An Overview of Vocational Rehabilitation
Articles, Blog

An Overview of Vocational Rehabilitation

August 18, 2019

How I’d like to start I guess is by asking
you and really putting you guys in charge and tell me what it is you want to know
in regard to vocational rehabilitation. And Dr. Switzer will just make note
of those questions and we’ll try and be sure and cover those before we’re done. That way you get what you paid for.>>[LAUGH]
>>So if you don’t ask questions you
get the full 45 minutes nonstop, I mean if there’s nothing you wanna
know I’m gonna force feed you. So everything that you wondered before you
came in here or why did you come in for this session. What did you want to learn? I’m interested in how VR
can work with farmers. in order to help them continue farming or
to become a farmer, because it’s a great funding
resource if they’re able to do that, work together as a team,
and how does that happen?>>Okay, so
she’s going to make note of those and I’ll answer as it fits in but
I don’t want to miss that, what else?>>My husband has received a lot
of vocational rehab help and I mean it has really benefited him
being able to do things he couldn’t do. Do very well before.>>Good, I’m glad to hear that.>>I want you to know it’s very positive.>>Good.
>>We have a customer that I have been told I need to contact voc rehab about and
I don’t know what voc rehab is. So that’s why I’m here to find out how
that’s going to help this customer.>>Okay,
what is Vocational Rehabilitation.>>Our program works with VocRehab, do we work them from we send
them [INAUDIBLE] [LAUGH] I’m forgetting things for you [LAUGH]
>>That’s fine we’ll want to be
sure to address those.>>I guess I would like
to know how it’s funded.>>Okay, sure. Okay.
>>Do you know the timeline with talking with the farmer? What can a client or
case worker do for you? How much do you want us to do? And what do you want left undone for
you to do?>>Yeah, how can you as an AgrAbility
staff member advocate for the person you’re serving?>>Right.
>>Yeah, okay.>>Or know when to make
a good referral too, right. Okay.
>>What was the question?>>What is a good referral or
when to make a good referral?>>Yeah. I thought I heard something else in there.>>[INAUDIBLE]>>Anything else? Okay, so you guys have basically outlined,
what I need to address for you today and I appreciate that very much. So the purpose of vocational
rehabilitation is to empower individuals with disabilities, particularly
individuals with significant disabilities. To achieve high quality employment
outcomes to which they aspire and that are consistent with their unique
strengths, resources, priorities, concerns, abilities, capabilities,
interests and informed choice. This comes from the Federal Register and
that’s where you can find it. Written policies governing
the provision of services for individuals with disabilities. And so that’s a resource, so when you
think about AgrAbility you think about transition resources, you think
about independent living centers. I would guess that this
is your goal as well, that’s a pretty good synopsis or
a pretty good purpose for you. So what I’d like to emphasize I guess
is that vocational rehabilitation should fit pretty well with
whatever each of you may be doing. One of the things that Amber asked me
to do, or Miss Wolfe, as she organized the program asked me to do, is to come
with a case study in regard to arthritis. And so I was thinking specifically
of arthritis and I could only think, and I’ve been working in vocational
rehabilitation for 16 years. And so I don’t know how many,
my caseload is typically between 120 and 130, and so over those years. I don’t know how many folks that
I’ve met and taken applications and found eligible and provided services for. But I could only I can only think
of one person whose disability was specifically arthritis. And of course I wasn’t thinking in
terms of degenerative disk disease and those things. And if I were to think
in terms of that and we can talk about
services along that line. It would probably be maybe 20% or quarter of my case load would
have a diagnosis along that line. I’d like to in regard to that, I guess I
think of it in terms were born with about a 35 year warning and
we live longer than that. So you know the doctor
who did the keynote, basically he talked about wear and
tear and being wornout or getting wornout. And that’s a significant
portion of the people I serve from year to year would
have degenerative disc disease, spinal stenosis, that sort of thing. And they would be in their late 40s and
early 50s a lot of times. But in regard to the one that I
thought of, it would have been rheumatoid arthritis and I won’t be
able to tell you the persons name. I can tell you where he lives,
I can drive to where he lives, I can tell you where he worked. I can tell you where his wife worked,
I can tell you he had two grown sons. One still lived at home,
I don’t remember his name, but what he worked as he was
a quality control, and he worked for an electronics company,
