title: Toward a successful vocational rehabilitation in adults with disabilities: Does residential arrangement matter?
abstract: The objective of this study was to assess whether successful vocational rehabilitation (that is, obtaining employment) among people with disabilities was affected by residential arrangement. Five groups of residential placement were considered: individuals living in a private residence, community or group residential, correctional and rehabilitation facilities, nursing home/mental health facilities, and homeless/shelter/other type of residential arrangement. The study involved a total of 46,570 vocational rehabilitation consumers aged 18 to 65 at referral in a Midwestern state. Statistical modeling was performed using quasibinomial logistic regression. It was found that compared to individuals living in private residences, those in correctional or rehabilitation facilities were at increased odds of successful rehabilitation, whereas those living in homeless/shelter/other residential arrangement and those living in nursing homes/mental health facilities were in significantly decreased odds of being rehabilitated. Individuals living in community or group residential, however, had no statistical difference in vocational rehabilitation outcomes compared to individuals living in private residences. The implications for rehabilitation research and practice are discussed.
authors.affiliation: a Division of Epidemiology and Biostatistics , University of Illinois at Chicago , Chicago , Illinois , USA.|b Department of Disability and Human Development , University of Illinois at Chicago , Chicago , Illinois , USA.
authors.forename: F L Fredrik G
authors.initials: FL
authors.lastname: Langi
authors.affiliation: c Department of Educational and Psychological Studies , School of Education and Human Development, University of Miami , Coral Gables , Florida , USA.
authors.forename: Ashmeet
authors.initials: A
authors.lastname: Oberoi
authors.affiliation: b Department of Disability and Human Development , University of Illinois at Chicago , Chicago , Illinois , USA.
authors.forename: Fabricio E
authors.initials: FE
authors.lastname: Balcazar
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D006233:Persons with Disabilities; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States; D012044:Regression Analysis; D012050:Rehabilitation, Vocational / Q000592:standards*; D012111:Residence Characteristics; D055815:Young Adult
keywords: Adults with disabilities; quasibinomial logistic regression; residential arrangement; vocational rehabilitation