An Evaluation of the "Counselor Plus Case Aide Model" in Serving American Indians with Disabilities through the Public Vocational Rehabilitation Program

This report evaluates the "counselor plus case aide" outreach model used to deliver vocational rehabilitation (VR) services to American Indians on northern Minnesota reservations. The report also documents other existing VR outreach efforts to American Indians, based on a survey of state VR agency directors. Evaluation of the Minnesota model focused on processes and outcomes during 1993-97 and included a review of documentation on program history, management, and procedures; analysis of state databases for client characteristics, services received, and work status at referral and closure; and interviews with six randomly selected clients. A key factor in Minnesota service delivery was the use of an American Indian VR counselor plus an American Indian case aide, who consistently went to reservations to recruit clients, disseminate information, and provide services. None of the 14 state VR agencies responding to the survey reported a similar program of outreach, although about half described agency involvement with tribes. It appears that the Minnesota model is successful in bringing VR services to American Indians who otherwise would not be service recipients. American Indians with disabilities are a distinct population with special needs, and Minnesota reservations are rural and isolated. Nevertheless, it is vital that VR personnel maintain a consistent presence on the reservations: keeping promises, working with clients as distinct individuals, providing good practical counseling--creating hope and confidence in people who may have none. Recommendations are offered for outreach programs and for future evaluative research. Contains 24 references, 10 tables, and 9 figures. Appendixes include interview questions, program data, and evaluation documents. (SV)