Philips Industries. A they bought Magnavox some years ago and a northeast Indiana Magnavox was
a very significant employer. And so his job quality control the plant
meant that he had to traverse the plant. Basically from side to side to side,
and end to end and due to the rheumatoid arthritis, he was
not able to walk those distances anymore. He was not able to he just simply
wasn’t able to do that and so what vocational rehabilitation
was able to do. And this is in regard to, part of the
reason this may be a decent example for you is the purpose was to
retain his employment. And when you think about people who make
their living in agriculture, farmers. That’s what we wanna really look
at is retaining employment and not, well,
that’s really what we want to look at. So with this gentleman, he and his son had done a lot of the work
themselves in terms of their home. His home was accessible to him and
that sort of thing. So what we looked at was him being able to
get to work, and then him being able to do his job at the plant,
at the physical facility. The first. After the eligibility was complete,
and we’ll talk about all these steps. And the plan for employment was developed. The next thing that vocational
rehabilitation did, was we did an assessment of both
the functional limitations that he had to actually we got that
from his medical reports, but then how do we address
those functional limitations? And employed, or contracted with
an assistive technology professional to assess what would work best for him. And in his instance, it was a power scooter would allow him to
get wherever he needed to be in the plant. And so,
with that being the recommendation then, how does he get the power scooter back and
forth? And so,
we had to take a look at his vehicle and being able to modify his
vehicle to transport the scooter, with a lift that
allowed him to store it inside, he could transfer it himself and
get into the vehicle independently. That wasn’t the problem, the problem
was the distance from the parking lot even from the disability, a space set
aside for people with disability, to get from that end of the plant,
and then the plant itself. I don’t know. Where I live is 9 acres and
my guess the plant could set on that. So that’s what he would
have to walk each day. So those were the services and
that worked well for him. He was able to continue working. The facility had made some
accommodation for him in the meantime. Until he got, was able to,
with voc rehab’s assistance, modify his van and obtain the scooter. And so, he’d get to work and
he’d unload and he’d drive into the plant. And then, as a quality control
engineer go about his work. So that’s just kind of a brief
synopsis in one instance. And again, what we were doing is,
because we were retaining his employment, that was a high quality
employment outcome. And that’s what he wanted to do. He wanted to continue working. It addressed his strengths. His strength was in being able to do
the quality control work for that company. Abilities and capabilities and
that sort of thing. And maybe we’ll be able
to refer back to that as we get to some of the other parts here. One of the questions I had
before we got started is, is vocational rehabilitation
a federal program, that was essentially the question. And it is. We operate under the Rehabilitation Act. Each state then has their
own plan of services, the federal and state match is actually, I rounded up 1 and
rounded down the other, and it’s actually 78.7% Federal and
21.3% State, and I did make that adjustment
on the PowerPoint, 21.3% State. Vocational Rehabilitation, there is
a program in each of the 50 states. In regard to Indiana, Indiana,
to my knowledge, has never provided enough money in their state match to get all that
they could get from the federal dollars. And I’m not sure if that may be
the case in other states or not. So the vocational rehabilitation mission
to serve eligible people with disability in obtaining and retaining employment that
is commensurate with their abilities, interests and limitations. And that’s just kinda how I
summarized the first part. We look at abilities,
interests, and limitations. And really, we try to meet
the individual needs of each person, that’s the person we’re serving. I had a gentleman once who, he, who with a disability did experience a stroke, actually. And what he wanted VR to be able
to do was to provide training for one of his employees to do
what he could no longer do. And no matter how I tried to
work through policy and stuff, we couldn’t provide
the services to somebody who, and the employee wouldn’t have
been eligible for the program. So while it would have been a service to
him, to allow his business to continue to generate the income it needed
We couldn’t invest our dollars in training someone who
wasn’t eligible for the program. So that’s what that would reference there.>>What about a family member who is
essential to help with the person with the disability if they had some need?>>You mean like personal care?>>Yeah.
