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O'Brien, D., Revell, G., & West, M. (2003). The impact of the current employment policy environment on the self-determination of individuals with disabilities. Journal of Vocational Rehabilitation, 19(2), 105-118.
Abstract
This paper describes two policy initiatives — consumers' use of Vocational Report Cards to evaluate community rehabilitation providers, and the Benefits Planning, Assistance and Outreach program authorized under the federal Ticket to Work and Work Incentives Improvement Act.
The Report Card is intended as a tool to provide consumers with informed choice in selecting vocational services. Based on input from focus groups of mental health consumers, it includes quality indicators of service outcomes and consumer satisfaction. The state VR agency developed and piloted the Report Card and has planned to extend its use, with modification, to all contracting community rehabilitation providers offering employment-related services.
The article summarizes early findings from the BPAO program nationwide, based on data collected by Virginia Commonwealth University, and describes how provider reimbursement features of the Ticket program might discourage providers from accepting Tickets, thus limiting consumer choice in obtaining employment-related services.
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