The Historical Roots of the Empowerment Dilemma in Vocational Rehabilitation

Holmes, Gary E.

doi:10.1177/104420739300400101

Cited by 9 publications

(3 citation statements)

References 14 publications

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“…The availability of appropriate information and support. Consumers with disabilities and their families consistently offer two chief criticisms of the current rehabilitation service system: (a) a lack of information and (b) a lack of longterm supports (Holmes, 1993;Kosciulek, 1995). Thus, the crux of the third component of CD is whether information and support are available that enable consumers to take advantage of rehabilitation services.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

“…Unfortunately, the disability policy and rehabilitation literature have provided little information regarding models or constructs that might be useful in conceptualizing specific ways to enhance consumer empowerment (Zimmerman & Warschausky, 1998). The scarcity of useful paradigms for examining the factors that influence consumer empowerment and quality of life has led, in part, to ill-conceived disability policies and rehabilitation services (Hagner & Marrone, 1995;Holmes, 1993); research lacking in practical application and utility (Bruyere, 1993; Graves, 1991); and continued employment, economic, and social barriers encountered by peo-ple with disabilities (Campbell, 1991;Dart, 1992;President's Committee on Employment of People with Disabilities, 1998).…”

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confidence: 99%

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Implications of Consumer Direction for Disability Policy Development and Rehabilitation Service Delivery

Kosciulek

2000

Journal of Disability Policy Studies

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People with disabilities too often are denied the opportunity to exercise control over the most basic aspects of daily life. Consumer direction (CD) is a philosophy and an orientation whereby informed consumers have control over the policies and practices that directly affect their lives. It is a mechanism by which individuals with disabilities can develop the skills to take control of their lives and their environment. The primary tenet of this paper is that increased CD in disability policy development and rehabilitation service delivery will lead to increased community integration, empowerment, and quality of life for people with disabilities. In this paper, the concept is presented as a guide for disability policy development and rehabilitation service delivery. Consumer choice, the current status of people with disabilities in U.S. society, and the need for CD are discussed. An overview and definition of CD are presented, and the underlying assumptions are described. A conceptual framework, issues surrounding measurement and operationalization, and five examples of CD are presented. Finally, the implications of CD relative to consumer and service provider roles, the empowerment of people with disabilities, and potential benefits are discussed.If people with disabilities are to experience personal satisfaction and quality of life, they must play the central role in directing the disability policy development and rehabilitation service delivery that are central to their empowerment. To empower a person is to provide him or her with the opportunity to make choices and decisions regarding his or her life. Choice and control are highly valued prerogatives that reflect the autonomy, identity, and independence of an individual (Condeluci, 1987). The right to make choices, express preferences, and exercise control over life issues are critical ingredients for empowering and enhancing the quality of life of persons with disabilities (Kiernan & Hagner, 1995).Unfortunately, people with disabilities too often are denied the opportunity to exercise choice and control over

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Section: Conceptual Frameworkmentioning

confidence: 99%

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confidence: 99%

Implications of Consumer Direction for Disability Policy Development and Rehabilitation Service Delivery

Kosciulek

2000

Journal of Disability Policy Studies

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“…• Professionals are reluctant to give up power (Hagner & Marrone, in press;West & Parent, 1992) . • People don't want what's best for the client enough to advocate strongly enough inside their own systems to overcome the twin barriers of inertia in the face of change and active resistance to the concept of true power redistribution from staff to the clients, who are being served (Hagner & Marrone, in press;Holmes, 1994;Olney & Salamone, 1992) . To the extent that quality services to people with disabilities are secondary to issues of professional convenience and presumed professional competence and knowledge, the person centered and driven planning approach is an unnecessary burden.…”

Section: Practical or Not?mentioning

confidence: 99%

Person-centered planning for the millennium: we're old enough to remember when PCP was just a drug

Marrone

Hoff

Helm

1997

Journal of Vocational Rehabilitation

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Joyce Carol Oates "The supreme value is not the future, but the present. The future is a deceitful time that always says to us, 'Not yet,' and thus denies us. The future is not the time of love, what man truly wants, he wants now. Whoever builds a house for future happiness, builds a prison for the present." Octavio Paz Introduction Person-centered planning has risen over the last decade to the level of rubric and mantra within the developmental disabilities field, and in the "transition from school-to-work" literature. Perhaps most surprisingly, it has been embraced in name often by the very systems, such as special education and adult day services, that this approach was seen as rising above (Amado &

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Disadvantaged persons’ participation in health promotion projects: some structural dimensions

Boyce

2001

Social Science & Medicine

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The Historical Roots of the Empowerment Dilemma in Vocational Rehabilitation

Abstract: As a paradigm for human services, the concept of empowerment is coming of age. This article examines the history and philosophy of vocational rehabilitation (VR) in the public sector as a way of understanding VR's capacity to implement empowering services for people with disabilities.

Cited by 9 publications

References 14 publications

Implications of Consumer Direction for Disability Policy Development and Rehabilitation Service Delivery

Implications of Consumer Direction for Disability Policy Development and Rehabilitation Service Delivery

Person-centered planning for the millennium: we're old enough to remember when PCP was just a drug

Disadvantaged persons’ participation in health promotion projects: some structural dimensions

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