CAS Manual - VA DRS VE Learning Community
Transcription
CAS Manual - VA DRS VE Learning Community
DORS Division of Rehabilitation Services CAREER ASSESSMENT SERVICES (CAS) TRAINING MANUAL Developed by: Maryland VECAP (Vocational Evaluation and Career Assessment Professionals (formerly known as VEWAA Vocational and Work Adjustment Association) in conjunction with the DORS/CRP Advisory Vocational Services Sub-Committee 2/2001 Rev. 05/02 Rev. 10/05 Rev. 12/05 Contributors to the Training and Manual are: Lisa Blakeney, CVE . Lynn Dowd, CVE Laurie Fayne, CVE Melissa Hensel, CVE Chris Hudson Donna Keegan, CVE Maureen Keenan, CVE Pam Leconte, CVE Mary Piatt, CVE Pam Winpigler, CVE Developed in 2/2001 DORS Career Assessment Services Manual Table of Contents Titles INTRODUCTION CAREER ASSESSMENT SERVICES (CAS) OPTIONS Contents 1 2 3 4 5 5A 6 7 8 CAS ASSESSMENT PROCESS 9 9A 9A 9B 10 10A 10B 10C 11 11A 11B 11C 12 13 Title Page CAS Contributors Table of Contents Purpose and Goals Principles and Competencies CAS Vendor Process Essential Elements CAS Option Descriptions Itemized Focused Exploratory Community Based Comprehensive CAS Checklist Framework Assessment Process Flow Chart CAS Values Base Assessment of the Individual Descriptor Assessment of the Individual Chart Assessment Methods Verification and Triangulation Assessment Plan Purpose Assessment Plan Components Assessment Plan Example 1 Assessment Plan Example 2 Observing and Recording Behaviors Data Synthesis REPORT WRITING 14 15 16 17 Importance of the Report CAS Checklist Report Writing Process Components of a Good Report Examples of Reports 16 17 18 19 20 21 22 23 24 25 26 Itemized 1 Itemized 2 Focused 1 Focused 2 Exploratory 1 Exploratory 2 Exploratory 3 Community Based 1 Community Based 2 Comprehensive 1 Comprehensive 2 Appendices 1 2 3 4 5 6 7 8 9 CAS History CAS Internet Resources Evaluator Skills Needs Position Paper CAS Referral Form CAS Referral & Review Process CAS Vendor Qualification Checklist CAS Fees Glossary PURPOSE/GOALS OF CAREER ASSESSMENT Professionals dedicated to the meaningfulness and usefulness of career assessment (formerly vocational evaluation) services came together in an effort to ensure uniform definitions, standards and practices and to improve the quality of assessment services provided to individuals. Furthermore, it was determined that a greater number of options which fall under the umbrella of “career assessment” was needed in order to meet the needs of the individuals served and provide consistency of services throughout the state. Thus, regardless of where an individual or referral source seeks assessment services, the primary factors for referral will be: • Location of agency • Number/variety of options provided by the agency • Waiting list • Time frame to provide each option • Format of report It is the hope of the team of professionals, who worked diligently on this project, that this manual will provide the guidelines, resources, format and room for creativity in order for “trained” professionals to provide quality and uniform Career Assessment Service Options to the individuals they serve. Principles of Career Assessment 1. Using a variety of approaches and methods is essential to provide fair and accurate career assessment. 2. Career assessment information (findings) must be verified or triangulated. 3. Behavioral observation and personal interaction are essential in the career assessment. 4. Career assessment is ongoing and developmental. 5. Career assessment is required to make decisions and develop plans. 6. Career assessment never stands alone. It represents an integral part of larger service processes or systems. 7. To have value, assessment must be used and useful. 8. Career assessment requires collaboration and several sources of input. 9. Career assessment and evaluation information must be current, valid and relevant. 10. Career assessment and evaluation are grounded in vocational and work contexts. 11. Career assessment and evaluation are processes, not products. 12. Career assessment and evaluation processes are systematic and organized, but flexible. The following seven principles serve as guides to best practice across settings. Guiding Principles 1. A variety of methods, tools and approaches should be used to provide accurate vocational evaluation and assessment. A broad range of questions must be posted to determine what makes an individual as well as his/her abilities and needs unique. Separating an individual’s attributes into categories such as interest, aptitude, or learning style preferences help organize the assessment. 2. Vocational evaluation and assessment information should be verified by using different methods, tools and approaches. Using alternative methods or approaches to validate findings can usually be achieved by a) observing an individual’s demonstrated or manifested behaviors, such as performances on actual work; b) using an individual’s self report or expressed statements; and/or c) administering some type of survey, inventory or structured interview or test. 3. Behavioral observation is essential in any vocational assessment process. Behavioral observation (e.g., observing physical performance, social characteristics, interactions with people and other aspects of the environment) occurs throughout the assessment process. The observation process can be a) informal of formal, b) occur in a variety of environments, c) made by a variety of people and d) should be documented and presented in an objective, non biased manner. 4. Vocational evaluation and assessment may be an on-going development process in career development. However, individuals especially those with disabilities, may need evaluations/assessments of varying degrees given at different junctures over their career life span. 5. Vocational evaluation and assessment should be an integral part of larger service delivery systems. Vocational evaluation and assessment should be the basis for planning needed services, resources and support; therefore, it can be an integral part of the total service delivery system. Vocational evaluation and assessment information should be interpreted and conveyed to the consumer as well as others within the system. 6. Vocational evaluation and assessment requires the collection of input from a variety of individuals and requires an understanding of how to use the results of the assessment process. An interdisciplinary team approach allows for effective use of information, which can be translated into effective planning, implementation activities (e.g., placement, support services, counseling), and fulfilled vocational development for consumers. 7. Vocational evaluation and assessment should be current, valid and relevant. Vocational evaluation and assessment is grounded in career, vocational and work contexts. The Interdisciplinary Council on Vocational Evaluation and Assessment strongly recommends that all individuals providing vocational evaluation and assessment services demonstrate competency or successful completion of training in competencies related to each of the guiding principles identified in this document. They include the following: Competencies 1. The ability to select, adopt, and/or develop methods, and approaches which are useful in determining an individual’s attributes, abilities, and needs. 2. The ability to utilize alternative methods and approaches, which can be used to cross validate information generated from other assessment sources. 3. The ability to conduct formal and/or informal behavioral observation strategies, which can be integrated in a variety of settings. 4. The ability to collect and interpret ongoing data that can be utilized to promote successful transition through critical junctures of the individual’s career development. 5. The ability to interpret vocational evaluation and assessment data in a manner that contributes to the total service delivery system. Vocational evaluation and assessment team members must be capable of synthesizing and reporting formal and informal data in a manner that promotes appropriate planning, appropriate goal setting, and coordination of needed support services. 6. The ability to function as an effective participant on an interdisciplinary team. 7. The ability to select, implement and integrate evaluation and assessment approaches which are current, valid, reliable, and grounded in career, vocational and work contexts. The Position Paper of The Interdisciplinary Council on Vocational Evaluation and Assessment - Smith, F., Lombard, R., Newbert, D., Leconte, P., Rothenbacher, C., & Sitlington, P. CAREER ASSESSMENT LEVELS of SERVICE Essential Elements of All Career Assessment Options Regardless of which assessment option chosen: 1. The participation and input of the consumer is essential and will be included throughout the process, particularly during each of the following activities: • • • • • Determining the purpose of Assessment Conducting an initial interview Developing the individual assessment plan Reviewing and discussing results Making recommendations 2. The process will be sensitive to cultural, linguistic, ethnic and other environment considerations. 3. The process will include vocationally relevant behavioral observations and temperament factors. 4. Assistive technology needs will be considered in the delivery of each of the service options. 5. Results will be summarized, synthesized, and interpreted in written form that is understandable to the individual. Career Assessment Options ITEMIZED ASSESSMENT: An individual assessment tool/instrument or method used to answer a very specific referral question. Referral question examples: - What is this person's typing speed? - What are this person's vocational Interests? - What is this person's mechanical aptitude? - What are this person's academic achievement levels? - What are this person's scores on a practice GED test? - Based on review of the records, would this individual benefit from an additional assessment options? Specify which option. Examples of tools, instruments or methods to be used: achievement tests, aptitude tests, interest surveys, GED practice test, typing test, learning style inventory, dexterity assessments, self assessment inventory, observations, records review. Outcome: A written summary including a brief description of the test/instrument administered, summary of the results and evaluator/career assessment specialist observations. Report Format must include: individual's name, date of birth, social security number, disability(ies) and associated functional capacities and limitations, referral source, evaluator/career assessment specialist's name, assessment period, date of report, reason for referral, vocational accommodations/assistive technology, name of test/instrument including brief description of tool/instrument or method, summary of results and evaluator/career assessment specialist observations. Note: The report format components listed are the minimum required and depending on the referral question there may be additional components requested and/or needed. See the enclosed reports for examples of referral questions, reports and components used. FOCUSED ASSESSMENT: Assessment to determine the feasibility of a specific chosen career area as a career goal (can include real or simulated work). Referral question examples: - Can this person learn and perform the duties and tasks of a secretary? - Can this person learn and perform the duties and tasks of a welder? - Can this person learn and perform the duties and tasks of an auto mechanic? - Does this person possess the skills, temperaments, and behaviors to work in a management position? Examples of tools, instruments and methods that can be used: achievement tests, aptitude tests, interest surveys, transferable skill analysis, learning style inventories, commercial or evaluator/career assessment specialist made work samples, facility-based job try-outs (situational assessment), self assessment inventory(ies), dexterity tests, review of records, personal interview, career exploration resources, job shadowing, environmental and/or task analysis, and evaluator/career assessment specialist observations. Outcome: A written synthesis including results, evaluator/career assessment specialist's observations, vocational strengths, needs, and recommendations. Report Format must include: individual's name, date of birth, social security number, disability(ies) and associated functional capacities and limitations, referral source, evaluator/career assessment specialist's name, assessment period, date of report, reason for referral, accommodations/assistive technology, name of tests/instruments including brief description of tools, instruments, or methods, test results, education, work history and other background information, transferable skills, vocational strengths, vocational needs, summary of results, interests and temperaments, knowledge of career information, job seeking and keeping skills, community and employment supports, learning style preferences, evaluator/career assessment specialist observations, and recommendations. Note: Report format components listed are the minimum required and depending on the referral question(s) there may be additional components needed. See the enclosed reports for examples of referral questions, reports and components used. EXPLORATORY ASSESSMENT: A process utilizing career exploration resources and/or methods designed to provide information on the next step in long range planning for the individual. Investigation and education in jobs and job clusters, taking into consideration the individual’s interests, needs, abilities and functional capacities. Referral question examples: - What are this person's vocational strengths, needs and options? - Does this person's disability have an impact on his/her specified career objective? - Are his/her interests aligned with projected labor market needs? - What are this person's transferable skills? - What interests are verified by job shadowing? - Is information gained from career information activities sufficient for career decision-making? - What are this person's general aptitude, academic achievements levels and vocational interests? Examples of tools, instruments and methods that can be used: achievement tests, aptitude tests, interest surveys, transferable skill analysis, learning style inventories, self assessment inventories, dexterity tests, review of records, personal interview, career exploration resources, job shadowing, limited use of worksamples, evaluator/career assessment specialist observations. Outcome: A written synthesis including results, evaluator/career assessment specialist's observations, vocational strengths, needs, and recommendations. Report Format must include: individual's name, date of birth, social security number, disability(ies) and associated functional capacities and limitations, education, work history and other background information, referral source, evaluator/career assessment specialist's name, assessment period, date of report, reason for referral, vocational accommodations/assistive technology, name of tests/instruments including brief description of tool/instrument or method, summary of results, interests and temperaments, knowledge of career information, job seeking and keeping skills, community and employment supports, learning style preferences, evaluator/career assessment specialist observations, vocational strengths, vocational needs, transferable skills, description of career exploration activities and recommendations. Note: Report format components listed are the minimum required and depending on the referral question there may be additional components needed. See the enclosed reports for examples of referral questions, reports and components used. COMMUNITY-BASED ASSESSMENT: A holistic assessment of an individual's interests, needs, and abilities in a job/worksite setting located in the community. Community-based assessment is an umbrella term depicting a category of methods, which may include: - Situational assessment On-the-job evaluations Job try-outs or trials Supported Employment assessment Referral Questions might include: - Does this person demonstrate appropriate daily living behaviors in the community? - How much support/training would this person need to be gainfully employed? - Does this person demonstrate appropriate work behaviors on the job? Examples of tools, instruments or methods that can be used: real or simulated work to discover career exploration, learning style, transferable skills, worker traits, social skills, work behaviors, physical capacities, dexterity/motor skills, direction-following skills, job readiness and job seeking skills, aptitudes, interests, transportation and community supports, temperament factors, environmental and/or task analysis, and accommodations/assistive technology needed to assist individual with learning and performing the job duties and tasks. Outcome: A written synthesis including results, evaluator/career assessment specialist's observations, strengths, needs, and recommendations. Report Format must include: individuals name, date of birth, social security number, disability(ies) and associated functional capacities and limitations, referral source, evaluator/career assessment specialists name, assessment period, date of report, reason for referral, accommodations/assistive technology, name of tests/instruments including brief description of work site, tools, instruments, and methods, test results, transferable skills, education, work history and other background information, vocational strengths, vocational needs, summary of results, name, location and description of assessment site, interests and temperaments, knowledge of career information, job seeking and keeping skills, community and employment supports, learning style preferences, evaluator/career assessment specialist observations, and recommendations. Note: Report format components listed are the minimum required and depending on the referral question(s) there may be additional components needed. See the enclosed reports for examples of referral questions, reports and components used. COMPREHENSIVE CAREER ASSESSMENT: The Comprehensive Career Assessment is appropriate for individuals with the most significant disabilities who: would have difficulty handling the reading or motor activity required to independently perform the paper/pencil assessment activities typically utilized as part of an Exploratory Career Assessment have sensory impairments which require significant accommodation to enable their participation have never worked or have a significant period of absence from the work force due to their disability, require an extended period of observation to determine their work behaviors It is also a holistic, broad-based intensive process, which is: grounded in the use of real or simulated work, individualized, uses a combination of all typical assessment methods with the possible (but not required) exception of a community-based assessment, and incorporates a career planning process for an individual who faces the most significant vocational barriers or challenges. Referral questions might include: - Given this individual’s poor work history, what other options are available? - Due to a severe injury, this individual needs to change careers, what can this person do? - This individual does not appear to have any vocational interests and states he/she has no skills. What can this person do and how much support and/or training does he/she need to be successfully employed? Examples of tools, equipment or methods that can be used: real or simulated work, environmental or task analysis, achievement tests, learning style inventory(ies), analysis of transferable skills, worker traits, social skills, work behaviors, physical capacities, dexterity tests/motor skills, direction-following skills, background information, job readiness and job seeking skills, career exploration needs, aptitudes, interests, transportation and community supports, temperament factors, and pertinent information obtained from file review, individual interview, and significant others, career exploration, community resource surveys, labor market review, etc. Outcome: A written synthesis including results, evaluator/career assessment specialist's observations, vocational strengths, needs, and recommendations. Report Format must include: individuals name, date of birth, social security number, disability(ies) and associated functional capacities and limitations, referral source, evaluator/career assessment specialists name, assessment period, date of report, reason for referral, accommodations/assistive technology, a brief description of work site, tools, instruments or methods, test results, functional limitations, education, work history and other background information, vocational strengths, vocational needs, summary of results, name, location and description of assessment site (if utilized), interests and temperaments, knowledge of career information, job seeking and keeping skills, community and employment supports, learning style preferences, evaluator/career assessment specialist observations, transferable skills and recommendations. Note: The report format components listed are the minimum required and depending on the referral question there may be additional components requested and/or needed. See the enclosed reports for examples of referral questions, reports and components used. ITEMIZED ASSESSMENT SERVICE CHECKLIST ITEMIZED ASSESSMENT: An individual assessment tool/instrument or method used to answer a very specific referral question. Content Indicators: One individual assessment tool, instrument or method was administered to answer a very specific referral question. The participation and input of the individual was included throughout the process, particularly during each of the following activities: - determining the purpose of the assessment - developing and modifying the individual assessment plan - reviewing, discussing, and documenting results - making recommendations. The assessment process was sensitive to cultural, linguistic, ethnic, and other environmental considerations. The assessment process includes vocationally relevant observations and temperament factors. Assistive technology needs are considered in the delivery of the service. The results are summarized, synthesized, and interpreted in written form. The report includes/addresses: individual's name date of birth social security number disability(ies) and associated functional capacities and limitations referral source evaluator/career assessment specialist’s name assessment period date of report reason for referral vocational accommodations/assistive technology name of test/instrument including brief description of tool/instrument or method summary of results evaluator/career assessment specialist observations 11/01 ITEMIZED (Continued) Quality Indicators: Timeliness Was the report received within 14 working days of the completion of the Itemized Assessment? Yes _____ No ______ Usefulness The referral questions were answered or addressed. The report is written in a positive tone and is person-centered. The background information or collected data support the recommendations. The information was presented in a manner that was clearly understandable. Alternative recommendations were given, when appropriate. 11/01 FOCUSED ASSESSMENT SERVICE CHECKLIST FOCUSED ASSESSMENT: Assessment to determine the feasibility of a specific chosen career area as a career goal (can include real or simulated work). Content Indicators: The assessment focused on one job, job cluster or career area. The tools, instruments and methods that were used focused on the interest factors, educational, physical and cognitive skills required in that job, job cluster or career area. They included at least several of the following: achievement tests, aptitude tests, interest surveys, transferable skill analysis, learning style inventories, commercial or evaluator made work samples, facility-based job try-outs (situational assessment), self assessment inventory(ies), dexterity tests, review of records, personal interview, career exploration resources, job shadowing, environmental and/or task analysis, and evaluator observations. The participation and input of the individual was included throughout the process, particularly during each of the following activities: - determining the purpose of the assessment - conducting an initial interview - developing and modifying the individual assessment plan - reviewing, discussing, and documenting results - making recommendations The assessment process was sensitive to cultural, linguistic, ethnic, and other environmental considerations. The assessment process includes vocationally relevant observations and temperament factors. Assistive technology needs are considered in the delivery of the service. The results are summarized, synthesized, and interpreted in written form. The report includes/addresses: individual's name date of birth social security number disability(ies) and associated functional capacities and limitations education work history referral source 11/01 FOCUSED (Continued) evaluator/career assessment specialist’s name assessment period date of report reason for referral vocational accommodations/assistive technology name of tests/instruments including brief description of tool/instrument or method summary of results interests and temperaments knowledge of career information job seeking and keeping skills job availability in geographic area community and employment supports learning style preferences evaluator/career assessment specialist observations vocational strengths vocational needs transferable skills recommendations Quality Indicators: Timeliness Was the report received within 14 working days of the completion of the Focused Assessment? Yes _____ No ______ Usefulness The referral questions were answered or addressed. The report is written in a positive tone and is person-centered. The background information or collected data support the recommendations. The information was presented in a manner that was clearly understandable. Alternative recommendations were given, when appropriate. 11/01 EXPLORATORY ASSESSMENT SERVICE CHECKLIST EXPLORATORY ASSESSMENT: A process utilizing career exploration resources and/or methods designed to provide information on the next step in long range planning for the individual. Investigation and education in jobs and job clusters, taking into consideration the individual’s interests, needs, abilities and functional limitations. Content Indicators: Numerous tools, instruments and methods were used to explore career options available to the individual. They include but are not limited to: achievement tests, aptitude tests, interest surveys, transferable skill analysis, learning style inventories, self assessment inventories, dexterity tests, review of records, personal interview, career exploration resources, job shadowing, limited use of worksamples and evaluator/career assessment specialist observations. The primary focus of the assessment was on psychometrics and the use of career information materials and systems. The participation and input of the individual was included throughout the process, particularly during each of the following activities: - determining the purpose of the assessment - conducting an initial interview - developing and modifying the individual assessment plan - reviewing, discussing, and documenting results - making recommendations The assessment process was sensitive to cultural, linguistic, ethnic, and other environmental considerations. The assessment process includes vocationally relevant observations and temperament factors. Assistive technology needs are considered in the delivery of the service. The results are summarized, synthesized, and interpreted in written form. The report includes/addresses: individual's name date of birth social security number disability(ies) and associated functional capacities and limitations education Revised 12/05 EXPLORATORY (Continued) work history other background information referral source evaluator/career assessment specialist’s name assessment period date of report reason for referral vocational accommodations/assistive technology name of tests/instruments including brief description of tool/instrument or method summary of results interests and temperaments knowledge of career information job seeking and keeping skills job availability in geographic area community and employment supports learning style preferences evaluator/career assessment specialist observations vocational strengths vocational needs transferable skills description of career exploration activities recommendations Quality Indicators: Timeliness Was the report received within 14 working days of the completion of the Exploratory Assessment? Yes _____ No ______ Usefulness The referral questions were answered or addressed. The report is written in a positive tone and is person-centered. The background information or collected data support the recommendations. The information was presented in a manner that was clearly understandable. Alternative recommendations were given, when appropriate. Revised 12/05 COMMUNITY BASED ASSESSMENT SERVICE CHECKLIST COMMUNITY-BASED ASSESSMENT: A holistic assessment of an individual's interests, needs, and abilities in a job/worksite setting located in the community. Community-based assessment is an umbrella term depicting a category of methods, which may include: - Situational assessment On-the-job evaluations Job try-outs or trials Supported Employment assessment Content Indicators: The assessment took place in a community setting in which the individual was integrated with peers without disabilities. A variety of tools, instruments and methods were used. They included: real or simulated work to discover career exploration, learning style, transferable skills, worker traits, social skills, work behaviors, physical capacities, dexterity/motor skills, direction-following skills, job readiness and job seeking skills, aptitudes, interests, transportation and community supports, temperament factors, environmental and/or task analysis, and accommodations/assistive technology needed to assist client with learning and performing the job duties and tasks. The participation and input of the individual was included throughout the process, particularly during each of the following activities: - determining the purpose of the assessment - conducting an initial interview - developing and modifying the individual assessment plan - reviewing, discussing, and documenting results - making recommendations The assessment process was sensitive to cultural, linguistic, ethnic, and other environmental considerations. The assessment process includes vocationally relevant observations and temperament factors. Assistive technology needs are considered in the delivery of the service. The results are summarized, synthesized, and interpreted in written form. The report includes/addresses: individual's name date of birth social security number 6/03 COMMUNITY BASED (Continued) disability(ies) and associated functional capacities and limitations education work history other background information referral source evaluator/career assessment specialist’s name assessment period date of report reason for referral vocational accommodations/assistive technology name of tests/instruments including brief description of tool/instrument or method summary of results name, location and description of assessment site interests and temperaments knowledge of career information job seeking and keeping skills job availability in geographic area community and employment supports learning style preferences evaluator/career assessment specialist observations vocational strengths vocational needs transferable skills recommendations Quality Indicators: Timeliness Was the report received within 14 working days of the completion of the Community Based Assessment? Yes _____ No ______ Usefulness The referral questions were answered or addressed. The report is written in a positive tone and is person-centered. 6/03 COMMUNITY BASED (Continued) The background information or collected data support the recommendations. The information was presented in a manner that was clearly understandable. Alternative recommendations were given, when appropriate. The assessment took place in a community setting in which the individual was integrated with those employed competitively at the work site, excluding those that are employed in an enclave or other specialized placement. While the individual may or may not be paid, they should be completing tasks comparable to a competitive position, paying at least minimum wage, with an official job description. The individual is instructed in job tasks by someone other than the evaluator. Includes description of the job duties performed and wage information. 6/03 COMPREHENSIVE CAREER ASSESSMENT SERVICE CHECKLIST COMPREHENSIVE CAREER ASSESSMENT: The Comprehensive Career Assessment is appropriate for individuals with the most significant disabilities who: would have difficulty handling the reading or motor activity required to independently perform the paper/pencil assessment activities typically utilized as part of an Exploratory Career Assessment have sensory impairments which require significant accommodation to enable their participation have never worked or have a significant period of absence from the work force due to their disability, require an extended period of observation to determine their work behaviors It is also a holistic, broad-based intensive process, which is: grounded in the use of real or simulated work, individualized, uses a combination of all typical assessment methods with the possible (but not required) exception of a community-based assessment, and incorporates a career planning process for an individual who faces the most significant vocational barriers or challenges. Content Indicators: Documentation will show that the primary focus of the assessment was on the use of real or simulated work, in terms of the percentage of time (50% or more) and/or the number of worksamples used. A wide variety of tools, equipment and/or methods were used including : real or simulated work, environmental or task analysis, achievement tests, learning style inventory(ies), analysis of transferable skills, worker traits, social skills, work behaviors, physical capacities, dexterity tests/motor skills, direction-following skills, background information, job readiness and job seeking skills, career exploration needs, aptitudes, interests, transportation and community supports, temperament factors, and pertinent information obtained from file review, client interview, and significant others, career exploration, community resource surveys, labor market review, etc. The participation and input of the individual was included throughout the process, particularly during each of the following activities: - determining the purpose of the assessment - conducting an initial interview - developing and modifying the individual assessment plan - reviewing, discussing, and documenting results - making recommendations The assessment process was sensitive to cultural, linguistic, ethnic, and other environmental considerations. The assessment process includes vocationally relevant observations and temperament factors. Assistive technology needs are considered in the delivery of the service. The results are summarized, synthesized, and interpreted in written form. The report includes/addresses: individual's name date of birth social security number disability(ies) and associated functional capacities and limitations Revised 12/05 COMPREHENSIVE (Continued) education work history other background information referral source evaluator/career assessment specialist’s name assessment period date of report reason for referral vocational accommodations/assistive technology name of tests/instruments including brief description of tool/instrument or method summary of results interests and temperaments knowledge of career information job seeking and keeping skills job availability in geographic area community and employment supports learning style preferences evaluator/career assessment specialist observations vocational strengths vocational needs transferable skills recommendations Quality Indicators: Timeliness Was the report received within 14 working days of the completion of the Comprehensive Assessment? Yes _____ No ______ Usefulness The referral questions were answered or addressed. The report is written in a positive tone and is person-centered. The background information or collected data support the recommendations. The information was presented in a manner that was clearly understandable. Alternative recommendations were given, when appropriate. 12/05 Framework for Career Assessment Appropriate career assessments must encompass collection and synthesis of information from the following three dimensions. The Individual Any attribute or characteristic of an individual which is vocationally relevant, which does or could potentially interact with various ecologies. The Ecology Past, present, and potential environments, circumstances, relationships, situations, or resources, with which the individual does or could interact. Congruence The interactions, compatibilities, and discrepancies between the individual, his or her attributes, and “ecologies”. This dimension requires making positive matches between the individual and various ecological options. Steps of the Career Assessment Process 1. 2. 3. 4. Identification of Individual – made by DORS Counselor Selection of Assessment Option – made by DORS and Provider Referral – made by DORS Counselor Interview/Intake Interview – conducted by Evaluator The following list items/tasks are typically included in the Individualized Career Assessment Planning Process and Assessment. The entire Assessment Process will include critical observation of behavior…. - Work Tasks Psychometric Testing Orientation Work Samples Transferable Skills Analysis Personal Interactions Job/Shop Try-Outs Or Trials On-The-Job Evaluations Situational Assessment Feedback Conference The Assessment should be followed up with the following items: - Report and/or Career Profile Conferences Career and Vocational Planning Implementation of Recommendations Follow-up of Recommendations Values Base for Career Assessment Quality career assessment services must be: Humanistic Therapeutic Holistic Equitable A Humanistic Process First and foremost, the career assessment process is individualized to the needs of the consumer. This individualization starts by choosing an appropriate level of assessment service that includes development of an individual career assessment plan, modification of that plan to include new information discovered during the assessment process, and results in an assessment report and recommendations that are unique to the individual. As a humanistic process it is based on the belief that each person is unique and wants to contribute to society. Each person has abilities, talents and gifts that if uncovered can lead to finding meaning and fulfillment in their lives. A Therapeutic Process The career assessment process is therapeutic. By learning more about themselves and the options available to them, consumers are empowered to make decisions regarding their careers and their lives. It is very much a process that is done with someone rather than done to someone. Individuals through their participation gain from the experience, which facilitates their career growth and personal development. The process is straight forward and honest and yields positive outcomes. A Holistic Process Because not just one part of the person needs to get to work, (one’s whole being is engaged in the work process), the process has to be holistic in order to be effective. Life circumstances including family, income needs, transportation, functional aspects of disability, legal concerns, leisure interests, other service systems and support networks (as well as a host of other considerations) need to be taken into account during the assessment process. Recommendations will likely include specific job outcomes but will also need to include other services and supports to address individual consumer work-related needs. A quality career assessment process deals with the whole person and integrates all environments and life circumstances. An Equitable Process Because each consumer is different, the career assessment process must be flexible enough to meet their unique needs. The type of assessment chosen and the accommodations provided during the assessment process must be adapted for the individual. Staff to consumer ratios need to be such that specially customized services are received by each individual served. Individual time and attention are needed to accurately understand the consumer and interpret his or her uniqueness, strengths, needs and goals to others. Valid measures such as commercially normed work samples and psychometric tools are utilized in conjunction with observation and informal measures into a process and outcome that is fair and accurate. Integrative Assessment of the Total Individual The following categories describe typical attributes of an individual that must be assessed to assist in vocational planning and career decisionmaking. All information collected about these attributes should be vocationally relevant, valid and current. These are the components that make up the content of an individual’s career assessment. Information from each of these categories is analyzed, synthesized and interpreted into an individual vocational profile, which emphasizes vocational strengths, needs and recommendations for implementation within the overall career development process. (Leconte & Roebuck, 1984) Self Concept Self-concept represents the core of any individual. This core equates one’s ideas about who he or she is. Self-image, one’s inner mirror, comprises the way one sees and thinks about one’s self. (Roebuck, L., 1991). Self-image is often indistinguishably bound to self-concept, which is reflected via behaviors and performances, which emanate through the remaining attributes. By observing self-concept, one’s self-esteem can be better defined, meaning the feelings both positive and negative, one holds about who he or she is. (Roebuck, L., 1991) Behaviors Behaviors are manifestations of how the person presents him or herself to the world. Observations of behaviors can lead to true indications of one’s abilities, interests, unique talents, and needs. Vocational or Career Interests Vocational interests comprise what one wants to do, would be happy doing, and/or dreams of doing in regard to careers, occupations and jobs. Vocational interests are determined through the following means: Expressed Tested Manifest Worker Style Preferences or Temperaments Worker Style Preferences or Temperaments refer to personal traits, which reflect one’s disposition or responses and choices towards environments and other individuals. Preferences for working with people, data or things are tied to one’s temperaments. Learning Preferences and Styles Learning preferences and styles entails how one prefers to receive, organize and use information. Often learning modalities, such as auditory, visual, kinesthetic and variations of these are associated with leaning styles. Other characteristics of learning preferences include environment (light, sound, temperature), emotional (motivation, persistence) and physical (time of day, mobility) considerations as well as sociological ones that may involve other people (working with peers or authority figures) (Dunn & Dunn, 1978) Developmental Background Often referred to as background information, it does not refer to a comprehensive case history, but includes information that is pertinent to one’s performances and future regarding vocational development. Background information can include previous work history, vocational activities, academic performances, vocational implications of disability, medical, and cultural considerations. Worker Characteristics Worker Characteristics include personal traits, values, attitudes, employability skills and work related behaviors, such as work habits, social skills and job keeping skills. Vocational/Occupational Skills Vocational skills refer to specific technical, industrial/business or other types of skills that are required in actual occupations of jobs. Sometimes these are categorized as occupationally specific, a vocational, and transferable skills. Vocational Aptitudes Vocational aptitudes can be defined, as one’s ability to learn something or one’s potential to learn. More specifically, it represents a person’s capacity and capability to acquire proficiency within a given amount of time with formal and/or informal training Functional/Life Skills Functional or life skills encompass those skills that an individual needs to succeed in personal life and in the realms of community and independent living. (Rothenbacher & Leconte, 1990) Examples of such skills include financial management, use of transportation, decisionmaking, and problem solving. Career Assessment: Integrative Assessment of the Total Individual Values Behaviors Career Interests • Tested • Expressed • Demonstrated Worker Style Preferences Career Aptitude • General • Specific • Performance Self Concept & Self Esteem (Temperaments) Disposition to •Environment •Individuals Learning Style • Instructional • Operational • Response Career Skills • Transferable • Specific •Avocational Worker Characteristics • Worker Traits • Attitude/Values • Employability Skills Background Information • Academic • Medical • Cultural Behaviors Values Career Profile Strengths Needs Capabilities Potential Attain Potential • • • • • Self Guided Individualized Career, Vocational, and Education Planning Collaboration in Skill Development and Training Implementation of Career Assessment Recommendations Support Services--Training, Employment Readiness, Work Experience, Employment Supports Placement Methods of Career Assessment Methods are those techniques, instruments, and activities that are organized in a systematic way to assist one in the process of gathering career and vocationally relevant information about him or herself to facilitate his or her career development, vocational planning, and short and long-term decision-making. Methods may include the following: 1. 