Native Americans have higher rates of unemployment than other minority groups, and why this is so remains unclear. This study sought to determine demographic, physical health, mental health, and psychological symptoms predictive of employment for Native Americans in the Northeastern United States. The participants were 750 Native American men and women who ranged in age from 18 to 64 years. Using logistic regression, the findings indicated that Native Americans with greater education were more likely to be employed than those who were less educated (OR = 1.4, P < .000). Native Americans who rated themselves in better physical health were more likely to be employed (OR = 1.3, P < .003). Those who reported multiple psychiatric disorders were less likely to be employed (OR = 0.69, p < .001). Pervasive sadness was related to a lower likelihood of employment (OR = 0.51, P < .000). Recommendationsfor tribal leaders and rehabilitation practitioners are provided.
Rehabilitation counselors face increasing demands to respond to the needs of business and industry to manage the effects of disability on the worker. The need to prepare counselors for this role has resulted in a variety of training responses. This review of the literature identifies trends contributing to the expansion of employer-based practice. It describes some of the variations in the role of the counselor working in consultative service to employers, in employee assistance programs, and in internal disability management programs. Recent developments in education and training to prepare counselors for work with business and industry are reviewed and organized into recommendations for effective approaches to curriculum and program development. The implications of emerging issues and future trends are discussed.
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