DOCUMENT RESUME ED 041 104 VT 010 158 AUTHOR Ellis, John; And Others TITLE The Second Half Century: A Plan for Vocational Rehabilitation to 1975 and Beyond. INSTITUTION New Jersey Governor's Advisory Committeeon Comprehensive Statewide Planning for Vocational Rehabilitation Services and Facilities,Trenton. SPONS AGENCY Rehabilitation Services Administration (DREW),, Washington, D.C. PUB DATE 30 Aug 68 NOTE 155p. AVAILABLE FROM New Jersey Rehabilitation Commission, Laborand Industry Building, Room 1005, John Fitch Plaza, Trenton, New Jersey 08625 ($2.00, make checks payable to Treasurer, State of New Jersey) EDRS PRICE ")DRS Price MF-$0.75 HC-$7.85 DESCRIPTORS Educational Programs, Employment Opportunities, *Handicapped, *Interagency Coordination,Manpower Needs, Mentally Handicapped, Multiply Handicapped, Neurologically Handicapped, Physically Handicapped, *Program Administration, Program Coordination, ' *Program Planning, State Agencies, *Vocational Rehabilitation IDENTIFIERS *New Jersey ABSTRACT A 27-member advisory committee Was appointed in1966 by the Governor of New Jerseyto create a written Plan that would assure coMprehensive vocational rehabilitation services by 1975 for all handicapped people who could benefit wfrom them. The state was divide4 into seven regions andseven regional committees identified major needs and barriers within their regions, reviewed preliminary redommendations, and acted as citizen advisorycouncils. n,In addition qt, nine task forces were formed to assistthe project staff in developing solutions to problems reported bythe regional committees. Recommendations that need to be met before comprehensive rehabilitation Services wi'llf be availableare grouped accordingi to the need for:(1) development ofan organization to coordinate serviCes,(2) increased attention in special areas of disability, (3) assurance of diagnostic,restorative, and training resources for the handicapPed,(4) health and rehabilitation manpower, and(5) .removal of, barriers affecting;, thehandicapped. A listing of recommendations in chart f;or.M,specittes the agencies responsiblefor meeting the need, the extent of need, and the durationof a program (pB) k... I ,_. 9g110TOIN U.S. DEPARTMENT OF HEALTH, EDUCATION & WELFARE OFFICE OF EDUCATION THIS DOCUMENT HAS BEEN REPRODUCED EXACTLY AS RECEIVED FROM THE PERSON OR ORGANIZATION ORIGINATING IT, POINTS OF VIEW OR OPINIONS STATED DO NOT NECES- SARILY REPRESENT OFFICIAL OFFICE OF EDU- CATION POSITION OR POLICY, The Second Half Century A Plan for Vocational Rehabilitation to 1975 and Beyond 14- -,,- sa ti This painting is -the work of E. Venon Smith,a handicapped artist who paints by 'lidding the brush in his teeth. His paintingshave won several prizes. This onC, the artist's impression of DeBussy's "Clair de Lune," is exhibited at Middlesex RehabibUtion Hospital, North Brunswick, New Jersey. The Second Half Century A Plan for Vocational Rehabilitation to 1975 and Beyond OFFICIAL REPORT OF THE GOVERNOR'S ADVISORY COMMITTEE, NEW JERSEY COMPREHENSIVE STATEWIDE PLANNING PROJECT FOR VOCATIONAL 1&EHABILITATION SERVICES. Prepared by JOHN ELLIS, Project Director JOHN M. CARMAN, Area Coordinator and Editor DAVID CAYER, University Coordinator This planning program was supported bya grant, under Section 4(a) (2) (b), from the Rehabilitation ServicesAdministration, Social and RehabilitationService, Department of Health, Education and Welfare, Washington, D. C. 'DISCRIMINATION PROHIBITED Title VI of the Civil Rights Act of 1964 states: "No person in the United States shall,on the grounds of race,color,or national origin, be excluded from participation in, be denied the benefitsof, or be subjected to discrimination under any programor activity receiving Federal tina,ncial assistance." Therefore, allprograms and activities receiving financial assistance from the Department of Health, Education, and Welfare must be operated in compliance with thislaw. August 30, 1968 The Honorable Richard J. Hughes Governor of New Jersey State House Trenton, New Jersey 08625 Dear Governor Hughes: Re:Statewide Planning for Vocational Rehabilitation Services and Facilities As Chairman of your Advisory Committee, it is a pleasure to submit to you the final report of two years of Comprehensive Statewide Planning for Vocational Rehabilitation Services and Facilities. A great many knowledgeable citizens and agencies of our State have given generously of their time and have been diligently involved in helping to establish a plan of service, including facilities needed for more than 200,000 people handicapped as a result of disease, accident, or birth. This final report is being sent to Washington in accordance with their requirements. Your Committee feels it is a good blueprint for action to guide us statewide in