Maybe something like that.>>To get out of the house?>>[CROSSTALK] Yeah.>>That may require specific training? In terms of say, transfer or
something like that?>>Yes. [INAUDIBLE]
>>Probably what we would look for is comparable benefit. And so, does a rehabilitation
hospital provide that training?>>And there would be some state funding
programs to help with some of that. Like in Maine we have personal care
programs that VR would probably refer them to us, so that they can hire and
employ that member, and get them out of the house,
get them dressed. [INAUDIBLE]
>>Yeah. In regards to the gentleman I referenced,
I did provide him with information with regard to workforce development
programs in Indiana. That perhaps could provide what he
was looking for, for his employee. The other responsibility is
to vocational rehabilitation, in regard to my role,
is to manage my financial resources so that whatever we do is necessary and
reasonable. And by necessary and reasonable,
if you thing of a person who, perhaps, uses a wheelchair and
they needed to have their home modified. And, of course, the wheelchair will work better on a hard surface,
so that’s necessary. Solid oak flooring isn’t reasonable. [LAUGH] So in that instance,
if they needed solid floor, solid oak flooring,
as opposed to I don’t know what. They would pay the difference,
I mean they could still have that, but we wouldn’t pay the total cost. So the numbers, like zero zero and
O two, those are called status codes. And basically, my supervisor
can take a look at my caseload, and he can have an idea,
based on the status alone, based on that two digit number what should
be going on, or where that person is. So you can see it goes from referral
to application, eligibility, and then planning development. Then the plan to prove that status 12
restoration is kind of a separate one. It doesn’t necessarily flow like this, restoration would be either physical or
mental restoration. So if a person, if the service they needed was say a prosthetic
to continue their job. That would be the status they would be in,
would be 16 for restoration. Training is just about everything else. Ready for employment,
I’ve never used that one. I’d just go from 18 to 22,
but I guess I could use it. And then 26, that’s the one
that we’re always looking for that’s a successful closure.>>What does IPE stand for? IPE stands for
individualized plan for employment. Yeah like any program there
are lots of initials. A couple of additional statuses
is extended evaluation and this may be relevant to AgrAbility staff. If you’ve ever with importance of
extended evaluation if you think, if I take an application on someone and
they’re eligible and I think that they may not
benefit from services. That they may not have
an employment outcome. That decision cannot be arbitrary. It has to be evidence-based, or
it has to be, it can’t be subjective, it has to be objective. And so extended evaluation would be
where we would provide the services to see if they could
benefit from services. Well I’ve never used that status either because you basically have
to do all the same things. Now there is an advantage to that status
and so I may think about it in the future. But basically add a person wants on
my caseload with multiple sclerosis. And essentially they could still speak,
and they can still breathe independently, and that was essentially
the function that they had. And so with evaluation,
either can they use a computer or use a puff technology and the other thing. And so I went to my supervisor and asked him, can they benefit
from services that we provide? And of course he didn’t know. We went to the regional manager or
the region manager which would be his supervisor and she said you basically got to do all of the same
stuff just do it you know. And so she didn’t suggest that I
use status six she just said do it. And so if you ever encounter a situation
in regard to vocational rehabilitation where the VR counselor says,
I don’t think they can benefit. It’s not a subjective call, it has to be objective and
they would’ve had to try to provide the services that were
necessary for the person to benefit. And when I use the term benefit I’m
meaning in terms of employment, in terms of employment outcome. So you can kind of just file that. So you can do an extended evaluation and see if it’s gonna work or not. Services interrupted. Sometimes services are interrupted because
a person, say they’re in post-secondary training and whatever the disability may
be causes them to sit out a semester. That’d be services interrupted. Post-employment service. After the case file’s closed, with a,
successfully, with a person working. If they were to need an additional
service that would be directly related to retaining that job. That’s possible to provide that
service without reopening the case. In some instances, depending on that,
sometimes I’m gonna prefer to reopen the case if If the services that
