[article] 
inThe British Journal of Occupational Therapy > Vol. 82 Issue 6 (Juin 2019) . - p. 337-347

Titre :	Developing vocational rehabilitation services for people with long-term neurological conditions: Identifying facilitators and barriers to service provision
Type de document :	texte imprimé
Auteurs :	Kate Hayward ; Bilal A. Mateen ; Diane E. Playford ; Gail Eva
Année de publication :	2019
Article en page(s) :	p. 337-347
Note générale :	doi.org/10.1177/0308022619830294
Langues :	Anglais (eng)
Mots-clés :	Vocational rehabilitation  soft systems methodology  long-term neurological conditions  service mapping  occupational therapy
Résumé :	Introduction This study aimed to understand existing vocational rehabilitation service provision in one locality in London (population 3.74 million), identify any gaps and explore reasons for this, to support service development. Method Using soft systems methodology to guide the research process, semi-structured interviews were completed with nine participants, who were clinicians and managers providing vocational rehabilitation within a National Health Service context. Data were analysed thematically to build a ‘rich picture’ and develop a conceptual model of vocational rehabilitation service delivery. Findings were then ratified with participants at an engagement event. Results The findings indicate a spectrum of vocational rehabilitation service provision for long-term neurological conditions with differing levels of funding in place. Vocational rehabilitation often takes place ‘under the radar’ and therefore the true vocational rehabilitation needs of this population, and the extent of service provision, is not known. There is inconsistency of understanding across the services as to what constitutes vocational rehabilitation and outcomes are not routinely measured. Conclusion For vocational rehabilitation services to develop they require appropriate funding, driven by government policy to commissioners. Clear definitions of vocational rehabilitation, collecting and sharing outcome data and effective communication across services are needed at a local level. This is expressed in a conceptual model of vocational rehabilitation service delivery.
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[article] Developing vocational rehabilitation services for people with long-term neurological conditions: Identifying facilitators and barriers to service provision [texte imprimé] / Kate Hayward ; Bilal A. Mateen ; Diane E. Playford ; Gail Eva . - 2019 . - p. 337-347.
doi.org/10.1177/0308022619830294
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 6 (Juin 2019) . - p. 337-347

Mots-clés :	Vocational rehabilitation  soft systems methodology  long-term neurological conditions  service mapping  occupational therapy
Résumé :	Introduction This study aimed to understand existing vocational rehabilitation service provision in one locality in London (population 3.74 million), identify any gaps and explore reasons for this, to support service development. Method Using soft systems methodology to guide the research process, semi-structured interviews were completed with nine participants, who were clinicians and managers providing vocational rehabilitation within a National Health Service context. Data were analysed thematically to build a ‘rich picture’ and develop a conceptual model of vocational rehabilitation service delivery. Findings were then ratified with participants at an engagement event. Results The findings indicate a spectrum of vocational rehabilitation service provision for long-term neurological conditions with differing levels of funding in place. Vocational rehabilitation often takes place ‘under the radar’ and therefore the true vocational rehabilitation needs of this population, and the extent of service provision, is not known. There is inconsistency of understanding across the services as to what constitutes vocational rehabilitation and outcomes are not routinely measured. Conclusion For vocational rehabilitation services to develop they require appropriate funding, driven by government policy to commissioners. Clear definitions of vocational rehabilitation, collecting and sharing outcome data and effective communication across services are needed at a local level. This is expressed in a conceptual model of vocational rehabilitation service delivery.
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