss of important benefits.
A case control study was conducted to investigate the impact of receiving work incentives benefits counseling (WIBC) on employment outcomes, and its relationship with demographic covariates for U.S. vocational rehabilitation (VR) clients who are SSA disability benefit recipients.
Data for this study were extracted from the Rehabilitation Service Administration (RSA-911) database. Mahalanobis distance matching procedures were used to match clients who received WIBC with those who did not receive it. Chi-square independence tests and independent samples t tests were used to compare receipt of WIBC and employment outcomes based on the demographic variables. Additionally, chi squared automatic interaction detection (CHAID) analysis was used to divide VR clients into homogeneous groups based on the covariates.
Clients who received WIBC were more likely to obtain competitive integrated employment (CIE). Impairment type, referral source, long-term employment and education level were significantly associated with CIE for clients who received WIBC. Additionally, VR clients with sensory/communicative impairments and low-income status were less likely to receive WIBC.
Modifying VR structure to be more inclusive; understanding of stigma; and increasing the functioning, psychological well-being and self-efficacy of VR clients might improve employment outcomes.
数以百万计的美国社会保障管理局（SSA）残疾福利领取者渴望工作并减少对残疾福利的依赖，但发现有关进入或重新加入劳动力市场的规则过于复杂或令人困惑，并担心工作会导致丧失重要福利。
进行了一项病例对照研究，以调查接受工作激励福利咨询（WIBC）对就业结果的影响，以及其与美国职业康复（VR）客户的人口统计学协变量的关系，这些客户是 SSA 残疾福利领取者。
本研究的数据取自康复服务管理局（RSA-911）数据库。使用马哈拉诺比斯距离匹配程序将接受 WIBC 的客户与未接受 WIBC 的客户进行匹配。使用卡方独立性检验和独立样本 t 检验根据人口统计学变量比较接受 WIBC 和就业结果。此外，还使用 CHAID 分析根据协变量将 VR 客户分为同质组。
接受 WIBC 的客户更有可能获得竞争性综合就业（CIE）。对于接受 WIBC 的客户，残疾类型、转介来源、长期就业和教育水平与 CIE 显著相关。此外，有感官/沟通障碍和低收入的 VR 客户不太可能接受 WIBC。
修改 VR 结构以使其更具包容性；了解污名；并提高 VR 客户的功能、心理健康和自我效能，可能会改善就业结果。
