Vocational rehabilitation applicants, the services they receive, and their employment outcomes

Abstract

BACKGROUND: The U.S. Vocational Rehabilitation (VR) program helps people with disabilities gain or improve employment. However, previous research into program outcomes has primarily focused on subsets of participants with specific diagnoses instead of the full population. OBJECTIVE: We chronicled the population’s personal characteristics, services received, and program outcomes to inform hypotheses about relationships between personal characteristics, services, and program outcomes. METHODS: These characteristics were analyzed for all 572,490 adult cases that closed between 2017 and 2018. Descriptive statistical distributions compare the applicants with their two subgroups: participants and non-participants. RESULTS: Seven of the 20 primary impairment categories encompassed 78%of applicants. Sixty-three percent of applicants completed an individualized plan for employment (IPE) and became participants. Eighty-five percent of participants and 43%of non-participants received VR services. Half of VR participants exited unemployed and 44%achieved competitive integrated employment (CIE). Two-thirds of non-participants exited before developing their IPE mostly because they either lost interest in VR or VR lost the ability to talk to them. CONCLUSION: The results describe variables that can potentially affect program enrollment and program outcomes. Future work assessing VR should consider these variables when evaluating services that are most impactful to exiting employment.