are required are fairly expensive. I had a person on my case load who,
as a child waiting for the school bus, was hit by a semi. And of course, caused spinal cord
injury and loss of their right arm. And so they use the wheelchair. And so the first time I opened the case,
we worked with the company to provide
a one-arm drive wheelchair. And the person had good computer savvy and
things like that, I went to work for
the library in the community and did just a lot of good things for them. Well, because he’s using
the one-arm chair and as we heard the keynote speaker
today talk about the wear and tear. There was a time when a few years later
he just wasn’t able to get in and out of his apartment, wasn’t able,
just the wear and tear. So, then we look at a,
I should back up and mention the one-arm drive chair
was a standing chair which allowed all the positive things things of
standing in terms of weight bearing. To prevent loss of muscle mass,
loss of bone mass help benefit in terms of urinary tract
infections, those kinds of things. So the answer then, while his manual
chair was still functional for him. What he needed was a power chair. I mean,
the chair itself was still functional. It wasn’t functional for him,
because of the wear and tear. So, standing power chair that he
was then he was able to use that. And now because of that, he not only continues his work
at the library at the library. But he’s able to continue work for
the library at another building half a block away in regard to
their genealogical collection. So kind of was able to expand his duties. So that could have been a post employment
service, but because of the amount of evaluation and the amount of cost
involved in some of those things. I chose to reopen the case and, of course, I had my eye on getting another 26 for
another program year. I’m not all that benevolent. Well, I am, but.>>[LAUGH]
>>We had a question in regard to eligibility. To be eligible for vocational
rehabilitation services the individual must have a physical or mental impairment
that constitutes or results in a substantial impediment to employment and
they must require VR services and that they would benefit from these
services in terms of employment.>>Does that mean you
have to have a diagnosis?>>That’s correct. Yep.
Those are the, so there are three things in
regard to eligibility. Diagnosis, substantial vocational
impediment, and then the third thing, benefit from services in
regard to employment. Anytime I say benefit,
I’m meaning employment. So, really, what I’m looking at is
the first two things when I’m meeting with someone and when I’m gathering
information, it’s the diagnostic. And then,
what are the impediments to employment? And so I gather that
information a couple of ways. One, medical records are dated. You know we pay for
current functional capacity evaluation, psychological evaluation,
those sorts of things. And then in regard to substantial
impediment for employment, sometimes it’s reasonably apparent. Lot of times I tell them on the work
you’re doing, what can’t you do? Or what can’t you do in the way
that you used to do it? And I gathered that information
a lot of times from them. So for example I mentioned that
degenerative disc disease and a lot of times you meet a person
at work in construction or work for the railroad,
any number of things, with degenerative disk disease and
typically it’s between the L3, L4, L5, S1. So you have fairly constant pain either
down the back of the leg which would be between L five and
S one lumbar vertebrae, five and the sacral vertebrae. So pain down the back of the leg or. The side or the front. As well as right there and in the hip. And so, they can no longer
walk on uneven ground, or no prolonged standing,
a whole eight hour shift. No prolonged walking. No lifting, carrying. So, those kinds of things. And so, an example, construction, or
working for the railroad, or agriculture. No repeated bending, twisting. You know,
those would be the functional limitations. To require services and
to benefit from those services, I kind of default to the person. And it says they want to work and
they have a role in mind and I take them at their word. And if I thought they didn’t benefit, we go back to the,
it’s not a subjective decision on my part. It has to be objective and
we evaluate that. So types of services
are the assessments that I mentioned. Counseling and guidance,
that’s everything I do should come under that umbrella,
counseling and guidance. Vocational and other training. Physical and mental restoration. Example of physical restoration may be
assistance in purchasing a prosthetic. Mental restoration maybe, counseling. Support toward training you know
mileage reimbursement, childcare, living maintenance and one of
the questions that I was asked before we got started too is about
variations from state to state. This is probably one area where
there would be a lot of variation. Variation from one state policy to