2. 3. 4. 5. job analysis training analysis community mapping and environmental scanning community resources analysis support network identification/analysis 6. psychometric testing (e.g., interest inventories, temperament surveys, aptitude tests, achievement tests, dexterity performance tests, learning style assessments, values identification surveys, career barriers survey, mulitiple intelligence questionnaires, etc.) 7. observation and recording of behavior 8. work sampling 9. vocational interviewing 10. review of background information and records 11. employment histories 12. computerized assessment batteries 13. transferable skills analysis 14. physical capacity assessments 15. web-based surveys and occupational exploration 16. situational assessment 17. on-the-job evaluations 18. job shadowing 19. job-try-outs (work trials) 20. functional skills assessment 21. portfolios (electronic or paper with artifacts) 22. career and/or vocational profiling 23. career and/or vocational reporting VERIFICATION AND TRIANGULATION Verification and Triangulation of a Career Assessment requires that the Evaluator obtain information and proof of Expressed, Tested/Surveyed, and Demonstrated Interests, Aptitudes, Achievement Levels, strengths, limitations, etc. during the assessment process. In addition, all information must be current, relevant and valid. Therefore, an Evaluator can not just take the expressed interest from an individual and go with only that information. The Evaluator must also administer a survey and have the individual perform some aspect of the expressed interest for verification. This method must be completed with all areas needing to be assessed. CAS Assessment Plan When is the career assessment plan developed? Initial development of the career assessment plan begins with the referral. The information from sources is reviewed by the evaluator and applied to the selection of assessment instruments, strategies and procedures. The plan is reviewed with the individual prior to the start of the assessment, with their input incorporated into the plan. Additional revisions take place as the individual participates in the assessment process and new areas of ability, interest or need are identified. As noted by the study group in the Fourteenth Institute on Rehabilitation Issues (1987), “any plan should be flexible enough to allow for revisions and adaptations, while not diluting or fragmenting the original purposes” (p. 56). The career assessment planning process varies dependent on the referral question, needs of the individual being serviced, preferences, training and personal style of the vocational evaluator/career assessment specialist, the program’s policies and procedures, and the type of career assessment completed. Suggested basic career assessment formats follow with additional references. Career Assessment Planning Purpose: The career assessment plan provides structure to the career assessment process. The plan identifies instruments, strategies and modifications to be used during the evaluation process to answer the referral question. What information is needed to develop a career assessment plan? Referral question(s) Relevant background information Medical history and current medical records Employment history Psychological or neuropsychological evaluations Educational records Intake interview information (from the individual, referral source and advocates) Personal preferences and input from the person being served Daily performance/observations Who is involved? The vocational evaluator/career assessment specialist develops the plan with input from the individual participating in the assessment. The active participation of the person receiving services is vital to a successful career assessment. Additional input can be obtained from the referral source and advocates for the participant. What is included within a career assessment plan? The career assessment plan specifically identifies the following: Questions to be answered through the career assessment How these questions will be answered Who will answer these questions Assistive Technology techniques to be used in the assessment process Evidence of participation of the individual being served in the career assessment planning When is the career assessment plan developed? Initial development of the career assessment plan begins with the referral. The information from sources listed above is reviewed by the evaluator and applied to the selection of assessment instruments, strategies and procedures. The plan is reviewed with the individual prior to the start of the assessment, with their input incorporated into the plan. Additional revisions take place as the individual participates in the assessment process and new areas of ability, interest or need are identified. As noted by the study group in the fourteenth Institute on Rehabilitation Issues (1987) “any plan should be flexible enough to allow for revisions and adaptations, while not diluting or fragmenting the original purposes” (p. 56). The career assessment planning process varies dependent on the preferences, training and personal style of the vocational evaluator/career assessment specialist, the program’s policies and procedures, and the type of career assessment completed. Suggested basic career assessment planning formats follow with additional references. NAME: CAS Option: SSN: DATE OF ASSESSMENT: Referral Question or Reason for Referral: Assessed Areas Method of Measurement / Assessment Tools Used Academics Wide Range Achievement Test (Math), Nelson Denny Reading Comprehension, SRA Reading, SRA Math, Records Aptitude General Clerical Test, Career Ability Placement Survey, Computer Operator Aptitude Battery Learning Style CITE, Wells Concrete Directions, Observation/Interview Interest Career Decision Making System, Expressed, Becker Reading Free, Self-Directed Search Dexterity Bennett Hand Tool, Purdue, Crawford Small Parts Career Knowledge Interview, Questionnaire Job Seeking & Keeping Skills Interview, Questionnaire Temperaments Interview, Questionnaire, Observation Non-Work Needs Interview Completion Date Simulated / Real Work Tasks Simulated / Real Work Tasks Accommodations/Assistive Technology Needs Physical Endurance Interview & Observations Transferable Skills Interview/Review of Work History Emotional Stability Interview/Observations Interview, Questionnaire, Observations I agree with goals and plans set in this meeting and agree to work with staff to reach my goals. Individual Signature: Date: Staff Signature: Date: Individual Career Assessment Plan Participant: Reason for Referral: Assessment Questions Dates of Assessment: Critical Factors Modifications/ Accommodations Assistive Technology Procedures/Tools The Individual Career Assessment Plan above has been reviewed and agreed upon with the exceptions noted. Assessment Specialist Signature: Date: _________________________________ Participant Signature: Date: _________________________________ Persons Responsible K What I know about myself W What I want to know about myself L What I learned about myself Observing and Recording of Performance and Behavior PURPOSE – The purpose of observing and recording is to “capture” behaviors demonstrated in the career assessment process that may be important in the development of an individualized comprehensive assessment profile. Behaviors that identify or relate vocationally in areas such as these: • Strengths and aptitudes • Interests • Worker traits • Learning and performance style • Needs and uniqueness • Work performances WHY OBSERVE AND RECORD – Know why you are observing/recording otherwise it will be haphazard information. What doesn’t make sense is nonsense. 1. Paper and pencil has a better memory. 2. Detailed information is needed for synthesis, making recommendations and reporting. 3. Provide objective, accurate, informal feedback to the client. 4. Help personalize/individualize the report so its not just numbers and figures from norms – don’t do a disservice to the client. 5. To put performances into context – indicate environment, conditions, antecedents. To see patterns in client behavior. 6. Keep evaluator on task, attuned, directed. 7. Develop information that is reliable, consistent and can be counted on 8. Make it easier to later write reports. 9. To see if the client has necessary behaviors for particular job training or job – maybe can’t do something but can do ……; related to job. 10. As predictor of how will perform on the job. SYNTHESIS AND INTERPRETATION OF CAREER ASSESSMENT DATA Synthesis and interpretation of the data collected prior to and throughout the career assessment is one of the most important aspects of the process. The career assessment professional should be thoroughly familiar with the different tests, measures and approaches used during the career assessment and should be prepared to explain what the test scores mean as well as communicate information based on observations and demonstrated behaviors. The career assessment specialist may start by reviewing all test scores, observations and other information gleaned during the career assessment. This data should all be examined in light of the client's expressed interest and the referral questions which the career assessment needed to address. The career assessment specialist needs to formulate answers to all specific referral questions outlined in the career assessment plan. If two different scores designed to measure the same factor seem contradictory, career assessment specialists must attempt to find reasons why the scores may be different. They need to consider differences among the tests, such as test characteristics and norm groups used, time restrictions of the tests, individual vs. group administration, etc. They must also consider differences within the individual on different testing days, such as fatigue, stress level and distractibility. This is one of the many reasons it is important to record meaningful behavioral observations during each testing session. Based on synthesis of all data, including the individual's expressed and tested interests, abilities, behaviors, temperaments, physical capabilities and all other pertinent factors, the career assessment specialist must then decide on which work areas he or she would recommend for consideration. He or she must also make decisions regarding what other services may be needed to enhance the client's employability. The career assessment should be the basis for planning needed services, resources and support. Assessment information should be conveyed to the client, referral source and all other pertinent parties during a staffing (wrap up or informational session). This staffing is very important and should be held as soon after the last career assessment session as possible. A team approach at the staffing can allow for effective use of the information, which can be translated into planning and implementation of a vocational plan. Information must be conveyed in understandable, functional terms, which all present can understand. Ideally, the staffing should be held before the final recommendations are written so that ideas and information presented at the staffing can be incorporated into the recommendations in the report. The information presented at the staffing should include strengths, needs and recommendations, but allow room for decision making and lay groundwork for the next step. References Leconte, Pamela, et. al. (1997)"Fundamentals of Vocational Evaluation Practice"- Pre-Conference Workshop at Eighth National Forum on Issues in Vocational Assessment, Colorado Springs, Colorado Power, Paul W. (2000) A Guide to Vocational Assessment. 3rd Edition, Pro-Ed. REPORT WRITING A career assessment report is one of the most important and dynamic aspects of the career assessment process. This portion of our ‘How To Manual" will include: 1) The definition and purpose of a career assessment report; 2) several articles/handouts on the "How- To's" of style, process writing, and components that will help you develop your own reporting style; 3) the necessary components for each assessment option; and 4) examples of reports. It is our hope that this information will help you develop a comprehensive and informative career assessment report that will reflect the work that you are doing in your particular agency, and will meet the needs of your consumers and referral sources. This information alone cannot provide comprehensive training on report writing. Therefore, we encourage you to develop your skills by participating in additional training/course work in career assessment report writing, as well as confer with other vocational evaluators. The ultimate test in the effectiveness of your report writing is your referral source. If your referral source indicates that the information is useful, you will know that you are on the right track in providing a valuable report. The career assessment report is the document that communicates al1 of the individual's experience during the assessment process and offers recommendations related to employment, training, and support services. This document serves to organize, synthesize, analyze, and summarize vocationally relevant information from an individual's background, their experience during career assessment, and the desires and concerns that they express throughout the assessment process. This report should reflect the interests and concerns of two customers; the individual with the disability, and the referral source. Reports can be written in any number of different styles. Regardless of style or format, however, all reports should effectively communicate: ¾ Answers to referral questions; ¾ Vocationally relevant information; ¾ Individuals’ expressed and demonstrated interests and concerns; ¾ The principles of informed choice. It must contain all of the items listed on the checklist for the appropriate service type. See CAS Checklist. Most importantly, we encourage you to always remain sensitive to the individual with the disability when writing your reports. Imagine that you are that that individual--or your child is that individual--with a hope or a dream for the future. Imagine that prior to participating in this career assessment that you have been hearing about all of your limitations and disabilities and this might possibly be the first experience where you have an opportunity to minimize your limitations and capitalize on your strengths. Please write objectively and also positively. Write about negative or sensitive disabilities and behaviors in terms of areas that your client needs to develop all improve upon to help him/her be successful on a job. Please write as if your client were to read every word. With an effective career assessment report, you have an opportunity to provide a practical document that can help shape someone's future. ITEMIZED ASSESSMENT SERVICE CHECKLIST ITEMIZED ASSESSMENT: An individual assessment tool/instrument or method used to answer a very specific referral question. Content Indicators: One individual assessment tool, instrument or method was administered to answer a very specific referral question. The participation and input of the individual was included throughout the process, particularly during each of the following activities: - determining the purpose of the assessment - developing and modifying the individual assessment plan - reviewing, discussing, and documenting results - making recommendations. The assessment process was sensitive to cultural, linguistic, ethnic, and other environmental considerations. The assessment process includes vocationally relevant observations and temperament factors. Assistive technology needs are considered in the delivery of the service. The results are summarized, synthesized, and interpreted in written form. The report includes/addresses: individual's name date of birth social security number disability(ies) and associated functional capacities and limitations referral source evaluator/career assessment specialist’s name assessment period date of report reason for referral vocational accommodations/assistive technology name of test/instrument including brief description of tool/instrument or method summary of results evaluator/career assessment specialist observations 11/01 ITEMIZED (Continued) Quality Indicators: Timeliness Was the report received within 14 working days of the completion of the Itemized Assessment? Yes _____ No ______ Usefulness The referral questions were answered or addressed. The report is written in a positive tone and is person-centered. The background information or collected data support the recommendations. The information was presented in a manner that was clearly understandable. Alternative recommendations were given, when appropriate. 11/01 FOCUSED ASSESSMENT SERVICE CHECKLIST FOCUSED ASSESSMENT: Assessment to determine the feasibility of a specific chosen career area as a career goal (can include real or simulated work). Content Indicators: The assessment focused on one job, job cluster or career area. The tools, instruments and methods that were used focused on the interest factors, educational, physical and cognitive skills required in that job, job cluster or career area. They included at least several of the following: achievement tests, aptitude tests, interest surveys, transferable skill analysis, learning style inventories, commercial or evaluator made work samples, facility-based job try-outs (situational assessment), self assessment inventory(ies), dexterity tests, review of records, personal interview, career exploration resources, job shadowing, environmental and/or task analysis, and evaluator observations. The participation and input of the individual was included throughout the process, particularly during each of the following activities: - determining the purpose of the assessment - conducting an initial interview - developing and modifying the individual assessment plan - reviewing, discussing, and documenting results - making recommendations The assessment process was sensitive to cultural, linguistic, ethnic, and other environmental considerations. The assessment process includes vocationally relevant observations and temperament factors. Assistive technology needs are considered in the delivery of the service. The results are summarized, synthesized, and interpreted in written form. The report includes/addresses: individual's name date of birth social security number disability(ies) and associated functional capacities and limitations education work history referral source 11/01 FOCUSED (Continued) evaluator/career assessment specialist’s name assessment period date of report reason for referral vocational accommodations/assistive technology name of tests/instruments including brief description of tool/instrument or method summary of results interests and temperaments knowledge of career information job seeking and keeping skills job availability in geographic area community and employment supports learning style preferences evaluator/career assessment specialist observations vocational strengths vocational needs transferable skills recommendations Quality Indicators: Timeliness Was the report received within 14 working days of the completion of the Focused Assessment? Yes _____ No ______ Usefulness The referral questions were answered or addressed. The report is written in a positive tone and is person-centered. The background information or collected data support the recommendations. The information was presented in a manner that was clearly understandable. Alternative recommendations were given, when appropriate. 11/01 EXPLORATORY ASSESSMENT SERVICE CHECKLIST EXPLORATORY ASSESSMENT: A process utilizing career exploration resources and/or methods designed to provide information on the next step in long range planning for the individual. Investigation and education in jobs and job clusters, taking into consideration the individual’s interests, needs, abilities and functional limitations. Content Indicators: Numerous tools, instruments and methods were used to explore career options available to the individual. They include but are not limited to: achievement tests, aptitude tests, interest surveys, transferable skill analysis, learning style inventories, self assessment inventories, dexterity tests, review of records, personal interview, career exploration resources, job shadowing, limited use of worksamples and evaluator/career assessment specialist observations. The primary focus of the assessment was on psychometrics and the use of career information materials and systems. The participation and input of the individual was included throughout the process, particularly during each of the following activities: - determining the purpose of the assessment - conducting an initial interview - developing and modifying the individual assessment plan - reviewing, discussing, and documenting results - making recommendations The assessment process was sensitive to cultural, linguistic, ethnic, and other environmental considerations. The assessment process includes vocationally relevant observations and temperament factors. Assistive technology needs are considered in the delivery of the service. The results are summarized, synthesized, and interpreted in written form. The report includes/addresses: individual's name date of birth social security number disability(ies) and associated functional capacities and limitations education Revised 12/05 EXPLORATORY (Continued) work history other background information referral source evaluator/career assessment specialist’s name assessment period date of report reason for referral vocational accommodations/assistive technology name of tests/instruments including brief description of tool/instrument or method summary of results interests and temperaments knowledge of career information job seeking and keeping skills job availability in geographic area community and employment supports learning style preferences evaluator/career assessment specialist observations vocational strengths vocational needs transferable skills description of career exploration activities recommendations Quality Indicators: Timeliness Was the report received within 14 working days of the completion of the Exploratory Assessment? Yes _____ No ______ Usefulness The referral questions were answered or addressed. The report is written in a positive tone and is person-centered. The background information or collected data support the recommendations. The information was presented in a manner that was clearly understandable. Alternative recommendations were given, when appropriate. Revised 12/05 COMMUNITY BASED ASSESSMENT SERVICE CHECKLIST COMMUNITY-BASED ASSESSMENT: A holistic assessment of an individual's interests, needs, and abilities in a job/worksite setting located in the community. Community-based assessment is an umbrella term depicting a category of methods, which may include: - Situational assessment On-the-job evaluations Job try-outs or trials Supported Employment assessment Content Indicators: The assessment took place in a community setting in which the individual was integrated with peers without disabilities. A variety of tools, instruments and methods were used. They included: real or simulated work to discover career exploration, learning style, transferable skills, worker traits, social skills, work behaviors, physical capacities, dexterity/motor skills, direction-following skills, job readiness and job seeking skills, aptitudes, interests, transportation and community supports, temperament factors, environmental and/or task analysis, and accommodations/assistive technology needed to assist client with learning and performing the job duties and tasks. The participation and input of the individual was included throughout the process, particularly during each of the following activities: - determining the purpose of the assessment - conducting an initial interview - developing and modifying the individual assessment plan - reviewing, discussing, and documenting results - making recommendations The assessment process was sensitive to cultural, linguistic, ethnic, and other environmental considerations. The assessment process includes vocationally relevant observations and temperament factors. Assistive technology needs are considered in the delivery of the service. The results are summarized, synthesized, and interpreted in written form. The report includes/addresses: individual's name date of birth social security number 6/03 COMMUNITY BASED (Continued) disability(ies) and associated functional capacities and limitations education work history other background information referral source evaluator/career assessment specialist’s name assessment period date of report reason for referral vocational accommodations/assistive technology name of tests/instruments including brief description of tool/instrument or method summary of results name, location and description of assessment site interests and temperaments knowledge of career information job seeking and keeping skills job availability in geographic area community and employment supports learning style preferences evaluator/career assessment specialist observations vocational strengths vocational needs transferable skills recommendations Quality Indicators: Timeliness Was the report received within 14 working days of the completion of the Community Based Assessment? Yes _____ No ______ Usefulness The referral questions were answered or addressed. The report is written in a positive tone and is person-centered. 6/03 COMMUNITY BASED (Continued) The background information or collected data support the recommendations. The information was presented in a manner that was clearly understandable. Alternative recommendations were given, when appropriate. The assessment took place in a community setting in which the individual was integrated with those employed competitively at the work site, excluding those that are employed in an enclave or other specialized placement. While the individual may or may not be paid, they should be completing tasks comparable to a competitive position, paying at least minimum wage, with an official job description. The individual is instructed in job tasks by someone other than the evaluator. Includes description of the job duties performed and wage information. 6/03 COMPREHENSIVE CAREER ASSESSMENT SERVICE CHECKLIST COMPREHENSIVE CAREER ASSESSMENT: The Comprehensive Career Assessment is appropriate for individuals with the most significant disabilities who: would have difficulty handling the reading or motor activity required to independently perform the paper/pencil assessment activities typically utilized as part of an Exploratory Career Assessment have sensory impairments which require significant accommodation to enable their participation have never worked or have a significant period of absence from the work force due to their disability, require an extended period of observation to determine their work behaviors It is also a holistic, broad-based intensive process, which is: grounded in the use of real or simulated work, individualized, uses a combination of all typical assessment methods with the possible (but not required) exception of a community-based assessment, and incorporates a career planning process for an individual who faces the most significant vocational barriers or challenges. Content Indicators: Documentation will show that the primary focus of the assessment was on the use of real or simulated work, in terms of the percentage of time (50% or more) and/or the number of worksamples used. A wide variety of tools, equipment and/or methods were used including : real or simulated work, environmental or task analysis, achievement tests, learning style inventory(ies), analysis of transferable skills, worker traits, social skills, work behaviors, physical capacities, dexterity tests/motor skills, direction-following skills, background information, job readiness and job seeking skills, career exploration needs, aptitudes, interests, transportation and community supports, temperament factors, and pertinent information obtained from file review, client interview, and significant others, career exploration, community resource surveys, labor market review, etc. The participation and input of the individual was included throughout the process, particularly during each of the following activities: - determining the purpose of the assessment - conducting an initial interview - developing and modifying the individual assessment plan - reviewing, discussing, and documenting results - making recommendations The assessment process was sensitive to cultural, linguistic, ethnic, and other environmental considerations. The assessment process includes vocationally relevant observations and temperament factors. Assistive technology needs are considered in the delivery of the service. The results are summarized, synthesized, and interpreted in written form. The report includes/addresses: individual's name date of birth social security number disability(ies) and associated functional capacities and limitations Revised 12/05 COMPREHENSIVE (Continued) education work history other background information referral source evaluator/career assessment specialist’s name assessment period date of report reason for referral vocational accommodations/assistive technology name of tests/instruments including brief description of tool/instrument or method summary of results interests and temperaments knowledge of career information job seeking and keeping skills job availability in geographic area community and employment supports learning style preferences evaluator/career assessment specialist observations vocational strengths vocational needs transferable skills recommendations Quality Indicators: Timeliness Was the report received within 14 working days of the completion of the Comprehensive Assessment? Yes _____ No ______ Usefulness The referral questions were answered or addressed. The report is written in a positive tone and is person-centered. The background information or collected data support the recommendations. The information was presented in a manner that was clearly understandable. Alternative recommendations were given, when appropriate. 12/05 Career Assessment Report Writing Process Profile/Report • • • Synthesis Gathered/organized Categorized Analyzed • • • • • • • Reports Formatted Interpreted Prescriptive Summarized Recommendations Draft Final Reader/Individual/ Consumer • • • • Report Positive Timely Prescriptive Relevant Conference/ Action Plan Team Meeting • Planned • Purposeful • Sharing • Client Focus • Next Steps Components of a Good Report • The Purpose of the assessment should be clearly stated early in work relevant terms • The internal organization of the report should be clear • It should be easy to retrieve essential data without wading through paragraphs, or even pages of text • Any terms that may be unfamiliar to the reader should be explained. • The summary and recommendations should reflect the initially stated purpose of the assessment and should be stated in work relevant terms. Itemized Career Assessment Interests & Academic Skills Identifying Information Name: David Hunter Address: 555 Farm Stream Lane, Severn, MD 21144 Phone Number: 410-555-5555 Date of Birth: 5/15/86 SSN: 555-55-5555 Referred by: Mary Counselor, Glen Burnie DORS Assessment Period: July 6, 2004 Date of Report: July 9, 2004 Reason for Referral: David was referred for an Exploratory Assessment to determine appropriate career goals in line with his career interests. Summary David Hunter is an 18 year old man with a history of drug and alcohol abuse, attention deficit disorder, and academic problems. He was referred for an Exploratory Career Assessment and participated in one day of assessment on July 6, 2004. Due to very low reading levels, David was unable to use most of the materials typically involved in an Exploratory Career Assessment. It was determined that he would be a better candidate for career assessment through experiential means either via a Focused Career Assessment or a Community Based Assessment in an area of his interest. Thus, the focus of this assessment changed to identification of career interests, academic skills and potential resources to meet David's needs in these areas. Strengths David: is personable is interested in making changes in his life Needs David: needs experiential methods to explore careers and assess his skills needs reading remediation on-going support for drug/alcohol abuse and attention deficit hyperactivity disorder Recommendations/Resources 1. Further Assessment Though Experiential Means David was unable to use many of the materials for an Exploratory Career assessment due to his limited reading skills. He would benefit from further assessment using experiential means. David could explore Auto Service work through a focused career assessment at WTC in their Tire Service, Oil and Lubrication program. He could also consider a focused career assessment in Food Service to determine his potential to learn to be a cook, another of his expressed interests. A Community Based Assessment, in which David would "try out" these jobs with a local employer, would be another experiential method to gather relevant information on David's ability and potential in his areas of interest. 2. Continued Drug & Alcohol Abstinence/Continued Support Services David used drugs and alcohol as recently as two weeks ago. He would benefit from continued and consistent treatment efforts to ensure that he maintains drug and alcohol abstinence. Ongoing participation in Narcotics Anonymous and/or Alcoholics Anonymous or a similar program is recommended. David's success is contingent upon him remaining drug and alcohol free. Many if not all of David's prior juvenile charges were related to drug/alcohol use. David recently turned 18, thus his juvenile record is closed. To maintain a clean record as an adult and to enable the greatest range of occupational choices to be available to him, David needs to get his drug and alcohol problem under control. 3. Increase Understanding of /Consider Medical Treatment for ADHD David received treatment for his ADHD while in school but discontinued medication in the past several years. Depending upon the employment, training or educational setting he wishes to pursue, he may benefit from medical intervention in this regard. David would benefit from increased understanding of his disability, particularly that his pattern of impulsive behavior, legal difficulty and self-medication with drugs and alcohol are typical of adults with untreated attentional issues. He may wish to do some reading on this (i.e. have someone read to him) and/or to participate in an adult support group such as CHADD. See attached. 4. Reading Instruction David has very limited reading skills. He lacks the basic sound symbol recognition necessary for effective reading. Based on the academic assessments completed and from observations made during this assessment, David would benefit from academic remediation focusing on code knowledge and phonological processing. The Dyslexia Tutoring Program is recommended as a resource for David in this regard. See attached. Typically, a psychological evaluation is completed as part of the admissions process for the Dyslexia Tutoring Program. If for any reason this is not done, it may be beneficial to have a -2- neuropsychological evaluation completed to clarify David's abilities and needs. Should David not be deemed a candidate for the Dyslexia Tutoring Project for any reason, other reading instruction resources should be explored. Sue Smith, CVE Certified Vocational Evaluator CVE # 55555555 -3- Career Assessment Tools and Techniques Utilized Interview Records Review Voc Ed Exploration Survey Self Directed Search Talent Search Wide Range Achievement Test (WRAT3) Woodcock Reading Mastery Tests -- Revised II Materials Reviewed DORS Application for Rehabilitation Services - undated DORS Health Status Self Report - undated DORS Case Note - 4/22/04 Psychological Evaluation - 6/1/97 Interview Medical/Psychological David: reported a history of drug and alcohol abuse. last used marijuana and alcohol on his 18th birthday, approximately two weeks ago. attended Pathways treatment program last year. has not been attending AA meetings due to working nearly every day. smokes approximately ½ packs of cigarettes per day. reported that he has Asthma for which he is prescribed Albuterol. reported no limitation on what he is able to do physically in regard to work. Education/Work History David: reported that he was in a number of schools in the Anne Arundel County Public School system and that he got "kicked out almost every year." last attended 9th grade at North High School. worked with his mother doing cleaning of office buildings. presently is working at Skip's restaurant in Severn as a dishwasher. He has worked there for 3 months. Personal/Social David: resides with his mother and 4 of his 7 siblings in Severn, Maryland. reported that his parents are divorced but that he has regular contact with his father. has income through his job as a dishwasher. reported he has health insurance through his mother. 's hobbies include listening and composing Rap music and playing basketball. relies on friends/family for transportation. He reported that he is not eligible to get his -4- license until age 21. Interests David was asked to identify occupational daydreams - jobs in which he was interested but did not necessarily have the skills, abilities or education to secure at the present time. David expressed interest in the following occupations: Cook Auto Mechanic Rap Artist Cleaner Outside Work David’s tested interests were measured by the Voc Ed Exploration Survey. This survey required David to state whether he liked, disliked or needed more information about 150 different jobs in 15 job clusters. His primary interest clusters were Maintenance & Repair and Construction. The specific jobs David endorsed on this measure as being of interest to him include: Hotel or Restaurant Manager Social Worker Clothing/Home Decoration Designer Radio/Television Announcer Coach/Sports Instructor Dietetic Technician Child Care Worker Housekeeper/Cleaner Precision Machine Operator Tailor Tool and Die Maker Brick/Stone Mason Electrician Drywall Installer/Finisher Road Paving Worker Equipment Repairer Auto Body Repairer Small Engine Mechanic Auto Mechanic Woodworker Assembler Bakery Machine Operator Water Treatment Plant Operator Heavy Equipment Operator Career Goals David stated that he would like to become an auto mechanic and a cook. He reported that ideally, he'd like to own his own auto repair business and have a cafe/grill next door where "people can get some breakfast while waiting for their car to be fixed." David identified his greatest personal strength as being "a good people person." He identified his greatest need as further education and training. David's view of a successful life involves "sobriety" and "being free" to pursue the kind of work he would like to do. Academic Skills David has limited academic achievement. On a standardized measure of his reading achievement, David achieved a grade equivalent of 2.5 in his word identification skills. He was able to identify words such as exit, dangerous, and major. David was unable to identify the high frequency word here, instead identifying it as there. He identified eat as ate, leg as log, sheep as ship, and everyone as very one. -5- His word attack or basic phonics skills were also rated at the second grade level. David responded very slowly on the decoding activity. He does not have automaticity with sound symbol recognition and is also unfamiliar with the typical syllable patterns of the English language. David's overall reading comprehension was rated at the 2.3 grade level. He misinterpreted some sentences written on a first and second grade level which included picture clues to help with context. David's spelling skills were rated at the first grade level. He was accurate in spelling words such as boy, run and will. He was unable to spell words such as shout, arm or train. David's written language skills were limited to single words or short phrases to convey his thoughts. Usually these contained spelling errors. David was better able to perform mathematical problems. With the use of a calculator, he was able to do addition, subtraction, and multiplication. David occasionally performed the wrong operation, performing addition instead of subtraction and multiplication instead of addition. This may have been due to inattention. David's overall mathematical abilities were rated at the fifth grade level. Worker Characteristics/Observations David arrived on time for his scheduled appointment for assessment. He was pleasant and cooperative. David was up front about his difficulty with reading, mentioning it to the evaluator at the beginning of the Exploratory Career Assessment process. Thus reading assessment was undertaken at the outset to determine what level of written materials he would be able to use, if any. Because his reading skills are so limited, an assessment focused on hands-on, experiential means would better meet his needs at this time. David was accepting of participating in a different type of career assessment. David was observed to doze off while completing the video-based interest assessment. He responded to prompting and immediately got back on task. He had no difficulty handling the recording or reporting associated with this interest survey. Assistive Technology David’s needs for assistive technology were considered during this assessment - it was determined that he has no needs in this area at this time. Cultural, Ethnic & Linguistic Considerations David’s needs in the cultural, ethnic and linguistic areas were considered during this assessment it was determined that he has no needs in this area at this time. Accommodations, Modifications & Environmental Considerations David used a calculator for mathematics and was given extra time as needed to complete assessments. He was read some of the materials but it was determined that in general, the type of -6- materials used for an Exploratory Career Assessment would be inappropriate given his limited academic capabilities. -7- Appendix A - Assessment Descriptions and Performance Scores Self-Directed Search (SDS) - required David to state whether he liked or disliked a variety of activities and occupations, identify his competencies and evaluate his abilities. Expressed Interests: Cook Auto Mechanic Rap Artist Cleaner Outside Work SDS Summary Code: N/A - Discontinued Voc Ed Exploration Survey - required David to state whether he liked, disliked or needed more information about 150 different jobs in 15 job clusters. The jobs were presented via video and had a brief description of the job tasks. His primary interest clusters are noted below: Interests: • Maintenance & Repair • Construction Woodcock Reading Mastery Tests - Revised - provided a diagnostic assessment of several important aspects of reading. David’s performance was compared with his same age peers. Subtest Grade Level Percentile Standard Score Word Identification 2.5 0.1 49 Word Attack 2.5 1.0 67 Word Comprehension N/A N/A N/A Passage Comprehension 2.3 0.2 57 -8- Wide Range Achievement Test (WRAT3) - was administered as a measure of David’s academic skills in the areas of reading (word recognition), spelling and arithmetic. Scores were based on a comparison with David’s same age peers. Subtest Standard Score Grade Equivalent Reading N/A Spelling Arithmetic Percentile Performance Range N/A N/A N/A 52 1st Grade 0.09 Below Average 76 5th Grade 5 Below Average (untimed with the use of a calculator) -9- Attachments to the Report Information on CHADD Information on the Dyslexia Tutoring Program - 10 - Career Assessment Services Itemized Career Assessment January 19, 2006 CLIENT: Doe, John DISCHARGE SUMMARY DATE: 1/11/06 S.S.N.: 123-45-6789 ASSESSMENT PERIOD: 1/11/06 DATE OF BIRTH: 00/0/00 AGE: 21 DISABILITY: Reading Disorder, Math Disorder, Expressive Language Disorder, Asthma, Depression, Substance Dependence EVALUATOR: WTC CASE MANAGER: REFERRAL SOURCE: REFERRAL SOURCE PHONE#: FIELD OFFICE: WTC SERVICE ITEM OUTCOME: Mrs. Alphabet Soup, M.Ed. Rehabilitation Technical Specialist Ms. Computer Literate A. Competent Worker, DORS Counselor 410-000-0000 Mt. Royal Completed Other services provided concurrent with the vocational evaluation include: none REASON FOR REFERRAL: Mr. John Doe was referred for an itemized assessment in the area of automotive detailing. He previously completed a comprehensive career assessment in October of 2005 with Alliance, Inc. There were no specific referral questions to be addressed by this assessment. However, the referring counselor did indicate the following: “Ct rptd interest in auto detailing program” FUNCTIONAL CAPACITIES AND VOCATIONAL STRENGTHS: (per referral/medical information and assessment findings): Intact as to all limbs and digits; No reported difficulties with mobility, vision, or hearing; Speech appears to be functional with satisfactory communication skills; Demonstrated the ability to work independently and follow verbal and demonstrated instructions; Demonstrated appropriate work behaviors (dress, hygiene, interaction with peers/supervisor, requesting assistance); Able to use public transportation 2 Doe, John 123-45-6789 Itemized Career Assessment Report FUNCTIONAL LIMITATIONS: (per referral/medical information and assessment findings): Does not possess a high school diploma or GED A discharge conference was held on this date at which time the following options, which will be supported in the CAS report to follow were discussed. VOCATIONAL NEEDS/OPTIONS: 1. Training is being recommended in the area of automotive detailing. Prior to entering training in this area, Mr. Doe must have a driver’s license. 