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HomeArthritis and workAbout vocational rehabilitation (VR)VR servicesEvaluation processExamples of VR servicesVR services for teensPayment for VR servicesApplying for VR servicesHow to make VR work for you

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Vocational Rehabilitation.

Last updated Thursday, January 06, 2005

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VR services

Evaluation process

The services of vocational rehabilitation are designed to help people from all walks of life, who are disabled, match their skills with current job opportunities. These may include professional jobs, self-employment, family or farm work, industrial or technical work, sheltered or home-bound employment, or any other gainful work.

The specific type and number of services you might need are determined through an evaluation process. Two examples are given below:

1. A surgical nurse with severe osteoarthritis in the feet may only need work evaluation studies to determine what other types of hospital work he or she can perform.

2. A truck driver with progressive ankylosing spondylitis might require a number of services and a complete change of career.

Examples of VR services

To help you achieve your employment goals, VR may provide the following services:

  • Medical and psychological examination. You may be asked to see a rheumatologist, physical and/or occupational therapist or psychologist
  • Evaluation of interests, skills, and ability for future work
  • Counseling, guidance and referral to other necessary services
  • Physical or mental restoration programs and services that could include surgery, hospitalization or physical therapy
  • Expenses for training or education in universities, colleges, technical schools, apprenticeship programs or on-the job
  • Expenses for purchasing books, tools, licenses or other equipment
  • Basic living expenses
  • Transportation costs
  • Medical equipment necessary for employment Wheelchairs, prosthetics, glasses, self-help devices
  • Job placement
  • Follow-up after employment

VR services for teens

For young people with arthritis, the change or transition from school to working life involves many choices and decisions regarding employment or higher education. Vocational rehabilitation and the Department of Education will work together to help teens make a successful transition from student to independent adult. The two agencies coordinate and offer services that begin in high school and continue into the early adult years.

Parents and students need to actively pursue this coordination. They should check with the school counselor and local VR office about transition programs. Early planning will make the transition smoother and success more likely.

Payment for VR services

Not all vocational rehabilitation services are provided free of charge. You will be asked to submit information about your income and expenses to determine how much you can contribute to the cost of your VR program. In some cases VR does pay for all expenses when the person has very limited funds.

You will not be asked to pay for services that involve medical, psychological or vocational evaluation, counseling, referral and job placement. However, financial need must be proven for all other services.

Individuals who are entering an educational program beyond high school (college, university, technical school) must apply for federal student financial aid. Once you apply, the VR counselor will work with the financial aid officer to determine how your educational expenses will be met. Usually, financial aid pays for educational costs and VR covers disability-related expenses.

As discussed earlier, each state sets its own budget for rehabilitation programs. The amount of money available for VR in your state will directly affect the range of services and number of clients served.

In addition, each state agency receives its funds for a 12-month period (fiscal years). The fiscal year may begin on January 1, or another date, and this may vary from state to state. That means there will be more money available at the beginning of the fiscal year than at the end. These factors: budget, number of clients served, and timing in relation to the fiscal year, may affect your ability to receive needed services even though you qualify. Therefore, it is advisable to apply early in the fiscal year. Contact the local VR office with specific questions.


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