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The ProfessionHistorical Perspective
Rehabilitation education has a long standing commitment to educate and train students with the necessary skills to work effectively with people with disabilities. There are rehabilitation program options from the undergraduate through the doctoral level. Nationally, there are approximately:
¨ 55 undergraduate rehabilitation programs¨ 90 graduate programs¨ 30 doctoral rehabilitation programs
LSUHSC Department of Rehabilitation houses an undergraduate and a graduate rehabilitation program. We are currently ranked 14th in the nation among graduate and doctoral level programs.
Roles and Responsibilities Rehabilitation counseling is a specialized segment of the counseling profession which focuses on working with persons with disability. This specialized knowledge of disabilities, chronic illness and environmental factors differentiates rehabilitation counselors (RCs) from other types of counselors. RCs work directly with persons with a disability to support the movement from medical, psychological, educational, social and economic dependence to independence. RCs often collaborate with a variety of health and human service professionals, including, physicians, nurses, therapists, attorneys, case managers, social workers, and employers, to help persons with disability reach independent living goals and improve the quality of life.
The specific techniques and modalities utilized within this rehabilitation counseling process may include, but are not limited to: ¨ assessment and appraisal; ¨ diagnosis and treatment planning; ¨ career (vocational) counseling; ¨ individual and group counseling treatment interventions focused on facilitating adjustments to the medical and psychosocial impact of disability; ¨ case management, referral, and service coordination; ¨ program evaluation and research; ¨ interventions to remove environmental, employment, and attitudinal barriers; ¨ consultation services among multiple parties and regulatory systems; ¨ job analysis, job development, and placement services, including assistance with employment and job accommodations; and ¨ the provision of consultation about and access to rehabilitation technology.
Careers in Rehabilitation Settings and Job Titles. Traditionally, RCs worked in state rehabilitation agencies and community rehabilitation programs or vendors of the state rehabilitation agency. Today, RCs are using their expertise to work in a variety of settings to assist persons with disability.
RCS can be found working in: ¨ The state vocational rehabilitation agency (In Louisiana, the agency is Louisiana Rehabilitation Services or LRS)¨ Community rehabilitation programs¨ Public and private not-for-profit community agencies¨ Hospitals¨ Substance abuse facilities¨ Mental health facilities¨ Insurance companies¨ Private rehabilitation firms¨ Residential and outpatient rehabilitation facilities¨ Independent living centers¨ Elementary and secondary school settings¨ Colleges and universities¨ Correctional facilities & half-way houses
Depending on the setting, RCs may have different job titles: ¨ Vocational rehabilitation counselor¨ Case manager¨ Disability advocate¨ Transition specialist¨ Substance abuse counselor¨ School counselor¨ College counselor/advisor
Employment Outlook. There are an estimated 54 million Americans who have physical, mental, or psychological disabilities that restrict their living activities and prevent them from obtaining or maintaining jobs, therefore the employment outlook for the profession is excellent. Recent studies project a future shortage in the number of counselors who can provide assistance to persons with disability.
Overall employment of counselors is expected to “grow faster than the average” (21%-35%) for all occupations through 2012, and job opportunities should be very good because there are usually more job openings than graduates of counseling programs. In addition, numerous job openings will occur as many counselors retire or leave the profession.
Under managed care systems, insurance companies are increasingly providing for reimbursement of counselors as a less costly alternative to psychiatrists and psychologists. Also, legislation is pending that may provide counseling services to Medicare recipients.
The number of people who will need rehabilitation counseling is expected to grow as the population continues to age and as advances in medical technology continue to save lives that only a few years ago would have been lost. In addition, legislation requiring equal employment rights for people with disabilities will spur demand for counselors, who not only will help these people make a transition into the workforce, but also will help companies comply with the law. Employment of mental health counselors will grow as the Nation becomes more comfortable seeking professional help for a variety of health and personal problems. Employers also are increasingly offering employee assistance programs that provide mental health and alcohol and drug abuse services. More people are expected to use these services as society focuses on ways of developing mental well-being, such as controlling stress associated with job and family responsibilities.
Licensure and
Certification
Licensure. Licensing bodies are authorized through state legislature.
Certification. Certifications are authorized through independent bodies. RCs are eligible for a variety of certifications:
Other Certification Options. Certified Case Manager (CCM) http://www.ccmcertification.org/ Certified Disability Management Specialist (CDMS) http://www.cdms.org/ Certified Vocational Evaluator (CVE) http://www.ccwaves.org/ National Certified Addiction Counselor (NCAC) http://naadac.org/documents/display.php?DocumentID=19
National Certified Counselor (NCC) and National Certified School Counselor (NCSC) www.nbcc.org
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Important Links and Resources
Professional: ¨ Council on Rehabilitation Education http://www.core-rehab.org/¨ American Counseling Association http://www.counseling.org/¨ National Rehabilitation Association http://www.nationalrehab.org/website/index.html
Resources: ¨ Certified Rehabilitation Counselor Examination http://www.crcexam.com/ http://luna.cas.usf.edu/~rasch/areas.html¨ Employment http://dept.kent.edu/rehab/internship_opps.htm
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