PMID- 36652156 OWN - NLM STAT- MEDLINE DCOM- 20230913 LR - 20230922 IS - 1573-3688 (Electronic) IS - 1053-0487 (Print) IS - 1053-0487 (Linking) VI - 33 IP - 3 DP - 2023 Sep TI - The Impact of Work Incentives Benefits Counseling on Employment Outcomes: A National Vocational Rehabilitation Study. PG - 538-549 LID - 10.1007/s10926-022-10092-1 [doi] AB - BACKGROUND: Millions of Americans receiving Social Security Administration (SSA) disability benefits aspire to work and reduce reliance on disability benefits, but find the rules about entering or rejoining the workforce too complex or confusing and fear that working will cause loss of important benefits. PURPOSE: A case control study was conducted to investigate the impact of receiving work incentives benefits counseling (WIBC) on employment outcomes, and its relationship with demographic covariates for U.S. vocational rehabilitation (VR) clients who are SSA disability benefit recipients. METHOD: Data for this study were extracted from the Rehabilitation Service Administration (RSA-911) database. Mahalanobis distance matching procedures were used to match clients who received WIBC with those who did not receive it. Chi-square independence tests and independent samples t tests were used to compare receipt of WIBC and employment outcomes based on the demographic variables. Additionally, chi squared automatic interaction detection (CHAID) analysis was used to divide VR clients into homogeneous groups based on the covariates. RESULTS: Clients who received WIBC were more likely to obtain competitive integrated employment (CIE). Impairment type, referral source, long-term employment and education level were significantly associated with CIE for clients who received WIBC. Additionally, VR clients with sensory/communicative impairments and low-income status were less likely to receive WIBC. CONCLUSION: Modifying VR structure to be more inclusive; understanding of stigma; and increasing the functioning, psychological well-being and self-efficacy of VR clients might improve employment outcomes. CI - (c) 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. FAU - Kaya, Cahit AU - Kaya C AD - University of Texas-Rio Grande Valley, Edinburg, USA. rehber.cahit@gmail.com. AD - Department of Educational Sciences, Harran University, Sanliurfa, Turkey. rehber.cahit@gmail.com. FAU - Bishop, Malachy AU - Bishop M AD - University of Wisconsin-Madison, Madison, USA. FAU - Torres, Ayse AU - Torres A AD - Florida Atlantic University, Boca Raton, USA. LA - eng PT - Journal Article DEP - 20230118 PL - Netherlands TA - J Occup Rehabil JT - Journal of occupational rehabilitation JID - 9202814 SB - IM MH - Humans MH - United States MH - *Rehabilitation, Vocational/methods MH - *Motivation MH - Case-Control Studies MH - Employment MH - Counseling PMC - PMC9846657 OTO - NOTNLM OT - Benefits counseling OT - Impairment OT - Mahalanobis distance matching OT - Rehabilitation Service Administration OT - Vocational rehabilitation COIS- We have no conflicts of interest to declare. EDAT- 2023/01/19 06:00 MHDA- 2023/09/13 06:41 PMCR- 2023/01/18 CRDT- 2023/01/18 11:27 PHST- 2022/12/20 00:00 [accepted] PHST- 2023/09/13 06:41 [medline] PHST- 2023/01/19 06:00 [pubmed] PHST- 2023/01/18 11:27 [entrez] PHST- 2023/01/18 00:00 [pmc-release] AID - 10.1007/s10926-022-10092-1 [pii] AID - 10092 [pii] AID - 10.1007/s10926-022-10092-1 [doi] PST - ppublish SO - J Occup Rehabil. 2023 Sep;33(3):538-549. doi: 10.1007/s10926-022-10092-1. Epub 2023 Jan 18.