College of Education

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The collections in this community comprise faculty research works, as well as graduate theses and dissertations..

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Subject: search.filters.subject.Health Sciences, Rehabilitation and Therapy

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Now showing 1 - 5 of 5
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    The Association of Certified Rehabilitation Counselors' Attitudes Toward Counseling Individuals with Substance Use Disorders with Their Frequency and Perceived Confidence of Providing Substance Abuse Screenings and Referrals
    (2010) Rodgers, Roe Ann; Fabian, Ellen S.; MacDonald-Wilson, Kim; Counseling and Personnel Services; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    The purpose of this study was to assess the nature and extent of a nationally representative random sample of Certified Rehabilitation Counselors' (CRCs') attitudes toward counseling individuals with SUDs and their frequency and perceived confidence of providing substance abuse screenings and referrals. The study (a) explores attitudes of CRCs regarding counseling individuals with substance abuse disorders (SUDs); (b) examines whether CRCs' attitudes toward counseling individuals with SUDs are associated with their frequency in providing substance abuse screenings and referrals for individuals with SUDs; (c) determines if CRCs' attitudes toward counseling individuals with SUDs are associated with their perceived confidence in providing substance abuse screenings and referrals for individuals with SUDs. The independent variables were subscales of the Drug and Drug Problems Perceptions Questionnaire (DDPPQ) used to investigate CRCs' attitudes toward counseling individuals who have problems with drug use and the Alcohol and Alcohol Problems Perceptions Questionnaire-Revised (AAPPQ-R) used to explore attitudes toward counseling individuals who have problems with alcohol use. The dependent variables were frequency questions and perceived confidence statements from the Alcohol and Other Drugs Vocational Rehabilitation Counselor Survey (AOD-VRC) used to measure the frequency and perceived confidence of providing substance abuse screenings and referrals. The study participants were 764 CRCs who were direct service providers from multiple employment settings. Participants were recruited from an online survey sent to a national random selection of CRCs obtained from Commission on Rehabilitation Counselor Certification (CRCC) database. Results indicated that this sample of CRCs have somewhat positive attitudes toward counseling individuals with SUDs. Results from this sample of CRCs show that there are associations between CRCs' attitudes toward counseling individuals with drug use problems and alcohol use problems with perceived confidence in providing substance abuse screenings and referrals, but not with frequency of providing substance abuse interventions. Applied implications, limitations of the study, and future research suggestions were discussed.
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    The Effect of Working Alliance on Client Drop-out for Persons with Disabilities in a State-Federal Vocational Rehabilitation Agency
    (2007-08-13) Stapleton, Mary; Fabian ,Ph.D., Ellen; Counseling and Personnel Services; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    The existence of a working alliance between a counselor and a client has been viewed as a critical component of the therapeutic process in the psychological literature (Bachelor, 1995). The construct of working alliance has been the focus of interest in research literature as a measure of positive therapy outcomes. According to Horvath (2001 ) two decades of empirical research have consistently linked the quality of the alliance between therapist and client with therapy outcome. The 1998 Amendments to the Rehabilitation Act mandate that persons with disabilities must be "active and full partners" in the rehabilitation process. In the federal-state rehabilitation setting there is limited time to form an alliance( Safran&Muran, 1998), so that the initial interview becomes critical in engaging the client in this process. Therefore, this study measured the working alliance after the initial in-take session. Working alliance was measured by the Working Alliance Inventory (WAI) developed by Horvath & Greenberg (1989). The dependent variable was the Individualized Plan for Employment (IPE) which represents the agreed upon goals and tasks between the DORS counselor and client. The major hypothesis was that a strong working alliance between counselor and client would predict an IPE, and a poor alliance would not. The study participants were 111 persons with disabilities who applied and were found eligible for services in FY 2006 through the Maryland Division of Rehabilitation Services (DORS). The investigation was conducted at 16 DORS offices throughout the state . The major finding was the lack of any significant relationship between working alliance and IPE . The second major finding was the clients gave generally high WAI scores to DORS counselors and 59 % (66) had an IPE. Despite this positive finding , those with high WAI scores were no more likely to have an IPE .Additionally, there was an effect of disability category upon the WA. In summary, the findings suggest that factors external to the WA may be more significant barriers to employment outcomes for DORS clients. The implications for people with disabilities, counselors, and counselor educators are discussed within the context of these findings.