2. Mr. Doe indicated to this evaluator that he has a learner’s permit and is trying to obtain his license. It is recommended to he continue to follow through with this effort. 3. Mr. Doe would benefit from continued vocational support services, including counseling, job seeking skills, placement assistance, and follow-up throughout his rehabilitation process. I have talked with my evaluator about my vocational evaluation recommendations. COMMENTS: Discharged in absentia due to evaluators absence ______________________________ Client's Signature Date ______________________________ Date Rehabilitation Specialist (410) DISTRIBUTION Client/Referral Source Evaluator/Evaluation Supervisor (7/95) REASONABLE ACCOMMODATIONS/ ASSISTIVE TECHNOLOGY: 3 Doe, John 123-45-6789 Itemized Career Assessment Report For evaluation/training/employment: No accommodations were provided or requested during his situational assessment. TEST RESULTS AND OBSERVATIONS: Validity: The assessments used were (check all that apply): X Culturally Fair X Environmentally Enabling X In the Primary Language X Disability Valid ASSESSMENTS/INSTRUMENTS USED: Review of Pertinent Referral Data/Information/Relevant Records Consumer Interview/Behavioral Observations Situational Assessment in the area of automotive detailing WTC BEHAVIORAL OBSERVATION CHECKLIST: N.O. = No Opportunity Appearance Always 95%+ 1. Dresses neatly X 2. Dresses work appropriately X 3. Displays personal grooming X 4. Displays personal hygiene X Manual Abilities Always 95%+ Frequently Sometime 94-70% s 70-40% Never <40% N.O. Frequently Sometime 94-70% s 70-40% Never <40% N.O. 4 1. Uses both hands with ease X 2. Easily handles large objects X 3. Easily handles small objects X 4. Writes easily X Dependability Always 95%+ 1. In attendance X 2. Punctual X 3. Remains at station or in room X 4. Only takes scheduled breaks X Learning Aptitudes Always 95%+ 1. Follows written instructions X 2. Follows oral instructions X 3. Retains instructions X 4. Learns quickly X 5. Easily adapts to new tasks X Performance Behaviors Always 95%+ 1. Concentrates on task X 2. Seeks appropriate assistance X 3. Works independently X 4. Shows good teamwork X 5. Is not easily distracted X 6. Does not distract others X 7. Shows perseverance X 8. Shows attention to detail X 9. Shows initiative X Doe, John 123-45-6789 Itemized Career Assessment Report Frequently Sometime 94-70% s 70-40% Never <40% N.O. Frequently Sometime 94-70% s 70-40% Never <40% N.O. Frequently Sometime 94-70% s 70-40% Never <40% N.O. 5 10. Accepts supervision Doe, John 123-45-6789 Itemized Career Assessment Report X 11. Tolerates repetition X 12. Attends to safety X 13. Meets time scheduling X 14. Strives for quality X 15. Cares for materials/property X Personal Interaction Always 95%+ 1. Relates easily to evaluator/training instructor X 2. Relates easily to consumers X 3. No somatic complaints. X Frequently Sometime 94-70% s 70-40% Never <40% N.O. Automotive Detailing Situational Assessment: Mr. Doe participated in a one-day situational assessment in the area of automotive detailing under the direction of training instructor John Skleres. He was assessed on his ability to detail both the inside and the outside of an automobile. The areas assessed were his washing methods, rinsing, and drying a vehicle, motivation, interest in work tasks, following directions, and applying various polishes and waxes. Instructor feedback indicated that Mr. Doe possessed excellent skills and was very motivated. He completed all the aforementioned modules for this area of training. Training is being recommended in this area. Prior to participation in training, Mr. Doe will need to obtain his driver’s license. SUMMARY: Mr. Doe presented as a personable young man. He readily interacted with this evaluator and staff while at the center. He appears to have a career plan and conversation with him indicated that he has given thought to his current life situation. He stated: “I am working on getting my GED. I don’t know how to do much, but I know I like to clean cars. So, that is where I plan on starting. Once I obtain my GED I will have more career options available to me and I eventually would like to work my way up to automotive mechanics.” Mr. Doe was punctual and appeared motivated to attend his situational assessment. He asked pertinent questions about his assessment and what he could expect as an end result. Results of his assessment were favorable 6 Doe, John 123-45-6789 Itemized Career Assessment Report and yielded a recommendation for training. Mr. Doe will need to meet training prerequisites. WTC/CAS4(2/03)CR CAREER ASSESSMENT REPORT Option Selected: Focused Evaluee: D_____ Date of Birth: April 1, 1955 Hand Dominance: right Assessment Period: December 19 & 20, 2005 Case #: Age: 50 Referring Counselor: Agency: DORS- REFERRAL QUESTION: “Assessment of vocational interests and evaluation of vocational skills potential.” REHABILITATION/EMPLOYMENT CONSIDERATIONS: During the initial interview, Ms. _____ was asked to describe any diagnoses, illnesses or barriers to employment she may have. She shared that she has arthritis in both of her knees, the left one being affected more than the right. She said that she uses a cane when her knees feel weaker but did not use the cane during her assessment. She also experiences arthritis pain in her left wrist and neck, sciatica and a slipped disc in her back. Ms. _______ said that she began experiencing symptoms of her mental illness in 1998. She was working at the Department of Social Services when she required a hysterectomy. After her surgery, she said she had trouble “getting started” until the afternoon. She resigned from the job because she thought that she would be fired. Ms. _______ was diagnosed with Major Depression with Psychosis; however, her only hospitalization was at Johns Hopkins Bayview in August 2005 for three days, due to experiencing suicidal ideation. She reported that she was supposed to stay for a longer time; however, they did not have a bed open for her, so she stayed in the emergency room for her entire stay and later attended their day program. She said that the hospitalization was precipitated by concern about her upcoming move as she was worried that her mail would be lost. Her records indicate that she experienced auditory hallucinations which were negative in nature saying, “you're messing up again; you can't do it right.” These hallucinations were accompanied by increased suspicion of people, isolating herself from others, and decreased concentration and energy. When asked how her conditions affect or restrict her work activities she said, “my thoughts will close in on me too much. I have to take a break or my thinking will cloud up. I'll feel frustrated. As long as things are in order for me, I’m all right, but if they're out of order, I have to regroup all over again.” She said that her physical limitations prevent her from standing or walking on cement floors for an extended period. She can stand for a maximum of 45 minutes and can walk approximately five blocks or one half mile before her knees begin to hurt. When sitting, she needs to stretch her knees periodically. Her ability to bend, stoop, crouch, or walk downstairs is limited due to excessive pain in her knees. She said that she is able to reach and handle objects but her left wrist sometimes causes her pain when rotating it. Additionally, she can not lift heavy objects, but did not know a specific weight limitation. She said that her wrist does not hurt when she types and she first noticed the pain in July 2005. Ms. _______ is currently taking Risperdal and Lexapro and sees her therapist weekly. She also participates in D ___ A____ - 2 the Variety Program at Johns Hopkins Bayview which focuses on stress management and symptom management. BACKGROUND SUMMARY: Ms. _______ is single and has a son, age 27 and a daughter, age 31 with whom she had lived before her move. She currently lives with her niece and said that it is a little uncomfortable, and hopes to be able to move back in with her daughter once her daughter’s housing situation is stable. She said that currently, she does not participate in any leisure activities but she used to enjoy reading, sewing, bird-watching, bowling and singing. She said, “I don’t have any friends to go bowling with anymore. She said that she would be interested in finding a bowling league to make social connections. She identified her son, her daughter and her niece as her primary support system. Ms. _______ also participates in National Alliance for the Mentally Ill (NAMI) meetings on Saturdays. She does not receive SSDI but said that she has applied for it. She currently received Temporary Disability Assistance from DSS which will end in September. Ms. _______ recently receives Medical Assistance and said that she needs to find doctors that accept it so that she can schedule a physical. When asked about any legal issues, Ms. _______ said that she did not complete her taxes in 2003 and got an extension but still did not get them completed. She said, “I think there is a number I can call [to get help].” Ms. _______ graduated from Eastern High School in 1972 and did not receive any special education services. Her favorite classes were French and English and her least favorite classes were History and Science. While in high school, she attended vocational training to work in retail sales. In 1988, she attended National Training Systems and studied bookkeeping, typing, spreadsheets, English and Math. She recently learned MS Word, Excel, PowerPoint and MS Publisher through a course at the library. Ms. _______ has been unemployed since October 2004 when she had to quit her job at the Rite Aid warehouse where she had worked for four years. Her duties consisted of filling orders (requiring that she constantly stand, reach, lift and handle objects) which caused her excessive pain in her knees and her left-hand. She explained that the stress of her pain exacerbated her mental illness. She said that she originally chose the job because it was a night shift and said, “I didn't know what to do. I had trouble being up early in the morning after my operation, but it wasn't a good move for me.” Before that she worked at the Department of Social Services as a case manager in income management for two and a half years. As mentioned previously, she left the job in 2000 due to difficulty with waking up and getting started in the morning. She said, “I thought I should resign instead of losing my job.” Before that, Ms. _______ worked in retail sales at the Hecht Company for three months, and prior to that, worked as an assistant to the personnel manager for a security company for three years (1993 to 1996). She left the job because it did not pay a competitive salary for that job. She said that she was also being sexually harassed on-the-job, but did not report it as he had “gotten away with it several times before.” Before that, Ms. _______ worked as an office assistant at Epstein's, but left when the store closed. She said that she had not worked in many years before that as she stayed home to raise her children. Before starting her family, she worked for four months in a doughnut shop at age 19. She also reported performing some volunteer work as a receptionist at Good Samaritan Hospital from 1996 to 1997. She participated in her community organization and applied to volunteer at the library in July 2005, but has not yet received a response from them. D ___ A____ - 3 When asked which job she most enjoyed, Ms. _______ said, “Administrative assistant work, keeping files and records straight, providing customer service on the phone, doing accounts receivable and payroll.” When asked which job she least enjoyed she said, “Retail. I hate the rotation of the products. When I worked in retail, I passed the time by thinking about writing stories except when I was doing customer service. I like to give good customer service.” When asked to describe her vocational strengths and skills, she said, “I give good customer service and attention to detail. I have good phone answering skills, I’m timely to work and I'm computer literate.” When asked in what areas she would need to improve in order to be successful in a job, Ms. _______ said, “My typing skills; they're lacking in speed. With myself personally, my concentration is getting better. It was bad when I wasn't feeling well. I wasn't feeling good about myself. I have gained weight and my clothes don’t fit. Things have fallen apart for me. I try to exercise more, it helps me feel better. I have more energy and clearer thinking when I exercise.” Ms. _______ has her driver's license with no points or charges but does not have her own transportation currently. She said, “I made a mess of that. I thought I was better but I would forget things. My insurance lapsed and my car was stolen, so I still have to pay for the car but I don't have it.” She said that she feels comfortable taking the bus and would like to remain in her local area (in Towson) for training or employment. She would like to work part time as she does not feel that she could handle full-time work at the present time. When asked about her vocational goals she said, “Working in a library or bookstore or with birds in a pet shop. Something quiet; I don't know.” She said that she began looking for clerical positions last year but felt discouraged as she has been out of the clerical field for a few years. She said that she has applied to work for the retirement system for firefighters and police officers, a job she found with the assistance of the Department of Labor Licensing and Registration’s employment office. She would like to work indoors and earn at least $9 per hour. Ms. _______ said that she would be open to attending training and said, “I always want to learn something to improve myself and stay alert. I’d like to learn Spanish.” Accommodations/modifications requested and/or provided during the assessment: No accommodations or modifications were requested during this assessment. Ms. _______ was given instructions in both oral and visual formats. With the exception of the aptitude testing (which must be performed on a timed basis), assessment tasks were given on an untimed basis. Breaks were offered as needed. Accommodations/modifications/environmental considerations requested and/or recommended for employment or training to enhance capacities: Ms. _______ would perform best in a quiet, supportive work environment. She would benefit from using her visual learning style in any training program. She should take notes as needed and create lists and diagrams to help her learn and remember her job duties. Specific Cultural, Linguistic, Ethnic and/or Environmental Considerations: These items were considered by the evaluee and evaluator and none were found to have an effect on the assessment or employment process. D ___ A____ - 4 ASSESSMENT OUTCOMES AND EMPLOYMENT IMPLICATIONS WORKING/LEARNING STYLE PREFERENCES: The C.I.T.E. Learning Styles Instrument is a self-report questionnaire which identifies the evaluee’s major and minor learning styles as well as strategies a trainer can use to facilitate this individual’s learning. Ms. _______’s major learning styles were found to be: Visual Perception and Visual Skills (language and numerical): Trainer should enlarge print size; reduce distractions or use fewer problems per page; increase space for writing answers or provide separate answer sheets; retype materials double spaced or larger; use color codes to emphasize important information and directions; provide arrows to direct movement in certain directions; frame, highlight, or outline shapes; have student trace shapes and/or letters. If the material is visually confusing, outline with a window of construction paper to focus on one part at a time; color-code topic sentence, instructions and math symbols. Expressiveness – Written: Trainer should provide illustrations to supplement reading material; diagram the described response from the learner; use pictures/illustrations directly related to the material. GENERAL EDUCATIONAL DEVELOPMENT (GED): ACADEMIC SKILLS ASSESSMENT: The Survey Battery of the Tests of Adult Basic Education (TABE) is a series of tests that yield both normed scores and skill and outcomeperformance scores in five areas: Reading, Mathematics Computation, Applied Mathematics, Language and Spelling for adults with pre-reading skills to adults at the college levels. The first step in using the TABE was to complete the practice exercise and Locator test to select the TABE level that would be correct for the evaluee. Based on Ms. _______’s answers on the Locator, the following TABE levels were selected for administration: Reading: Mathematics: Language: Level A Level D Level A Level Codes: E=Easy (1.6-3.9 Grade Range) M=Medium (3.6-6.9 GR) D=Difficult (6.6-8.9 GR) A=Advanced (8.6-14.9 GR) When Ms. _______ finished the Survey Battery of the TABE, her scores were then compared to the Vocational Technical norm group with the following results: D ___ A____ - Area Reading Language Spelling Math Computation Applied Math (Total Math) Total Battery* Level Administered Percentile Rank A A A D D D 91 82 97 N/A 73 75 87 5 Grade Equivalency 12.9+ 12.9+ 12.9+ N/A 11.0 10.3 12.9+ * Total Battery = Reading + Language + Total Math, divided by 3 INTERESTS/PREFERENCES/TEMPERAMENTS: According to the Career Decision Making System Interest Survey-Level 1, Ms. _______ scored highest in the Office Operations, Social and the Arts career clusters, and selected Social/Human Services Assistant, General Office Clerk, Order Clerk and Receptionist as the positions she would be most interested in pursuing. She stated she would prefer to receive her training through a short training program at a community college. The Work Preference Match (WPM) asks the client to check those items that are most critical for her to feel comfortable in the workplace. (*) Denotes that client ranked this in the top 5 most important work preferences. The job must have: - attention to detail variety of duties having a tangible result, end product making independent judgments helping other people working with data/information opportunity to continually learn new things * indoors only quiet work environment personally controlled pace neat/clean work and surroundings * work set hours * daytime hours * part-time only working independently earn at least $9 per hour D ___ A____ - - 6 earn a wage consistent with other related jobs in the area opportunity for regular wage increases receive health insurance and other benefits * vacation leave dedication or time on the job is valued belief in the philosophy/values of the company job security The job must not have: - hands-on work with tools, materials or machinery supervising others influencing others opportunity to take risks outdoors only working in a variety of locations noisy work environment job controlled pace the opportunity to get dirty exposure to hazardous conditions exposure to smells/odors shift work nighttime hours work seasonally have periods of layoff between job assignments opportunity for overtime work on commission wear a uniform for work long distance travel APTITUDES: Aptitudes are the quickness and ease with which a person can learn or do something. The APTICOM 5B program was used to screen for aptitudes. The Apticom consists of timed tests which assess aptitudes based on how quickly and effectively a person can complete the given task compared to a norm group of adults and 11th & 12th grade students. (DOT LEVEL KEY: Level 1-Above 90th %ile; Level 2-67th to 90th %ile; Level 3-33rd to 67th%ile; Level 4-10th to 33rd %ile; Level 5-Below 10th%ile) D ___ A____ - Aptitude Standard Tested Score Percentile 7 Estimated Ability & DOT Level G-General Learning Ability-Understanding instructions, facts and underlying reasoning. Being able to reason and make judgments. Closely related to school achievement. 99 48 3 Mid Average V-Verbal Aptitude-Understanding meanings of words and ideas, and the ability to use them to present information or ideas clearly. 109 67 2 High Average N-Numerical Aptitude-Doing arithmetic operations quickly and accurately. (calculator not used) 100 50 3 Mid Average S-Spatial Aptitude-Looking at flat drawings or pictures of objects and being able to form mental images of them in three dimension in terms of height, width and depth. 87 25 4 Low Average P-Form Perception-Observing detail in objects or drawings and noticing differences in shapes. 83 20 4 Low Average Q-Clerical Aptitude-Observing details and recognizing errors in numbers, spelling, and punctuation in written materials, charts and tables, and in avoiding errors when copying materials. 103 56 3 Mid Average F-Finger Dexterity-Moving the fingers to work with small objects rapidly and correctly. 93 36 3 Mid Average M-Manual Dexterity-Moving the hands with ease and skill in placing and turning motions. 93 36 3 Mid Average Clerical Abilities Battery- Assesses the ability to perform various clerical tasks. Norms Used: Part Time Clerical Workers and Applicants for Clerical Positions. Copying Information: Measures the ability to copy (by hand) numerical or written information from one document to another. Time Limit: 5 minutes Raw Score: 15 Percentile: 15 Using Tables: Measures the ability to use numerical tables to determine costs or rates. Time Limit: 5 minutes. Raw Score: 29 Percentile: 25 D ___ A____ - 8 JOB SEEKING AND KEEPING SKILLS ASSESSMENT: Ms. _______ was asked to complete a job application as though she was actually applying for a position. The position selected was that of General Clerk. She completed the application very neatly and thoroughly and included all of the necessary information a potential employer would need. In the employment history section, in the space provided for the applicant to note her reason for leaving the job, Ms. _______ wrote, “Illness” or “Resigned due to Illness.” She was counseled that it is not generally recommended to disclose any kind of disability during the application process, instead it is recommended that one wait until receiving a job offer and then disclose a disability only if job accommodations are needed. Ms. _______ was given assistance with searching for jobs on the Internet and demonstrated the ability to search for jobs using a variety of sources including Maryland's Job Bank and the Baltimore County Government employment web site. Ms. _______ would seem to have effective job keeping skills as can be assessed from her work history. She has maintained each of her jobs for between 2 ½ and 4 years. SIMULATED WORK STATIONS AND TASKS: Proofreading: Assesses the ability to identify errors in two letters using correct copies for comparison. Interest: High Results: High Ms. _______ scored 93% on the proofreading task and, in addition to demonstrating attention to detail in locating and correcting mistakes, she was familiar with standard editing symbols. Computer Keyboarding: Assesses words per minute typed and accuracy. Interest: High Results: Average Ms. _______ typed 35 words per minute with 1 error. A competitive typing rate required for most clerical positions is 40 -70 words per minute. She was very enthusiastic about increasing her typing speed and plans to practice on her computer and time herself. BEHAVIORAL OBSERVATIONS: Ms. _______ arrived early each day was very neatly dressed and groomed. She displayed a polite and pleasant but reserved demeanor and also appeared very anxious and worried. She worked in a quiet, focused manner and demonstrated investment in performing at her best. She listened attentively to instructions and followed through with verbal and written instructions with no difficulty. Ms. _______ demonstrated high work stamina and, although she was encouraged to take breaks, she needed very few and worked at a very effective pace. It was noted that Ms. _______ seemed to have a negatively skewed perception of her abilities and presumed that she had performed poorly on her tests. She made several comments during the course of the evaluation that indicated that her self esteem was quite low. She also reported feeling depressed and discouraged about looking for jobs but responded very positively to D ___ A____ - 9 assistance with looking for jobs online. She appeared encouraged to find several jobs for which she was qualified during our job search. SUMMARY Based on the results of this Career Assessment, the following are considered significant for vocational planning: EMPLOYABILITY ASSETS: - punctual neatly dressed and groomed very pleasant and polite demeanor has driver’s license and is familiar with using public transportation followed multi-step directions easily in both verbal and written formats demonstrated willingness to participate in all assessment tasks as well as openness to feedback given high school graduate career training and transferable skills in clerical, retail and social services long and steady work history detail oriented, organized and prepared possessed insight about need for therapy and treatment academics tested at the college level tested interests same as stated interests all aptitudes in the average range with Verbal Aptitude in the high average range found job information online without difficulty neatly and thoroughly completed job application demonstrated knowledge of job seeking skills demonstrated knowledge of proofreading and editing identified her family as her primary support system EMPLOYABILITY NEEDS: - continue treatment for diagnosed conditions obtain training to update computer skills in order to compete successfully for work in desired field would benefit from Job Development and Placement assistance would benefit from receiving financial assistance with transportation i.e. bus tokens will need sedentary employment with breaks to stand and stretch as needed would benefit from using her visual learning style in any training situation may need to obtain clothing for interviews and work D ___ A____ - 10 RECOMMENDATIONS At the end of the assessment period, the results were reviewed and discussed with Ms. _______. Based on that discussion, the following recommendations are offered for consideration: 1. Ms. _______ should continue treatment for her physical and mental health conditions to manage symptoms and maintain her stability. As she recently obtained Medical Assistance, she is attempting to locate doctors that accept the insurance. She should continue to address issues of self esteem in therapy. It would seem likely that experiencing success in a job will improve her self esteem as well. She should also continue to participate in the support groups at Johns Hopkins Bayview and with NAMI to build social connections and possibly explore joining a bowling league to meet people with similar interests. 2. Ms. _______ took a short class in MS Word, Excel, Powerpoint and Publisher at her local library. She felt that she would benefit from a more in depth class to polish her skills in these programs. Proficiency in these programs will certainly increase her competitiveness when applying for any job involving clerical/administrative work. 3. Ms. _______ would definitely benefit from Job Development, Placement and Retention services. She voiced some trepidation about searching for a job and said that she had difficulty maintaining her job search due to her tendency to become discouraged. During the assessment, we used the internet to locate jobs in her area that fit her interests and preferences. We also discussed the possibility of her re-applying to work at the Department of Social Services as she is still eligible for employment there. She also considered working for other county agencies due to her experience there. In our search, we also located a job with the county performing finger printing for which there were three different shifts available, one of which was the night shift. Ms. _______ said that she had experience with performing fingerprinting and had chosen her last job for it’s late shift. As she is currently reliant on public transportation, she may not wish to work the night shift, but she felt encouraged to find a range of positions for which she was qualified. She expressed particular interest in working in social services in some capacity or in a library. She also mentioned working in a bookstore or a pet store; however, it is likely that these jobs would involve standing for much of her shift. 4. Once Ms. _______ obtains a job, she would benefit from short term off site job coaching to assist her with managing any issues that arise on the job. Although she has successfully maintained employment for 2 to 4 years in past jobs, it is felt that this continued support will give her the best chance of success in her next position. Job coaching would focus on problem solving, confidence building, communication of any issues or concerns, etc. 5. Ms. _______ would benefit from receiving assistance with transportation such as bus tokens as she is currently living on a very limited income. As she has recently moved to the Towson area, she has access to public transportation and it was agreed that her case would be transferred to the Towson DORS office for her convenience. D ___ A____ - 11 6. Ms. _______ will need sedentary employment with breaks to stand and stretch as needed. She reported that she has wrist pain related to her arthritis but said that currently, it only affects her lifting. If she notices that it (or other physical symptoms) begin to affect her work when typing or performing other job duties, she should notify her DORS counselor as she may need an assistive technology assessment. 7. Ms. _______ would perform best in a quiet, supportive work environment. She would benefit from using her visual learning style in any training program. She should take notes as needed and create lists and diagrams to help her learn and remember her job duties. 8. Ms. _______ mentioned that she has very little clothing that fits due to a recent weight gain, thus she may need to acquire some clothing for work and job interviews. She can obtain business attire at no cost at Suited to Succeed. Information about this resource including directions and hours of operation is attached to this report. Attached to this report are job descriptions and requirements for a few jobs for which Ms. _______ expressed interest. According to Maryland’s Job Bank, the Baltimore County Government’s Employment website and the Baltimore Sun’s online career search resource, there were many positions advertised for receptionists and administrative assistants, and a few positions for social service assistants for which Ms. _______ would be qualified. Also attached to this report is information from the Job Accommodation Network (JAN) that may be helpful to Ms. _______ in a work situation and to those who are working with her. Ms. _______ demonstrated many excellent qualities that will help her to be successful in the job of her choice. It was a pleasure to work with Ms. _______ and I wish her all the best as she begins to explore her job options. ___________________________________ Career Assessment Consultant January 12, 2006 Last day of assessment: December 20, 2005 Report due date: January 11, 2006 Date report mailed: ___________________ Focused Career Assessment Identifying Information Name: Eric James Address: 5555 One Way, Severna Park, MD 21146 Phone Number: 410-555-5555 Date of Birth: 5/15/54 SSN: 555-55-5555 Referred by: Mary Counselor, Annapolis DORS Assessment Period: September 14, 2005 & September 22, 2005 Date of Report: October 10, 2005 Reason for Referral: Eric was referred for a Focused Assessment to determine: his vocational strengths and limitations his interests, aptitudes and abilities whether he is capable of part-time or full-time competitive employment. what his transferable skills are and are there jobs that he can do within the nursing arena taking into consideration his limitations Summary Eric James is a 51-year-old man with a history of chronic pain due to several lumbar spine injuries and surgeries. He is a registered nurse with an AA degree in nursing from Anne Arundel Community College. Eric is presently on disability retirement from his job as a State nursing home surveyor. He reported work history in a variety of nursing areas including quality assurance, emergency medical care, neurology, intensive care, psychiatry, and burn care. Eric presently receives pain management services and is treated with medication and a spinal cord stimulator. He also receives weekly individual counseling. Eric reported that he is limited in what he can do physically and stated that during the day time he needs the opportunity to lie down frequently to minimize his discomfort. Eric expressed the desire to do something that would provide additional meaning in his life. He enjoys helping others, being mentally challenged and investigating problems. Ideally, he would like to go back to school to complete a bachelor’s degree. He is presently taking several courses at Anne Arundel Community College and recently has become particularly interested in learning new languages. Eric had difficulty handling the approximately five hours of relatively sedentary activity he was asked to complete as part of his focused career assessment. Eric did not self-advocate or indicate that he was having any difficulty with pain management until the end of the day and upon follow up. Strengths Eric: has a degree in nursing and has had a variety of related work experiences is motivated to find work that will provide him with more meaning in his life has good family support has a financial base of support Needs Eric: needs relatively sedentary employment that can be performed primarily at home needs to increase his self-advocacy – to make his work related needs known needs to practice disability disclosure Recommendations/Resources 1. Customize Employment/Self-Employment Eric will need customized employment which enables him to work primarily at home and keeps driving and time away from home to a minimum. Although Eric cannot guarantee to be anywhere for particular time periods, he reported that he could be available at his home during set time periods (to answer calls, etc.). Customized employment would afford him the greatest flexibility to accommodate his medical schedule as well as fluctuations in his pain level. See attached information on Customized Employment. Eric may be able to make arrangements for this type of employment directly with an employer or he may need to become self-employed, securing employment contracts. Eric may wish to take short-term training to improve his business skills/knowledge and develop a business plan. Short term, targeted training is offered through SCORE (Service Corp of Retired Executives). They offer counseling/mentoring as well as one day seminars on a variety of topics related to starting and managing a business. The closest SCORE chapter to Eric is in Annapolis. Eric may also be a candidate for DORS' Project Rise. See attached information on these programs. 2. Possible Target Areas of Employment Eric may be a candidate for information providing occupations such as staffing an “Ask a Nurse” help line or crisis intervention hotline. Calls would need to be routed to a dedicated phone line in his home. He could also consider providing pre-surgical instructions to patients via telephone. Eric has some experience in medical writing and he could consider returning to that kind of work. Although opportunities do exist in this area, they are competitive. See attached information. Eric may wish to learn website design and target medical website development and/or maintenance. Employment in this area is highly skill based and requires less in terms of formal education/training. Typically, a portfolio of personally designed websites is what is needed to secure work. AACC offers short-term training in website design - see attached information. Note: Eric would be eligible for free tuition through AACC as he is on disability retirement. Because Eric has had experience in licensing and compliance, he could consider work in which would assist nursing homes or other medical facilities in meeting licensing requirements. Eric also did quality assurance work in the past. This could be considered for the future as well. -2- Eric may wish to develop or work for a medical staffing agency, matching qualified workers to temporary employment vacancies. Eric could consider securing certification in medical records coding. This type of work is often quite flexible. Anne Arundel Community College offers a certificate program in this specialty area. See attached information. Eric will need to do further exploration to arrive at a career target. 3. Consider pursuit of a bachelor’s degree Eric expressed a desire to enhance his qualifications for employment by furthering his education. He will require a degree program that can be done completely at home through distance learning or with minimal local travel. Although he expressed a desire to pursue a Bachelor’s degree in nursing, even programs which offer RN to BSN degrees online require a clinical component – a requirement which Eric would likely be unable to meet. Eric may be more successful in finding degree programs which can be completed through distance learning in other areas such as technical writing. Eric may wish to explore distance education through http://www.petersons.com/distancelearning/ a website dedicated to matching students with educational opportunities that meet their needs and requirements. 