title: Consumer participation in the employment rehabilitation process: contextual factors and implications for practice.
abstract: Rehabilitation models of practice have emerged that offer persons' with disabilities opportunities to have an active role in the work entry or re(entry) process. Despite the growth and interest in empowering client involvement in practice, consumer views on the determinants of participation are not fully understood. Thus, consumer feedback on using a self-directed approach to employment rehabilitation was elicited to identify factors integral to their participation in the process. Focus groups were conducted with 35 adult consumers with developmental, mental health, physical and learning disabilities to gain insights into their involvement in a participatory approach to find employment. Content analysis of data revealed barriers and facilitators, which hindered or enabled consumer involvement in the vocational service process. This article discusses the importance of considering issues across the rehabilitation system, practice and lived contexts when implementing participatory approaches in vocational rehabilitation settings.
authors.affiliation: Faculty of Health Science, School of Occupational Therapy, The University of Western Ontario, 1201Western Rd., Elborn College, London, Ontario, N6G 1H1, Canada. leshaw@uwo.ca
authors.forename: Lynn
authors.initials: L
authors.lastname: Shaw
authors.forename: Joyce
authors.initials: J
authors.lastname: MacKinnon
authors.forename: Carol
authors.initials: C
authors.lastname: McWilliam
authors.forename: Thelma
authors.initials: T
authors.lastname: Sumsion
mesh_terms: D000328:Adult; D003256:Community Participation; D006233:Persons with Disabilities / Q000523:psychology*; D017144:Focus Groups; D006297:Health Services Accessibility; D006801:Humans; D036301:Qualitative Research; D012050:Rehabilitation, Vocational