Better Voc Rehab

Usage of Vocational Rehabilitation Services

I am currently a customer of the Washington state SeaTac office. I have been a customer since 2018. I was a customer of the Cincinnati, Ohio VR office from Friday, July 24, 2009 until about June 25, 2010. I had asked my case-worker at Hamilton County Developmental Disabilities services office about how to fill out a Plan to Achieve Self-Sufficiency, but then, having been awarded a full scholarship to Gallaudet, I thought that the University would support me during my studies. The majority Deaf faculty (and hearing teachers who taught me) did!

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In the second video, the patient, “Stacy” (a real patient portrayed by a postgraduate student of Dr. Linehan’s), says vocational rehabilitation encouraged her to apply for social security (likely Supplemental Security Income, the program for disabled people that keeps them in poverty and hasn’t been updated since 1972). This is failure on the part of any vocational rehabilitation office to suggest that people with disabilities should just be on the dole. It runs contrary to the point of vocational rehabilitation.

Dialectical Behavior Therapy Wants To Get People Off Supplemental Security Income & Related Public-Disability Programs, Too!

The goal of DBT® is to help folks build lives worth living. But too many are anxious or discouraged from pursuing work. Fortunately, last month, Guilford Publications released two new publications, both of which I highly recommend.

Disabled and Employed: Not Ironic, Just An Introject Shift!

Working any job requires training, respect, and equal opportunity. It starts with access to higher education or skills-training programmes, and there is an open-caption film Open The Door, Get ‘Em A Locker: Educating Nursing Students with Disabilities that follows the journey of a nursing student who uses a wheelchair and service-dog through her nursing-school and employment journey.

Work “Stamina”

Transitioning from subsisting in abject poverty from SSI and/or SSDI takes time. The most important skill is stamina. But, in their DBT Next Steps Clinician’s Manual: Building A Life Worth Living, authors Katherine Anne Comtois, Adam Carmel, and Marsha M. Linehan write in their first chapter “What Is Beyond the Crisis?” on page four (4) the following:

[W]hen the right contingencies are in place and DBT clients practice exposure by applying for jobs and start working, they generally find that after a few weeks of building up “work stamina,” working is quite manageable. In fact, many clients have noted it is less stressful than being disabled.

Resources for Implementing DBT® Next Steps and ACES in Vocational Rehabilitation

Concerned About Customers Losing Long-Term Support Services?

Don’t! (One of my Community Placement Agency employment specialists actually called me to worry about this on June 12, 2019). If Medicaid is paying for their Personal Attendants (which they most likely are) remember that Medicaid is a discrete program with different rules and practices in each jurisdiction. Your job at Vocational Rehabilitation is to assist people in meeting their vocational goals, not to worry about health policy! But if you’re curious, there’s a specific policy at the federal level for continued Medicaid eligibility when working with a disability.

The same Community Placement Agency employment specialist privately-messaged me on my personal Facebook on or around June 19, 2019. By far my favorite HIPAA violation to happen to me…at least so far that I know of.

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Last Updated: 3. Oct 2025