4. Develop Script for Discussing Disability Information about discussing a disability with a potential employer is attached. Eric should review this information and apply relevant points to his personal situation in the development of a script for disability presentation. It will be important for Eric to convey to potential employers that he is at a stable point medically, his specific needs and also that he will be able to meet the demands of the work. Susan Lane, CVE Certified Vocational Evaluator CVE # 555555555 -3- Career Assessment Tools and Techniques Utilized Interview Records Review Talent Search Work Preference Match Values Sort Myers-Briggs Personality Indicator Employment Readiness Scale Job Seeking Skills Assessment Learning: It's a Matter of Style Questionnaire on Time Materials Reviewed DORS Referral for Career Assessment Services - 8/19/05 Interview Medical/Psychological Eric has had 5 back surgeries including 3 laminectomies of L5-S1 (1988- 1995) and a lumbar fusion in 2003 with rods/screws inserted. He had additional hardware placed later in 2003. has chronic pain due to his back problems and is treated with medication (Methadone) and a spinal cord stimulator. takes Synthroid for a long-standing thyroid problem and Prozac for depression. has many restrictions on his physical abilities. He can not lift more that 8 pounds, cannot climb stairs or pick up things from the floor. During the daytime, he needs the opportunity to lie down frequently to minimize his discomfort. regularly sees a pain management specialist and is also receiving individual counseling on a weekly basis. Education/Work History Eric graduated from North High School in 1972 where he had several favorite classes including History, Science and English. graduated from Anne Arundel Community College in 1982 with an Associate’s degree in nursing. is an RN with an active state license. worked last in 5/03 for the State of Maryland as a Surveyor, investigating nursing homes. worked for Burns Manor, a private psychiatric facility, in Quality Assurance for 6 years. was an Emergency Room Nurse for 5 years. worked in Neurology, ICU and the Burn Center for Lake City Hospital. also held various other jobs including laying carpets, driving trucks, shipyard electrician, and shipyard EMT. -4- Personal/Social Eric currently lives with his wife and father-in-law. has 3 grown children. receives disability retirement and health insurance from the State of Maryland. currently stays home much of the time. His hobbies include reading and studying languages. recently took classes at home on photography, graphic arts, and Polish at AACC. has a valid driver’s license and a vehicle. Career Goals Eric reported a desire to do something in the field of medicine. He ideally would like to take care of individuals who are poor and who have little access to health care. Eric stated that he has considered volunteering at a clinic but stated that he is “worried that they’ll come to depend on me.” Eric stated that due to his back condition and current levels of pain that he cannot guarantee to be anywhere at particular times. In addition, the duration of time he can spend away from home is limited. He reported that he lies down frequently during the day to relieve his discomfort. Eric indicated an interest in having some type of work that would provide more meaning in his life. He stated that income was not a particular issue as he has disability retirement income through the State of Maryland. Eric completed the Employment Readiness Scale, a self rating of his perceived readiness for employment. On the 7 point scale, Eric gave himself a rating of 4. A rating of 1 indicates lack of readiness for employment and a rating of 7 indicates complete readiness for employment. The reasons Eric provided for this rating include "education" and "chronic pain." Interests Eric completed an activity in which he had to identify the values most important to him in a career. His primary value was Moral Fulfillment. He stated, “Because without it, nothing matters.” He also values Achievement/Accomplishment. He said, “You have to make the world better by being there.” Additional values which Eric identified as important to him include Creativity, Freedom, and (being) Helpful. Eric’s Myers – Briggs type is ISFP (ISFP (Introvert, Sensor, Feeler, and Perceiver). Careers which match this personality type include many jobs in service related fields. Occupations matching this personality style include: Nursing Storekeeper Clerical Supervisor Dental Assistant Bookkeeper Cleaning Service Worker Cook -5- For ISFP’s career satisfaction means doing work that: is consistent with his strong inner values and is something he cares deeply about is done with others in a supported and affirming climate where he works as a member of a team requires attention to detail where he works with real things that benefit other people and have practical applications gives him the freedom to work independently but nearby other compatible people where he doesn’t feel restricted by excessive rules, structure or inflexible operating procedures lets him be adaptable yet committed, working where he has a sense of purpose and is able to see an experience actual results of his accomplishments lets him use his sense of taste and aesthetics to enhance his physical workspace is done in a quiet cheerful and cooperative setting where interpersonal conflicts are kept to a minimum gives him an opportunity to experience personal growth and development lets him handle problems promptly and simply, offering practical help does not require him to perform regular public speaking or lead a large group of people he doesn't know well According the Work Preference Match, work factors which were important to Eric included having a job in which: he would help others he would be mentally challenged he could investigate problems he could teach others he would work independently he would not have to do much lifting, standing or walking he would drive short distances, no more than ½ hour he would not be required to work on Saturdays Eric reported a willingness to spend whatever amount of time in training or preparation for employment. He stated that ideally, he would like to go back to school. Learning Style On a learning style assessment, Eric indicated a preference for learning through visual nonverbal and tactile or kinesthetic means. Visual/Nonverbal indicates that Eric prefers to learn when information is presented visually and in a picture or design format. In a classroom setting, he would benefit from instructors who use visual aids such as film, video, maps, and charts. Tactile/Kinesthetic indicates that Eric prefers to learn new tasks when physically engaged in a "hands on" activity where he can manipulate materials to learn new information or when he is physically active in the learning environment. Some learning strategies associated with these learning styles are included within the appendix of this report. During this assessment, Eric demonstrated good oral direction following skills. Eric grasped the instructions for the various tasks he was asked to complete quickly and easily. Eric completed a questionnaire on time preferences to determine if he had a preferred time for optimal functioning. On this measure, Eric indicated a preference for late morning or afternoon -6- hours. Transferable Skills Eric demonstrated the following transferable skills from his prior employment: assist in examining or treating medical patients administer injections, medications or treatments understand properties or composition of drugs care for mentally ill patients collect clinical data communicate technical information conduct patient assessments explain testing procedures to patient follow infectious materials procedures follow patient observation procedures make presentations or instruct on topics such as health education or disease prevention interpret medical laboratory test results inventory medical supplies or instruments maintain medical records use interviewing procedures to obtain information from clients, customers, or patients take vital signs use clinical problem solving techniques use counseling techniques use knowledge of investigation techniques use knowledge of medical terminology use knowledge of nursing terminology use nursing practices or procedures approve or disallow application or license ensure compliance with government regulations examine documents for completeness, accuracy, or conformance to standards examine permits or licenses to ensure compliance with requirements explain government laws, rules, policies or regulations issue citation or warning for violation of laws issue licenses or permits monitor operations to verify conformance to standards and recommend action to ensure compliance prepare reports of inspections and rate ability of applicant write business correspondence analyze technical data, designs, or preliminary specifications write or edit written material ensure correct grammar, punctuation, or spelling interpret technical information for written materials maintain records, reports, or files organize journalistic or literary data prepare instruction manuals, technical reports or related documentation set page layout or composition understand computer equipment operating manuals Note: The extent to which Eric can perform some of the more physical duties noted above is limited due to his back injury and pain tolerance. -7- Career Awareness & Job Seeking Skills Eric seems to have a good awareness of career opportunities and their associated requirements. He was able to identify various sources for finding employment and knew what to do when applying for job and when interviewing. To determine how he presented his work history on paper in application for employment, Eric was asked to complete an employment application. Eric listed "injury" as his reason for leaving his two most recent jobs. This could potentially be evaluated negatively by a potential employer and/or Eric may be perceived as unable to work. Ideally, he should leave this blank to give himself the opportunity to discuss it in an interview. Eric also failed to answer the question which asked whether he had been convicted of a violation of the law other than minor traffic violations. From information provided in the interview, Eric could have appropriately answered this no. A lack of response to this question may unnecessarily prevent him from being considered for an interview or for a particular job opening. Eric has not dealt with presenting information about his disability in an interview situation. It will be necessary for Eric to disclose his disability to make appropriate employment arrangements and to receive needed accommodations. Information about disability disclosure is attached. Worker Characteristics/Observations Eric was 10 minutes late for his assessment appointment. He provided his own transportation to the assessment site at the Annapolis DORS office. Eric did not notify the evaluator when he was finished with an assigned task. He instead began reading a book which he had brought with him. When he was encouraged to notify the evaluator of his completion, he did not do so consistently. Eric did maintain good attention to task and always worked to completion. Eric seemed irritable and unhappy with what he was being asked to do as part of the career assessment process. Only later in the day was it determined that this irritability was due to his pain level. Eric did not self-advocate or in any way indicate that his pain was a problem at the time. Eric’s affect was relatively flat. Again, this was likely due to his pain level. Eric was more animated when talking about his work history. He reported and it was apparent from his conversation that he greatly enjoyed his various nursing assignments. Eric participated in approximately 5 hours of relatively sedentary activity. Upon follow up, he reported that he spent most of that evening and the following day in bed due to his level of pain. Assistive Technology Eric’s needs for assistive technology were considered during this assessment - it was determined that he has no needs in this area at this time. -8- Cultural, Ethnic & Linguistic Considerations Eric’s needs in the cultural, ethnic and linguistic areas were considered during this assessment - it was determined that he has no needs in this area at this time. Accommodations, Modifications & Environmental Considerations Eric did not require any modifications or accommodations to fully participate in the career assessment process. In employment, Eric will need a job that is customized to his need to work primarily from home. He will need to keep driving and time away from home to a minimum. -9- Appendix A - Assessment Descriptions and Performance Scores Values Sort - Eric completed an activity in which he had to identify the values most important to him in a career. Primary value: Secondary values: ▪ Moral Fulfillment ▪ Achievement/Accomplishment ▪ Creativity ▪ Freedom ▪ Helpful Work Preference Match - required Eric to identify temperaments and other factors important to him in a work situation. Important work factors for Eric include: ▪ helping others ▪ being mentally challenged ▪ investigating problems ▪ teaching others ▪ working independently Myers - Briggs Personality Indicator - Quick Form required Eric to choose from among two categories in response to questions about where his energy is naturally directed, what kinds of information he naturally remembers, how he makes decisions and what kind of environment makes him most comfortable. Myers-Briggs Type: I S F P Learning: It's a Matter of Style - This measure required Eric to identify which statements best matched his personal preferences. His preferred mode of processing and performing was rated according to 4 areas. Predominant learning style: Visual/Nonverbal and Tactile/Kinesthetic Learning Strategies For The Visual/Nonverbal Learner 1. Make flashcards of key information that needs to be memorized. Draw symbols and pictures on the cards to facilitate recall. Use highlighter pens to highlight key words and pictures on the flashcards. Limit the amount of information per card, so your mind can take a mental "picture" of the information. 2. Mark up the margins of your textbook with key words, symbols, and diagrams that help you remember the text. Use highlighter pens of contrasting colors to "color code" the information. 3. When learning mathematical or technical information, make charts to organize the information. When a mathematical problem involves a sequence of steps, draw a series of boxes, each containing the appropriate bit of information in sequence. - 10 - 4. Use large square graph paper to assist in creating charts and diagrams that illustrate key concepts. 5. Use the computer to assist in organizing material that needs to be memorized. Using word processing, create tables and charts with graphics that help you to understand and retain course material. Use spreadsheet and database software to further organize material that needs to be learned. 6. As much as possible, translate words and ideas into symbols, pictures, and diagrams. Learning Strategies For The Tactile/Kinesthetic Learner 1. To help you stay focused on class lecture, sit near the front of the room and take notes throughout the class period. Don't worry about correct spelling or writing in complete sentences. Jot down key words and draw pictures or make charts to help you remember the information you are hearing. 2. When studying, walk back and forth with textbook, notes, or flashcards in hand and read the information aloud. 3. Think of ways to make your learning tangible, i. e, something you can put your hands on. For example, make a model that illustrates a key concept. Spend extra time in a lab setting to learn an important procedure. Spend time in the field (e. g., museum, historical site, or job site) to gain firsthand experience of your subject matter. 4. To learn a sequence of steps, make 3"x 5" flashcards for each step. Arrange the cards on a tabletop to represent the correct sequence. Put words, symbols, or pictures on your flashcards anything that helps you remember the information. Use highlighter pens in contrasting colors to emphasize important points. Limit the amount of information per card to aid recall. Practice putting the cards in order until the sequence becomes automatic. 5. When reviewing new information, copy key points onto a chalkboard, easel board, or other large writing surface. 6. Make use of the computer to reinforce learning through the sense of touch. Using word processing software, copy essential information from your notes and textbook. Use graphics, tables, and spreadsheets to further organize material that must be learned. 7. Listen to audio tapes on a Walkman tape player while exercising. Make your own tapes containing important course information. Questionnaire on Time - This measure required Eric to respond to true and false statements about his preferred time for performing tasks. Predominant time preference: Late morning/Afternoon - 11 - Additional Attachments Information on Disability Disclosure Job listings in areas related to his interests within a 10 mile radius of his home Information on SCORE and Project Rise Information on Customized Employment Information on AACC Certificate Program in Medical Coding - 12 - CAREER ASSESSMENT REPORT Name: Xxxxxxxx Xxxxx Referral Source: Date of Birth: September 1, 19 Social Security Number: - Division of Rehabilitation Services Assessment Type: Exploratory Assessment Dates: April 28, 30, and May 19, 2003 Date of Report: Referral Question: What are Mr. Xxxxxs' placement options? Background Information Xxxxxxxx graduated from Houstonwood High School in the 1970's (he could not remember the exact year). He attended the Community College of Baltimore City in the 1970's for one year, but did not have a major. In 1986, Xxxxxxxx received his Locksmith Certificate from Foley-Belsaw Technical School in Kansas City, but lost the certificate in a fire, and is hoping to replace it in the near future. Xxxxxxxx worked at Montgomery Ward Department Store as a Reconditioner in the 1970's and 1980's, but left for a better job. He then worked for six months at Bethlehem Steel before being laid off in the 1980's. From then until the early 1990's, Xxxxxxxx worked several jobs as a Construction Laborer, but he could not remember specific names or dates. For six months in 2000, he worked at the United States Naval Academy as a Laborer, where his duties include cleaning the construction sites on campus, until he was referred to inpatient drug treatment. He has worked sporadically as a Laborer for Tops Temporary Agency, but has been mainly unemployed since 1999. Xxxxxxxx currently lives by himself in an apartment, through subsidized housing. However, between the first and last days of the assessment, Xxxxxxxx reported that he was expecting to receive an eviction notice, as he had not paid his rent in the last month due to a stoppage of his Social Service benefits. He was planning to go to rent court and pursue assistance through a church or community agency. He had been receiving Public Assistance of $185.00 per month, but his case was closed at the end of April 2003, and although he had received a letter informing him that his case was being reconsidered, he had not yet met with his Social Services Worker. In his spare time, Xxxxxxxx enjoys playing chess and playing the piano, as well as listening to music. He reported that he relies on his sister, uncle, and Department of Social Services Worker for emotional support. Xxxxxxxx has a driver's license that was suspended due to an unpaid ticket, and he does not have a vehicle, so he uses public transportation independently. Xxxxxxxx's primary diagnosis is Opioid Dependence (Cocaine, Cannabis, and Alcohol Abuse), sustained full remission. He has also been diagnosed with Hypothyroidism, and swelling in his left ankle, for which there is no known cause. Xxxxxxxx reported that he has been substance free for three years. He also reported that due to the swelling in his ankle, he would not be able to stand for more than two hours at a time, and would not be able to lift more than fifty pounds. He is prescribed Synthroid, Hydrochloric Acid for High Blood Pressure, and an Albuterol inhaler. Xxxxxxxx attends Narcotics Anonymous on a regular basis. Summary Xxxxxxxx participated in a three-day, Exploratory Assessment in order to determine his placement options. Xxxxxxxx was originally scheduled to begin his Assessment one week previous to when he began, but had difficulties with the bus, which made him late, so he did not come in. He then came in on the second day, but as he had not called and was not able to be reached by phone, the Evaluator was not in. He agreed to come in the following week. He was early on the first day, but did not come in on the second day, as he had become locked out of his apartment without identification, and asked to reschedule. He was early on the third day and rescheduled day. Xxxxxxxx was personable, has a high school diploma, and held a certificate as a Locksmith. However, his primary barriers to employment were his lack of experience in his field of interest, his unrealistic vocational expectations, and his unstable housing situation. Xxxxxxxx's expressed vocational goal was to work as a Locksmith, in order to utilize the Locksmith Certificate he received in 1986, but has only used for friends. He was interested in working part-time, and he initially hoped to make $50,000 per year. However, after researching entry level salaries for Locksmiths, it was brought to Xxxxxxxx's attention that this was not a realistic expectation. He revised his interests, and was receptive to suggestions including Custodial Services, Salesperson, and Assembler. He also expressed an interest in becoming a Welder, but was unsure of his ability to stand for long periods of time. He preferred a position which would be repetitive but offer a variety of duties, and that allowed him to work with tools or his hands. Based on Xxxxxxxx's vocational interests, strengths, limitations, and performance during the assessment, it is recommended that he continue to attend Narcotics Anonymous, in order to assist him with maintaining sobriety. He would benefit from participating in an Employee Development Services (formerly Work Adjustment Training) Program for an extended period of time, including job shadowing and informational interviewing for positions including Locksmiths, Keymakers, Stocking, and Parts Assembler. Employee Development Services would also assist Xxxxxxxx with learning budgeting, time management, and organizational skills, as well as employer expectations. If he needs to receive an income during Employee Development Services, he would benefit from pursuing a position as a Custodian or Janitor. After completing Employee Development Services, Xxxxxxxx would benefit from receiving job development and placement assistance for a part-time position of interest. Once he has been able to save money from employment, he would benefit from paying his speeding ticket, in order to reinstate his driver's license, in order to increase his opportunities for employment. Recommendations In order to assist Xxxxxxxx with becoming employed and self sufficient, the following recommendations are suggested: 1. Xxxxxxxx, ORS Counselor, any significant others, and Career Assessment Specialist, should meet to discuss assessment results. Scheduled for 2. Xxxxxxxx would benefit from continuing to participate in Narcotics Anonymous to assist him with maintaining sobriety. 3. Xxxxxxxx would benefit from participating in an Employee Development Services (formerly Work Adjustment Training) Program for an extended period of time, to include participation in job shadowing and/or informational interviewing for a variety of positions such as Locksmith, Keymaker, Assistant Stock Clerk, and Parts Assembler. Employee Development Services would also assist Xxxxxxxx in learning budgeting, time management, and organizational skills, as well as employer expectations. Recommendations continued… 4. If Xxxxxxxx needs to receive and income while participating in Employee Development Services, he would benefit from receiving a part-time position as a Custodian or Janitor. 5. Once Xxxxxxxx completes Employee Development Services, he would benefit from receiving job development and placement assistance for a part-time, non-supported position of interest. See list of accommodations page four. 6. After receiving employment, Xxxxxxxx would benefit from paying his speeding ticket, and reinstating his driver's license, in order to increase his opportunities for employment. 7. Depending on the position he receives, Xxxxxxxx may need assistance obtaining work-related uniforms, clothing, and/or shoes. The following job titles correspond to some of the occupations, which match Xxxxxxxx's current interests and skills: • Parts Assembler • Packager • Information Clerk • Parts Puller • Keymaker (in a hardware store) • Stock Assistant • Custodian Functional Strengths: • High school diploma • Personable • Open to suggestion • Holds Locksmith Certificate • Above average manual dexterity with tools • Not easily distracted or frustrated • Able to follow multi-step oral instructions Functional Limitations: • Lack of experience in field of interest • Unrealistic vocational expectations (making $50,000 per year as a Locksmith without experience) • Questionable housing situation • Non-competitive academic scores • Lack of organizational skills (did not call when he was not able to come in until following day, did not go to court for speeding ticket, has waited to follow through on pending eviction). Accommodations/modifications requested and/or provided during the assessment: • None requested or provided Accommodations/modifications/environmental considerations requested and/or recommended for employment or training to enhance capacities: • Xxxxxxxx would benefit from receiving a position that allows him to sit and stand as needed, with standing not to exceed two hours. • Xxxxxxxx should not be required to lift more than fifty pounds. • Xxxxxxxx would benefit from receiving a position that does not require extensive reading or math skills. • Xxxxxxxx would benefit from receiving a position that that is repetitive and requires minimal decision-making. Transferable Skills: • Custodial Skills Knowledge of Career Information and Job Seeking and Keeping Skills: Xxxxxxxx scored 86% on a questionnaire regarding job knowledge and seeking skills. He was aware of the requirements of a Locksmith, but had unrealistic expectations of earnings in the field, as he would be in an entry-level position. He also had some difficulty choosing a field of interest due to unrealistic training and earnings expectations. Xxxxxxxx has held many positions in the past, most for approximately six months, although he did maintain one position for several years. Also, many of the positions Xxxxxxxx has held were temporary, Custodial Labor positions. Cultural, linguistic and/or ethnic considerations: None noted or requested. Job Availability in Geographic Area: According to Sunspot.net, there were several positions available for Stock Clerks and Parts Clerks, for several of which Xxxxxxxx would be qualified. There was one position available for a Locksmith, which did not give details of qualifications. Behavioral Observations: Xxxxxxxx was originally scheduled to participate in an assessment the week before he began, but due to transportation problems, he was unable to attend the first scheduled day. He then came in the next day, without calling. Xxxxxxxx was informed that he would have to be rescheduled for the following week, and he agreed. Xxxxxxxx was on time on the first day of the assessment, but did not come in on the second day. He called later that morning to say that he'd been locked out of his apartment without identification, and would have to spend the day making arrangements to get in to his apartment. He was on time the next day, and scheduled a make-up day. Xxxxxxxx was personable, and was willing to attempt all tasks presented to him. He maintained a steady work rate throughout the assessment, and was not easily distracted or frustrated. Assessment Results and Interpretations Vocational Interests and Temperaments: According to the Career Decision Making System Interest Survey-Level 2, Xxxxxxxx scored highest in the Scientific, Arts, and Business career clusters, and selected Locksmith, Security Guard, and Welder as the positions he would be most interested in pursuing. Xxxxxxxx selected community college as his future plans. However, after exploration and discussion, Xxxxxxxx determined that although he would be most interested in utilizing his Locksmith training, it would be important for him to find work in order to begin to receive an income. Xxxxxxxx was interested in working in a variety of areas, and was open to suggestions. Xxxxxxxx's preferred working conditions were to work indoors and outdoors, in a variety of locations, with his hands, tools, or machinery. He preferred work that required attention to detail, with a variety of duties, but that was repetitive. He was interested in working part-time, daytime hours, and he was willing to travel locally. He hoped to earn $50,000.00 per year, to receive health insurance, and one week per year of vacation. Intellectual Skills: • Test of Adult Basic Education – Survey Reading-Difficult Level: 12 Raw Score=5.2 Grade Equivalent Language-Easy Level: 10 Raw Score=2.3 Grade Equivalent Spelling-Easy Level: 13 Raw Score=4.1 Grade Equivalent Mathematics Computation-Easy Level: 12 Raw Score, No Grade Equivalent Available Applied Mathematics-Easy Level: 13 Raw Score=3.3 Grade Equivalent • Bennett Mechanical Comprehension: assesses knowledge of mechanical principles and the laws of physics. Raw Score=3rd percentile, Low for Skilled Trades Jobs, Automobile Company • C.I.T.E. Learning Style – Xxxxxxxx's major learning styles were Visual Language and Visual Numerical (enlarge print size, reduce distractions and use fewer problems, increase space for writing answers, retype material double spaced or larger, color-code to emphasize important information, outline or highlight shapes, have individual trace shapes or letters, outline material with window of construction paper, and color-code topic sentence or direction) and Expressive-Written (provide illustrations to supplement reading material, diagram described result response, use pictures/illustrations directly related to material, and use programmed learning to develop written expression). Dexterity: Bennett Hand Tool - Manual Dexterity with Tools - Score: 70th percentile, High Average for Employees and Applicants in a Manufacturing Company. Purdue Pegboard - Fine Finger Dexterity without Tools - Score: Low, 1st to 6th percentile for all areas assessed, based on work rate. Crawford Small Parts Dexterity – Score: High Average, 65th percentile for Pins and Collars and Low, 3rd percentile for Screws, for Students in a Prevocational Adult Basic Education Class. Simulated Work Stations and Tasks: Employment Application: assesses ability to complete an employment application independently. Interest: N/A Results: Average Xxxxxxxx's handwriting was legible, and he attempted to complete each section of the application. However, he listed Tops Temporary Agency as his only past employment, and did not list any dates of employment. Logic Test: assesses ability to complete a pattern given the first characters in its sequence, and complete math word problems. Interest: Above Average Results: Below Average Xxxxxxxx 33% accuracy, and demonstrated difficulty completing the pattern sequence. Linear Measurement: assesses ability to measure accurately to 1/16th of an inch. Interest: High Results: High Xxxxxxxx scored 100% accuracy. Blueprint Reading: assesses ability to read and interpret three view blueprints. Interest: Above Average Results: Average Xxxxxxxx scored 50% accuracy. Map Reading: assesses ability to identify routes and landmarks given a map. Interest: High Results: Above Average Xxxxxxxx scored 80% accuracy, and maintained a steady work rate. Order Taking: assesses ability to accurately record orders from a cassette tape. Interest: High Results: High Average Xxxxxxxx completed seven orders in thirty five minutes, and scored 72% accuracy. It was a pleasure meeting and working with Xxxxxxxx. If there are any questions or concerns regarding this assessment, please do not hesitate to contact me. ________________________________ Career Assessment Specialist Exploratory Career Assessment Identifying Information Name: Joan (name has been changed for confidentiality) Address: Salisbury, Maryland Phone Number: Date of Birth: 12/28/56 SSN: Referred by: John Doe- Division of Rehabilitation Services, Salisbury Assessment Period: December 18 & 19, 2003 Date of Report: January 5, 2004 Reason for Referral: Joan was referred for an Exploratory Career Assessment to determine her vocational interests, strengths and abilities. Accommodations, supports and training opportunities were explored to identify appropriate career goals for competitive employment. Summary Joan is a forty-six-year-old woman who lives in Salisbury, Maryland. She has a high school diploma and has completed several health related, college courses at Howard County Community College. Past work experiences include working as an Office Manager, Medical Office Assistant, and Medical Assistant, all for a substantial period of time. Joan is Bi Polar and is recovering from drug and alcohol dependence. She is currently living in transitional housing and has been sober and clean for the past eight months. Joan also mentioned that she had Attention Deficit Hyperactive Disorder (ADHD), which affects her ability to sit for long periods of time. Joan’s long-term goal is to work with critical care patients in a Hospice setting. She is primarily seeking financial assistance for formal education and training in a health care profession. Joan feels that her dedication, loyalty, and being a hard working team player are attributes she can offer an employer. Strengths • Joan works well with others and demonstrated socially appropriate behavior during the assessment. • She feels she is very patient, especially with animals, children, and the elderly. • She is organized, opened minded, and is willing and able to learn new skills. • Her job retention on past jobs is very good (4 years and 13 years). • She has a high school diploma. Needs • Joan feels that being a perfectionist is a limitation. • She feels her spelling skills need improvement. • Joan is in need of support and stability to continue with her recovery from chemical dependency. • Joan is in need of reliable transportation. • She is in need of training, a job, and financial stability. Recommendations/Resources 1. Joan should continue with her treatment and recovery. Joan said she was taking her medication regularly, participating in counseling and was benefiting from the “support and stability” of her transitional housing. 2. Joan is in need of reliable transportation. She mentioned she had a car, but needed to pay for her license and car insurance before she would be able to drive. At this time, Joan would need to look for training or employment, which is accessible to public transportation. 3. Joan may benefit from a psychological assessment, if she has not already had one. She appeared psychologically stable during the assessment and interacted appropriately with others. However, she mentioned she was hospitalized, not too long ago, in September 2003 to get stabilized from her chemical imbalance. 4. Joan should expunge her probation before judgment charge so that it will not appear on her background report. She should be eligible to file for expungement when either her probation is over or three years have passed. Information about expungement is included at the end of this report. Meanwhile, Joan may want to get a copy of her background report so she can be prepared if an employer asks her about her DUI and drug possession charge. 5. Joan should begin training for a career. Wor Wic Community College offers classes in Phlebotomy, Nursing, and Radiological Technology. Delaware Tech also offers coursework in Physical Therapy, Occupational Therapy, and Veterinary Assistant. The commute to Del Tech would be difficult unless she is able to drive. 6. Joan would benefit from accommodations. She should find employment, which does not require excessive lifting. She feels she could only lift 50 pounds due to possible arthritis or osteoporosis. She would benefit from employment, which allows her to be active and does not require sitting for long periods of time. In addition, she would benefit from additional time to complete timed tests and activities. Overall, her quality of work is very precise and thorough, when she is given ample time. 7. Joan should update her resume. 8. Joan should look for jobs that suit her interests, strengths and abilities. It is recommended that Joan limit herself to working on a part time basis, so she can concentrate on her education. After training, she is hoping to work full time. Appropriate job choices would include Medical Assistant, X-ray Technician, Phlebotomist, Physical Therapy Assistant or Aide, Occupational Therapy Assistant or Aide, Nurse or Nurse Aide, Veterinary Assistant, or Social and Human Service Assistant. Joan made it clear during the assessment that working around medicine would not have a negative impact on her recovery. She simply stated she would not put herself in a bad situation. 9. Joan should be able to find employment on her own, especially after training. Her primary need is payment for education and training, from the Division of Rehabilitation Services. Job Availability in Geographical Area Healthcare and medical occupations offer a good chance for employment on the Lower Eastern Shore. Joan is already trained as a Medical Office Assistance, which has good job availability; however, she would like to find a job, which is more physical. 2 Career Assessment Tools and Techniques Utilized Records Review Interview Career Occupational Preference System (COPS) Career Key Talent Search Work Factors Match Values Sort Career Exploration Job Seeking Skills Assessment Employment Readiness Scale CITE Learning Styles Instrument Questionnaire on Time Wide Range Achievement Test (WRAT3) Woodcock Reading Mastery Tests – Revised II Personnel Test for Industry Oral Directions Test Purdue Pegboard Dexterity Test Mavis Beacon Typing Program Nursing Work Sample Group Interaction and Decision Making Work Sample Materials Reviewed DORS Referral Worksheet- John Doe- 12/09/03 DORS Application- John Doe- 12/04/03 DORS Health Status: Self Report- Joan Background Information • • • • • • • • Medical/Psychological Joan stated that she is Bipolar and has Attention Deficit Hyperactive Disorder (ADHD), which affects her moods and her ability to sit for long periods of time. She denies having any trouble at past jobs due to her mood disorder. Records also indicate that Joan has Hepatitis C, which she did not mention during the assessment. Joan is recovering from alcohol and drug dependence and has been sober and clean for the past eight months. She is currently living in a halfway house, in Salisbury. Joan is prescribed Welbutrin (an antidepressant) and Triliptal (a mood stabilizer). She has health insurance through Medical Assistance. Joan receives counseling services from the Lower Shore Clinic. Her most recent hospitalization was in September 2003, at Sheppard Pratt. She stated that she was imbalanced at the time and needed to get stabilized. Joan said she is able to perform movements such as walking, stooping, bending, lifting and carrying up to 50 pounds, with no restrictions. Her file indicated she may have arthritis or osteoporosis, which was undetectable during the assessment. Education/Work History Joan completed the 12 grade and received her diploma from Wilde Lake High School in Columbia, Maryland. She mentioned she has completed 20-25 credits at Howard County Community College in health related classes, such as nutrition and crisis intervention. She did not finish college because she had a child and there was “too much going on”. She also received a certificate for completing four years of coursework at a religion and philosophy school. th 3 • • • • • • • • • • • • • Joan worked at Stanton Plumbing Company, as an Office Manager for four years. Duties included taking appointments, dispatching, accounts payable and ordering office supplies. She said she was laid off from this job. Joan worked for thirteen years as a Medical Office Assistant and Medical Assistant. Job duties included taking claims over the phone, coordinating benefits, quality assurance, giving injections, taking vital signs, germ and allergy testing, reading EKG’s and ICD-9 medical coding/ billing. She left this job to work for her friends at Stanton Plumbing. Joan worked for a Urologist, doing office related work, such as making appointments for patients, which lasted for two years. Other jobs included prep work in a restaurant and working for a bank for 6 months, before leaving to work for the Urologist. Volunteer experiences include answering phones at crisis hotline for 1 year and helping individuals with disabilities ride horses. Joan said her favorite job was working as a Medical Assistant because she liked working with the people and the doctors. Personal/Social Joan has been living in a halfway house for the past two months. She is separated and has an 11-year-old daughter. Her hobbies include reading, taking walks, horseback riding, and making crafts. She receives $125.00 per month in food stamps. She has low rent housing and has applied for SSDI, which has not yet been decided. Joan said she does not have a criminal record and has received probation before judgment for a DUI and for drug possession. Joan said she had a car, but needed money to pay for her license and insurance. She currently relies on friends for rides and is able to take public transportation. Joan said she needs to have a job or volunteer in order to continue living in her low rent housing. Interests Joan was asked to identify occupational daydreams, jobs in which she was interested but did not necessarily have the skills, abilities or education to secure at the present time. Joan expressed interest in the following occupations: • • • Working with terminally ill patients such as in a Hospice setting or rehabilitation Working with children, geriatric patients or the handicapped in a medical field Working as a veterinarian or wild life rescue Joan’s tested interests were highest in jobs, which would be classified as Social, Realistic and Artistic. Career clusters of interest include Skilled Science, Outdoor and Professional Service occupations. Some jobs which match this interest profile and in which Joan indicated interest include: Biological Technician X-Ray Technician Teacher, Secondary or Voc Ed. Physical Therapist Occupational Therapist Wildlife Agent Dietician or Nutritionist Emergency Medical Technician Medical Assistant Instructor, Voc. Tech Nurse Rehab Counselor Animal Caretaker Horse Trainer School Counselor Home Health Aide 4 Radiation Therapist Caseworker Psychiatric Technician Social Worker Veterinary Assistant Landscape Architect Respiratory Therapist Recreation and Fitness Worker Joan was asked to identify the values, which were most important to her in a work environment. Primary work values include being Helpful, Achievement/Accomplishment, and Moral Fulfillment. Other important values include having a Challenge and Working with Others. Work factors which were important to Joan included having a job in which she would: • • • • • • • • • • • • Not have to sit all day Work with animals, children or the elderly Interact with people Believe in the philosophy or values of the job Help others Have benefits and health insurance Dedication or time on the job is valued Have a variety of duties Work in close social contact with co-workers Work at a busy pace Not have to work with information or data Work daytime hours Abilities Joan demonstrated the following abilities: • • • • • • • • • Word identification skills on the post high school level. She is able to read words such as taupe, expostulate, and heterogeneous. Her reading comprehension was also rated on the post high school level (grade level 16.9). Spelling skills are average, on the high school level. She is able to spell words such as recognize, anxiety, and lucidity. Mathematical skills are in the low average range on the 7th grade level. She is able to solve problems, which involve multiplication, division, decimals, and some fractions. Oral direction following ability was rated as below average. It should be noted that Joan’s preferred mode of learning is visual (reading or seeing directions). Fine motor/finger dexterity was rated in the average range for using her dominant, nondominant and both hands. Her ability to assemble small pieces was rated in the above average range. Aptitudes, which were tested include Language Usage, Perceptual Speed and Accuracy and Spatial Relations. Joan’s timed scores rated below average. However, when time was not a factor and she was given a few extra minutes, she did very well, scoring above average in each area. Typing speed (her best words per minute) was scored at 33 words per minute with 100% accuracy. Joan demonstrated the ability to accurately use a blood pressure cuff and stethoscope to take a blood pressure. She is also able to count respirations and take a pulse. In addition, she scored a 90% on a nursing task, which required her to answer challenging questions using a college level nursing study guide. Joan appears to understand medical terminology and abbreviations. Joan is able to complete an employment application independently and she has a good understanding of the skills and behaviors needed to get and keep a job. 5 Learning Style Joan expressed that she preferred to have a combination of written and oral explanation, however if she had to choose only one, it would be written instruction. Joan’s tested learning styles were highest in Visual Language (preferring to see words in books or charts), Visual Numerical (preferring to see numbers written) and Kinesthetic-Tactile (preferring to learn through bodily sensations and hands-on instruction). Career Awareness & Job Seeking Skills Joan demonstrated a good understanding of the skills and behaviors needed to get and keep a job. The only questions she missed were in regards to it being ok for an employer to ask whether a person has a disability or physical limitation, in which she responded “true”. Joan said she would use the newspaper, computer and employment agencies to find a job. She knew what a resume was and said she had one but it needed to be updated. When asked how she would act in an interview, she responded “outgoing, courteous, interested and prepared”. Joan said she would wear a skirt, top, stockings and heels or a suit to an interview. Joan demonstrated that she is able to complete an employment application independently and neatly. However, she left the reference section blank. When asked about concerns in finding a job, Joan said, “I could probably find any job I am qualified for, but find an interesting, secure career with benefits is much harder”. Worker Characteristics/Observations Joan arrived five minutes late on the first day of the assessment and was on time for the second day. She mentioned she received a ride from a friend and was planning to walk home, when finished. She wore jeans and a sweatshirt and appeared neat and clean. Joan was very cooperative with the evaluator and interacted appropriately with others in the assessment group. She worked at an average pace for most activities, but needed extra time to complete a nursing work task and during timed aptitude tests. Joan’s work was very accurate and answers to questions were very thorough. She never appeared frustrated nor did she seem to have any trouble concentrating and completing tasks. She communicated well with the evaluator and presented a pleasant and positive attitude. Assistive Technology Joan’s needs for assistive technology were considered during this assessment. It was determined that she only requires reading glasses, at this time. Cultural, Ethnic & Linguistic Considerations Joan’s needs in the cultural, ethnic and linguistic areas were considered during this assessment. It was determined that she has no needs in this area at this time. Accommodations, Modifications & Environmental Considerations Joan did not require any modifications or accommodations to fully participate in the career assessment process. It appears that she would benefit from extra time to complete tests and activities. She is also limited in her lifting ability to approximately 50 pounds. Transferable Skills Joan demonstrated the following transferable skills from her prior employment: • • • • • • Taking blood pressure and vital signs including temperature and pulse Performing injections and taking blood samples Reading EKG’s Making allergy serum Knowledge of medical terminology, psychological terminology and medical codes (ICD-9) She is able to use a computer, multi-lined phone, calculator, fax machine and most other office 6 • • • • and medical office equipment. Ordering supplies and billing for services Answering phone calls from customers and dispatching for service calls Making appointments, organizing records and various other office duties Food prep and cooking Other talents: training pets Career Goals Joan should talk to academic advisors at Wor Wic Community College to gather more information about training offered in health care, so she can choose a field of study. The field of nursing is