Rehabilitation Counselor Education Programs Regarding Essay

For the past several(prenominal) years, the health headache and insurance industries in America give been undergoing significant reform in tell apart to rein in the high embody of delivering health assistance operate. Managed care has establish a cornerstone of this process (Strickland, 1995). The baptismal font steering industry (with its focus on embody containment, managed competition, and quality care) is playing an increasingly important role in the managed care environment (Owens, 1996). According to Mullahy (1995a), the number of en lesson managers has risen astronomically in juvenile years.These individuals come from diverse avocational dry lands and radiation diagram narrowtings that include nurse, replacement counsel, and social organize. bailiwick commission, however, is not a new concept. umteen human good, replenishment, and health care professions arouse a history of using object lesson centering models in the execution of their responsibilit ies. For example, in many psychiatric replenishment work settings social workers are frequently chartered as fiber managers to coordinate the render of fraternity-based services to their clientele (Sledge, Astrachan, Thompson, Rakfeldt, & Leaf, 1995). shell management is also an extremely important thing of renewal counselors in two earth and hugger-mugger areas (Leahy, Chan, Taylor, Wood & D possessey, 1997 Leahy, Szymanski & Linkowski, 1993 Matkin, 1995). Similarly, medical slick management is increasingly being viewed as an essential aspect of professional nursing praxis (Lamb, 1995). The Development of Private empyrean look Management The impetus for geek management practice in health care settings can be traced to the skyrocketing cost of workers remuneration in the 1970s.Private area rehabilitation grew in response to the penury for vocational rehabilitation services by workers compensation insurance carriers (Matkin, 1995). Federal principle also promoted th e growth of hidden sector example management services. albeit inadvertently. The Rehabilitation stage of 1973 gave priority within the state-federal vocational rehabilitation system to individuals with severe disabilities, causing workers compensation carriers to seek vocational rehabilitation services for their (typically less severely injured) claimants in the secret sector Habeck, Leahy, Hunt, Chan & Welch, 1991).In increasing numbers. rehabilitation nurses and rehabilitation counselors were hired to provide both medical and vocational case management services to workers compensation claimants. In the lately 1980s, case management began to develop its own impetus as an independent profession (E. Holt, personal communication, December 1, 1996). In 1991, 29 organizations involved in the field pull together in Dallas, Texas, at a consensus conflux organized by the Individual Case Management Association.The intent was to agree upon the philosophical basis for case management, a parking area definition of case management, and a set of meaningful practice standards. Eventually, a proof program for case managers was developed, including eligibility criteria and content areas for a certification examination. On July 1, 1995, the Commission for Case Manager Certification (CCMC) was incorporated as a separate, independent credentialing body. Although the process is even very young, there are already over 19,000 Certified Case Mangers (CCMs) who build completed certification requirements.With technical and administrative support from the Foundation for Rehabilitation pedagogics and Research, Leahy (1994) surveyed 14,078 practicing case managers representing multiple professional disciplines in a variety of work settings. His look into suggested that case managers share a common experience base required for case management practice comprised of five factors 1) coordination and delivery of services 2) physical and psychosocial aspects of disability 3) w ell-being systems and cost benefit abbreviation 4) case management concepts and 5) principles of community re-entry.Roles and Functions Studies In 1991, Matkin employ a line of credit analysis get to identify work role categories as well as knowledge requirements associated with the take aim tasks performed by rehabilitation specialists in the private sector (Matkin, 1995). Seven major knowledge domains were identify, but case management and the coordination of rehabilitation services were determined to occupy some 40% of the subjects work time.More recently, Leahy, Chan, Taylor, Wood, and Downey (1997) identified seven empirically derived knowledge factors as important for effective private rehabilitation practice. These knowledge factors are vocational discernment and planning case management and coverage expert witness testimony commerce and disability related legislation and regulations community resources psychosocial and functional aspects of disability and job analy sis and odification. In their study, knowledge of case management was rated as most important with a mean (M) score of 3. 24 (based on a five-point Likert-type scale, with 0 meaning not important to 4 indicating absolutely essential). Their study may reflect a respite in private rehabilitation practice from predominantly vocational counseling and job placement to medical and vocational case management.These same researchers also found several distinctions between private rehabilitation practitioners with a rehabilitation counseling background and those with a nursing background. While specialists with rehabilitation counseling expertise viewed knowledge in vocational rehabilitation as important to private rehabilitation practice, practitioners with a nursing background believed that community resources and medical rehabilitation service coordination activities were more important.