another’s in regard to support services. Interpreter services. Job development placement services we,
I mean, employment is our whole goal and
so that’s. That’s a fairly common
service on each plan. Occupational licenses,
currently I have two, actually they’ve graduated, two people who just graduated in
regard to becoming registered nurse. And so you know they need to set for the exam and that sort of thing and
that cost in Indiana it cost $250, $200 for one exam and $50 for
licensing of some sort. So we’re able to reimburse them that,
we build that into the plan. Home and vehicle modification, assistive
technology, small business development. This may be an important
development aspect for people who work with AgrAbility,
if there is a significant change in the operation
to accommodate some of the functional limitations
that my have occurred. That may require some business
development and assistance that way. My approach would be, personally would be
to look at it as retaining employment. You know if it’s Smith’s farm whatever,
I’d want to look even though you’re gonna change the operation I’d want
to look at retaining it, as oppose to creating a whole new
business, but that maybe an area. And I know in regard to Indiana, that is
one area where we purchased services from AgrAbility in terms of consultation for
small business development. Transition services refers to high school students transitioning from public school into adults services and the others. The IPE, the individualized plan for
employment drives all services. If it’s not on the plan,
we can’t pay for it. And in some ways, the plan which
is agreed upon by the consumer, the individual, and me, the VR counselor,
approved by my supervisor. That is, I don’t say this out loud, but
I think of it in terms of a contract. That if it’s on the plan,
I’m committed to provide that service. And so I really worked with
the person to really try and make sure we get everything that
may be necessary onto the plan. The comprehensive assessment, all of
the the information that we would get, we would gather before hand in
terms of the occupational goal. The services necessary the tools equipment
necessary the assistive technology necessary whatever it may be that would
all come from various evaluation or assessment. And that would be the rationale for
putting it on the plan. Once the plan’s in place,
then we provide services. And these are examples of assessment. And again, depending on what
the functional limitation may be. The plan has to have these components,
a specific employment outcome. My approach to that is be as broad as
possible, because I wanna be inclusive. And I’ve not been asked to
make it narrower than that, so in some instances such as the person
who’s completed the nursing program. I’m not using general labor there,
I am actually using nursing and then probably I’ll stick health
care worker just in case but, and then again, that has to be agreed on,
I mean, when I say I’m doing it, I mean I’m typing it into the computer,
but the information comes from the person, from the consumer, the description
of the services The timeline, of course the timeline’s
always as soon possible. But they don’t let us put ASAP in there. You have to put a date. And then a description of the vendor
who’s gonna provide the service. How are we gonna evaluate whether
the service is successful or whether it’s doing what we intend for
it to do? And then the terms and
agreements are the responsibilities.>>[INAUDIBLE] For something from
someone when your doing that? When it’s someone that you don’t know
that will be doing it do you request for feedback?>>Yeah, I get progress report. In regard to the nursing student for
example. That at the end of each academic term
they provide me with their grades. And they have to remain eligible for
student aid. Which means a grade point average 2.0 or
above and then making progress toward completion. They basically can have one semester below
2.0, and that’s called academic probation. And they’re still eligible for
services for aid from voc rehab. Well there are a whole lot of caveats,
but essentially academic suspension. Then they need their own
resources to bring it back up. So that’s an example of progress in
regard to the wheelchair I mentioned. After he had received the wheelchair. There was fitting to make sure that
things were adjusted and fit properly. In regard to the vehicle
modification I mentioned. There was an after check to make sure the
equipment was installed as specified by the evaluation, the prescription. Make sure all the equipment was there,
make sure it was all working. Make sure the tie downs were
where they should be so he could access them,
those kinds of things. All through there would be progress or
benchmarks or things that we would
want to keep track of. And then the 26 closure,
that successful employment. That the person agrees to it, that it’s
