Psychosocial Rehabilitation of Physically and Psychologically Wounded

Penk, Walter E.; Little, Dolores

doi:10.1093/med:psych/9780199928262.003.0056

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“…There are a variety of specialized programs and services designed by the military and the Department of Veterans Affairs (VA) to help severely injured service members transition back to duty or, post-military discharge, to transition back to civilian life. For those in wounded-warrior programs, the delivery of psychosocial rehabilitation is grounded in theories of learning and the building of character to cope with community (Penk & Little, 2013). Psychosocial rehabilitation focuses on the function ing of the person as he or she interacts with family, friends, coworkers, and the community.…”

Section: Rehabilitation Psychology Practice Within the Department Of ...mentioning

confidence: 99%

Rehabilitation psychologists in public service.

Brown¹,

Martinez²,

DeLeon³

2019

Handbook of Rehabilitation Psychology (3rd Ed.).

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Over the past 70 years, the practice of rehabilitation has undergone dramatic changes secondary to medical and technological advancements. At the same time, work done for the World Report on Disability (World Health Organization [WHO], 2011a) suggests that the prevalence of disability is increasing, with the population of those living with disabilities being more diverse and vulnerable. Individuals with disabilities have been shown to have worse health and socioeconomic outcomes and face widespread barriers in accessing services (WHO, 2011a). Moreover, because of the gradual rise of debilitating chronic health conditions and costs of health care, as well as increases in combat-and work-related disabilities, how and where rehabilitation services are delivered has also evolved. In turn, resources needed to facilitate the care for those with disability and chronic health conditions often outstrip allocated resources. High cost and limited coverage for acute and postacute care for co-occurring physical, neurological, sensory, and psychological symptoms contribute to this problem (Gutenbrunner, Blumenthal, Geng, & Egen, 2017). Moreover, costly yet necessary services, such as "dental care, hearing and vision services, and long-term services and supports," are often not covered, resulting in missed opportunities for prevention and maintaining/facilitating function (Willink, Davis, Schoen, & Wolff, 2016, p. 849).Nearly 27% of working-age people with disabilities were employed in 2013, and an additional 15% were unemployed but actively seeking work (U.S. Department of Labor, Bureau of Labor Statistics, 2014). Psychosocial challenges are associated with the reality that people with disabilities are more often unemployed or greatly underemployed compared with their peers without disabilities, creating a significant loss of income, social and economic participation, and equality for people with disabilities (Theis, Roblin, Helmick, & Luo, 2017). The purpose of the Americans With Disabilities Act (ADA, 1990) was to change the culture of the United States to one of full inclusion of people with all types of disabilities. The law consists of five titles: employment, public services, transportation, public accommodations, and telecommunications. To date, it is the most comprehensive law concerning disability rights, requiring compliance by employers, business owners, and providers of goods. Americans with disabilities report having greater access to goods and services from businesses, state and local governments, and their local communities since the inception of the ADA (National Council on Disability, 2007). However, there is much progress yet to be made given the complex array of demographic, fiscal, medical, technological, and other developments that continue to unfold nationally. A continuing catch-22 for many individuals with disabilities is that, despite often being well enough

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Section: Rehabilitation Psychology Practice Within the Department Of ...mentioning

confidence: 99%