probably the closest training that would lead toward her long-term goal of working in a Hospice with critical care patients. _____________________________ Jane Doe , Vocational Evaluator _________ Date 7 Appendix A - Assessment Descriptions and Performance Scores Career Occupational Preference System (COPS)- is designed to assist an individual in planning for a career. The first step is to define your interests by rating activities according to preferences. The next step is to plot your profile and identify career clusters of interest. The individual selects a job of interest in career clusters with the highest rating. Career Clusters Interest Percentile Job of Interest in Cluster Skilled Science 80% Biological Technician Medical Assistant Radiation Therapist X-ray Technician Outdoor 90% Animal Caretaker Veterinary Assistant Wildlife Agent Horse Trainer Professional Service 94% Instructor, Voc. Tech Occupational Therapist Teacher, Voc. Ed. Caseworker Physical Therapist Rehab Counselor Psychiatric Technician Social Worker Nurse Career Key- this computerized interest inventory required Joan to answer questions about her vocational interests, abilities, and values. She was then asked to identify occupations of interest out of her areas of highest interest. Interest Areas: Social, Realistic and Artistic Occupations of Interest Animal Caretaker Counselor Occupational Therapist Respiratory Therapist Medical Assistant Landscape Architect Social Worker Physical Therapist Emergency Medical Technician Veterinarian Technician Dietician or Nutritionist Nurse X-RAY Technician Home Health Aide Recreation and Fitness Worker Values Sort - Joan completed an activity in which she had to identify the values most important to her in a career. Primary values: Helpful, Achievement/Accomplishment and Moral Fulfillment Secondary values: Challenge and Work with Others Work Factors Match - required Joan to identify temperaments and other factors important to her in a work situation. Important work factors for Joan include: • Listed on page 5. Personnel Test for Industry Oral Directions Test - This assessment measured Joan’s ability to follow oral directions in performing a variety of paper and pencil activities. It is also used to look at logic, short-term memory, following multiple step commands, abstract reasoning and decision-making. Percentile: 10% (below average) Normative Group: Applicants for Semi-Skilled Positions at a County Government 8 Woodcock Reading Mastery Tests - Revised - provided a diagnostic assessment of several important aspects of reading. Joan’s performance was compared with her same age peers. Subtest Standard Score Percentile Grade Equivalent Age Equivalent Word Identification 100 50% (average) 16.9 33 Word Attack 118 89% (above average) 16.9 18-6 Passage Comprehension 106 65% (high average) 16.9 36 Wide Range Achievement Test (WRAT3) - was administered as a measure of Joan’s academic skills in the areas of reading (word recognition), spelling and arithmetic. Scores were based on a comparison with Joan’s same age peers. Subtest Standard Score Grade Equivalent Percentile Performance Range Reading N/A N/A N/A N/A Spelling 93 High School 32% Average Arithmetic 87 7th grade 19% Low Average Arithmetic w/ calculator 89 7th grade 23% Low Average Note: Using a calculator did not make a significant difference in her mathematical performance. CITE Learning Styles Instrument - This measure required Joan to identify which statements best matched her personal preferences. Her preferred mode of processing and performing was rated according to 8 categories. Predominant learning styles: Visual Numerical, Kinesthetic-Tactile and Visual Language Discordant learning styles: Expressive Oral Purdue Pegboard Dexterity Test - was administered as an assessment of Joan’s skills in this area. She placed pegs into a pegboard using her dominant hand (right), non-dominant hand, and both hands simultaneously. The last section of this assessment called for the completion of a series of 4 piece assemblies. Dominant Hand Percentile: Non-Dominant Hand Percentile: Both Hands Percentile: Assembly Percentile: 40% (average) 20% (low average) 55% (average) 87% (above average) Normative Group: Female Hourly Production Workers 9 Career Ability Placement Survey (CAPS)- is a series of aptitude tests to provide information in regard to potentials, strengths, and weaknesses. Norms used: Community College Language Usage- measures how well a person can recognize and use correct grammar, punctuation and capitalization. This ability is important in clerical jobs and professional level occupations in all levels of business and service. Timed Score= 15 Percentile= 32% Rating= A little below average Untimed Score= 19 Percentile= 68% Rating= A little above average Note: Joan’s score improved dramatically with extra time (2 additional minutes). Perceptual Speed and Accuracy- measures how well a person can perceive small detail rapidly and accurately within a mass of letters, numbers and symbols. This ability is important in office work and other jobs requiring fine visual discrimination. Score=56 Percentile=8%* Rating= low* **Note- Joan performed this test with 100% accuracy; however, she worked at a slow pace which resulted in a low score. With extra time, she did very well on this activity. Spatial Relations- measures how well a person can visualize or think in three dimensions and can mentally picture the position of objects from a diagram or picture. This ability is important in job in Science, Technology and Arts. Timed Score= 8 Percentile= 32% Rating= a little below average Untimed Score= 11 Percentile= 68% Rating= a little above average Note: Joan’s score improved dramatically with extra time. Mavis Beacon Typing Program - Joan performed this computer administered typing test to assess her typing speed and accuracy. She was given the opportunity to complete standard typing speed assessments twice. The best words per minute (wpm) score was recorded. Best Words per Minute: 33 wpm with 100% Accuracy Nursing Work Sample- required Joan to answer ten nursing questions by using a college level study guide, to find the answers. Sample questions include “In a normal EKG, what is represented by the QRS complex?” and “What is the function of the oculomotor nerve?” Questions were also asked regarding medical terminology and metric conversions of liquids. Results: Joan received a score of 90% correct on this activity. She took a lot of time on this activity, but was thorough. Joan said she really enjoyed this activity. Interest: High Potential: High 10 Work Task- Taking a Blood Pressure, Pulse Rate, and Counting Respirations- required Joan to use a blood pressure cuff and stethoscope to take the evaluator’s blood pressure. She was also asked to take a pulse reading on the brachial artery (wrist) and count the number of respirations in a one minute time period. Results: Joan was able to put the blood pressure cuff on and position the stethoscope in the correct position. She pumped the cuff to an appropriate level (160) and had a little trouble loosening the valve, with one hand, to let the air out. After three tries to loosen the valve, she was able to do it successfully, slowly controlling the air pressure. Joan was able to hear and see the two distinct sounds (systolic and diastolic) and give an accurate reading. She was also able to take an accurate pulse using the evaluator’s brachial artery. She was able to discreetly watch her patient’s chest rise and fall without advertising the fact that she was counting respirations. Joan conversed well with the patient (the evaluator) and did not appear to mind the physical interaction which was required in these tasks. Interest: High Potential: Average Work Task- Calculating an I.V. Drip Rate- required Joan to use a standard mathematical equation to calculate the I.V. drip rate for two patients. A sample was provided to use as a reference. Results: Joan said she did not know how to complete this task and felt as though an RN would perform this type of task. Joan did not choose to complete this activity. 11 Changing Your Criminal Record How can I change my criminal record? What should I know about my criminal record? How can I get my charge “expunged”? How can I get a copy of my criminal record? Employment discrimination and your criminal record. How can I get legal help? How can I change my criminal record? There is a special process called “expungement” that you can use to change your criminal record. Expungement is a court process that can allow you to remove certain items from your criminal record, depending on the situation. What should I know about my criminal record? • • • Generally, any arrest or citation will show up on your criminal record regardless of what happened later in court. Your record will show the arrest or citation even if: o Your case was dismissed; or o You were acquitted (found not guilty); or o Probation Before Judgment was entered; or o A Nolle Prosequi was entered in your case (This occurs when the prosecutor decides to drop the case either before or during trial. Lawyers commonly refer to this as a “noll pros”); or o The case was placed on the “stet docket,” an inactive group of cases which generally are not reopened. If you were found guilty or paid a fine after being arrested, that will appear on your records as a conviction You can get a copy of your criminal record from the Criminal Justice Information System How can I get my charge “expunged?” Under Maryland law, you must file a petition and ask the court to expunge your records. You can ask for expungement if: • • You were acquitted (found not guilty); or Your charge was dismissed. Additionally, you can ask for expungement if you were not subsequently convicted of any crime which carried a possible prison sentence if: • • • • You received Probation Before Judgment; or A Nolle Prosequi was entered in your case (This occurs when the prosecutor decides to drop the case either before or during trial. Lawyers commonly refer to this as a “noll pros”); or Your case was placed on the “stet docket,” an inactive group of cases which generally are not reopened; or Your case was transferred to juvenile court. The only way to get a conviction expunged is by full and unconditional pardon of the Governor. The only exception to this is if your case was transfered to juvenile court. You are not eligible for an expungement if you were subsequently convicted of a crime or are a defendant in a pending criminal 12 proceeding. If your case had multiple charges and you were found guilty of one of those charges, you may NOT have the other charges expunged. Generally you must wait three (3) years after your case was decided before you can file for expungement, but the rules vary based on the results of your case: • • • • If you were acquitted or received a nolle prosequi or dismissal of the charges, you may file earlier if you also file a general release and waiver of any and all people against whom you may have a legal claim as a result of your arrest. If you received a probation before judgment, you may not file for expungement until your probationary period is over or until three (3) years have passed, whichever is longer If your case was placed on the stet docket, you may not file earlier than three (3) after the judgment. If you were pardoned by the governor, you must wait at least five (5) years but not more than ten (10) years after your pardon. In all above cases, however, a court may grant a petition for expungement at any time if the court feels you have shown good cause. Maryland Code : CRIMINAL PROCEDURE : TITLE 10. CRIMINAL RECORDS : SUBTITLE 1. EXPUNGEMENT OF POLICE AND COURT RECORDS : § 10-105. Expungement of record after charge is filed. If you file for expungement before the time period has elapsed, the State's Attorney may file an objection. You will then have the opportunity to show why you have good cause at a hearing. When you file for an expungement, you must pay a $30 filing fee for each case with charges that you want expunged unless you were acquitted of the charges. All expungement requests must be filed with the court in which your criminal proceeding was held. Maryland Code : CRIMINAL PROCEDURE : TITLE 10. CRIMINAL RECORDS : SUBTITLE 1. EXPUNGEMENT OF POLICE AND COURT RECORDS : § 10-105. Expungement of record after charge is filed. Note: You may only file for expungement of Maryland charges in a Maryland court. Traffic violations cannot be expunged. Tip: In district court, you need to fill out a Petition for Expungement (available online). To help you complete the form and answer other questions you may have concerning you expungement, the District Court of Maryland has available a printable brochure on Expungement online. It is important to use broad language when you request an expungement. You should indicate that you wish to expunge all police records, court records, and "other records maintained by the State of Maryland and its subdivisions" relating to your charge. In circuit court, broad language is the best way to ensure that all records of your arrest, detention, etc. are expunged. If you fail to include such broad language, the court will only order the expungement of the records you mention specifically. Davis v. Magee, 2001 Md. App. LEXIS 129 After you have filed for expungement, the State’s Attorney has 30 days to file an objection to your petition. If the State’s Attorney does not do so, the court will order the expungement of police and court records relating to your charge. If the State’s Attorney does object, the court will conduct a hearing on your petition at which the court will decide whether or not you are entitled to an expungement. How can I get a copy of my criminal record? Your criminal record is available from the Criminal Justice Information System (CJIS). The cost for retrieving your records is $23 and must be paid with a money order or personal or certified check. 13 Cash is not accepted. To get a copy of your records, you must appear between 8 am and 3:30 pm at: CJIS – Central Repository Reisterstown Plaza, Room 200 6776 Reisterstown Road Baltimore, Maryland (410) 764-5160 A second location you may go to for obtaining your criminal records is a state police office nearest to you. Employment discrimination and your criminal record: Some employers (like those dealing with child care or adult dependant care) are required to ask about your criminal history. If an employer does look at your criminal history, they should keep in mind the following three factors: 1. the nature and seriousness of the crime(s) 2. the amount of time which has passed since the crime or completion of the sentence 3. the nature of the job for which you applied. There is no law in Maryland that requires employers to look at these factors. However, if an employer does not take these factors into account, it is possible the employer is discriminating against you unlawfully if you are a minority. Organizations that can assist you with discrimination cases. How can I get legal help with a record expungement? There are two projects that can help those who meet certain income criteria: The Maryland Volunteer Lawyers’ Service (MVLS) 16 South Calvert St. Suite 700 Baltimore, MD 21202 (410) 547-6537 Anyone with an expungable record who meets their income criteria may contact MVLS between 9 am and 2 pm for assistance. You must have a copy of your criminal record and you will have to pay all expenses. The Homeless Persons Representation Project (HPRP) 300 Cathedral St. Suite 204 Baltimore, MD 21201 (800) 773-4340 ext. 101 or 118 HPRP helps those who are homeless or at risk for becoming homeless. They can assist you file for an expungement and fill out the necessary forms with you. Additionally, HPRP can get a waiver of the filing fees for you. HPRP does have income eligibility guidelines – contact them to see if you qualify for their assistance. If you do not meet the income criteria for these projects, you can contact a private attorney. 14 Exploratory Career Assessment Identifying Information Name: Allison Smith Address: 555 Oak Street, Annapolis, MD 21401 Phone Number: 410-555-5555 Date of Birth: 5/05/57 SSN: 555-55-5555 Referred by: Joe Counselor, Annapolis DORS Office Assessment Period: January 18 & 20, 2006 Date of Report: January 25, 2006 Reason for Referral: Allison was referred for an Exploratory Career Assessment to determine appropriate her strengths, need for additional training, and whether employment in the clerical field is a feasible option. Summary Allison Smith is a 48 year old woman with a history of surgery to repair a congenital brain anomaly. As a result, she has mild coordination problems with her left hand and upper extremity. Allison also has a history of substance abuse which she has had under control for the past 3 ½ years. She has bursitis which causes swelling in her knees with extended standing. Allison has her GED and recently completed targeted training through Anne Arundel Community College to gain proficiency with Microsoft Office products. She has work experience as a typesetter in the printing industry, housekeeper, housekeeping supervisor, and in retail sales/customer service. During this assessment, Allison stated an interest in self-employment and in computer jobs which would take place within an office/business setting. Her tested interests were strongest in occupations which would be considered Conventional, Social and Enterprising. Jobs which match this interest profile include Secretary, Fundraiser, Administrative Assistant, Court Reporter and Travel Agent, among others. Allison likes to be mentally challenged on-the-job and wants a job which is in line with her moral values. From a physical standpoint, she needs to not stand continuously, not lift in excess of 25 pounds, and not perform tasks involving fine coordination with her left hand. From a personal standpoint, she would like to work daytime hours and to work in Anne Arundel County or Baltimore to minimize her commute time. Allison demonstrated strong reading capabilities and high school level spelling skills. Her mathematics skills, although in the lowest end of the average range in comparison with her age group, are functional for the performance of most jobs and life activities as she has proficiency with the basic operations. Allison has basic career awareness and job seeking skills. Her work behavior and performance during this assessment was excellent. She showed herself to be a practical and responsible worker. Strengths Allison: has her GED and has strong reading skills has a history of stable employment has transportation Needs Allison: needs to continue drug abstinence needs employment in line with her current abilities Recommendations/Resources 1. Maintain Drug Abstinence Allison has maintained abstinence in excess of 3 years and appears to be doing well at this time. She would benefit from continued participation in NA. Abstinence continues to be a critical step for Allison in order for her to be successful in other endeavors. 2. Direct Placement In employment, Allison will need a job which: does not require significant fine motor coordination of her left, non-dominant hand does not require her to stand for the full work day has a sedentary or light physical demand level (lifting 20 pounds or less) Allison can handle light typing and data entry as part of her job duties. She can also utilize her good interpersonal and customer service skills. Jobs such as administrative assistant, receptionist, customer service representative, and clerk would be appropriate at this time. Jobs in the above areas were identified utilizing local resources. Attached are descriptions of the types of jobs for which Allison may be an appropriate candidate. These are included as examples and not as specific job leads. 3. Consider Expungement/Practice Disclosure of Criminal Record Information Allison would benefit from having any charges which appear on her record expunged, if she is eligible to do so. See attached information. Should this not be the case, she would benefit from developing a script and practicing presenting information about her criminal record in the most -2- positive light possible during an employment interview. 4. Secure Clothing for Job Seeking/Employment Allison lacks sufficient clothing for job seeking and employment. She would benefit from enhancing her current wardrobe with appropriate office attire. 5. Résumé revision Allison may wish to make revisions to her résumé to clearly link the job title and the name of the employer for whom she worked as this is a little unclear on her current résumé. In addition, she may wish to remove the references and hobbies sections as they are not needed. Mary Evaluator, CVE Certified Vocational Evaluator CVE # 55555555 -3- Career Assessment Tools and Techniques Utilized Interview Records Review Self Directed Search Voc Ed Exploration Survey Talent Search Work Preference Match Values Sort Myers-Briggs Personality Indicator Career Exploration Job Seeking Skills Assessment Employment Readiness Scale Barriers to Employment Success Inventory CITE Learning Styles Instrument Questionnaire on Time Wide Range Achievement Test (WRAT3) Woodcock Reading Mastery Tests -- Revised II Personnel Test for Industry Oral Directions Test Typing Master Timed Typing Test Purdue Pegboard Dexterity Test Materials Reviewed DORS Referral for Career Assessment Services - 11/29/05 DORS Application for Rehabilitation Services - 6/8/05 DORS Health Status Self Report - 6/8/05 Interview Medical/Psychological Allison: reported that she had a congenital brain anamoly and underwent surgery in 1988. As a result of the surgery, she has diminished coordination on the left side of her body. reported a history of drug abuse and stated that she has been clean for 3 ½ years. attends NA meetings 5 nights per week. has bursitis in her knees and has difficulty standing for extended time periods. smokes ½ pack of cigarettes per day. is 5'7" tall and weighs 130 pounds. Education/Work History Allison: attended Anne Arundel High School until the 9th grade at which time she dropped out. secured her GED in 1976. attended ABC Secretarial School in 1976 and completed an 18 month certificate program. -4- took several classes at Anne Arundel Community College in the 1980's (bookkeeping, business law, advertising) recently took classes at Anne Arundel Community College (Microsoft Word, Excel & Power Point). is presently working at the Naval Exchange in the pricing department. will be starting a temporary job with Intec shortly in which she will be doing data processing. worked as a sales clerk at 7-11 for 4 months. worked as a maid and supervisor for 6 years. worked for 15 years as a typesetter. Personal/Social Allison: , along with her two children, reside with her mother in Annapolis, Maryland. is divorced. plans to remarry in March, 2005 and will relocate to Glen Burnie. has income from her job. Allison reported that her ex-husband is behind on child support. 's leisure activities include reading and sitting by the water. has a drug possession charge from 2000 which she reported she can have expunged from her record in March. has her own vehicle and a valid driver's license. Career Goals Allison reported that she plans to work for Intec until she can find a permanent job. She would like to work with computers in an office setting. Allison expressed the desire to improve her computer skills, to learn to troubleshoot computer problems. Allison stated that she would like to have her own business, ideally, an Internet based business. She also expressed interest in having a home-based daycare business. Allison identified her greatest personal strength as her "principles." She identified her greatest need as to "keep improving." A successful life for Allison would be "having something that can hold my interest" and which provides "adequate finances." Allison completed the Employment Readiness Scale, a self rating of her perceived readiness for employment. On this measure, Allison gave herself a rating of 6.5 out of seven, indicating that she felt nearly ready for employment at this time. The reasons Allison provided for this rating were "I need to get my schedule in line with job and children to be on time" and that she needed more time "to acquire adequate dress attire to fit in." Interests Allison was asked to identify occupational daydreams - jobs in which she was interested but did not necessarily have the skills, abilities or education to secure at the present time. Allison expressed interest in the following occupations: Online Business owner Bed & Breakfast owner -5- Run a convalescent home Daycare for Children Titles Business Allison’s tested interests were highest in jobs which would be classified as Conventional, Social, and Enterprising. Some jobs which match this interest profile and in which Allison indicated interest include: ▪ ▪ ▪ ▪ ▪ ▪ Title Examiner Secretary Fund Raiser Administrative Assistant Child Development Specialist Investigator, Internal Affairs ▪ ▪ ▪ ▪ ▪ ▪ Post Office Clerk Court Reporter Appraiser, Real Estate Occupational Therapy Assistant Securities Clerk Quality Control Coordinator ▪ ▪ ▪ ▪ ▪ Receptionist Library Assistant Travel Agent Physical Therapist Media Director Allison completed an activity in which she had to identify the values most important to her in a career. Her primary work value was Moral Fulfillment. She stated that this was important to her so, "I don't have to go against my grain." Additional work values important to Allison include: Achievement/Accomplishment, Challenge, Change & Variety and Creativity. Allison's Myers-Briggs type is ISTJ (Introverted, Sensing, Thinking, and Judging). Careers which match this personality type include many occupations in management or administrative areas. Occupations related to this personality type include: Business Manager Accountant Law Enforcement School Principal School Bus Driver Purchasing Agent Computer Professional Dentist Steel Worker As an ISTJ, career satisfaction means doing work that: Is technical in nature and lets her depend on her ability to use and remember important facts and details Involves a real product or service done in a thoughtful, logical, and efficient way, preferably using standard operating procedures Lets her be independent, with plenty of time to work alone and use her excellent powers of concentration to complete projects and/or tasks Is done in a stable and traditional environment, where she will not be required to take unnecessary risks or use untested or experimental approaches Has results that are tangible and measurable, where precision and exacting standards are used and respected Has explicit objectives and a clearly defined organizational structure Gives her adequate time to prepare before presenting or turning in her work, preferably in a one-on-one or small group setting Gives her increasing levels of responsibility, with a minimum of social politics, where she is evaluated on how well she has achieved the requirements of the job description and is appreciated for her contribution -6- Is done in an environment where her practical judgment and experience are valued and rewarded Allows her to set and reach stated goals by providing her with the necessary resource Work related strengths of ISTJs may include: Precise and accurate in all work Follow established routines and procedures Have excellent powers of concentration and are able to work alone without the need for socializing Great maintainer of organization Stable, dependable, and can be counted on to follow through Work related weaknesses of ISTJs may include: May have trouble adapting to changing systems May need to see practical application to accept new ideas Tend not to like change; may be inflexible May not understand needs different from their own May underestimate themselves and their contribute to the organization According to the Work Preference Match, work factors which were important to Allison included having a job in which: she would work with a computer she would be mentally challenged on the job she could earn at least $17K annually she would work daytime hours she would not have to travel long distance she would not be exposed to heights she would not be required to do continuous standing she would not be expected to lift in excess of 25 pounds she would have a relatively short commute (Anne Arundel County or Baltimore) Allison expressed a willingness to spend whatever time necessary to prepare for employment. She would prefer on the job training or an apprenticeship program. Allison reported that she would need at least part-time income while engaged in any additional education or training for employment. Abilities Allison's word identification skills or her ability to identify and pronounce words was rated within the lower end of the average range in comparison with her same age peers. Despite some difficulty with this component skill, she demonstrated very good reading comprehension skills. She has college level reading comprehension according to the Woodcock Reading Mastery Tests. Her grade equivalent on the passage comprehension section was 16.9. This performance was rated within the upper end of the average range in comparison with her age group. Allison demonstrated high school level spelling abilities, within the average in comparison with her age group. Allison was able to accurately spell words such as possession, medieval and opportunity. Only minor difficulty with spelling was noted in her written work during the -7- assessment. Allison reported difficulty with math skills. She demonstrated the ability to perform problems involving the basic operations, decimals and simple fractions. She had some difficulty with problems involving percentages. Her performance on the mathematics section of the Wide Range Achievement Test 3 was rated at the 7th grade level and was within the low average range in comparison with her peer group. Allison demonstrated average pace on a dexterity assessment using her right, dominant hand. She had difficulty coordinating the use of her left hand to perform a fine manipulation task. Allison often wanted to rely on her right hand to assist her left but she was ultimately able to complete the task using her left hand only. Her pace was slow in doing so. Allison was able to use both hands together to complete an assembly task. She worked more slowly than would be expected as she relied primarily on her right hand and used the left as an assist. Allison completed a timed typing assessment. She achieved a corrected words per minute score of 24. Allison reported that at one time (before her surgery) her typing speed was in excess of 80 words per minute. Learning Style On a learning style assessment, Allison indicated a preference for learning through tactile or kinesthetic means. This indicates that she learns best when physically engaged in a "hands on" activity where she can manipulate materials to learn new information or when she is physically active in the learning environment. Allison also demonstrated a preference for using the visual modality to learn. This indicates that Allison learns best when information is presented visually and in a written language format. In a classroom setting, she may benefit from instructors who use the blackboard (or overhead projector) to list the essential points of a lecture, or who provide her with an outline to follow along with during lecture. She may benefit from information obtained from textbooks and class notes. Allison also prefers to learn new information alone rather than as part of a group. In fact, she may think best and remember more when the learning has been done alone. During this assessment, Allison demonstrated good oral direction following skills. On a standardized test of these abilities, she scored within the average range in comparison with competitive work standards. Allison generally grasped the instructions for the various tasks she was asked to complete quickly and easily. Allison completed a questionnaire on time preferences to determine if she had a preferred time for optimal functioning. On this measure, Allison indicated a preference for early morning hours. Career Awareness & Job Seeking Skills Allison demonstrated basic career awareness skills and was able to use career information resources to gather information about jobs. She used the Work Preference Match to explore a variety of careers including secretary, computer help desk, daycare provider, and real estate appraiser. -8- During her assessment, Allison completed an application for employment to determine how she presented herself and her work history on paper. Allison's application appeared complete and she provided detailed descriptions of her prior jobs. Allison answered "yes" to the question on the application which asked whether she had been convicted of any violation of the law other than minor traffic violations and listed the date and a brief description of the charge. She may wish to leave this blank to give herself the opportunity to discuss it in an interview. On an employment application, the goal should be to provide the most information possible without providing information which could be viewed negatively by a potential employer. Allison was able to identify a several sources for finding a job and knew the procedures necessary to apply for a job. She was asked to dress as if attending a job interview on her second day of assessment. She came neatly attired in a burgundy dress and pumps, creating a very nice personal appearance. Allison reported that she lacks sufficient professional attire for employment. Allison provided her résumé for review during this assessment. The format is neat and it provides relevant information. Because Allison has the job titles boldfaced, it appears as if the dates and companies for which she worked are linked with the incorrect job descriptions. She may wish to list the dates of employment, employer name, and city/state directly under the bold job title headings so as not to confuse readers. Allison also provided some information (employment references, personal references, and hobbies) which are not needed on the résumé. Allison demonstrated a good idea of what behaviors were important for keeping a job as well as what behaviors might cause one to lose a job. She also knew acceptable reasons for being late for work and what to do if that was the case. During her assessment, Allison completed the Barriers to Employment Success Inventory. According to this measure, she demonstrated more barriers than most adults in two of the five areas measured by this instrument (Career Decision-making & Planning and Job Seeking Knowledge). Allison identified the following areas of personal concern: not enough money to live on poor or unstable living situation lacking child care having low self-esteem having inadequate or unrealistic ideas about various occupations lacking goal-setting skills not being sure how to create a good first impression in an interview needing further training in career specific skills Worker Characteristics/Observations Allison arrived on time for each of her two scheduled appointments for assessment. She was pleasant and cooperative with a practical, matter-of-fact attitude. Allison interacted appropriately with the evaluator and with the other individuals who were completing the assessment process at the same time. Allison maintained good attention to task and always worked to completion on assignments. She seemed to work to the best of her ability and did a thorough and accurate job. -9- Assistive Technology Allison’s needs for assistive technology were considered during this assessment - it was determined that she has no needs in this area at this time. Cultural, Ethnic & Linguistic Considerations Allison’s needs in the cultural, ethnic and linguistic areas were considered during this assessment it was determined that she has no needs in this area at this time. Accommodations, Modifications & Environmental Considerations Allison did not require any modifications or accommodations to fully participate in the career assessment process. In employment, Allison will need a job which does not require significant fine motor coordination of her left, non-dominant hand. She will also need a position which does not require her to stand for the full work day and which has sedentary or light in physical demand level (lifting 20 pounds or less). Transferable Skills Allison demonstrated the following transferable skills from her prior employment: computer operation skills knowledge of the printing industry knowledge of housekeeping procedures staff supervision sales and customer service skills - 10 - Appendix A - Assessment Descriptions and Performance Scores Self-Directed Search (SDS) - required Allison to state whether she liked or disliked a variety of activities and occupations, identify her competencies and evaluate her abilities. SDS Summary Code: C S E Related Occupations: ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ Title Examiner Receptionist Court Reporter Fund Raiser Travel Agent Occupational Therapy Assistant Physical Therapist Investigator, Internal Affairs Media Director ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ Post Office Clerk Secretary Library Assistant Appraiser, Real Estate Administrative Assistant Child Development Specialist Securities Clerk Quality Control Coordinator Values Sort - Allison completed an activity in which she had to identify the values most important to her in a career. Primary value: Secondary values: ▪ ▪ ▪ ▪ ▪ Moral Fulfillment Achievement/Accomplishment Challenge Change & Variety Creativity Work Preference Match - required Allison to identify temperaments and other factors important to her in a work situation. Important work factors for Allison include: ▪ ▪ ▪ ▪ ▪ Work with a computer Be mentally challenged Work daytime hours Earn $17K annually Not travel long distance Myers - Briggs Personality Indicator - Quick Form required Allison to choose from among two categories in response to questions about where her energy is naturally directed, what kinds of information she naturally remembers, how she makes decisions and what kind of environment makes her most comfortable. Myers-Briggs Type: ISTJ (Introvert, Sensor, Thinker, Judger) - 11 - Barriers to Employment Success Inventory - required Allison to respond to a series of questions in order to identify potential barriers to getting and succeeding on a job. Her responses were rated in five areas - personal & financial (PF), emotional & physical (EP), job seeking knowledge (JS), training and education (TE), and career planning & decision-making (CP) Ratings reported below indicate whether Allison has more barriers, fewer barriers, or about the same level of barriers than most adults. Scale Rating Personal & Financial (PF) Emotional & Physical (EP) Career Planning & Decision-making (CP) Job Seeking Knowledge (JS) Training and Education (TE) Same Same More More Same Personnel Test for Industry Oral Directions Test - This assessment measured Allison’s ability to follow oral directions in performing a variety of paper and pencil activities. Percentile: 50 Normative Group: Applicants for Semi-Skilled Positions at a County Government Woodcock Reading Mastery Tests - Revised - provided a diagnostic assessment of several important aspects of reading. Allison’s performance was compared with her same age peers. Subtest Grade Level Percentile Standard Score Word Identification 8.8 28 91 Word Attack N/A N/A N/A Word Comprehension N/A N/A N/A Passage Comprehension 16.9 70 108 Wide Range Achievement Test (WRAT3) - was administered as a measure of Allison’s academic skills in the areas of reading (word recognition), spelling and arithmetic. Scores were based on a comparison with Allison’s same age peers. Subtest Standard Score Grade Equivalent N/A Percentile N/A Performance Range Reading N/A Spelling 98 High School 45 Average Arithmetic 89 7th Grade 23 Low Average - 12 - N/A CITE Learning Styles Instrument - This measure required Allison to identify which statements best matched her personal preferences. Her preferred mode of processing and performing was rated according to 8 categories. Predominant learning styles: Discordant learning styles: Visual Language, Visual Numerical, Kinesthetic, Social Individual None Learning Strategies For The Tactile/Kinesthetic Learner 1. To help you stay focused on class lecture, sit near the front of the room and take notes throughout the class period. Don't worry about correct spelling or writing in complete sentences. Jot down key words and draw pictures or make charts to help you remember the information you are hearing. 2. When studying, walk back and forth with textbook, notes, or flashcards in hand and read the information aloud. 3. Think of ways to make your learning tangible, i. e, something you can put your hands on. For example, make a model that illustrates a key concept. Spend extra time in a lab setting to learn an important procedure. Spend time in the field (e. g., museum, historical site, or job site) to gain firsthand experience of your subject matter. 4. To learn a sequence of steps, make 3"x 5" flashcards for each step. Arrange the cards on a tabletop to represent the correct sequence. Put words, symbols, or pictures on your flashcards anything that helps you remember the information. Use highlighter pens in contrasting colors to emphasize important points. Limit the amount of information per card to aid recall. Practice putting the cards in order until the sequence becomes automatic. 5. When reviewing new information, copy key points onto a chalkboard, easel board, or other large writing surface. 6. Make use of the computer to reinforce learning through the sense of touch. Using word processing software, copy essential information from your notes and textbook. Use graphics, tables, and spreadsheets to further organize material that must be learned. 7. Listen to audio tapes on a Walkman tape player while exercising. Make your own tapes containing important course information. Learning Strategies For The Visual Learner 1. To aid recall, make use of "color coding" when studying new information in your textbook or notes. Using highlighter pens, highlight different kinds of information in contrasting colors. 2. Write out sentences and phrases that summarize key information obtained from your textbook and lecture. 3. Make flashcards of vocabulary words and concepts that need to be memorized. Use highlighter pens to emphasize key points on the cards. Limit the amount of information per card so your mind can take a mental "picture" of the information. - 13 - 4. When learning information is presented in diagrams or illustrations, write out explanations for the information. 5. When learning mathematical or technical information, write out in sentences and key phrases your understanding of the material. When a problem involves a sequence of steps, write out in detail how to do each step. 6. Make use of computer word processing. Copy key information from your notes and textbook into a computer. Use the printouts for visual review. 