consistent that they’re able to do it. That they’re interested in doing it and
its within in the limitations. There’s no perfect match. But if the consumer’s satisfied, I mean,
that’s kinda how I measure that myself. And that can include self employment,
it can include telecommuting, it can include business ownership,
such as owning your farm. But the job the in integrated environment,
in other words not a sheltered workshop. And then after they’re placed
into employed status 90 days after the exception would be in
regard to supported employment. In the work that you guys do,
you may not encounter that too often. But there may be a longer
period of time before closure, to make sure the person,
the term we use is, stable on the job. Basically, what that means is working
as independently as possible, and that would be at or
above federal minimum wage. So we had a question regard to referrals. Anyone can make a referral. AgrAbility staff can make a referral,
a physician can make a referral, a high school teacher can make a referral. A pastor can make a referral,
a parent can make a referral. What I ask for, at a minimum, is the person’s name and
how to get a hold of them. To complete the referral screen,
I need the name, the address, the social security. Actually I don’t need that to complete it. I need to complete the application,
date of birth, gender, telephone number, referral source. In regard to the person
you were referring to. If you were to call the local office and
give them the name, the person’s address,
the person’s phone number. Date of birth if you know that,
what you guess the disability may be, or what you know it is. That would be enough
to get things started. How to get a hold of them?>>So could that person I know that
she’s undergoing tests right now because the doctor says I don’t
know what it is, is that too soon? And she’s having a very difficult
time with medical bills because she’s only on food stamps and help from
her township trustee that’s all she has. And so we’re trying to get her
from point A to point B, but I don’t know if it’s
too early to refer her. But she can no longer work.>>My answer is going to be vocational
rehabilitation is a slow process, and so it’s probably never too early.>>Okay.>>In certain situations, we may find, in fact that it is to early, I don’t know, but I wouldn’t worry about that. If I were the referral source,
I wouldn’t worry about that.>>Okay.
>>I would make the referral and let vocational rehabilitation
kinda work through that. So, we talked a little
bit about the funding. It’s a state federal match. How can AgrAbility staff
make a good referral? And what I tell folks is if you think they could benefit
from our services refer them. I don’t expect you to do the eligibility. I don’t expect my high school teachers or the high school teachers I
work with to determine that. And I’ve always worked for supervisors who allowed me to be
inclusive in determining eligibility. They didn’t expect me to be exclusive, they didn’t expect me to
weed out those who apply. They have always expected me to be
inclusive in making those decisions. So I’m making an assumption that
that’s what you would experience. So did we kinda address that? Okay, we talked a little
about eligibility. So, getting up to the top two things. How can VR work with farmers to get back
to farming, and then the benefits of VR. So, in reverse order, do you have any specific questions
in regards to benefits of Voc Rehab? Basically in regard to AgrAbility
we serve as a partner and funding source, or I hope we do that. And I guess part of your question,
if you were making a referral to me. I may rely on, what do you know in
regard to the functional limitations? I may rely on you to help me to
understand how whatever the diagnosis or the situation is. How does that affect this person
in their work on the farm? What is it they can’t do? And this isn’t in regards to
people in agriculture, but it’s people in every business. They typically aren’t asked
those kinds of questions. And they have trouble giving good answers,
or are perhaps a little shy in terms
of saying they can’t do something. So I may rely on that
kind of input from you in regard to further on after the referral,
or after the application process. I may rely on input in regard to,
what are the accommodations necessary? Or what is the technology necessary? What are the changes? So those sorts of things. Any other specific questions
that you may have?>>You mentioned that, if they would have,
you’d find it successful, if they were, they attained the job that was paying
minimum, minimum, federal minimum wage. How do you measure that for a farmer?>>Yeah. Well, this is my answer, and,
you know, if you talked to half a million VR counselors,
you may get a different answer. But I’m gonna take what they tell me.>>Or what they tell you it is.>>[LAUGH] And I’m not,
I’m not gonna ask to produce tax forms. I mean, I know it’s, you know, depending on the type of agriculture,
