Medical records of all residents of Rochester, Minnesota, who had a first stroke in 1975-1979 were reviewed to determine level of disability, disposition, and use of rehabilitation services. Of the 292 persons with a first stroke, 251 (86%) (mean age 70 years) survived > 1 week. The mean Rankin disability score (Grade 1, no disability, through Grade 5, severe disability) changed from 1.7 before...

Individuals who have experienced incarceration are an underserved population in need of career development to reduce barriers employment. Given the high rates disability and health concerns for individuals been previously incarcerated, this study explored relationships between individual functioning, vocational identity, core self-evaluations, community integration. Using structural equation mo...

Impairment and disability evaluations have become a growth industry in the United States. Impairment evaluation is sometimes termed independent medical evaluation, or IME. So-called independent medical experts are hired guns to provide opposite opinions, similar to attorneys in this case. IME is the practice of medicine on one hand. On the other hand, it is the practice of law in white coats. I...

BACKGROUND Surveillance of trends in disability is necessary to determine the burden of disability on the U.S. military, the most common types of disability conditions, and the prevalence of combat exposures in the disability population. Previous studies of disability in the U.S. military have focused on a particular service or condition rather than examining the epidemiology of disability in t...

International Comparisons of Work Disability Self-reported work disability is analyzed in the US, the UK and the Netherlands. Different wordings of the questions lead to different work disability rates. But even if identical questions are asked, cross-country differences remain substantial. Respondent evaluations of work limitations of hypothetical persons described in vignettes are used to ide...