7. Before an exam, make yourself visual reminders of information that must be memorized. Make "stick it" notes containing key words and concepts and place them in highly visible places on your mirror, notebook, car dashboard, etc. Questionnaire on Time - This measure required Allison to respond to true and false statements about her preferred time for performing tasks. Predominant time preference: Early Morning Purdue Pegboard Dexterity Test - was administered as an assessment of Allison’s skills in this area. She placed pegs into a pegboard using her dominant hand (right), non-dominant hand, and both hands simultaneously. The last section of this assessment called for the completion of a series of 4 piece assemblies. Dominant Hand Performance Range: Average Non-Dominant Hand Performance Range: Below Average Both Hands Performance Range: N/A Assembly Performance Range: Below Average Normative Group: Female Applicants for Assembly Jobs Typing Master Timed Typing Test - Allison performed this computer administered typing test to assess her typing speed and accuracy. Best Words per Minute: 28 with 86 % Accuracy Corrected Words per Minute: 24 - 14 - Additional Attachments Information about criminal expungement Information about presenting criminal record information to an employer Job listings in administrative assistant, receptionist, customer service representative, and clerk positions within a 25 mile radius of her home. - 15 - CAREER ASSESSMENT REPORT Name: Xxxxxx (Xxx) Xxxxxxx Date of Birth: 08/26/XX Social Security Number: 123-45-6789 Referral Source: Xxxxxx Xxxxxxx, Xxxxxxxxx - Division of Rehabilitation Services Assessment Type: Community-Based Assessment Dates: September 29, October 7 & 8, 2003 Date of Report: October 27, 2003 Name and Location of the Assessment Site: Whole Food Market 123 Smith Rd. Anywhere, M D 54321 Referral Question: “Is Xxxxxx capable of competitive employment (on a part-time basis)? Strengths/Limitations? Transferable skills? For instance could he work as a courtesy clerk or in the hospitality industry? What are your recommendations and suggestions?” Summary Xxxxxx (Xxx) Xxxxxxx participated in a 10 hour, three-day Community-Based Assessment to assist him with determining a realistic vocational goal. This assessment included 1 day (3 hours), in the Xxxxxxxxx DORS office to conduct the initial intake interview and to administer an interest and learning style assessment. This also included 2 days (7 hours), on site at Whole Foods Market in Anywhere, Maryland. Xxx performed duties in the Cashier Assistant position. Some duties for this position as described in the position description include; clean tables/chairs and microwave area in the café, stock napkins & utensils in café, stock supplies for the register area including all types of bags, collect carts out front and from parking lot, bag groceries for cashiers, and collect shopping baskets from register area, etc. Xxx was friendly, polite, and very cooperative throughout the assessment process. He demonstrated a very positive work ethic, though he did not express a particularly strong desire to do any one type of work. He spoke fondly of working on Mercury outboard motors and working at Champs Marina as if it was last week, although it was over 26 years ago before his accident. He could not report much about his interests or what he does with his time since the accident and since his parents retired from their restaurant business 10 years ago. Xxx’s strengths include his attitude of responsibility and reliability, his thoroughness, attention to detail, neatness, good listening skills, and supportive family. His major barriers to employment include his lack of work experience (no work since his accident, 26 years ago, except occasionally in parent’s restaurant). Also, Xxx takes long to process new information, has a slow work pace, and has significant memory issues. Xxx expressed that his vocational goal was to get a job for something to do and because his dad wants him to. Based on Xxx’s vocational skills, abilities, limitations, interests, and performance in the community- based assessment the following is recommended in order to assist him with pursuing a realistic vocational goal with the greatest potential for success and fulfillment. It is recommended that Xxx receive job placement and job coaching assistance in a part-time, competitive position. It is noted that an appropriate job match in an environment that is rich with natural support is critical to job success. It is also important to have quality job coaching to train Xxx on specific and general job skills and to increase work pace in relation to the requirements of a specific job. It is felt that it would be more meaningful for Xxx to learn employee skills in relation to a specific job that he has, instead of in some broad training class before his is employed. (*See list of job accommodations on pages 4 & 5.) Training should include specific tasks, and also time management, money skills, personal organization, memory aides, transportation skills, safety skills, and effective communication with supervisor, coworkers, and customers. It is also recommended that Xxx be part of a social group or club in order to meet peers of a similar age. Xxx could join a group for adults with traumatic brain injury, a hobby group, or even a group designed for single men and women with disabilities. Finding a place to volunteer might also be another positive and useful outlet for Xxx. Positions recommended for Xxx include; Courtesy Clerk/Cashier Assistant (Grocery Store – excluding bagging due to work pace), Custodial Staff (Hotel or Assisted Living Residence – Polish Silver, Banquet setup, Specialty Cleaning), Restaurant Worker (Pot Washer, Specialty Cleaning, Dishwasher), Retail Associate (Stocking, Restock Returned Items, Plant Care). Recommendations In order to assist Xxx with becoming employed and self sufficient, the following recommendations are suggested: 1. Xxx, Xxxxxx Xxxx – Division of Rehabilitation Counselor, and any significant others, should meet to discuss the Career Assessment Services (CAS) report recommendations. A meeting was held with Xxx and Lorrie Strong - CAS Consultant/Humanim on October 8, 2003 to discuss preliminary recommendations and assessment results. Preliminary results were also discussed briefly with Xxx’s father that same day. 2. It is recommended that Xxx receive Job Placement assistance to be placed in a part-time, competitive job and also receive comprehensive and effective initial job coach support. Though Xxx would benefit from having ongoing job coach training and follow-up, if that is not available, Xxx could also be successful with the right job match and with thorough initial job coaching including job design, task setup, and training including implementing assistive technology strategies for organization and memory improvement. This job would have to be a good job match to Xxx’s skills and personality and also be a rich environment of natural supports. It must be a type of company and a position that does not emphasize high productivity, but values a good quality job, a positive attitude, reliability, and someone who will do whatever it takes to get the job done for his boss. (*See list of job accommodations on pages 4 & 5.) Included during this initial job training time should be a focus on general job readiness skills. (It is felt that it would be more meaningful for Xxx to learn employee skills in relation to a specific job that he has, instead of in some broad training class before he is employed.) Some of the areas to be addressed in job training should include; time management, personal organization (watch, wallet, calendar, memory tools), self-advocacy (making own decisions and initiating action without being directly instructed each time), and general self-awareness (becoming better aware of his preferences and also how he interacts with others in an environment). A good job coach should also work with Xxx’s supervisor and coworkers to develop effective ways to communicate with each other and for them to be able to work with Xxx to grow in his position and improve his productivity and general work pace over time. Other general skill areas that should be addressed in the context of a new job are functional money skills, safety procedures (including having numbers of people to contact in an emergency and money for a phone call at all times), and transportation skills (how to call a taxi if a parent is not able to pick him up). If Xxx is given great initial training in the right job in a naturally supportive environment, it is felt that Xxx could be successful and find much enjoyment that comes from being part of a team and doing meaningful work with peers in a community based job. 3. It is also recommended that Xxx get involved in a social group with peers of similar age independent from his family. Currently, Xxx does not have friends and does not socialize with people much outside his family. Groups that Xxx might consider include social groups for individuals with cognitive disabilities or for those who have had traumatic brain injuries. Other options could center on an interest of Xxx’s like fishing, boating, tinkering with engines, or restoring boats. Xxx could even develop a new hobby altogether for the sole purpose of meeting other men and women. Joining a travel club or taking a class at a local community center or recreation center in automotive mechanics, art, or horticulture may introduce him to a new group of people. He could even consider a social group designed for single men and women with disabilities to meet each other. Another idea is to find a volunteer job of some interest for Xxx. He could develop work and transferable skills, social skills, transportation skills (learn to take a taxi or bus on his own), as well as be part of a group of people of various ages where he might make a new friend. If Xxx is not comfortable to join a social group of individuals with traumatic brain injury, maybe he could volunteer to assist a group like this as a helper or an aide. In the process of being out of the house and around other people, he is more likely to make friends. The following job titles correspond to some of the occupations, which match Xxx’s current interests and skills: Cashier’s Assistant/Courtesy Clerk (grocery store - collecting carts/helping customers, but NOT bagging groceries – slow work pace) Custodial Staff (Hotel, Assisted Living Community - Specialty cleaning – polishing silver, shampooing carpets, Banquet department – work on team to set up large rooms for conferences) Restaurant worker (Dishwasher (light volume), Pot Washer, Specialty cleaning jobs) Retail Associate (Stocking, Restocking returned items, Plant Care, etc.) Background Information • Xxx is 50 years old • He lives with his parents in Anywhere, MD • Xxx sustained a closed head injury in 1977 from a car accident resulting in a seizure disorder and cognitive impairment • Xxx has been free of seizures for the past 18 years • Currently Xxx’s medication includes Depakote and Dilantin • Prior to his injury, Xxx graduated from high school (Baltimore Polytechnic Institute) in 1972 • Also before his accident, he studied to be a Mercury Outboard Motor Mechanic (earned certificate) • Xxx has never been married and has no children • Before his accident he worked for Champs Marine and Oak Grove Marina • Since his accident, Xxx has not had a job except for working in his parent’s restaurant in Baltimore • In the restaurant his job duties included; bussing tables and washing dishes • Xxx reported that his only support system is his sisters and parents. He does not report having friends to do things with or any other support/hobby group • As hobbies, Xxx reported that he likes boats, the water, fishing, playing cards, and tuning outboard motors • As a goal, Xxx said he wanted a part-time job for something to do during the day so he doesn’t get bored. (But, then he later said that his dad is the one who wants him to get a job) Functional Strengths: • Thoroughness with task at hand • Detail oriented • Good listening skills • Neat habits when working with materials • Friendly and socially appropriate individual • Responsible attitude - good work ethic • Neat appearance • Supportive parents/family Functional Limitations: • Significant memory issues • No paid work experience since accident - for 26 years (except occasionally in parent’s restaurant) • Demonstrated slow work pace • Has no social circle with same age peers (has no friends in which to learn social skills and enjoy hobbies) • Has no ability to drive a car and also does not have experience using a public transportation system • Took a longer than average time to process new information presented • Xxx’s perception of his own interests in not well developed – he appears confused and inconsistent when asked questions about his preferences (partly because of memory, but also because of lack of life/work experiences in order to know what he likes) Accommodations/modifications requested and/or provided during the assessment: Xxx used a simple task checklist on day 2 of his assessment to assist him in remembering the tasks he needed to perform. Pencil and paper assessments given to Xxx before and after going on the community job site were read with him and explained as needed. Accommodations/modifications/environmental considerations requested and/or recommended for employment or training to enhance capacities: • Checklist of daily duties – can be written or in combination with pictures (displayed on a clipboard or in another prominent position so Xxx will not forget to refer to the list for direction) • Structured working environment will minimize the need for Xxx to synthesize new information and make judgements or frequent decisions about task completion (Xxx demonstrated being able to make a quality judgement about a task, but this process was not time efficient) • Close interaction with supervisor or a lead coworker for Xxx to be able to receive frequent instructions, directions, and feedback about his progress. This is especially important in the beginning as Xxx learns more about his job and working in general. Xxx demonstrated his ability to take in information and learn about the task, job site environment, his coworkers, and his own performance. • Pacing prompts will be a critical tool to use to not only assist Xxx to meet productivity standards on a job, but also to help Xxx to be aware of his own speed and learn ways to work faster. This is a skill that he has never been required to learn. The focus with Xxx on a job site (his parent’s restaurant) has been only on doing a quality job. Pacing prompts may include; a watch with pre-set alarms, an egg timer that is kept with his supplies or other electronic buzzer device that is worn. As part of the job learning process, they devices can be part of the daily routine to be set at the beginning of certain tasks. A coworker may also be a pacing prompt if Xxx works as part of a team together with a coworker to complete a task. • Working in an environment that does not require high productivity and is generally low stress would also be necessary • Memory tools for personal organization and work proficiency are necessary for Xxx to incorporate in his work and personal life. These should include; a calendar for remembering appointments/work schedule, wallet with personal safety information including phone numbers for family/doctor/taxi, a watch that has the ability to be set for several alarms, and a small notebook for writing down information to remember (locker/door codes, phone numbers, peoples names). These items could all be carried in one unit that zippers and looks like a big wallet or small organizer. There are also electronic voice recorders that Xxx could record information he needs to remember that day for work or after work. Xxx need to take more personal ownership of his life and time management that he has relied on his family for. Transferable Skills: • Experience working in and around a restaurant environment (washed pots, bussed tables) • Experience working on outboard motors before his accident – retains some general familiarity with an engine now • Years of experience performing many regular house cleaning (vacuuming, dusting), and yard maintenance (raking, caring for pool) tasks More about the Assessment Site: Description of the Site Whole Foods Market is a specialty grocery store located in the Xxxxxx Xxxxxx Shopping Center. This is a store that focuses on organic and natural products. The design of the store and arrangement of the produce and all other grocery items is in a beautiful and upscale presentation. The position that Xxx tried out during his assessment was the Cashier Assistant position. Physically, the employee in this position is mainly located in the front of the store either around the cash register area, the café area, or outside keeping the carts in order or helping customers. The Cashier Assistant must also at times walk the parking lot gathering carts, or go into the back of the store to get items to stock around the cash registers (bags) or to throw away trash. This business is a fully integrated site with employees of various ages and abilities as well as constant contact with the public in general who are its customers. Xxx performed the following duties on 10/7-8/2003 from the position description of a Cashier’s Assistant; stocked bags, cleaned Cashier area, bagged groceries, cleaned café area (wiped tables, wiped microwave, filled silverware, swept floor), collected green baskets, collected carts, spot swept outside, and helped customers load their car. Xxx worked with a Cashier Assistant Supervisor each day to learn the job and receive task assignments. Also involved in setting up this assessment and in providing some information to Xxx as needed were the Front End Team Supervisor, the Assistant Store Manager, and the Store Manager. Feedback from Community Employer – Feedback received from the Head Cashier Assistant that Xxx worked very closely with on day 1 included positive mention of Xxx’s good attitude and helpfulness to customers. She also mentioned that Xxx was attentive to all the instructions and explanations she was giving and that he learned some of the duties by the end of day one. When asked if Xxx could do this type of position for this company, she replied that he would not be fast enough to do the bagging task, but collecting carts and helping customers would be a good match for him in her opinion. She also added that currently they had 2 employees that also did not bag and they were assigned to work outside or to stock the supplies for the cashiers. Behavioral Observations: With People • Was cooperative and polite throughout assessment process • When concentrating on a task, did not show friendly facial expressions • When focused on good customer service, or when someone spoke to him, he was very friendly and appropriate with customers • In casual conversation used the word “colored” to refer to an African American person, (did not appear to be derogatory for Xxx, but only a very outdated term. No derogatory remarks were noted the rest of the day about any person. It was observed that Xxx holds traditional attitudes about helping women with their bags because that it what a man should do.) • Very focused active listening skills (listened to others talking, gave good eye contact, and asked relevant questions in response to new information) • Used thank-you, you’re welcome, excuse me, hello, and other good manners • On one occasion when a customer asked Xxx a question that he didn’t know the answer to (Is there bottled water to buy outside?), Xxx froze and said nothing to her and she walked away. When talking with Xxx afterwards, he said that he could not remember what to say. Performing Tasks • Appeared frequently distracted by visual and auditory stimuli • Observed frequently making slow and deliberate physical movements (stepping sideways to give someone extra room to get by, stopping to pick up a small piece of paper on the floor) • Observed a disproportionate over-focus on details • When focused on a specific task, showed ability to combine movements and put shortcuts in place • Has a naturally occurring pause built in between parts of tasks (appears to be a time built in for processing information and deciding on appropriate next step to take) • Displayed set views of how he thought several tasks should be performed (like, “I just collected the baskets and I don’t think they need checking again”), when asked to change his way of doing something, he was very willing to be cooperative (“I’m sorry, I don’t mind doing that, this is fine”) • Observed having memory issues (did not recall where broom/dustpan were from 10 minutes earlier, did not remember task checklist in his pocket from 5 minutes earlier and with 1 verbal prompt, did not remember what a green basket looked like or where is was after doing task several times the day before) Performing Tasks – continue… • Neat and orderly pattern to doing small parts of a task (was very thorough with small details to a task) • Appeared to process any newly presented information at a slow pace • Did initiate performing next task or additional tasks when he observed that they needed to be done (this was done but at his own slower pace) • Approached each task using good personal safety skills and habits (walked slower if floor was wet, walked carefully around displays) • At times appeared just a bit too careful • Started tasks carefully, actively assessed what he could do, and then added steps appropriately (helped customer load one grocery bag in car, decided he could carry up to 3 and still properly place bags without spilling or crushing the contents) – seemed to do this process automatically • When presented with a task or part of a task that he was not familiar with or could not do, he responded well to verbal explanation and cues and showed a positive attitude (couldn’t work the spray bottle – responded to 2 verbal cues) • Was observed getting “stuck” several times when he encountered any physical resistance (the bags didn’t fit, the spray bottle didn’t work, carts were stuck), but he took verbal direction well and showed that he learned and put into place the technique for the next try at that task. Work Attitudes/Habits • Arrived early for the assessments on each day (parents took responsibility for getting Xxx there) • Xxx was dressed neatly and very appropriately for the work environment • Did not wear a watch on day 1, wore watch on day 2 after a specific request to do so • Did not have a personal calendar planner, a wallet, or other memory aides with him on either day • Expressed and demonstrated a good work ethic (“I will do what I need to do, what needs to be done”) • Personal perception and reporting of his own interests and preferences is confused, inconsistent, and not well-developed (when asked a question about a preference can answer one time yes, next time no) (this may be a combination of both memory deficits and also from a lack of life/job experience) • Frequently checked back with me for direction instead of continuing with the task given. After numerous verbal prompts to ignore me and go ahead and perform the job independently, Xxx did show some improvement with independently working through a task and making small decisions about priorities (helping a customer comes before sweeping). • Xxx did not seem to seek any praise for his work (he is motivated by his work ethic), but he would seek out direction (maybe not used to thinking through a work situation for himself). Cultural, linguistic and/or ethnic considerations: These items were considered by the evaluee and evaluator and none were found to have an effect on the assessment or employment process. Job Availability in Geographic Area: In the greater Xxxxxxxxx area there is a large variety of businesses that correspond with the jobs recommended for Xxx. There are hotels, assisted living residences, retail stores of almost any type desired, a large variety of restaurants, and grocery stores as well. Examples of business names include; Safeway, Whole Foods Market, Trader Joes, Michael’s Crafts, Home Depot, and Boater’s World to name just a few. Assessment Results and Interpretations Vocational Interests and Temperaments: “The World of Work; Thinking About What you Like” questionnaire - a simple career interest exploration tool assessing preferences in job tasks, working around other people, environment, and work schedule. Information about Xxx’s job interests was gathered from interviewing him, observing his work on the job site, and by going through this questionnaire with him. He consistently demonstrated difficulty when asked to explain what he liked. He was very cooperative, but he found it hard to decide on an answer at times, he often just did not know. He often did not seem to have a clear preference or he gave 2 seemingly contradictory preferences. For example, one time when asked he would say he liked to work outside better and the next time he would say inside better. One time he would say he preferred to work by himself, and the next time he said he preferred to work with others. Overall, two conclusions became clear. Xxx does not have the work or possibly the general life experience to be able to know what he likes concerning work issues. Also, he does appear to have a flexible attitude and a good work ethic that he will do what he needs to do to get the job done and will work in a variety of environments. He also showed this positive attitude and flexibility on the job site at Whole Foods. Interests and preferences that Xxx did indicate on the questionnaire include; prefers a variety of tasks, likes to work some of the day with other people, likes to work around a supervisor/coworker in case he needs to ask questions, prefers to dress casually, is willing to work any schedule, is not interested in computers, and has a variety of interests including working with people, animals, or plants. Xxx indicated that he really loves to work with cars, work on engines, work around boats and water, and likes to fish. Learning Style Preferences: • C.I.T.E. Learning Style - is a self-report questionnaire that identifies the evaluee’s major learning styles. Also noted are recommendations for success in learning situations. Xxx was given the CITE Learning Style assessment verbally and each question was explained as needed to Xxx. The evaluator recorded his answers. He did appear to understand the questions, but on several he did not have a preference and could not make up his mind. On those he agreed to mark a score in the middle of the scale. Xxx’s top 3 learning style preferences were found to be Kinesthetic–Tactile, Expressiveness-Oral, and Visual Language. These styles reflect preferences for learning by doing hands-on tasks, by seeing visual written information, and by expressing himself orally instead of in writing. The styles indicated in the CITE were confirmed by observation of Xxx in the work site environment. Xxx consistently picked up visual information in the work environment. He read pamphlets, saw when items were out of order, spotted paper on the floor, and read his task checklist. Xxx also appeared to learn from physically doing a task and even independently combined steps and added shortcuts to the task after doing it a few times (like putting 4 carts together without being cued or picking up 2 potted mums to carry to a customer’s car instead of 1 at a time). Xxx was also very friendly to coworkers and customers. He demonstrated appropriate conversational skills consistently, with the only exception being a couple times when he was focused on a visual cleaning task, he did not smile or notice a person’s comment. He was very easily redirected from this cleaning focus with a verbal cue. Even though Xxx’s preferred and most useful style is oral expression, because of memory difficulties, he sometimes can stop in the middle of a conversation not remembering what he wanted to say. He also demonstrated reporting inconsistent information regarding his likes, dislikes, and general life preferences. This could be a combination of issues with verbal expression, memory, and also limited life experiences. Xxx’s lowest learning style preference was in the area of Expressiveness-Written. This was also confirmed when Xxx was asked to complete a Job Application and also complete a general Job Knowledge questionnaire. Knowledge of Career Information and Job Seeking and Keeping Skills: Job Knowledge Questionnaire- asks general questions about searching for a position, interviewing, and working on a job site. Results: Average, 65% Xxx was able to read and complete this questionnaire with a moderate level of explanation of the questions. Xxx demonstrated basic knowledge about making a good impression at an interview, having a past employer give you a good reference, and general job definitions like promotion, raise, and resume. Xxx expressed and demonstrated on the job an attitude of a strong work ethic, the importance of hard work and being very responsible. He also expressed and demonstrated a broad knowledge of what an employer may expect. Because of limited life and work experiences, Xxx did not show that he has specific knowledge of any jobs of interest. On this questionnaire, Xxx could not specifically identify the duties he would perform if he stocked shelves at a store, nor what money he would like to make. He stated that in the past he got $8 in tips per week delivering take-out food at his parent’s restaurant, and he was happy with that. Employment Application- assesses ability to complete an employment application independently. Results: Low Xxx was asked to complete a job application for Whole Foods Market as if he was applying for the position of Cashier Assistant. Xxx took an application home with him after the first day and brought it back on the second day. He filled it out neatly, but in a very incomplete manner. He was able to respond to questions asked on the application by checking a box, but was not able to answer in detail any questions requiring him to fill in written information. Job Seeking and Keeping Skills (from interview and observation) – Because of Xxx’s limited job experience beyond working in his parents business, he did not demonstrate the knowledge about various jobs of interest. He also did not demonstrate the ability to look for appropriate positions on his own. He did discuss when interviewed and also exhibit on the job site many positive job keeping attitudes and habits. He frequently talked about doing what needed to be done according to what the supervisor wanted. Also, even though he had his own idea how to perform certain tasks, he quickly said he needed to do it the supervisor’s way and not his own way. Xxx also was observed developing and using time saving shortcuts and did not ask for or require unnecessary breaks. In order for Xxx to have the greatest opportunity to keep a job, one area that will need to be considered when searching for an appropriate job match will be Xxx’s demonstrated slow work pace. It was a real pleasure meeting and working with Xxx. I hope he is able to further identify and then work toward accomplishing his desired goals. If there are any questions or concerns regarding this assessment, please do not hesitate to contact me. ________________________________ Career Assessment Consultant CAREER ASSESSMENT REPORT Name: Xxxxxxx Xxxxxx Referral Source: Date of Birth: 11/3/60 Social Security Number: 123-45-6789 - Division of Rehabilitation Services Assessment Type: Community-Based Assessment Dates: October 1 and 30, 2003 December 4 and December 9, 2003 Date of Report: December 12, 2003 Referral Question: Does Xxxxxxxx possess skills to perform Janitorial work. While working does Xxxxxxxx stay on task and take direction from others with minimal complications? Summary Xxxxxxx Xxxxxx participated in a 2 day, 10 hour Community-Based Assessment in order to determine if he has the skills and appropriate work behaviors to perform janitorial work. Xxxxxxxx’s primary vocational strengths were that he demonstrated exceptional and competitive cleaning skills, appropriate and respectful work behaviors while on community based site, and he has his drivers license and own vehicle. As for barriers to employment, the only item that Xxxxxxxx demonstrated was that prior to the actual start of the assessment, he demonstrated poor impulse control by being verbally combative by using obscenities and at times being augmentative. Xxxxxxxx maintained a strong desire to obtain a cleaning position in a hospital setting in the Belair area. He reported that he has re-applied to Chesapeake Hospital in Belair (where he was previously employed and fired approximately 4 years ago), and was told that he was not eligible for rehire. Xxxxxxxx expressed that he can not work in closed-in spaces, and only wanting to work in a hospital. Xxxxxxxx also is interested in obtaining full-time employment (set hours), with benefits, indoors only, independently, and earning at least $10.00 to $12.00/hr. Based on Xxxxxxxx’s vocational interests, skills and performance during the Intake and CommunityBased Assessment it is recommend that Xxxxxxxx have the opportunity to meet and develop a rapport with a Job Developer/Job Coach prior to beginning job development for Xxxxxxxx. This would provide Xxxxxxxx with the chance to ease his anxieties and to develop an effective and positive working relationship with the assigned staff person. While developing a rapport with the Job Developer/Job Coach, Xxxxxxxx and the assigned Developer/Coach should work on updating his resume and practice interviewing. Xxxxxxxx will also require job development and placement assistance with seeking and obtaining a full-time (with benefits), cleaning position in a hospital. Xxxxxxxx should also consider a cleaning position in a clinic or doctors office, if there are no current positions available at a hospital. In addition, Xxxxxxxx will require job coaching to assist him with transitioning into the position, learning and mastering duties and responsibilities, with establishing effective working relationship and natural supports on the job site, creating a job duty checklist, determining additional accommodations as needed, and with maintaining successful employment. Furthermore, depending on the position that Xxxxxxxx obtains, he may need assistance with obtaining work related clothing, uniform and/or shoes. X. Xxxxxx -2 Recommendations In order to assist Xxxxxxxx with becoming employed and self sufficient, the following recommendations are suggested: 1. Xxxxxxxx, Kris Rinker-DORS Counselor, any significant others, and Xxxx Xxxxxxxx-Manager, Career Development Services/evaluator should meet to discuss assessment results. The preliminary assessment results were discussed with Xxxxxxxx by the evaluator on December 4 and 12, 2003. 2. Xxxxxxxx would benefit from having the opportunity to meet and develop a rapport with a Job Developer/Job Coach prior to beginning job development for Xxxxxxxx. This would provide Xxxxxxxx with the chance to ease his anxieties and to develop an effective and positive working relationship. While developing a rapport with the Job Developer/Job Coach, Xxxxxxxx and the assigned Developer/Coach should work on updating his resume and practice interviewing. 3. Xxxxxxxx will require job development and placement assistance with seeking and obtaining a full-time (with benefits), cleaning position in a hospital, clinic or doctors office. 4. Xxxxxxxx will require job coaching to assist him with transitioning into the position, learning and mastering duties and responsibilities, with establishing effective working relationship and natural supports on the job site, creating a job duty checklist, determining additional accommodations as needed, and with maintaining successful employment. 5. Depending on the position that Xxxxxxxx obtains, he may need assistance with obtaining work related clothing, uniform and/or shoes. The following job titles correspond to some of the occupations, which match Xxxxxxxx’s current interests and skills: Cleaner Janitor Environmental Services Worker *Positions should be sought in a hospital, or clinic or medical setting if a position is not currently available in a hospital. Background Information Education and Work History • Graduated from Overlea High School • Completed Custodial Training Program and Certificate from Maryland Rehabilitation Center in 1998 • Employed as Dishwasher at Station House Restaurant for 3 years (off & on) until the restaurant closed in September of 2003. Xxxxxxxx was making $8.50/hr. • Employed as Service Assistant at Denny’s, where he performed cleaning, bussing and assisted with unloading trucks and restocking. He was employed at Denny’s from October 1989 to June 1992; until he left for a better job. X. Xxxxxx -3 Background Information – continue… Living Situation, Leisure Time, Support System, and Transportation • Currently living with brother and his parents in their home in Street, Maryland, and considers the arrangements satisfactory • Spends spare time attending Alcoholics Anonymous meetings daily • Considers Social Worker from Curtis Hand Center as primary support system • Has driver’s license and own vehicle for transportation • Supports self financially with Unemployment Insurance that he began receiving in October 2003 • Received Worker’s Compensation Benefits in the past, when injured hand on the job. • • • • • • Diagnosis, Functional Limitations, etc. Primary diagnoses of Mood Disorder NOS and Bipolar Documentation of Emphysema, and missing portions of three fingers on left hand (which did not demonstrate to be of any limitation while cleaning) Currently being treated with Zyprexa 10mg, hs and Paxil CR 12.5 mg 1 hs Sees Psychiatrist and therapist once a month Reported being arrested 10 years ago, however Xxxxxxxx did not provide details Reported that he attends Alcoholic Anonymous meetings daily, and does not have a Sponsor because he does not believe in it. Functional Strengths: - High school diploma - Prior work experience and training in janitorial and cleaning skills - Fast and steady work rate - Not easily distracted - Thorough cleaning skills and techniques - Knowledgeable of cleaning procedures - Driver’s license and own vehicle - Neat and work appropriate appearance Functional Limitations: - Poor impulse control (can be verbally combative-use of obscenities and argumentative) Accommodations/modifications requested and/or provided during the assessment: - Evaluator would counsel Xxxxxxxx in a firm demeanor and place full responsibility on him when he became argumentative and non-compliant Accommodations/modifications/environmental considerations requested and/or recommended for employment or training to enhance capacities: - Opportunity for Xxxxxxxx to become familiar and comfortable with Job Developer and/or Job Coach - Medium size glove for right hand and large size glove for left hand - Job coaching to assist with transitioning into and mastering responsibilities and duties - Oral instruction, along with a demonstration (as needed), and checklist to ensure retention of duties - Placement to be sought in hospital, clinic or medical setting X. Xxxxxx -4 Transferable Skills: - Floor care skills (including mopping, stripping, waxing and buffing) - Operation of carpet shampooer, vacuum cleaner, high-speed and side-to-side buffer - Cleaning experience - Dishwashing experience - Material Handling experience Behavioral Observations: Prior to the actual beginning of the community-based assessment (on-site), Xxxxxxxx was regularly verbally combative, argumentative, loud, and demonstrated signs of frustration and possible anxiety. However, once he walked through the door of the community-based site, he was quiet, professional, receptive to suggestions from on-site supervisor (who he had just met), and demonstrated appropriate and effective worker traits and behaviors. In addition, while cleaning, Xxxxxxxx demonstrated a competitive work rate, was not easily distracted or frustrated, and cleaned thoroughly and effectively. On the first day of cleaning, Xxxxxxxx would at times grab the wrong cleaning solution or skip a step, which may have been due to nervousness and/or working too quickly. However, he was receptive to the supervisor and evaluator when oversights were pointed out. On the second day of assessment in the community; which was 5 days after the first, he retained all procedures without difficulty and maintained a fast and steady work, and appropriate work behaviors and interactions with others (of all races). Knowledge of Career Information and Job Seeking and Keeping Skills: Xxxxxxxx was asked to complete a job application as though he was actually applying for at position. He completed the application neatly and accurately. However, he did leave out some dates of employment and placed information in inaccurate order for first job listed. In addition, Xxxxxxxx has a resume which just needs to be updated with employment information. Xxxxxxxx has demonstrated job seeking skills by obtaining positions in the past, independently. In regards to job keeping skills, Xxxxxxxx has also demonstrated the ability to maintain employment, by keeping a position for up to 3 years. Cultural, linguistic and/or ethnic considerations: These items were considered by the evaluee and evaluator and none were found to have an effect on the assessment or employment process. Job Availability in Geographic Area: Based on Xxxxxxxx’s interest of only wanting to clean in a hospital, his job availability; especially in his geographic area, will be limited. However, Xxxxxxxx expressed a willingness to travel to Baltimore or surrounding areas in order to increase his opportunity for employment. There were several cleaning positions listed in hospitals within a 50 mile radius to Xxxxxxxx’s zip code based on Maryland’s Job Bank http://www.jobsearch.org/MD/seeker/jobsearch/quick. Position titles listed were: Maintenance Housekeeper, Environmental Support Associate, Support Technician, Cleaner-Hospital, and Housekeeping Aide. The hospitals listed were: Lancaster Health Alliance in Lancaster, PA; MEDSTAR Health-Franklin Square Hospital Center in Baltimore, MD; Life Bridge Health, Inc. in Baltimore, MD; Well Span Health in York, PA; and Johns Hopkins Bay view Medical Center in Baltimore, MD. (See Attachment) X. Xxxxxx -5 Assessment Results and Interpretations Vocational Interests and Temperaments: Based on self-report, Xxxxxxxx is only interested in performing cleaning skills in a hospital setting. Although, he has experience in floor care and buffer operation, he had stated that he had no interest in performing those duties on a job. In addition, Xxxxxxxx wants a full-time position (with set hours) with benefits. He also expressed a strong desire to only have a white, female job developer/job coach, and selected male or female supervisor on a work preference questionnaire. On this questionnaire, Xxxxxxxx also reported that he would like to make at least $10.00-$12.00/hour. Intellectual Skills: • Academic Skills – Based on psychological assessment from 1996, Xxxxxxxx score at a 10th grade reading level and ending level of 4th grade for math skills, based on the WRAT-R. • Learning Style - Based on self-report and observation, Xxxxxxxx learns best when he is provided with 1-2 step, oral instruction, provided with a demonstration as needed, and a checklist to assist him with remembering required steps and responsibilities. Community-Based Site Description: Xxxxxxxx’s community-based assessment took place at a coffee distribution warehouse-Wm. Riley Company at 3501 Duncan Avenue in East Baltimore. The warehouse was an integrated site, with warehouse and office workers. There were male and female, Caucasian, African-American and Hispanic employees, with an approximate average age of 35 on the site. The building has the strong aroma of coffee and is environmentally controlled. Xxxxxxxx encountered several employees, male and female during the assessment. He was also introduced to the supervisor of the cleaning crew (white, female) and supervisor of the warehouse (white, male). Xxxxxxxx usually would only speak if spoken to; with the exception of the female cleaning crew supervisor, who he appeared to feel comfortable with almost immediately and would accept constructive criticism and share cleaning techniques with. If Xxxxxxxx would come in contact with a warehouse employee while cleaning, he would stand back patiently and wait for the person to leave his work area before continuing his work tasks. On day 1 of the assessment at Wm. Riley & Co., Xxxxxxxx was supervised by the cleaning crew supervisor and warehouse supervisor, and evaluator. He cleaned two male bathrooms from 10:15 a.m. to 12:00 p.m. Duties included: cleaning in the proper order with proper supplies, cleaning sinks, mirrors, spot cleaning walls and wiping down partitions and supply containers, cleaning toilets and urinals, emptying trash, sweeping and mopping. Xxxxxxxx was receptive to suggestions, polite and appropriate to supervisor, familiar with proper order of cleaning, wore gloves, and cleaned at a fast, competitive work rate and thoroughly; including wiping down pipes under sinks and based of toilets. He also expressed and demonstrated “tricks of the trade”—leaving toilet seat up after cleaning so you know that it has been cleaned, tying trash bags for better fit, using glass cleaner on sink faucets after cleaning sinks and wiping with paper towels for added shine, after cleaning toilets and urinals spraying disinfectant in base to provide clean smell. In addition, Xxxxxxxx was very attentive replacing cleaning supplies in proper places in stock room. X. Xxxxxx -6 Community-Based Site Description: - continue… On day 2 of the assessment (5 days after first day due to: snow day, weekend, and getting lost on day 4) at Wm. Riley & Co., Xxxxxxxx was supervised by the cleaning crew and warehouse supervisor. He cleaned the same bathrooms as on day 1 and a small office from 9:15 a.m. to 11:30 a.m. Xxxxxxxx was again receptive and appropriate with supervisor and retained all steps and procedures from day 1. He also maintained a fast, competitive work rate and thorough cleaning techniques. The supervisor reported “His work ethics and respect towards others was good. Xxxxxxxx had no difficulty carrying a conversation with a staff person at Wm. Riley, and when being introduced to others he responded properly.” During both days of the community-based assessment, Xxxxxxxx did not demonstrate any inappropriate behaviors or combative, augmentative verbalizations. It was a pleasure meeting and working