meeting the overall objectives of this planning project, which will provide vocational rehabilitation services for all handicapped citizens of this State who could benefit from them by 1975. As you know the implementation of this document is important and in accordance with Federal requirements the Rehabilitation Commission will have the responsibility of carrying this forward. I believe you can feel assured that with the fine climate for cooperation which exists as a result of this planning, real progress has been made toward serving New Jersey's handicapped people. Sincerely yours, Henry Kessler, M.D., Chairman Governor's Advisory Committee HK:E:mb CONTENTS Chapter1:Introduction 1 Chapter2:The Composite Working Plan 3 Chapter3:Summary of Recommendations 9 Chapter4:Research 17 Part A. Prevalence: The Future Demand for Rehabilitation Services 17 Part B. Defining an Optimal Solution 20 Part C. Alternative Measures of Demand 22 Part D. Specific Disability Types 23 Part E. Special Education Survey and Classroom Enrollment 25 Part F. Survey Index Methodology 27 Part G. Hospital Admissions Survey 27 Part H.Private Agency Survey 28 Part I. Regional Studies 32 Part J. Survey of Counselor Opinion 33 Part K. Role and Status of the Rehabilitation Counselor 34 Part L. Public Relations Study 40 Part M.Transportation 41 Part N.Administrative Studies 42 Part 0. Employment Office Sample 42 Chapter5 : The Development of Coordinated Services 53 Part A. Overall Organization Needs 53 Part B. Funding Needs 57 Part C. Cooperative Efforts 57 Part D. Study and Evaluation of Programs 60 Itmakolotart.onto* 0 la Chapter6:The Need for Increased Attention to Psycho -Social Disability 63 Part A. Scope and Nature of Problem 63 Part B. Existing Patterns of Service 68 Part C. Findings and Recommendations 76 Chapter7:The Need for Increased Attention to the Low Income Disabled 81 Part A. Scope of the Problem 81 Part B. Findings and Recommendations 84 Chapter 8:The Need for Increased Attention to Mental Retardation and Brain Injury 91 Part A. Mental Retardation 91 Part B. Brain Injury 94 Chapter 9:The Need for Increased Attention to the Multiply Handicapped 99 Chapter 10:Independent Living for the Severely Disabled 101 Chapter 11:Counseling Coverage for Special Groups of Disabled 103 Chapter 12:Diagnostic, Restorative, and Training Resources for the Handicapped. ..105 Part A. Diagnostic Facilities 105 Part B. Restorative Facilities 106 Part C. Sheltered Workshops and Other Training Facilities 110 Part D. Transition and Community Living Facilities 115 Chapter 13:Health and Rehabilitation Manpower 119 Chapter 14:The Removal of Barriers Affecting the Handicapped 129 Part A. Architectural and Transportation Barriers 129 Part B. Barriers Relating to Employment 131 Part C. Other Barriers 133 Chapter 15:Background, Goals, Scope, and Organitation of Project 135 41111111ifigaillni TABLES Table 1 Expected vs. Needed Program of the Rehabilitation Commission 1 Table 2 -1 Cost of Rehabilitation 5 Table 2-2 Needed Rehabilitation Program and Cost Table 2-3 Expected Program of the Rehabilitation Commission 6 Table 2-4 Needed vs. Expected Program and Cost 6 Table 4A -1Disability and Demand for Services: 1965-75 18 Table 4A -2Possible Rehabilitation Clients by Region and County 21 Table 4E -1Total School Enrollment and Numbers of Children in SpecialEducation Classes 26 Table 4G -1Patients Admitted for Selected Conditions at MorristownMemorial Hospital 28 Table 4H -1Visits to Local Chapters of Voluntary Agencies 29 Table 4J -1 Summary of Counselor Opinion 34 Table 4K -1 Selected Data on Operation of New Jersey RehabilitationCommission... ....... .. 36 Table 4K -2Expenditures of New Jersey Rehabilitation Commission 36 Table 4K -3Persons Rehabilitated by State Agencies in New Jersey 36 Table 4K -4Number of Cases Served in State Rehabilitation Agencies inNew Jersey 36 Table 4K -5New Jersey Rehabilitation Commission Percentage of TotalActive Cases in Each Category: Fiscal 1967 37 Table 4K -6 New Jersey Rehabilitation Commission Caseload Vacancies:July 1966- May 1967 ..38 Table 4K -7Acquisitions and Terminations of Counselors to Staff of NewJersey Rehabilitation Commission: Fiscal 1967 38 Table 4K -8New Jersey Rehabilitation Counselor's Salaryas Compared to Other Civil Service Jobs in New Jersey 39 Table 4N -1Rank of 50 States by Ratio of Rehabilitated Clients to AcceptedClients (1965) 43 Table 4N -2Rank of 50 States by Ratio of Accepted Clients to Serviced Referrals (1965) 44 Table 4N -3Cases Referred to the New Jersey Rehabilitation Commissionby County and Referral Source 45 Table 4N -4Cases Referred to the New Jersey Rehabilitation Commissionby County and Disability Type 48 Table 4N -5Ranking of the Seven Regions in New Jersey by the ConditionalProbability of Acceptance