G'day all,

I am an Australian OT currently working in the area of vocational 
rehabilitation and I was wondering what role OTs have in "Welfare-to-
work" schemes and the like in the US and around the world.  

Over here, my role is community based and focusses on case management, 
FCEs, work site visits and ergonomic assessments.  The clients we work 
with are predominately on "welfare" (either on a disability pension or 
on "the dole") and have a disability or injury (ie physical (back 
pain!!!!), psychological, cognitive or emotional) that impacts on their 
ability to obtain/maintain employment.  Alot of client's are long term 
unemployed(some haven't worked since the 1960's)and therefore have 
multiple barriers to returning to the workforce. Our rehabilitation 
programs can therefore run for anywhere between a 3 and 18 months.

We also do return to work/suitable duties programs (ie disability 
management) for workers compensation clients (ie occupational 
rehabilitation).  We also run rehabilitation programs for people who 
are currently taking legal action against a third party (ie motor 
vehicle accidents, public liability?

As I said above, I was wondering what role OTs have in 
vocational/occupational rehabilitation in other countries around the 
world.  Are OTs a major player in this area?  Are there many OTs 
working in this area? Are there many jobs for OTs?  Is the area (ie 
work/vocational/occupational rehabilitation) developing in your 
country?  Is intervention centre/hospital-based or community based?  Is 
OT a respected and important profession in this area or do others (eg 
rehabilitation counsellors,doctors, physios) have the major role?  Is 
OT involvement endorsed in legislation and by insurers, the DOL etc?  
What role do you see Ot having in this area in the future in your 
country?  What services do OTs provide? Do your uni courses involve 
much about assisting people with injuries or disabilities to return to 
the workforce (ie voc/occ/work rehab)?  Anything else at all that you 
would like to share with me and the list.

I see vocational rehabilitation as being a huge area where "occupation" 
(in the OT sense, not in the generalist sense) can improve a persons 
QOL a great deal and where we can use occupation in an OT way (ie 
empowering and enabling clients to identify and use meaningful, 
purposeful activities within their own environment to participate as 
valued members of their community).  

Anyway

thanks for your time and I would indeed be interested to hear from 
y'all.

Cheers


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