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Rural and Urban Differences in Vocational Rehabilitation Case Mix, Delivery Practices, and Employment Outcomes

Rural and Urban Differences in Vocational Rehabilitation Case Mix, Delivery Practices, and... Purpose: To examine rural and urban differences in Vocational Rehabilitation (VR) case mix, delivery practices, and employment outcomes. Methods: Rehabilitation Services Administration 911 (RSA-911) case data do not include location indicators that allow for rural analyses. We compiled RSA-911 data with county and ZIP code information from 47 VR agencies matched with additional sources to control for geographic and economic variations. Rural analyses included cross tabulations and logistic regression. Results: Findings indicate that urban, large rural, small rural, and isolated rural outcomes and case mixes are significantly different based on education, age, minority status, receipt of Social Security Disability Insurance and Supplemental Security Income, and disability type ( p ≤ .001). Conclusion: Geographic indicators allow for differences to be explored and considered when making programmatic changes within the VR system. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Rehabilitation Research, Policy and Education Springer Publishing

Rural and Urban Differences in Vocational Rehabilitation Case Mix, Delivery Practices, and Employment Outcomes

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Publisher
Springer Publishing
Copyright
© 2021 Springer Publishing Company
ISSN
2168-6653
eISSN
2168-6661
DOI
10.1891/2168-6653.29.4.349
Publisher site
See Article on Publisher Site

Abstract

Purpose: To examine rural and urban differences in Vocational Rehabilitation (VR) case mix, delivery practices, and employment outcomes. Methods: Rehabilitation Services Administration 911 (RSA-911) case data do not include location indicators that allow for rural analyses. We compiled RSA-911 data with county and ZIP code information from 47 VR agencies matched with additional sources to control for geographic and economic variations. Rural analyses included cross tabulations and logistic regression. Results: Findings indicate that urban, large rural, small rural, and isolated rural outcomes and case mixes are significantly different based on education, age, minority status, receipt of Social Security Disability Insurance and Supplemental Security Income, and disability type ( p ≤ .001). Conclusion: Geographic indicators allow for differences to be explored and considered when making programmatic changes within the VR system.

Journal

Rehabilitation Research, Policy and EducationSpringer Publishing

Published: Jan 1, 2015

References