Clients with chronic illness in VR agencies: How do they compare with other client populations?

BACKGROUND: Chronic illness has become an increasing concern in the U.S. in recent years. The Vocational Rehabilitation (VR) program serves clients with chronic illness, and less is known about this population as compared with other subgroups. OBJECTIVE: The purpose of this study was to provide descriptive information on VR clients who report the cause of their primary impairment to be chronic illness. This group was compared with clients reporting a primary impairment due to other sources. METHODS: RSA-911 data were analyzed to determine the extent of observed differences between VR clients presenting with primary disability due to chronic illness compared with primary disability due to other causes in personal demographics, service patterns, and results of services. RESULTS: Clients in the chronic illness group were more likely to be older, have achieved a higher level of education, and be employed at application. They were also more likely to receive diagnosis and treatment or rehabilitation technology as a service. On average, their cases were longer and more expensive than the comparison group. CONCLUSION: VR agencies might consider additional counselor training and exploration of the needs of this sub-group to gain a better understanding of effective services and associated costs of this distinct population.