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    Discriminatory Practices Charged Under EEOC: An Empirical Analysis of Investigated Complaints Filed by those who have Cancer
    (2005-06-10) McKenna, Maureen Ann; Fabian , Ellen; Counseling and Personnel Services; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    Previously unexplored data from the Equal Employment Opportunity Commission (EEOC) Integrated Mission System database is analyzed with specific reference to allegations filed by individuals with cancer of workplace discrimination under ADA Title I between July 27, 1992 and September 30, 2003. These allegations are compared to those from a general disability population on key dimensions of workplace discrimination--specifically, demographic characteristics of the charging parties, the industry designation, location, and region site of employers against whom complaints are filed, types of alleged adverse actions and resolution of these complaints. Study results showed allegations derived from charging parties with cancer are more likely than those from the general disability population studied to involve issues of discharge, terms and conditions of employment, lay-offs, wages and terms conditions of employment and demotion. Compared to the general disability group, charging parties with cancer were more likely to be female, approximately 47 years of age and Caucasian. Allegations derived from charging parties with cancer were also more likely to be filed against smaller employers (15-100 workers) or those in the service industries compared to those from the general disability population. Claims filed by those with cancer were likely to be found to have merit more than those filed from the general disability population. Implications for rehabilitation counselor education are addressed and recommendations for further research are provided.
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    PARENTS OF CHILDREN WITH MENTAL RETARDATION: COPING MECHANISMS AND SUPPORT NEEDS
    (2004-10-22) Bauman, Samuel; Hershenson, David; Counseling and Personnel Services; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    The purpose of this research was to explore the subjective experiences of families of children with mental retardation, specifically the sources of stress and coping for these families. Interviews were conducted with families to shed light on their subjective experiences of coping and stress. In an effort to increase understanding of the worldview of these families, issues in theory, practice, and future research are briefly discussed. Social support and empowerment oriented professional practice were found to have a mediating effect on family stress.
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    Rehabilitation Counselors' Perceived Multicultural Competence: Working
    (2003-12-02) Whitehead, Dorothy; Power, Paul W; Holcomb-McCoy, Cheryl C; Coursey, Robert; Sedlacek, William; Counseling and Personnel Services
    The purpose of this study is to examine rehabilitation counselors' perceived multicultural competence in working with clients with severe mental illness and specifically African Americans with severe mental illness. The impact of the counselor's own cultural heritage and perception of their counseling skills will be explored. Counselors' race, gender, training, and experience will be examined in terms of awareness, knowledge, terminology, and skills. Research suggests that the primary disability group served by state and federal rehabilitation agencies is persons with psychiatric disability. The prevalence of serious mental disorders among African Americans is reflected by national as well as state statistics. Rehabilitation outcomes among minority individuals with serious mental disabilities are significantly lower (39.1%) compared to their white counterparts (44%). The large unemployment rate of minority persons with psychiatric disabilities is a reflection of the impact of cultural and diversity issues. In this study 148 rehabilitation counselors from the National Rehabilitation Association, National Association of Multicultural Rehabilitation Concerns (NAMRC) Division, and the American Counseling Association, American Rehabilitation Counselors Association (ARCA) Division, completed the Multicultural Counseling Competence and Training Survey-Rehabilitation Version (MCCTS-R), the Mental Health Self Assessment For Counseling Competencies (MHSACC) and the Situational Attitude Scale (SAS) Form B. Results indicated that rehabilitation counselors perceive themselves to be competent in areas of multicultural knowledge, terminology, awareness and skills. Being female and a person of color other than African American was significantly related to multicultural knowledge. Counselors related years of experience to multicultural awareness, but did not perceive multicultural training as a significant predictor of any type of multicultural competence. There appeared to be no significant difference in the way African American and White rehabilitation counselors provided services across racial/ethnic groups; however, findings suggested a hierarchy of service provision consistent throughout the Mental Health Self Assessment for Counseling Competencies (MHSACC). Attitudes of African American and White rehabilitation counselors toward African Americans varied. Notably, there was a marked difference in attitudes relating to situations of a close social and/or personal nature. This study discusses implications of the results in relationship to prior research, future research, training and practice.