with Xxxxxxxx. If there are any questions or concerns regarding this assessment, please do not hesitate to contact me. Xxxx Xxxxxxxx, Manager, Career Development Services CAREER ASSESSMENT REPORT Option Selected: Comprehensive Evaluee: A____ Date of Birth: November 1, 1983 Hand Dominance: right Assessment Period: September 7 & 8, 2005 Case #: Age: 21 Referring Counselor: Agency: DORS-Towson REFERRAL QUESTION: “Client expressed an interest in food service. [For] what types of work is this client best suited? What supports are necessary for client to be successful in competitive employment?” REHABILITATION/EMPLOYMENT CONSIDERATIONS: During the initial interview, Andrew was asked to describe any diagnoses, illnesses or barriers to employment he may have. Andrew was unaware of his diagnoses or medical condition and could not identify any way in which his condition affects or restricts his work activities. His health status self-report form included with his DORS application noted that he has a heart murmur which does not affect his work. Andrew wears glasses but uses no other assistive devices. Andrew’s records indicate that he has Down Syndrome. In testing performed on April 2004, Andrew was given the Woodcock-Johnson III Tests of Achievement and scored at the kindergarten to first grade level on each subtest measuring Broad Math, Broad Written Language, Math Calculation Skills, Written Expression, Academic Skills and Academic Applications. Andrew also participated in a psychological assessment given through the Baltimore County Public School System in 1999. He was administered the Wechsler Intelligence Scale for Children-Third Edition (WISC-III) which indicated a Verbal IQ of 46, Performance IQ of 46 and Full Scale IQ of 40. The Verbal IQ and the Performance IQ were noted to be in the mildly mentally retarded range and the Full Scale IQ fell in the moderately mentally retarded range. It noted, “in the Verbal area, all language skills assessed fell at the deficient level…On the Performance scale, all visual processing skills were exhibited at a mentally deficient level as well.” It noted that, on each of these tests, he performed best when he was provided with visual cues and benefited from a concrete model. However, the examiner noted that on visual memory task of the Bender-Gestalt, his performance suggested “significantly weak visual memory skills.” Results from that administration of the (WISC-III) also indicated a Verbal Comprehension Index Score of 50, Perceptual Organization Index Score of 50 and a Freedom from Distractibility Index Score of 50. At that time he was also given the Wide Range Achievement Test Revision-3 (WRAT-3) and attained a scaled score of <45 and grade equivalent scores at the kindergarten level for Reading, Spelling and Mathematics. - 2 In regard to the question of how Andrew’s condition affects or restricts his work activities, his performance records from his supported employment work obtained through the Arc indicated the following information: Andrew currently works in the dining hall at Goucher College Monday through Friday from 9 a.m. to 2 p.m. and earns $4.66 per hour. He requires a staffing ratio of 1:4 and requires supervision “67 to 99%” of the time. His duties include washing dishes, putting the dishes away and emptying trash cans. It indicated that there were many areas of his performance that continue to require addressing including consistent lateness, remaining on task, taking long breaks, engaging in “play” instead of work, refusing to take direction, refusing to perform tasks when asked and occasionally “talking back to supervisor.” His records noted that he needed to be separated from a peer with whom he tended to play instead of work and that he needed reminders to continue working as well as modeling from staff in order to perform the task as required. His work checklist indicated that he is “fair” with following instructions and requires “repetitive, one step tasks.” He requires reminders for two step tasks and requires prompts and supervision to follow directions and perform tasks as assigned. He is unable to follow written instructions as he cannot read. Andrew’s performance documentation also noted “fair” marks in regard to stress level, maturity level, motivation efficiency/accuracy (which was noted to be inconsistent), consistency, attention span, behavior and responsibility (it was noted that he needed prompting to stay on task). Specific quotes included, “Andrew refuses to take direction and when he is told to do something he stands there. He plays around at times and can be very rude at times. He also takes very long breaks. When I ask them to do something, he tells me what I just said then doesn't do it.” It also noted that he does not complete all of his work at times. His records indicated that he has a good rapport with one of his supervisors, Georgia. However, when Georgia went on vacation, Andrew was fired by his crew chief and required Georgia's intervention upon her return in order to regain his job. BACKGROUND SUMMARY: Andrew reported that he currently lives with his father which he said is a satisfactory living situation at this time. He was asked what he likes to do in his spare time when he is not working and he initially said, “Work.” The question was clarified and he then answered, “Games.” He said that he is notcurrently involved in any support or social groups with the exception of his supported employment through the Arc. Andrew is currently participating in the Essex Life Skills Program. He has received special education services in all aspects of his schooling. He reported that his favorite class is Math and his least favorite class is Reading. As noted above, Andrew participates in supported employment through the Arc in an enclave setting at the dining hall at Goucher College. Andrew described other work experiences he has had through the Arc including “doing paperwork and working on computers.” He said that he had a job coach in those jobs but was unable to describe the tasks he performed other than “computers-hit keys, did paperwork.” He also said that he worked at the zoo in a custodial position in which he cleaned bathrooms, emptied the trash cans and fed animals. Lastly, he reported that he worked in a laundry facility at a hotel with the Arc. He was unable to describe extensive details about any of the jobs and could not recall how long he performed any of the jobs. - 3 When asked which job he most enjoyed and why, Andrew said, “In the office.” He also said that he enjoyed feeding the animals at the zoo and enjoys “working with Ms. Georgia at Goucher College.” When asked which was his least favorite job, Andrew said, “At high school-pulling the trash and working in the kitchen.” Andrew was not able to describe his vocational strengths and skills or any areas in which he needs to improve on the job. Each question was rephrased for him; however, it was clear that he did not understand the question and he replied, “I don't know.” When asked what kind of job he would like to do, Andrew said, “washing around in a house.” He added, “in the kitchen, basement, backyard, laundry and washing clothes.” He also said that he would like to “put paper in a box or in the trash.” When asked what salary he would like to earn, Andrew said, “$3.40.” He currently earns $4.66 per hour. Accommodations/modifications requested and/or provided during the assessment: Andrew was provided with one-on-one assistance and verbal instruction and visual modeling for all tasks. He required frequent prompts in order to perform the task as required. Breaks were offered as needed. As he declined to stand as requested for several tasks that required it, Andrew was permitted to sit as this was clearly his preference. Accommodations/modifications/environmental considerations requested and/or recommended for employment or training to enhance capacities: As specified in Andrew’s background records and performance reports, he will need very close supervision and frequent prompts to ascertain that he stays on task and performs tasks as required. Close supervision will also be needed to ascertain that the requirements of the job are met and the tasks of the job are completed adequately. Specific Cultural, Linguistic, Ethnic and/or Environmental Considerations: These items were considered by the evaluee and evaluator and none were found to have an effect on the assessment or employment process. ASSESSMENT OUTCOMES AND EMPLOYMENT IMPLICATIONS WORKING/LEARNING STYLE PREFERENCES: The Swassing-Barbe Modality Index, a matching to sample activity, examines how one acquires, learns and remembers new information the easiest. Andrew’s responses were found to be: - Visual Learner (learns best by seeing, by visualization): 36 % Auditory Learner (learns best by hearing instructions): 30 % Kinesthetic Learner (learns best by doing, by hands-on experience): 33 % Differences of five percentage points or more are considered important clues on how new information should be presented to this person. - 4 GENERAL EDUCATIONAL DEVELOPMENT (GED): Andrew's background records were used to gain information about his academic levels. As reported above, Andrew scored within the mildly to moderately mentally retarded range (or between the kindergarten and first grade equivalent levels) on all intelligence testing performed within the last several years. INTERESTS/PREFERENCES/TEMPERAMENTS: Interest screening was completed using the Becker Reading Free Interest Inventory. When compared to the Norm Group of Learning Disabled Public School Males Ages 16-19, Andrew’s main interest areas were Laundry (90th percentile), Patient Care (80th percentile) and Food Service (75th percentile). APTITUDES: Aptitudes are the quickness and ease with which a person can learn or do something. The APTICOM 5B program was used to screen for aptitudes. The Apticom consists of timed tests which assess aptitudes based on how quickly and effectively a person can complete the given task compared to a norm group of adults and 11th & 12th grade students. (DOT LEVEL KEY: Level 1-Above 90th %ile; Level 2-67th to 90th %ile; Level 3-33rd to 67th%ile; Level 4-10th to 33rd %ile; Level 5-Below 10th%ile) Aptitude Standard Tested Score Percentile Estimated Ability & DOT Level P-Form Perception-Observing detail in objects or drawings and noticing differences in shapes and shadings. 57 2 5 Below Average F-Finger Dexterity-Moving the fingers to work with small objects rapidly and correctly. 66 5 5 Below Average M-Manual Dexterity-Moving the hands with ease and skill in placing and turning motions. 81 17 4 Low Average - 5 JOB SEEKING AND KEEPING SKILLS ASSESSMENT: Andrew was not asked to complete a job application as he is unable to read or write at a functional level and would need assistance with all aspects of finding, applying for and performing a job. Andrew has needed significant supports in order to maintain his current job. As noted in his performance evaluations supplied by the Arc, he requires almost constant supervision to ensure that he performs duties as required in order to maintain his job. The records indicated that he has a good rapport with one of his job coaches; however, when she went on vacation, the crew chief fired Andrew and the intervention of his job coach was required in order to regain his job. SIMULATED WORK STATIONS AND TASKS: Alphabetical Filing: Assesses the ability to file 50 cards alphabetically. Interest: Average Results: Low Andrew was able to file the cards by the first letter but was unable to file the cards within the letter section (ex. Sa, Se, Si), thus was unable to successfully complete the exercise. He reported that he had performed filing tasks in previous job placements. Numerical Filing: Assesses the ability to file 50 cards numerically by five numbers. Interest: Average Results: Low Andrew was unable to file numerically. Mail Sorting: Assesses ability to sort 100 cards by zip code into boxes labeled with the zip code. Interest: High Results: Low Andrew was unable to match the zip codes in order to sort the cards effectively. He initially demonstrated understanding of the task, but then did not file the cards in their correct boxes. Additionally, he was asked to stand to perform the task to most closely simulate the task as performed on the job. Andrew was prompted to stand three times and stood on the third prompt. He stood very briefly while performing the task then sat back down and completed the rest of the task in a seated position. Sorting, Collating and Packaging: Assesses the ability to accurately sort, group and collate bus schedules into (written) requested order combinations and put them into envelopes when the order is completed. Interest: Average Results: Low Andrew was able to accurately sort the bus schedules into the appropriate piles based on the route number written in large print on the front of the bus schedule. The evaluator wrote order requests on envelopes and asked Andrew to fill the order written on the envelopes. He was unable to package the bus schedules by route number written on the envelope and placed only one bus schedule in each envelope. The bus schedule that he placed in the envelope was the one listed first on the order. On the second attempt, Andrew ran out of one set of bus schedules, but did not alert the evaluator and thus did not complete the order. - 6 Valpar Work Sample 7: Multi Level Sorting: Assesses the ability to make decisions while performing work tasks requiring physical manipulation and visual discrimination of colors, color – number, color – letter, and color – letter – number combinations. Interest: High Results: Low Andrew was given verbal and visual directions and was also given the opportunity to practice sorting into a section of the board; however, he mis-sorted several of the tiles as the colors were similar. Before being timed on the actual test, the error was pointed out to him so that he could differentiate the colors on the actual test. On the first attempt, Andrew completed this task in 28 minutes 19 seconds with 20 errors corresponding to the <1st percentile. He was encouraged to attempt the task again later to see if he could improve his score. He completed the task with 5 errors in 14 minutes 59 seconds. Although his accuracy improved greatly, his pace continued to be in the <1 percentile (Far Below Average range). Norms used were Employed Workers in the San Diego area. Andrew was again asked to stand to perform this task as it is specified in the test instructions. Andrew again stood for less than a minute before he began leaning on the table. He then kneeled in front of the table. Andrew was asked if his feet or his back hurt while standing and he replied, “No, I'm just lazy.” He was permitted to sit for the task; however, it was pointed out to him that he overlooked one of the pieces he was to sort for the task because he was in a seated position. He was unable to demonstrate an effective work pace; however, he did ask one question when it was unclear to him whether a tile was printed with a “6” or a “9.” Stocking: Assesses the ability to sort 72 envelopes labeled with letters, numbers and symbols into 12 shelves labeled with the same letter-number-symbol combination. Interest: High Results: Low Andrew sorted all of the envelopes, but overlooked two entire sections of the shelf, where several of the envelopes were to be placed. He returned the cards to the evaluator, explaining that he could not locate their appropriate place. Andrew required 7 minutes 30 seconds to perform the task on the first try which is not considered a competitive work rate. He was asked to attempt the task again and was shown the space on the shelf where the envelopes he did not sort were to be placed. He made the same errors as on the first attempt but completed the task in 4 minutes 59 seconds. It was noted that, prior to beginning the task, Andrew noticed that part of the shelf display was coming apart. He asked the office secretary for tape with which to fix the display. Andrew was thanked for his thoughtful assistance in fixing the display. Liquid Measurement: Assesses the ability to measure quantities of liquid using a measuring cup with fractions of a cup, milliliter and ounce measurements. Interest: Average Results: Low Andrew was verbally asked to measure amounts of liquid. He was able to measure liquid accurately if the measurement specified was written on the cup. For example, he was able to measure 12 ounces and 8 ounces, but was not able to measure 10 ounces because that amount was not written on the cup. Similarly, he was able to measure ½ cup and 1 cup, but was not able to measure ¾ cup because it was not written on the measuring cup. Table Setting: Assesses the ability to set a table with four table settings given a visual model. Interest: Average Results: High Andrew initially sat down to perform the task but eventually stood up in order to complete the task. He set the table neatly and accurately and worked at an effective rate. - 7 Silverware Rolling: Assesses the ability to neatly wrap a place setting of silverware in a fabric napkin as demonstrated. Interest: Average Results: Average Andrew would need more practice in rolling the napkin neatly and in the same manner as demonstrated. He would need repeated demonstrations of this task as well as a visual concrete model of the finished product. Food Safety and Hand Washing Work Sample: Assesses the ability to demonstrate proper hand washing techniques and knowledge of hygienic food preparation procedures. Interest: Average Results: Low Andrew was asked what he would do before beginning to prepare food. He was unaware that he should wash his hands before preparing food. After this was established, he was asked what kind of water he would use to wash his hands. He said, “Cold.” He was informed that he should use very warm water. He began running the warm water and finished washing his hands without using soap. He was informed that he needed to use soap with the warm water and rub his hands together to effectively cleanse his hands before preparing food. Vegetable Peeling and Slicing: Assesses the ability to peel, slice and prepare vegetables to serve in a restaurant. Interest: Average Results: Low Andrew was given a demonstration of how to wash, peel and slice cucumbers for a salad. Andrew washed the cucumbers as demonstrated, but did not understand how to use a standard peeler to peel the skin off the cucumbers. This was demonstrated for him several times; however, he was unable to peel the skin effectively and broke both cucumbers in half attempting to peel them. He was provided with assistance with peeling the cucumbers and was then given a cutting board and knife in order to slice the cucumbers. Andrew was asked to slice the cucumbers thinly as though he was preparing them for a salad. Andrew was unable to slice the cucumbers thinly. It appeared that his poor dexterity and visual motor skills which were observed in previous evaluations limited his ability to perform this skill effectively. Cleaning (office dining area): Assesses work rate, accuracy, thoroughness, technique, and safety procedures for cleaning. Interest: Average Results: Low As Andrew had expressed interest in cleaning houses for work, he was asked to demonstrate how he would clean a microwave oven. Andrew cleaned the inside bottom of the microwave oven with the provided spray cleaner and paper towel. He did not clean the top, sides or door of the inside of the oven and did not clean the outside of the microwave. Based on this assessment, it would not seem that Andrew would be able to independently clean a house in a detailed and effective way. - 8 BEHAVIORAL OBSERVATIONS: On the first day of the assessment Andrew arrived 20 minutes late and was transported by his sister. He was neatly dressed and groomed and displayed a pleasant, polite and very sociable demeanor. Andrew seemed to place a high value on his interpersonal interactions and he clearly enjoyed talking with the evaluator and the other evaluees. It was noted that he burped loudly several times during the assessment but each time said, “Excuse me.” During the introductory interview, the evaluator had to leave the room for a moment and returned to find Andrew sitting on the floor. On several occasions throughout the assessment, it was clear that Andrew did his best to provide answers to questions but often answered, “Yes” to a question, but then conveyed that he did not understand the question that was asked. At times, his speech was difficult to understand. Andrew was also observed to fall asleep during breaks and during a task in which he was instructed to close his eyes to feel plastic shapes with his hands. This tendency was noted in his performance records as a reason for his often being late to his job. Andrew was cooperative; however, his motivation and initiative in completing all assigned tasks were poor. On one occasion however, before beginning the stocking task, Andrew noticed that part of the shelf display was coming apart. He asked the office secretary for tape with which to fix the display. Andrew was thanked for his thoughtful assistance in fixing the display. Andrew's work stamina was poor and despite being repeatedly prompted to stand when completing certain tasks, he sat down as soon as he felt the evaluator was not observing him. He was asked if he was uncomfortable while standing and displayed a sense of humor when he said, “No, I’m just lazy.” Despite being prompted, he sat down to complete each task, with the exception of those food preparation work samples performed in the kitchen at the sink. Additionally, Andrew did not demonstrate that he placed a high value on accuracy as he did not ask questions when uncertain of how to perform a task and did not inform the evaluator when he ran out of needed materials to complete a task. Generally, Andrew displayed appropriate social behaviors and interacted in a friendly and polite way with the evaluator and the other evaluees. On a number of occasions however, Andrew complimented the evaluator's appearance in a fairly benign manner. This was not noted to be an issue in any of his performance evaluations from the Arc, but he may need counseling as to how to interact with female staff and co-workers if his comments cause discomfort to either staff or co-workers. - 9 SUMMARY Based on the results of this Career Assessment, the following are considered significant for vocational planning: EMPLOYABILITY ASSETS: - neatly dressed and groomed pleasant and polite demeanor currently attending the Life Skills Training Program through the Community College of Baltimore County at Essex currently receiving the appropriate level of on-site job coaching through the Arc reported work experience obtained through the Arc in the areas of food service, laundry service, dishwashing and clerical packaging demonstrated effective knowledge of table setting on work sample no documented physical limitations EMPLOYABILITY NEEDS: - continue to receive on-site job coaching with close supervision to ensure quality of work performed and to focus on work habits needing improvement requires hands-on work with repeated visual demonstration, hands-on instruction and concrete model of finished product prefers a seated work station RECOMMENDATIONS 1. The referral question asked, “Client expressed an interest in food service. [For] what types of work as this client best suited? What supports are necessary for client to be successful in competitive employment?” Based on the results of this assessment and his job performance evaluations performed at his current job placement with the Arc, it is clear that Andrew will continue to need on-site supported employment with a small staff to client ratio and close supervision. See Rehabilitation/Employment Consideration section (page 1 and 2). 2. Further review of his records supported the need for his current level of employment supports and noted further suggestions. His psychological evaluation, performed in 1999, recommended that “Andrew would benefit from concrete manipulatives, repetition and multisensory instruction techniques. His Individual Education Program (IEP) constructed in April, 2004 recommended that he be given a calculator for use in any calculation tasks. It noted that he would benefit from instruction in a small classroom setting with a small teacher to student ratio. In the Essex Life Skills Program, which he currently attends, he should be provided with “preferential seating, supervision with job coach, special - 10 transportation and transition planning.” It specified that supervision is needed when he participates in any employment or community activities. 3. Andrew demonstrated a preference for a seated work station if performing stationary work. To the extent possible, this preference should be accommodated. He should be questioned about any discomfort he experiences while standing to work in order to address any possible physical concern as it is uncertain as to whether he would volunteer this information. As Andrew will need to continue to receive on-site supported employment, his options will be limited to those enclave work sites in which the Arc can provide services. As a result, information about the availability of competitive jobs in his area is not included with this report. Attached to this report is information from the Job Accommodation Network (JAN) that may be helpful to Andrew in a work situation and to those who are working with him. It was a pleasure to work with Andrew and I wish him all the best as he begins to explore his job options. ___________________________________ Career Assessment Consultant September 24, 2005 Last day of assessment: September 8, 2005 Report due date: September 28, 2005 Date report mailed: ___________________ CAREER ASSESSMENT REPORT Name: John Jones, Jr. Date of Birth: June 21, 1987 Social Security Number: 000-00-0000 Date of Report: July 29, 2005 Referral Source: – Dundalk Division of Rehabilitation Services Assessment Type: Comprehensive Assessment Dates: July 7-8, 21-22, 2005 Referral Question: What are John’s interests, strengths, and limitations? What positions could he perform? John communicates well, but has difficulty with math, reading and writing. What types of supports will be needed to become employed competitively? He has a slight interest in auto mechanics, but academics appear too limited. Would he be successful in other automotive fields, and if not what other types of positions could he do? Summary John Jones, Jr. participated in a three day, 13 hour Comprehensive Career Assessment in order to determine his vocational interests, strengths, potential barriers to employment, and what supports he will need in a position that meets his potential and skills. John was originally scheduled to attend on July 7 and 8, but was only able to attend the first day, due to his mother not being able to provide him with transportation on July 8. Therefore, two additional days were scheduled for John at a later date. John’s primary vocational strengths were that he was receptive to suggestions, cooperative and willing to attempt any tasks requested of him. However, his major potential barriers to employment are his non-competitive academic skills, writing and spelling skills, he was easily distracted and at times had to be verbally prompted to return to the task at hand, and his non-competitive work rate. Initially, John expressed an interest in becoming an Auto Mechanic, although he was unable to state a reason for this interest. As a result of a formal interest survey, John selected: Actor, Singer, Reporter, Manager, and Special Agent as his top positions of interest. However, after the evaluator conducted an extensive career exploration with John and provided him with a variety of potential positions that meet his interests and potential skills and work environments and John selected to work: in a store, performing landscaping, in a mailroom, performing cleaning, with animals in a kennel, or in a restaurant. John was also adamant about not working in a hospital or nursing home. Based on John’s vocational interests, strengths and barriers, the suitable employment environment for John would be a supported employment or enclave position. John requires direct and constant supervision to maintain his attention to task and to provide assistance as needed. Therefore, in order to assist John with achieving his vocational goal, he will need to apply for Development Disability Administration (DDA) vocational services so he will be eligible for attending a Vocational Program at a Community Rehabilitation Program for individuals with developmental disabilities. See Recommendations on page 2 for additional details. J. Jones, Jr.-2 Recommendations In order to assist John with becoming employed and self sufficient, the following recommendations are suggested: The preliminary assessment results were discussed with John by the evaluator on the last day of the assessment. 1. John and his mother need to apply for Development Disability Administration (DDA) vocational services so he will be eligible for attending a Vocational Program at a Community Rehabilitation Program (CRP) for individuals with developmental disabilities. The CRP will provide John with the opportunity for transportation, mobility training, daily living skills, social skills, and vocational skills. The areas that John should focus on while attending the CRP are: increasing work rate to a competitive level, gaining additional transferable skills, and increasing his attention to detail. 2. John should apply for Para-Transit MTA Mobility Services in order to provide him with independent transportation and to widen his opportunity for services. 3. Once John is work ready, he will require a supported employment or enclave position where he is performing repetitive tasks and constant supervision. In order to assist John with increasing his work rate and performance, he should be provided with a timer at his work station and informed that he has a certain period of time to attempt to complete a task, and/or paired up with a co-worker to assist with production and natural support to prompt John to stay on task. See page 4 for suggested Accommodations/Modifications. Background Information J. Jones, Jr.-3 EDUCATION AND WORK HISTORY John and his mother reported that he graduated in June 2005 with a regular High School Diploma, from Kenwood High school; however, it was requested that John bring in a copy of his diploma and it is actually a Maryland High School Certificate of attendance - Based on school records and John, he received Special Education Services while in high school - - John’s only work experiences have been unpaid and provided through school. He reported work study in the following positions: 1) Family Dollar Store where he placed clothing on hangers, swept the floors, and placed shoes on racks and Fashion Bug where he “helped other workers in the back” and placed clothing on hangers; during 12th Grade 2) John reported not participating in work study during the 11th Grade 3) Mars Grocery Store where he replaced food on shelves, “helped other workers in the back”, and cleaned up; during 10th Grade 4) Marshall’s Department Store where he took out bags and placed clothing in boxes; during 9th Grade John also reported that with his mother and step-father’s assistance, he has applied at McDonald’s, Mars Grocery Store, and Gersback Grocery Store, but that he has not received a call back. LIVING SITUATION, LEISURE TIME, EMOTIONAL AND FINANCIAL SUPPORT, AND TRANSPORTATION John currently lives with his mother and step-father; when asked how long he has had a step-father, John stated “since he has been out of jail”. He was then asked how long ago it has been that John’s mother and step-father have been married, John stated since he was 17 years old and reported that his relationship with his step-father was sometimes good and sometimes bad. John also expressed that he still has contact with his biological father who lives in Harford County with John’s sister. John reported spending his spare time playing PlayStation 2 (racing games), and going outside to hang out with friends from his neighborhood (ranging in ages from 6 to 18 years old), and that he sometimes sees friends from high school. - When John was asked who he would go to talk about a problem he was having, his first response was “supervisor”, when asked by the evaluator, what about if it was a personal problem, he said his mother or father John has recently applied for Social Security Benefits, and currently receives financial assistance from his mother John reported that he can use the public transportation system as long as he is with someone, and usually receives transportation from his mother. DISABILITY INFORMATION - John’s primary diagnosis is Mild Mental Retardation - On the DORS Health Status Sheet is was recorded that John had a learning disability, needed to wear eyeglasses, required minimal assistance with routine activities of daily living, sometimes had difficulty with remembering, following instruction, doing what others expect of him, and reading or understanding. Furthermore, on the form it stated that John had low muscle tone (which John was uncertain of the cause of muscle tone and when asked for cause…he just said “back”. - John is not on any medications J. Jones, Jr.-4 Functional Strengths: - Prior work exposure through school - Demonstrated no signs of frustration - Cooperative and receptive to suggestions - Willing to attempt any task requested of him - Effectively dressed and groomed Functional Limitations: - Easily and frequently distracted - Hand writing was illegible at times, and demonstrated poor spelling skills - Lacks a high school diploma - Requires a supported employment or enclave position, but lacks DDA funding Non-competitive work rate Non-competitive academic skills Accommodations/modifications requested and/or provided during the assessment: - Use of a calculator - Private room to complete academic assessments to eliminate distractions - Additional explanation and clarification of directions and tasks Accommodations/modifications/environmental considerations requested and/or recommended for employment or training to enhance capacities: - extra response and processing time - hands-on learning, modeling, guiding questions - step-by-step oral and written (short phrases) directions - use of visual aids - repetitive tasks - quiet work area with minimal or no distractions - auditory cue to return to task at hand (ex. alarm that can be set for every minute or so) - to work with a partner to assist with peer prompting to stay on task - direct supervision to assist with learning work tasks, to improve attention to detail and production rate - part-time position to start, to ease into the work place - supported employment or enclave position (once work rate and attention to detail is increased) Transferable Skills: - placing clothing on hangers - placing items on shelves - sweeping Behavioral Observations: - arrived 15 minutes late on day one, and absent on day two due to his mother not being able to transport him - knew other evaluee at the assessment, but did not acknowledge or interact with him until the evaluator asked if they knew each other and the other evaluee asked John if he wanted to go outside to eat lunch - distracted often by anyone moving in the room and when the other evaluee was working on a task; needed to be regularly and verbally prompted to return to task J. Jones, Jr.-5 Knowledge of Career Information and Job Seeking and Keeping Skills: ¾ Job Knowledge – John was unaware of career information, potential pay, minimum wage amount, and qualifications for his positions of interest. John completed a generic employment application to the best of his ability, but he was unable to write legible (primarily due to spelling skills) and he did not put job experience provided through school as work history. In the place of address and phone number for employers, John put his address and phone number for all 3 slots. ¾ Job Seeking and Keeping Skills – John was aware of places to look for jobs and ways to keep employment. However, John has never held a paid position, would require assistance with completing all employment related forms and with maintaining competitive worker traits and behaviors. Cultural, linguistic and/or ethnic considerations: These items were considered by expressed that he did not want to work on Sunday’s due to church activities. John and the evaluator and John Job Availability in Geographic Area: Based on John’s current employment needs of a supported employment or enclave employment position and the fact that he lacks Developmental Disability Administration (DDA) vocational services funding, drastically limits his job availability. Therefore, in order for John to increase his opportunity for employment, he will need to apply for DDA vocational services. Once John receives the funding, he will then have a variety of Community Rehabilitation Programs that provide supported employment and enclave sites in and around his geographic area. Assessment Results and Interpretations Vocational Interests and Temperaments: According to the Career Decision Making System Interest Survey-Level 1, John scored highest in the Arts and Business career clusters from which he chose Actor, Singer, Reporter, and Special Agent as the positions that he was most interested in pursuing. The evaluator encouraged John to select positions that were less competitive and did not require college or formal training. John was unable to do this independently. The evaluator conducted extensive career exploration with John and provided him with a variety of potential positions that meet his interests and potential skills and work environments and John selected to work: in a store, performing landscaping, in a mailroom, performing cleaning, with animals in a kennel, or in a restaurant. John was also adamant about not working in a hospital or nursing home. When asked, John reported that he enjoyed working at Mars Grocery Store most of all due to “getting to do more stuff and liked it up there” (White Marsh); the position that he expressed that he least enjoyed was Fashion Bug because of the “crazy stuff he did” (working with women’s clothing). In addition, John expressed a strong desire to attend college. J. Jones, Jr.-6 Assessment Results and Interpretations – continue… Work Preference Match: a career exploration tool that assists individuals with gathering information from career resources and in the decision making process regarding careers of interests and job values important to them. The job values that John expressed were most important to him were: to help people, to own his own landscaping business, to make more money, to work full-time/during the days from 9:00 a.m. to 9:00 p.m., and to get help if needed (from supervisor and co-workers). Intellectual Skills: • SRA Reading Test – assesses proficiency in Picture-Word Association, Word Decoding, Phrase, Sentence and Paragraph Comprehension. John was proficient through Phrase Comprehension. • SRA Arithmetic Test - assesses proficiency in Addition, Subtraction, Multiplication and Division of Whole Numbers, Fractions, and Decimals and Percentages. John was proficient in Addition, Subtraction, Multiplication and Division of Whole Numbers only. • Learning Style - Based on observation, John learns best when he is provided with one-step, oral or written directions, provided with hands-on demonstration and provided the opportunity to practice the task to mastery. Dexterity: Based on observation and assessment, John experienced difficulty with his manual and fine-finger dexterity. When he would close his hands onto an object to pick it up, he kept his fingers and thumb extended instead of being in a grip method. This was observed on every task that he performed during the simulated and real work tasks, which appeared to make it difficult for John to manipulate and complete tasks at a more competitive work rate and with ease. Bennett Hand Tool Dexterity – assesses manual dexterity with tools: Score: Low, time: 33 minutes and 32 seconds. Norms: Applicants and Employees in an Assembly and Manufacturing Company Simulated Work Stations and Tasks: Sorting – assesses work rate and ability to sort by size and color discrimination. Results: Average John completed the task in 9 minutes and 20 seconds, and maintained a steady work rate on the task. J. Jones, Jr.-7 Simulated Work Stations and Tasks: - continue… Alphabetical Filing - assesses accuracy and work rate for filing alphabetically by 3 letters. Results: Low First Attempt with 50 cards – John had the cards spread across the work area with no apparent order. After 11 minutes and 24 seconds, he had only placed one card out of 50. The evaluator provided a demonstration on how to take the first card and place it in front of him, and then place the next card before or after that first card depending on if it is a larger or smaller number and so on. John appeared to comprehend this method after several demonstrations. After another 11 ½ minutes, he had completed 21 out of 50 cards with 3 errors. Second Attempt with 20 cards - John completed the task at a noncompetitive work rate and 5 errors. Drawer Count and Change Making - assesses the ability to identify coins and bills and their associated value, perform an accurate drawer count, and make change independently. Results: Low John was able to identify monetary denominations, but was unable to record the amounts correctly for the drawer count (ex: for 23 pennies wrote 1 cent, for 11 quarters wrote 2 quarters and put 50 cents, for 5 twenties wrote $60, etc.). In addition, John was unable to make change independently even for a $2.00 charge and paid for with a $5.00 bill – he gave $2.00 change. Measurement (Linear) – assesses ability to measure to 1/16th increments and knowledge of how to measure width, depth, and height. Results: Low John was only able to measure accurately to whole inches and he was unaware of how to measure width, depth and height. Measurement (Liquid) – assesses ability to measure accurately in cups, ounces, and teaspoons. Results: Low John demonstrated difficulty comprehending the directions and measurement amounts requested. He was only able to measure accurately to whole cups. All measurement requests needed to be verbally repeated to him at least 3 times. The measurements were not level or accurate. Carburetor Disassembly and Assembly - assesses ability to use provided tools and problem-solving skills effectively to disassemble and reassemble a carburetor. Results: Low John disassembled the carburetor at a non-competitive work rate. He was able to manipulate a standard screwdriver to remove several parts off of the carburetor, but appeared awkward using the tools. John was unable to reassemble any parts back on to the carburetor. Simulated Work Stations and Tasks: - continue… J. Jones, Jr.