Telerehabilitation has emerged as a promising option for vocational rehabilitation to address barriers with consumers. Pilot programs like the one described here are being used to remotely train counselors and serve consumers by providing treatment and support through technology. This program delivers training and service through an online portal that allows consumers specific options tailored to individual needs. Counselors have been trained in 43 states via webcasts, videoconferencing, and in-person trainings. Telerehabilitation can enhance employment outcomes by improving access for consumers, strengthening the counselor-consumer relationship, and increasing contacts with consumers. Counselors can also augment traditional services and increase engagement without increasing travel time and associated costs. Consumers are able to take a more active role in the vocational rehabilitation process, have a better understanding of VR services, increase their knowledge about what to expect of VR services, and be more accountable and involved in the progress and outcomes of VR services.

Background: Many of the individuals who are released from incarceration are re-arrested and re-incarcerated within three years of release. Challenges that predispose individuals to re-arrest and re-incarceration include lack of education, employment opportunities, decent affordable housing, and treatment for substance use disorders (SUD) and/or mental illness. This report summarizes the behavioral health needs of newly arrested individuals in Montgomery County, Ohio.Methods: For this project, 4,809 adult individuals arrested for non-violent crimes received behavioral health screening and case management at booking in the Montgomery County Jail. Criminogenic assessment using the Risk-Needs-Responsivity (RNR) tool was conducted with 484 arrestees. Descriptive statistics and chi square statistics were calculated for gender, race, referrals made, education level, employment status, housing status, alcohol and other drug use, and mental health status.Results: As a group, the arrestees were undereducated, underemployed, and homeless. Based on RNR assessment, 67% had an SUD,and 60% required mental health treatment. Significant gender and racial differences were found among the arrestees, with womensignificantly more likely to have SUD and mental health issues.Conclusions: Individuals arrested and booked into the Montgomery County Jail experience a complex interaction among mental health, poly-substance use, medical, employment, and housing needs that must be addressed in a comprehensive and coordinated funding manner. This interactive complexity of issues demand a response from an integrated service delivery system that would best benefit the person served and the community.

Creating accessible health information (HI) decreases inequities, empowers individuals to make informed health decisions, and promote cues to action for potential health behavior changes. However, HI may not be created with accommodations to allow engagement in HI for some populations, such as indi- viduals with hearing loss. Therefore, developing HI based on specific guidelines such as Universal Design for Learning (UDL) can lend itself useful in HI development. The purpose of this article is to explain UDL guidelines of representation and how they can be incorporated into HI so that it is accessible to a wide audience, including with hearing loss.