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The career I chose was a rehabilitation counselor. This career is interesting because you can help people reach a goal, which is to be able to live independently or be able to return to their normal routine in home and out the home. Counselors work with people all disabilities.

The purpose of this field to assist individuals with physical, mental, developmental, cognitive and emotional disabilities to achieve their personal, career and independent living goals in the most integrated setting possible through counseling.

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Rehabilitation counselling became a profession in 1920 with the passage of the Smith Fess Act, which founded the federal- state vocational rehabilitation program. In 1954, the vocational rehabilitation Act Amendments provided funding for the development of master’s level rehabilitation counseling training programs. The training program along with research provided the foundation for the professionalization of rehabilitation counseling. In 1997, the Rehabilitation Act was amended to include the Comprehensive System of Personal Development which ensured that all vocational rehabilitation programs only employed rehabilitation counselors with the highest licensing or certification. Today, Rehabilitation counseling is no longer restricted to federal-state vocational rehabilitation programs. Rehabilitation counselors work in various settings including proprietary rehab companies, private practice, private non-profit rehab facilities/organizations, insurance companies, medical centers/ general hospitals and businesses.

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To be a rehabilitation counselor, the individual must have a master’s degree in rehabilitation counseling. Some positions may require a license or be certified as a rehabilitation counselor. An individual can obtain an undergrad degree in psychology, social work, counseling or psychiatry. A master’s program is 24 months. Clinical training is included in the program and individuals are required to compete 2,000-3,000 hours of supervised clinical experience.

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Rehabilitation Therapy!

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Norris, L. (2018, July 5). How Obama Care Improved Mental Health Coverage. Retrieved from https://www.healthinsurance.org/obamacare/how-obamacare-improved-mental-health-coverage/

Chan, F., Chronister, J., Catalana, D., Chase, A., Eun-Jeong, L. (2004). Foundations of rehabilitation counseling. Retrieved from https://counseling.sfsu.edu/sites/default/files/Foundations%20of%20Rehabilitation%20Counseling.pdf

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This field has enhanced healthcare delivery for consumers by delivering services to meet the health needs of certain populations. Rehabilitation counselors help individuals with physical, mental, emotional, and social disabilities function in their day to day lives. When a counselor meets a client for the first time, they’re responsible for interviewing them, assessing their abilities, evaluation their school and medical records and communicating with other healthcare professionals to learn of the client’s limitations. Then, the counselor will create a rehabilitation plan specific to the individual that will meet the individual’s strengths and goals. Some individuals may need one on one counseling and others may be put into a group to build strategies to cope with their disabilities. Rehabilitation counselors may assist by setting up living arrangements, pursue an education, employment or any meaningful activity. Rehabilitation counselors will monitor the individuals progress and make changes to the treatment plan as needed. Rehabilitation counselors work in various settings and have different roles. If the counselor works with the school system, they usually work with students to develop strategies for improving their learning. If they work in assisted living or nursing homes, their job is to help the elderly adapt with disabilities due to chronic illness or injury and if they’re employed via social service agencies, they help individuals with housing, education, employment and mental health services.

Before the Affordable Care Act was in place, mental health coverage was not a part of health plans. Individuals with mental behavioral, and psychotic disorders were unable to obtain private individual health insurance. In most states, health insurances were able to increase premiums during the initial underwriting process. In 2014, ACA was a major change to behavioral health coverage. They eliminated medical underwriting so that medical and mental health history could no longer be affected by denials or higher premiums. The ACA also played a role in individual and small group plans covering prescriptions to treat behavioral health problems. In 2010, ACA allowed young adults to stay on their parents’ insurance until age 26. By 2013, the uninsured rate decreased and Americans with mental health problems were able to obtain health insurance that would cover mental health care. Although the number decreased, there is still need for improvement with health coverage.