you know, you use credit to finance your operation. And then the payday is all,
you know, at the end or whatever, with the exception of dairy maybe, where,
you know, there’s a monthly milk check, or, or maybe a, you know,
a farrow finish operation, or something where, you know,
there’s a regular turnover, but on it. So, you know, I’m gonna just kind of
work with the person to figure it out. And, and I’m not gonna, and the other thing then is I’m not going to
divide by the 80 hours a week they work. I’m only gonna divide by 40. So that’s how,
that’s how I would approach it.>>So if it’s paying,
the farmer is paying its own bills, then, you know it can sustain itself with this.>>I don’t know, well, we would figure
that out, and I probably wouldn’t.>>Okay, no, I just, thank you.>>I’m not gonna penalize folks for
working, you know, and demand things, so yeah, I don’t know. That’s not a very good answer, but I’m pretty honest about
what I just told you about. Hopefully, yeah.>>When you provide the job placement,
does it have to be full time employment?>>She asked does the job placement have
to be full time, and no, it doesn’t. And again, we’re looking,
we’re considering the abilities and then their interests and
then their limitations. I have a lot of folks on my case load
who receive Social Security Disability. And, and to earn wages above the SGA
Substantial Gainful Activity amount, you know, would, they don’t wanna do that. So, so,
I’ve had probably the smallest amount, and again, this wasn’t in regard to
Social Security or anything else, it was in regard to what
the person was able to do. It was probably four hours a week,
two-two hour days. And that’s what the person
relied on others for transportation in terms of stamina and
attention. And some of those things and
in terms of what they were capable of, and what the employer was able to provide for
them to do, to be productive. It ended up, being, you know, four hours. So there isn’t a, there isn’t a specific
stipulation in regard to that. So, anyway, our time is pretty much up.>>Have you had anybody
fall through the cracks or anything that something might happen and
they fell through the cracks and then you had to make up for this person. Has anything like that ever occurred.>>Yeah. The, couple of different things, and our session’s kinda over because
there’ll be another one, but. So, I’ve had people disappear. By the way, when we talked about
the plan in regard to responsibilities, what I, the only responsibilities I put on
a person is that they do their best and that they follow through. And by follow through,
I mean don’t disappear. You know, respond to letters,
respond to phone calls. If you got questions, if you got problems,
if you got concerns, you gotta talk to me. Because I can’t, you know, I don’t know
what they are if you don’t tell me. And, so I’ve had that happen. The other side of that is I tell people, don’t hesitate to ever call me because,
you know, I’m working with a lot of folks, and
if you wonder what’s going on, call me. You know, so
there are folks I’ve forgotten about. And there are folks that I’ve made the
sticky note and lost the sticky note and wake up at 3 in the morning and, 3 in
the morning, three months later, you know. And so, yeah, it happens. Was that what you were asking me?>>Yeah.>>Yeah.
>>There’s time through our program when people sometimes,
they just disappear [LAUGH]>>Yeah, and I, well, you know, I’ve probably made every mistake
that can be made, you know. I just tried not to make
it the same mistake twice. And sometimes people aren’t ready,
you know. When they first apply, sometimes they
aren’t ready and sometimes later they are. And I get, I mean, I’ve had people apply
three and four and five times, and we never, you know, we never. Well maybe on the fifth time we do, or
the fourth time, or whatever it may be. Sometimes I say, so
what’s gonna be different this time? But I don’t prevent them from applying and I don’t prevent, you know, so,
I don’t know, is that what you wondered.>>Yeah, thank you very much.>>Okay.>>Sure. Sure.
>>Thank you. [APPLAUSE]


  • Reply Richard. Tessa Parrish July 23, 2015 at 7:03 pm

    very informative video  enjoyed it

  • Reply Dijonne Stricklen January 3, 2017 at 11:31 pm

    very interesting video you can learn more about this information contained to jobs.

  • Reply Anthony Hester November 6, 2017 at 3:52 am

    Does voc rehab referral to occupational therapy or vice versa. How can occupational therapy help voc rehab

  • Reply National AgrAbility November 9, 2017 at 8:31 pm

    Voc Rehab works differently in different states; however, referring customers to occupational therapists is definitely within the realm of what they can normally do. At the same time, occupational therapists may refer their clients to Voc Rehab if they are not already connected with VR.

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