专题

智力残疾人的职业康复:理论架构、方法与服务

  • 王胜男 ,
  • 邱卓英 ,
  • 孙宏伟 ,
  • 邹敏 ,
  • 李安巧
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  • 1. 中国ICF研究院,山东潍坊市 261053;
    2. 世界卫生组织国际分类家族中国合作中心,北京市 100068;
    3. 潍坊医学院心理学系,山东潍坊市 261053;
    4. 中国康复研究中心康复信息研究所,北京市 100068;
    5.中国康复科学所,北京市 100068;
    6. 中国智力和发展性残疾分级、评估与康复(运动)重点实验室,郑州大学,河南郑州市 450001;
王胜男(1982-),女,汉族,山东潍坊市人,硕士,讲师,主要研究方向:心理健康、职业康复和康复咨询学。

收稿日期: 2019-01-08

  网络出版日期: 2019-02-18

基金资助

1.中央级公益性科研院所基本科研业务费专项资金项目(重大科学研究引导基金项目)(No. 2017CZ-7; No. 2018CZ-4); 2.证据科学教育部重点实验室(中国政法大学)开放基金资助课题(No. 2018KFKT07); 3.山东省卫生计生政策研究重点课题(No. 201837)

Vocational Rehabilitation for People with Intellectual Disability: Theoretical Framework, Approaches and Services

  • WANG Sheng-nan ,
  • QIU Zhuo-ying ,
  • SUN Hong-wei ,
  • ZOU Min ,
  • LI An-qiao
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  • 1. China Academy of ICF, Weifang, Shandong 261053, China;
    2. WHO-FIC Collaborating Center in China, Beijing 100068, China;
    3. Psychology Department, Weifang Medical University, Weifang, Shandong 261053, China;
    4. Research Institute of Rehabilitation Information, China Rehabilitation Research Center, Beijing 100068, China;
    5.China Rehabilitation Sciences Institute, Beijing 100068, China;
    6. China Key Laboratory of Classification, Evaluation and Rehabilitation Sport of Intellectual and Development Disability, Zhengzhou University, Zhengzhou, Henan 450001, China

Received date: 2019-01-08

  Online published: 2019-02-18

Supported by

National Special Fund Projects of Basic Research for Institutes at Central Governmental Level (Leading project of Major Scientific Research) (No. 2017CZ-7; No. 2018CZ-4), Opening Project of Key Laboratory of Evidence Science (China University of Political Science and Law, Ministry of Education) (No. 2018KFKT07) and Shandong Health and Family Planning Policy Research Program (No. 201837)

摘要

目的 构建智力残疾职业康复的理论和服务框架,为提升智力残疾人的体面就业提供依据。
方法 根据ICF,分析智力残疾人的就业障碍,并以此为基础提出智力残疾职业康复的内容和流程。
结果 根据ICF框架,智力残疾人的就业障碍包括主要功能障碍、就业相关功能障碍和就业环境三个方面。智力残疾的职业康复主要涉及职业评估、职业咨询、职业技能开发与培训、职业指导、支持与协助服务,以及职业发展环境分析等。职业康复的主要流程有评估就业障碍与职业能力、确定就业模式与目标、制定和执行个别化职业康复计划以及追踪服务等。
结论 需要根据ICF发展结构化和个别化的针对智力残疾的职业康复架构与服务方法体系。

本文引用格式

王胜男 , 邱卓英 , 孙宏伟 , 邹敏 , 李安巧 . 智力残疾人的职业康复:理论架构、方法与服务[J]. 中国康复理论与实践, 2019 , 25(1) : 22 -28 . DOI: 10.3969/j.issn.1006-9771.2019.01.005

Abstract

Objective To establish the theoretical framework and approaches of services provision of vocational rehabilitation (VR) for people with intellectual disability (ID) to promote the decent employment of people with ID.
Methods The employment difficulties of people with ID had been analyzed using ICF, and the content and the procedure of VR for people with ID had been explored.
Results According to ICF, the employment difficulties of people with ID included functioning, barriers of employment and environmental factors. VR services for people with ID included assessment of employment barriers and vocational capacity, vocational counseling, vocational skill development and training, vocational guidance, support and assistance service, VR and politics development and research. The procedures of VR services for people with ID included assessing employment difficulties and vocational abilities, establishing employment setting and target, planning and implementing individualized VR program, and follow-up services.
Conclusion It is necessary to use ICF to develop structured and individualized VR framework and approaches of VR for people with ID.

参考文献

[1] International Labour Conference.Vocational Rehabilitation and Employment of Disabled Persons [R]. Geneva: ILO, 1998.
[2] 世界卫生组织,世界银行. 世界残疾报告(国际中文版)[M]. 邱卓英,译. 日内瓦:世界卫生组织, 2013.
[3] 张爽. 上海市残疾人薪酬调查分析[J]. 残疾人研究, 2016(4): 64-70.
[4] 世界卫生组织.国际功能、残疾和健康分类(国际中文增补版)[M]. 邱卓英,译. 日内瓦:世界卫生组织出版社,2015.
[5] Durkin M.The epidemiology of developmental disabilities in low-income countries[J]. Ment Retard Dev Disabil Res Rev, 2002, 8(3): 206-211.
[6] Wu L, Qiu Z, Wong D, et al.The research on the status, rehabilitation, education, vocational development, social integration and support services related to intellectual disability in China[J]. Res Dev Disabil, 2010, 31: 1216-1222.
[7] Metzel D S, Boeltzig H, Butterworth J, et al.Achieving community membership through community rehabilitation provider services: Are we there yet?[J]. Intellect Dev Disabil, 2007, 45: 149-160.
[8] 李萌,王娜,田宝,等. 国际功能、残疾和健康分类架构在智力残疾标准制订中的应用探讨[J]. 中国康复理论与实践, 2004, 10(6): 328-330.
[9] Schalock R L, Borthwick-Duffy S A, Bradley V J, et al. Intellectual Disability: Definition, Classification, and Systems of Supports[M]. Washington D.C.: American Association on Intellectual and Developmental Disabilities, 2010: 1-50.
[10] 梁兵,马洪卓,邱卓英,等. 3-6岁脑性瘫痪、智力残疾、孤独症儿童活动和参与功能障碍比较[J]. 中国康复理论与实践, 2015, 21(9): 993-995.
[11] Hofer S M, Gray K M, Piccinin A M, et al.Correlated and coupled within-person change in emotional and behavior disturbance in individuals with intellectual disability[J]. Am J Intellect Dev Disabil, 2009, 114(5): 307-321.
[12] 布鲁斯·J·汤奇,张洁,侯希妍. 精神健康和智力残疾:公共精神健康的需要[J]. 残疾人研究, 2017(2): 33-38.
[13] Hosking F J, Carey I M, Shah S M, et al.Mortality among adults with intellectual disability in England: comparisons with the general population[J]. Am J Public Health, 2016, 106: 1483-1490.
[14] Krahn G L, Fox M H.Health disparities of adults with intellectual disabilities: what do we know? What do we do?[J]. J Appl Res Intellect Disabil, 2014, 27: 431-446.
[15] 邱卓英,李欣,刘冯铂,等. 基于ICF的智力残疾模式、测量方法及社会支持系统研究[J]. 中国康复理论与实践, 2016, 22(4): 373-377.
[16] 邱卓英,黎东晓,李欣,等. 当代智力残疾测量与统计方法和社会支持与服务体系[J]. 中国康复理论与实践, 2016, 22(4): 383-388.
[17] Thompson J R, Wehmeyer M L, Shogren K A, et al.The supports paradigm and intellectual and developmental disabilities[M]// Shogren K A, Wehmeyer M L, Singh N N. Handbook of Positive Psychology in Intellectual and Developmental Disabilities. Springer Series on Child and Family Studies. Springer, 2017.
[18] Escorpizo R, Reneman M F, Ekholm J, et al.A conceptual definition of vocational rehabilitation based on the ICF: building a shared global model[J]. J Occup Rehabil, 2011, 21: 126-133.
[19] Finger M E, Escorpizo R, Glassel A, et al.ICF Core Set for Vocational Rehabilitation: results of an international consensus conference[J]. Disabil Rehabil, 2012, 34(5): 429-438.
[20] Migliore A, Butterworth J.Trends in outcomes of the vocational rehabilitation program for adults with developmental disabilities: 1995-2005[J]. Rehabil Couns Bull, 2008, 52(1): 35-44.
[21] Glassel A, Finger M E, Cieza A, et al.Vocational rehabilitation from the client’s perspective using the International Classification of Functioning, Disability and Health (ICF) as a reference[J]. J Occup Rehabil, 2011, 21: 167-178.
[22] Buys N, Matthews L R, Randall C.Contemporary vocational rehabilitation in Australia[J]. Disabil Rehabil, 2015, 37(9): 820-824.
[23] 世界劳工组织. 就业工作文献103号——提升智力障碍者的培训和就业机会:国际的经验[R]. 日内瓦:世界劳工组织, 2011.
[24] Austin B S, Lee C.A structural equation model of vocational rehabilitation services: predictors of employment outcomes for clients with intellectual and co-occurring psychiatric disabilities[J]. J Rehabil, 2014, 80(3): 11-20.
[25] Kaya C.Demographic variables, vocational rehabilitation services, and employment outcomes for transition-age youth with intellectual disabilities[J]. J Policy Pract Intellect Disabil, 2018, 15(3): 226-236.
[26] Balogh R, McMorris C A, Lunsky Y, et al. Organizing healthcare services for persons with an intellectual disability[J]. Cochrane Database Syst Rev, 2016, 4: 1-54.
[27] He P, Chen G, Liu T, et al.Rehabilitation service utilization among adults with intellectual disabilities: Trends and socioeconomic disparities in China[J]. J Intellect Disabil Res, 2018, 62(9): 775-784.
[28] 刘战旗,阳庆云,陈兵,等. 智力残疾人支持性就业支持过程及影响因素研究[J]. 残疾人研究, 2015(2): 57-62.
[29] Inge K, Targett P.Customized employment and disclosure[J]. J Vocat Rehabil, 2008, 28(2): 129-132.
[30] 杨剑,葛晶晶,李欣,等. 智力残疾人康复需求与康复服务发展状况研究[J]. 中国康复理论与实践, 2018, 24(11): 1246-1251.
[31] 李欣. 河南省智力残疾人群的社会经济状况与发展需求研究[J]. 中国康复理论与实践, 2016, 22(4): 389-394.
[32] 邱卓英,郭键勋,杨剑,等. 康复2030:促进实现《联合国2030年可持续发展议程》相关目标[J]. 中国康复理论与实践, 2017, 23(4): 373-378.
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