-8 Cleaning - assesses work rate, accuracy, thoroughness, technique, and safety procedures for using a vacuum cleaner, cleaning a table, and cleaning procedures and products. Results: Below Average Although, John required assistance with starting the vacuum cleaner and lowering the arm, he did vacuum effectively, but would need to learn to pull chairs away from the table in order to vacuum under the table. He also wiped the table off effectively, but his work rate was non-competitive due to repeatedly going over and over the same spot. In addition, John would need to learn the proper procedures and cleaning products to use when cleaning. Cleaning Scenario Problem Solving - assesses ability to problem-solve a variety of problematic scenarios when cleaning. Results: Low John was unaware of how to handle possible problems when cleaning (ex: when asked what to do if someone left papers on a table that he needed to clean… John stated that he would take the papers and throw them in the trash can). Recipe Alteration - assesses ability to alter a basic recipe. Results: Low John did not get any questions correct out of 4 possible. Food Preparation – assesses ability to use a potato peeler and paring knife to peel and cut a potato, and the definition of cut in half, slice, sticks, dice and mince. Results: Low Results based on work rate and procedure. John had difficulty peeling the potato and did not cut the potato in half. He did know definition of slice, but the slices were uneven. He also knew how to cut sticks and dice, but not mince. Customer Service Problem Solving - assesses ability to problem-solve a variety of problematic scenarios when providing customer service. Results: Low Mail Sorting – assesses work rate and accuracy for sorting mail by zip code into labeled mail slots. Results: Below Average Although John scored 94% accuracy, his work rate was non-competitive Evaluator Signature History of Career Assessment Career assessment has been known as Vocational Assessment, Vocational Appraisal, Work Evaluation, and Vocational Evaluation during its evolution to the Twenty-first Century. Each of these terms has been misunderstood or misused by the various service systems that integrated career, occupationally or vocationally-oriented assessment into career planning, decision-making, or development for individuals who have faced career, vocational, or employment challenges. For the purposes of this manual and the newly structured assessment services within Maryland’s Division of Rehabilitation Services (DORS), the term career assessment will be used to describe the umbrella from which the five Career Assessment Service Options (CAS) emanate. Origins: Alternatives to Standardized Testing During the late 1950’s until the late1960’s, communities became more aware of the need to develop some type of alternative assessment process(es) for people who did not perform well on paper and pencil standardized tests. This need was addressed in various sectors of the country and Europe in the late 1800’s through the 1940’s. It is common knowledge that as veterans returned from the world wars, employers, rehabilitation personnel, and medical professionals were confronted with the problem of how to match people with disabilities to work that they were able to perform. An underlying, but sometimes overlooked, goal was to identify work training and work that would meet their personal interests and long-term, quality of life goals. Origins: The Economy and Industrial Competition At the same time, the employment sector was experimenting with vocational assessment techniques to identify a) methods and organization of work and b) workers who could work the fast and accurately to increase productivity and improve profits. The goals of industrialists were to improve their status among competitors and to make profits from the economy that evolved from agrarian to industrial manufacturing. Workers with disabilities were often viewed as impediments to achieving these goals and thus, were not selected to participate in the workplace or in the benefits of a thriving economy. Rehabilitation professionals began to merge the techniques used in industry (e.g., time motion studies, work sampling, job analysis) with the individualized assessment methods (interest surveys, situational assessments, behavioral observation) used with people who had disabilities—the outcome spawned a new discipline and a new profession: vocational evaluation. Qualified Professionals Although contemporary service systems and practices are changing from using the terminology of vocational evaluation to career assessment, the professionals training and qualified (i.e., meeting minimum national competency requirements) to provide the entire range (or continuum) of career assessment services are called Certified Vocational Evaluators (CVEs). Those trained and qualified to perform many but not the entire range of services are identified as Career Assessment Service Specialists (CASS) (http://www.ccwaves.org). The Commission on Certification of Work Adjustment and Vocational Evaluation Specialists (CCWAVES) was created in 1981 as another benchmark in the developing profession of vocational evaluation. Today, CCWAVES oversees the certification of professionals from the United States, Canada, and several other countries. The Commission is comprised of representative Directors from several national (and international) professional associations (e.g., Vocational Evaluation and Work Adjustment Association, National Association of Vocational Education Special Needs Professionals) and consumer organizations (e.g., The ARC of the United States). The first graduate program to train vocational evaluators was started at the University of Wisconsin-Stout (then Stout State) in 1966. Graduates of the Stout program began other graduate programs at Auburn University in Alabama and the University of Arizona. Today, the Stout and Auburn programs still exist along with about nine others: George Washington University in Washington, D.C., East Carolina University in North Carolina, University of Northern Colorado in Greely, Boston University, and University of Puerto Rico to name a few). The premier professional association for vocational evaluators began in 1967. It eventually was named the Vocational Evaluation and Work Adjustment Association and until 2000 it served as a division of the National Rehabilitation Association. It is now an independent organization that attracts career assessment professionals from across the nation and the world that work with a variety of consumer groups. Since career assessment services began as an alternative to more traditional types of testing, many agencies and institutions now employ the various methods and processes to help guide, educate, train, place in employment “hard-to-serve” consumers. These include, but are not limited to rehabilitation consumers, secondary education students, students who are “placed at risk,” welfare to work clients, college students, dislocated workers, youth and adults who are incarcerated, immigrants, and potential employees who apply for jobs, etc. General Social Security Online http://www.ssa.gov/ The Official Website of the Social Security Administration and Disability Programs Workers’ Compensation Commission Commission on Certification of Work Adjustment and Vocational Evaluation Specialist – CCWAVES http://www.ccwaves.org/ Provides information regarding certification for Vocational Evaluators, and Publications and Resources Vocational Evaluators and Career Assessment Professionals – VECAP http://www.vecap.org/ Provides information regarding training, resources, membership, etc. George Washington University – Collaborative Vocational Evaluation Training Program http://www.gwu.edu/ - and access the CVET website Provides information about training and courses related to Vocational Evaluation and Grant Funded Program Assistive Technology & Job Accommodation Tech Connections: Welcome to Tech Connections http://www.techconnections.org/index.html Your one-stop resource for information on Assistive Technology (AT) designed to accommodate people with disa the workplace and in everyday life activities ADA Document Center - ADA Law with link to accommodation toolbox. http://janwvu.edu/links/adalinks.htm LD Online – Comprehensive website on Learning Disabilities for parents, teachers and professionals. http://www.LDOnline.org The Alliance for Technology Access – Location of assistive technology centers within U.S. Technology v and developers. http://www.ataccess.org Center for Information Technology Accommodation – Description of the law requiring Federal Agencies electronic and IT Technology assessable to persons with disabilities. http://www.section508.gov/ Closing the Gap – Focus on Computer technology for persons with special needs. Highlights hardware a software. http://www.closingthegap.com Microsoft's Accessibility Site – Guides provide a list of assistive technology products and links to step b tutorials for accessibility features. http://www.microsoft.com/enable Rehabilitation and Assistive Technology Association of America – Rehab Engineering and Assistive Tec Society of North America. http://www.resna.org/ ADA Technical Assistance – Comprehensive Resources for Info on the Americans with Disabilities Act, accessible Information Technology and more. http://www.adata.org/ Infinitec Home Page – Total resource guide for Blindness or Visual Impairment; For Deafness or Hearing general AT resource guide. http://www.infinitec.org Designing More Usable Web Sites – Details links towards creating a more usable web for all. http://trace.wisc.edu/world/web/ Apple Computer's Disability Connection – Outlines accessibility technologies in MAC OS. http://www.apple.com/accessubility/ Job Accommodation Network (JAN) on the Web – Comprehensive source for Job Accommodations http://janweb.icdi.wvu.edu/ Trace Research & Development Center – Concepts in universal design. http://trace.wisc.edu/ National Center to Improve Practice (NCIP) – National center to improve practice in special education thr technology. Media and Materials. http://www2.edc.org/NCIP/ CAST's Home Page – Non profit organization. Research and Development in Universal design for Learni http://www.cast.org/ Worksupport.com – Information, resources and research about work and disability issues. http://www.worksupport.com/ Abledata – Information about assistive technology and rehabilitation equipment available. http://www.abledata.com/ The National Center on Accessible Media – How to use accessibility options to receive program from Wg http://www.wgbh.org/wgbh/access Assis-TECH, Inc. Assistive Technology and Ergonomic Products – Online shopping for assistive devices daily living aids that support independent living for the disabled. http://www.disabilityproducts.com/assis-tech/ Career Assessment Transferable Skills Survey – University of Minnesota, Duluth. Actual survey to assess transferable skills http://www.d.umn.edu/student/loon/car/self/career_transfer_survey.html The Career Key - Expert help with career choices -- career changes, career planning, job skills, and choo college major or educational program. http://www2.ncsu.edu/unity/lockers/users/l/lkj/ The Vocational Evaluation and Work Adjustment Association (VEWAA) - The national professional assoc for Vocational Evaluation and Assessment personnel http://www.vewaa.org The Commission on Certification of Work Adjustment and Vocational Evaluation Specialists (CCWAVES) national certification office for certification in vocational evaluation, assessment and work adjustment http://www.ccwaves.org Career Guidance ExPAN on the web – My Road – a personalized and comprehensive guidance solution. Assists with expl college majors, colleges and careers. Annual Membership Fee - $19.95 http://www.collegeboard.com/expan/html/indx000.html Peterson's Education Site – Test Prep (Fee). College Search. http://www.petersons.com/ Bridges.com – Test Prep, Career Choices. Software and online education, planning, career exploration. HS/College test prep resources. http://cx.bridges.com/ Career Magazine - Up to date information on subjects related to career planning and job skills. Job Seeke search jobs, post resume, career resources. http://www.careermag.com The Internet’s Online Career Center – “Monster”. Search jobs, apply online. Resume builder, career adv http://www.occ.com Job Search & Resume Preparation Guides – Information regarding career transition, career management JobScout – Fee Service: Post resumes, etc. http://www.dbm.coml Career Information & Employment Resources The National Transition Alliance – Disabilities studies and services center. http://www.dssc.org America's Job Bank http://www.ajb.dni.us/ Career Connections - Fairfax County Public Schools, Fairfax, VA – Self assessments, occupational resea experience learning, post high school options. http://www.fcps.edu/ss/CareerConnections/ The Riley Guide – Individual Career Transition. http://www.dbm.com Hot Jobs for the 21st Century – Department of Labor site. http://www.dol.gov/ America's Career InfoNet – Occupational information, industry information and state information. Interac tools – career, education and business decision. http://www.acinet.org/acinet/default.asp Discovering the Career that Fits You – Students, adults – career decisions. http://www.learnmoreindiana.org/@default Virginia's Career Connect – Virginia’s One Stop Workforce Development System. http://www.careerconnect.state.va.us/ Best Jobs USA – Information on career, job choices http://www.bestjobsusa.com/ Gotajob – Job tips and advice for teens, students and adults. http://www.gotajob.com/ Maryland's Career Net – Job seeking services, career planning. http://www.careernet.state.md.us/ Virginia VIEW – Careers, education, career services. http://www.vaview.vt.edu/ Usworkforce.org – Lists websites for jobs/employment. http://usworkforce.org SCANS Reports: The Secretary’s Commission on Achieving Necessary Skills http://www.academicinnovations.com/report.html Career Voyages www.careervoyages.gov AFB Career Connect www.afb.org/CareerConnect Computer Technology Windows 98 Annoyances http://www.annoyances.org/win98/ Windows 98 Annoyances is the most complete collection of information assembled for and by actual users of Wi Getting Started on the Internet http://www.imaginarylandscape.com/helpweb/ This guide is intended to help people who are just getting started on the Internet learn their way around. Office Ergonomics http://www.office-ergo.com Download.com http://download.cnet.com PC Webopedia http://webopedia.internet.com/TERM/d/digital_photography.html PC Magazine http://www.zdnet.com/ Metacrawler Search Engine http://www.metacrawler.com/ Ask Jeeves Search Engine http://www.askjeeves.com/ In and Out of the Classroom (Microsoft Corporation) http://www.microsoft.com/education/tutorial/default.asp The Milken Exchange on Educational Technology http://www.mff.org/edtech/ Disability Information National Clearinghouse of Rehabilitation Training Materials http://www.nchrtm.okstate.edu/index_3.html Center for People with Disabilities http://www.cpd.usu.edu/ Autism Network International http://www.staff.uiuc.edu/~bordner/ani/ National Attention Deficit Disorder Association http://www.add.org/ National Center for Learning Disabilities http://www.ncld.org/ World Institute on Disability http://www.wid.org/ The Empowerment Zone http://www.Empowermentzone.com/ LD Resources http://www.ldresources.com/ The Association of Persons with Severe Handicaps http://www.tash.org/ National Association for the Deaf http://nad.policy.net/ American Sign Language http://www.bconnex.net/~randys/index2.html American Council for the Blind http://www.acb.org/ Internet Resources for Special Children http://www.irsc.org/ American Speech Language and Hearing Association http://www.asha.org/ National Down Syndrome Society http://www.ndss.org/ National Alliance for the Mentally Ill http://www.nami.org/ National Information Center for Children and Youth with Disabilities http://www.nichcy.org/index.html The Arc http://www.thearc.org/ National Resources The National Parent Education Advocacy Training Center http://www.peatc.org/ Social Security Online http://www.ssa.gov/ United States Department of Labor http://www.dol.gov/ The Association for Persons in Supported Employment http://www.apse.org/ The National Rehabilitation Information Center (NARIC) http://www.naric.com/naric/ Occupational Outlook Occupational Information Network (ONET) http://www.doleta.gov/programs/onet/ The American Association of Career & Technical Education http://www.avaonline.org/ The Bureau of Labor Statistics http://www.bls.gov/ Overview of BLS Career Information http://stats.bls.gov/k12/html/edu_over.htm The Occupational Outlook Handbook http://www.bls.gov/ocohome.htm The National School to Work Center http://www.stw.ed.gov/ht/lc.htm US Workforce.org http://usworkforce.org/ Occupational Safety and Health Association http://www.osha.gov/oshstats/work.html Chartbook on Work and Disability in the United States http://www.infouse.com/disabilitydata/workdisability.html US Equal Employment Opportunity Commission http://www.eeoc.gov/ National Occupation Information Coordinating Committee http://www.noicc.gov/ Georgia Department of Labor http://www.dol.state.ga.us/lmi/ Georgia Career Information System http://www.gcic.peachnet.edu/ Georgia Job Information System http://www.DOL.State.Ga.US/eshtml/eshtml01.htm EVALUATOR SKILL DEVELOPMENT/LEVEL OF EXPERTISE… Vocational evaluators/career assessment specialists perform a variety of functions. These functions may vary according to agency, individual needs and available resources, but all evaluators/specialists must have a level of expertise in the following: Acquire the knowledge, skills and abilities to provide professional counseling and guidance services to consumers with individualized needs. Review and assess medical, psychological, neuropsychological, legal, social, educational, and employment information for consumers who have been referred for a career assessment. Conduct initial evaluation to determine existing employment skills; data-peoplething history, training received, certifications, familiarity with job requirements; time factors (period of training or time elapsed). Obtain information about a person’s interests, aptitudes, physical abilities and temperaments with respect to employment and training through the use of assessment materials. Each evaluator/career specialist should be knowledgeable about testing principles, understand the concept of measurement error, have the ability to interpret obtained scores, and understand the literature relevant to the test or testing problems. Conduct interest and abilities testing through interest inventories, work sampling (real or simulated), psychometrics, work trials, and/or situational assessments. In addition, observe and evaluate the physical stamina, endurance, agility and range of motion in relation to industrial performance requirements. Evaluate the degree to which a particular disability is a limitation to the employment objective. Assess the use of assistive technology and accommodations needed to assist consumer to achieve his/her career objectives. Conduct on-going research on the availability of jobs and training under consideration in a given geographic area using available information. Be able to utilize the DOT, OOH, GOE, Internet, classified ads, employers, schools and/or organizations involved with work training and/or employment. Provide all the results to the individual in the manner that he/she can understand and provide a written report of all testing results to the referral source and consumer. In addition, conduct a meeting with all interested parties to determine what the next steps are and who is to follow-up on the results. The Position Paper of The Interdisciplinary Council on Vocational Evaluation and Assessment Smith, F., Lombard, R., Newbert, D., Leconte, P., Rothenbacher, C., & Sitlington, P. The Interdisciplinary Council on Vocational Evaluation and Assessment is a national coalition, which represents the issues and concerns of personnel involved in vocational evaluation and assessment across a variety of settings and disciplines. The organizations, which comprise this coalition, include: American Occupational Therapy Association (AOTA) American Rehabilitation Counseling Association (ARCA) Council For Educational Diagnostic Services (CEDS) Division on Career Development and Transition (DCDT) National Association for Vocational Assessment in Education (NAVAE) National Association for Vocational Special Needs Personnel (NAVESNP) National Rehabilitation Counseling Association (NRCA) The Vocational Evaluation and Work Adjustment Association (VEWAA) National Association of School Psychologists (NASP) National Association of Disability Evaluation Professionals (NADEP) Commission on Certification of Work Adjustment and Vocational Evaluation Specialists (CCWAVES) (ADHOC member) The Interdisciplinary Council seeks to promote, through a unified voice, the responsible practice of vocational assessment and evaluation by encouraging advocacy, professional standards, communication, leadership and policy development, all of which enhance the overall provision of best practice. Goals and Objectives Provide an avenue for linkages among disciplines Promote a unified voice regarding certification, policy development and legislation Promote professional standards of practice Promote the development of common language and definitions, recognizing diversity among disciplines Promote significant consumer participation in the development and implementation of vocational evaluation and assessment practices Provide a forum to discuss key concerns in the field and share information across disciplines, Encourage the establishment of unified quality assurance in practice and outcome Promote public education and advocacy for vocational evaluation and assessment Advocate for support and funding of education and training in vocational evaluation and assessment. Vocational evaluation and assessment are professional disciplines, which utilize a systematic appraisal process to identify an individual’s vocational potential. Consumers range from school-aged youth to older adults who are making career decisions or vocational transitions. The vocational evaluation and assessment professional provides services to measure, observe, and document an individual’s interests, values, temperaments, work-related behaviors, aptitudes and skills, physical capacities, learning style, and training needs. The foundation of vocational evaluation and assessment is that all human assessment should be holistic and humanistic. A holistic approach encompasses issues of diversity, all relevant attributes of the individual, his/her existing or potential environments (ecologies), and the interactions between the individual and the environments. A humanistic approach to vocational evaluation and assessment requires consumer involvement, and processes that are designed and implemented to benefit the individual served with an emphasis on individual capabilities rather than disability. Further, the environment should fit the individual rather than the individual adjusting to fit the vocational environment. The following seven principles serve as guides to best practice across settings. Guiding Principles 1. A variety of methods, tools and approaches should be used to provide accurate vocational evaluation and assessment. A broad range of questions must be posted to determine what makes an individual as well as his/her abilities and needs unique. Separating an individual’s attributes into categories such as interest, aptitude, or learning style preferences help organize the assessment. 2. Vocational evaluation and assessment information should be verified by using different methods, tools and approaches. Using alternative methods or approaches to validate findings can usually be achieved by a) observing an individual’s demonstrated or manifested behaviors, such as performances on actual work; b) using an individual’s self report or expressed statements; and/or c) administering some type of survey, inventory or structured interview or test. 3. Behavioral observation is essential in any vocational assessment process. Behavioral observation (e.g., observing physical performance, social characteristics, interactions with people and other aspects of the environment) occurs throughout the assessment process. The observation process can be a) informal of formal, b) occur in a variety of environments, c) made by a variety of people and d) should be documented and presented in an objective, non biased manner. 4. Vocational evaluation and assessment may be an on-going development process in career development. However, individuals especially those with disabilities, may need evaluations/assessments of varying degrees given at different junctures over their career life span. 5. Vocational evaluation and assessment should be an integral part of larger service delivery systems. Vocational evaluation and assessment should be the basis for planning needed services, resources and support; therefore, it can be an integral part of the total service delivery system. Vocational evaluation and assessment information should be interpreted and conveyed to the consumer as well as others within the system. 6. Vocational evaluation and assessment requires the collection of input from a variety of individuals and requires an understanding of how to use the results of the assessment process. An interdisciplinary team approach allows for effective use of information, which can be translated into effective planning, implementation activities (e.g., placement, support services, counseling), and fulfilled vocational development for consumers. 7. Vocational evaluation and assessment should be current, valid and relevant. Vocational evaluation and assessment is grounded in career, vocational and work contexts. The Interdisciplinary Council on Vocational Evaluation and Assessment strongly recommends that all individuals providing vocational evaluation and assessment services demonstrate competency or successful completion of training in competencies related to each of the guiding principles identified in this document. They include the following: Competencies 1. The ability to select, adopt, and/or develop methods, and approaches which are useful in determining an individual’s attributes, abilities, and needs. 2. The ability to utilize alternative methods and approaches, which can be used to cross validate information generated from other assessment sources. 3. The ability to conduct formal and/or informal behavioral observation strategies, which can be integrated in a variety of settings. 4. The ability to collect and interpret ongoing data that can be utilized to promote successful transition through critical junctures of the individual’s career development. 5. The ability to interpret vocational evaluation and assessment data in a manner that contributes to the total service delivery system. Vocational evaluation and assessment team members must be capable of synthesizing and reporting formal and informal data in a manner that promotes appropriate planning, appropriate goal setting, and coordination of needed support services. 6. The ability to function as an effective participant on an interdisciplinary team. 7. The ability to select, implement and integrate evaluation and assessment approaches which are current, valid, reliable, and grounded in career, vocational and work contexts. The Interdisciplinary Council on Vocational Evaluation and Assessment will work with its member organizations to implement the principles outlined in this document. We believe an interdisciplinary approach to vocational evaluation and assessment encourages the involvement of a team of professionals, practitioners, and consumers. Hence, individual roles and certification criteria should be met accordingly to the specific service area. The vocational evaluation and assessment specialist who has in-depth training in vocational evaluation and assessment is an essential team member. The Council affirms its commitment to the stated mission, goals and objectives, and its dedication to proactively supporting consumers and service providers in responding to the challenges of current economic conditions, new legislative mandates, changing demographics and changing delivery systems. Increased consumer input will guide provision of services. Rev.10/93, 10/95 Maryland State Department of Education Division of Rehabilitation Services REFERRAL for CAREER ASSESSMENT SERVICES DORS Counselor: Address line 1: Address line 2: Phone: Referral to: (provider) Date of referral: Name of Individual: SSN: Background Information: (not required if DORS Application is attached) Address Line 1: Address Line 2: Day Phone: Evening Phone: Date of Birth: Emergency Contact Person and Phone: (required) CAS Option Requested: [ [ [ [ [ ] ] ] ] ] Itemized Assessment – Specific Information Desired: Focused Assessment – Target Area: Exploratory Assessment Community-Based Assessment Comprehensive Career Assessment Questions to be answered by the assessment: Disability information/impact: (include functional capacities/limitations and related factors) Special needs/accommodations/concerns: (e.g., lodging, interpreter, test site, support system, transportation) Information attached: [x ] DORS Application (RS-1c) [ ] Specialist Evaluation: [x] DORS Health Status Self Report (RS-4e) [x ] Psychiatric Evaluation [x] Psychological Evaluation [ ] Other: (Facilities may require additional information; see admission procedures) Contact DORS 1-888-554-0334 to receive this form in Braille, large print, on disk of in other format. MSDE-DORS-RS-4c:02/02 Required Page 1 of 1 Career Assessment Services Process The Division of Rehabilitation Services (DORS) Counselor determines along with the individual the most appropriate Career Assessment Service (CAS) Option and a Service Provider. A CAS Referral Form is completed by the DORS Counselor and sent along with supporting documentation to the Service Provider. If necessary the DORS Counselor and Evaluator discuss specifics of the Assessment and/or request additional information. The Service Provider schedules and provides the Assessment. Career Assessment Review Committee Procedures 1. Local Monitoring Committees 1.1. Each region in the state will have a committee for the purpose of reviewing the career assessment services purchased within that region 1.2. The Local Monitoring Committee will be composed of at least 5 members. One DORS member from the CRP liaison committee from the region, two members chosen by the Regional Director from DORS staff in the region, and two members from CRPs in the region. The committee will identify alternative members. 1.3. The chair of the Local Monitoring Committee will be chosen by the Regional Director from the DORS members of the Local Monitoring Committee. 2. Local Monitoring Committee Responsibilities 2.1. The Local Monitoring Committee will review submitted career assessment reports and related documentation (Referral Form, Assessment Plan, and client satisfaction information as provided by the vendor) for compliance with established standards. 2.2. Each assessment report and related documents will be reviewed utilizing the appropriate service checklist by all committee members. 2.3. Prior to a CRPs permanent approval as a provider of assessment services, at least three reports for each option for which the CRP has secured temporary approval will be reviewed by the Local Monitoring Committee. 2.4. The chair of the Local Monitoring Committee will fax review results to the CRP and staff specialist at the conclusion of the review. 2.5. When the Local Monitoring Committee is satisfied that a given CRP is producing an assessment product that consistently meets the CAS standards (checklist) a recommendation for permanent approval will be made to the Staff Specialist for Facilities. 2.6. After a given CRP has been given permanent approval as a provider of the career assessment options they wish to provide the Local Monitoring Committee will review a random sampling of reports from that CRP for those assessment services on a semi-annual basis. 2.7. If a CRP committee member’s agency’s reports are being reviewed, that person has the option to sit in or sit out for the review as long as the entire committee is in agreement. 3. Initial reviews 3.1. Until CRPs in the region are approved on a permanent basis, they will be responsible for forwarding a copy of all the assessments (for options which they have temporary not permanent approval) purchased from them to the chair of the Local Monitoring Committee along with copies of the referral form and assessment plan. This information will then be dispersed to the members of the committee responsible for approval consideration for that CRP 3.2. A determination of review frequency will be made regionally based on the volume of assessments to be reviewed, at least quarterly. 3.3. Each assessment and related documents will be reviewed utilizing the appropriate service checklist by all committee members. . 4. Ongoing reviews of Permanent Approval 4.1. Head quarters will generate a semi-annual report, which will be sent to the Local Monitoring Committee chair through the Regional Director. 4.2. The semi-annual report will be a list of all the career assessment purchase orders (services code A 13) written in the region during the given period. Purchase order number, client name, and social security number, counselor number, and vendor number will be included on the report 4.3. The number of reports to be reviewed semi-annually will be determined regionally, but will include at a minimum 5-20 % of each vendors reports, including an equitable distribution of assessment options. 4.4. Reviews will be conducted and the resulting reports written and forwarded along with copies of the service checklists to the Staff Specialist for Facilities, and to the Regional Directors for distribution and dissemination as determined regionally within 90 days of the end of the review period. 4.5. Each assessment and related documents will be reviewed utilizing the appropriate service checklist by all committee members. 4.6. 100% of checklist items need to be present for an assessment to meet standards 4.7. Committee members will then summarize vendor compliance by completing the review results form for each vendor and faxing the results to the CRP and Staff Specialist for Facilities. 4.8. LMC’s can choose to meet more frequently than semi-annually if determined necessary. 4.9. The CRP will be notified of the selected reports by the LMC Chairperson and will be required to send a copy of the report, Referral Form, and Assessment plan to the LMC Chairperson within 10 days of notice. 5. Chairperson Responsibilities 5.1. ( Initial ) The chairperson of the Local Monitoring Committee will set a date and time for the review and coordinate with the members of the review team for their attendance as determined by regional procedures. 5.2. The chairperson will provide the supervisor with a sufficient number of DORS counselor input forms and ask that for each assessment identified the DORS counselor who purchased the service complete a DORS counselor input form. These forms should be competed and forwarded with the copies of assessments and other requested information. 5.3. The chairperson should indicate to the supervisor a timeline for forwarding the requested information. 5.4. The chairperson will notify the vendors of the assessments to be reviewed. The chairperson will provide a list of those assessments and request copies of additional client satisfaction information that might have been collected. 5.5. The chairperson will provide the vendor with a sufficient number of Vendor input forms and ask that for each assessment identified the vendor complete a vendor input form. These forms should be completed and forwarded with the copies of the client satisfaction information. 5.6. The chairperson should indicate to the vendor a timeline for forwarding the requested information. 5.7. Upon receipt of the semi-annual report, the chairperson will identify the assessments to be reviewed as determined by policy (4.1) 5.8. After the review the Chairperson will forward the assessment reviews and checklists to the Staff Specialist for Facilities for distribution and dissemination as determined regionally. 6. Dissemination of Information 6.1. The regional chair will forward copies of the assessment reviews and checklists and the Staff Specialist for Facilities. 6.2. It is suggested that vendor compliance information be shared with DORS regional staff through regional supervisor meetings.. 7. Items to be collected for ongoing review 7.1. Referral form, Assessment plan, Assessment report, Client satisfaction information, {DORS counselor input form, Vendor input form.} 8. CRP Responsibilities 8.1. Submitting copy (until permanent approval) of referral form, assessment plan, original (to counselor) and copy of the assessment report(to LMC), and client satisfaction information to the counselor with the bill for services.(and same info to LMC Chair) 8.2. Completion of vendor input forms and submission of those forms along with additional client satisfaction information as requested by the regional chair 8.3. Once the CRP is notified of the selected reports by the LMC Chairperson for the semi-annual review, they will be required to send a copy of the report, Referral Form, and Assessment plan to the LMC Chairperson within 14 working days days of notice. 9. Training 9.1. DORS will provide at a minimum yearly training sessions for new DORS and Vendor staff or those who would like clarification regarding Career Assessment Services 9.2. The DORS Quality Rehabilitation Training will include a section on Career Assessment Services. This section will be available as training for all DORS staff. 9.3. It is suggested that Local Monitoring Committees include one DORS staff member from the region that is not on the Local Monitoring Committee on a rotating basis as a means of educating non-committee members and as a means of infusing a fresh perspective to the review team. 10. Technical Assistance 10.1. CRP staff and DORS counselors will have available to them an inquire link for Career Assessment Services Questions through the web site. 10.2. CRP staff can address questions to the regional chair or to the staff specialist for facilities. 11. Vendor Appeal Process 11.1. A State monitoring committee will be created and made up of one member of each regional monitoring committee selected by that Local Monitoring Committee to sit on the state monitoring committee. This committee will be chaired by the staff specialist for facilities. 11.2. If CRP staff feel that a particular assessment review is an inaccurate reflection of the services provided they may request an appeal of the review. 11.3. To request an appeal of a review, a representative of the CRP should request in writing to the Staff Specialist for Facilities that a particular assessment, or assessments be reviewed by the State monitoring committee. 11.4. An appeal should only be requested if there is evidence of severe inaccuracies in the initial review, and/or the approval status of the vendor is in jeopardy. 11.5. The Staff Specialist for Facilities has final review and determination. 12. Forms 12.1 Attachment Career Assessment Services Referral 12.2. Attachment Checklists 1-5 Community Rehabilitation Program/Private Practioner/Vendor CAREER ASSESSMENT SERVICES CHECKLIST Note: Agency must have access and be able to use an up to date computer with Internet access (as needed). ITEMIZED The following list of items are items that an agency must have at a “minimum” Assessment Plan Observation Checklist/Form Report Format Career Information - Computer Internet access - Occupational Outlook Handbook (book or on internet) Community Resources (knowledge base of areas serving) - educational programs - public programs - employers - labor market - Chamber of commerce Materials in the content requested which may include academic, aptitude assessments or work samples FOCUSED The following list of items are items that an agency must have at a “minimum” Interview Format Assessment Plan Report Format Observation Checklist/Form Career Information - Computer Internet access - Occupational Outlook Handbook (book or on internet) Community Resources (knowledge base of areas serving) - educational programs - public programs - employers - labor market - Chamber of commerce Work samples (informal and/or formal – related to career cluster or specific job(s)) - real and/or simulated work experiences/sites Academic Tests (assesses reading-word recognition, reading comprehension, arithmetic, spelling, and language) Aptitude - General - Clerical - Mechanical - Computer Interest - Non-Reading - Reading (at least 6th grade) Dexterity - Fine Finger with or without tools - Manual with or without tools Learning Style (public domain = free/share ware) Temperaments (public domain = free/share ware) EXPLORATORY The following list of items are items that an agency must have at a “minimum” Interview Format Assessment Plan Report Format Observation Checklist/Form Career Information - Computer Internet access - Occupational Outlook Handbook (book or on internet) Community Resources (knowledge base of areas serving) - educational programs - public programs - employers - labor market - Chamber of commerce Work samples (informal and/or formal) Academic Test (that assesses reading-word recognition, reading comprehension, arithmetic, spelling, language ) Aptitude - General Interest - Non-Reading - Reading (at least 6th grade) Dexterity - Fine Finger with or without tools - Manual with or without tools Learning Style (public domain = free/share ware) Temperaments (public domain = free/share ware) COMMUNITY BASED The following list of items are items that an agency must have at a “minimum” Interview Format Assessment Plan Reporting Format Observation Checklist/Forms (ideally developed to specific job demands) Site/Contact Person Job Analysis of the job to be performed Agreement form between the evaluator, site supervisor and client Proof of Worker's Compensation Insurance Form for Supervisor feedback Career Information - Computer Internet access - Occupational Outlook Handbook (book or on internet) Community Resources (knowledge base of areas serving) - educational programs - public programs - employers - labor market - Chamber of commerce COMPREHENSIVE The following list of items are items that an agency must have at a “minimum” Interview Format Assessment Plan Report Format Observation Checklist/Form Career Information - Computer Internet access - Occupational Outlook Handbook (book or on internet) Community Resources (knowledge base of areas serving) - educational programs - public programs - employers - labor market - Chamber of commerce Work samples (informal and/or formal– more variety than in Exploratory) - real and/or simulated work experiences/sites Academic Test (that assesses reading-word recognition, reading comprehension arithmetic, spelling, language) Aptitude - General - Clerical - Mechanical - Computer Interest - Non-Reading - Reading (at least 6th grade) Dexterity - Fine Finger with or without tools - Manual with or without tools Physical Endurance (stamina) - Simulated - Formal Learning Style (public domain = free/share ware) Temperaments (public domain = free/share ware) EVALUATOR’S QUALIFICATIONS and KNOWLEDGE BASE REQUIREMENTS Degree in related field Knowledge of various types of disabilities Interpersonal Skills/ Ability to work with small groups Ability to individualize services/Ability to provide needed accommodations/ modifications to the assessment process Ability to observe behaviors and objectively record information Knowledge and ability to administer score and interpret tests/assessment materials Knowledge, understanding and ability to triangulate data Ability to synthesize and compile information in a readable format Knowledge of Occupational resources Knowledge of Community resources Computer Literacy Exposure to the philosophy and practice of Career Assessment (Vocational Evaluation) through mentorship, job shadowing, internship or related practical experience. DORS CAREER ASSESSMENT SERVICES FEE SCHEDULE Effective July 1, 2001 Assessment Service ** Service Duration **** Comprehensive 2 – 3 weeks Community Based Fee (Flat Rate) ***** CVE/CARF Fee * (Flat Rate) Fee No Show CVE/CARF Fee No Show *** $810.00 $932.00 $202.50 $233.00 3 - 5 days 575.00 662.00 143.75 165.50 Exploratory 3 – 5 days 525.00 604.00 131.25 151.00 Focused 2 – 3 days 390.00 450.00 97.50 112.50 Itemized 1 – 2 days 130.00 150.00 32.50 37.50 * DORS will pay approximately 15% premium for assessments submitted by or under the supervision of a Certified Vocational Evaluator or if provided in a CRP which has been CARF accredited for Comprehensive Vocational Evaluation services. ** Multiple Assessment Rule – With the exception of an Itemized Assessment, if an assessment undertaken for an individual recommends another level of assessment to be conducted, the Division will pay only 75% of the cost of the second assessment when conducted subsequent to and within a three-month period from the original assessment. *** No Show fee is 25% of normal service. **** A goal of the systems change diversifying career assessment options in Maryland was to move from services that the individual must fit, to services that fit the individual. Because each assessment in the new system is individualized, there are no definitive timelines for the new system’s assessment options. The time necessary for each option will be determined by the evaluator in completing the assessment activities required to meet at least the minimal standards included in the checklist. Variables that will affect the length of each assessment include, but are not limited to the following: A.) B.) C.) D.) Consumer choice Severity of disability Functional capacities of consumer Number and type of assessment tools/resources available ***** Standard fee is used for individual practitioners approved to provide career assessments. General Standards • • • A 4 to 6 hour consumer assessment workday is typical. An evaluator: consumer ratio of no more that 1:3 or 1:4 during group assessment has been the standard set by VEWAA since 1975 (Vocational Evaluation Project: Final Report). The written report is to be submitted to the referral source within 14 days from the completion of the assessment. Glossary academic achievement - The results of learning or teaching; the level or specific skills acquired as a result of learning or educational endeavors. Most often either standardized or teacher-developed tests are administered to determine these levels or skills of an individual. Usually these tests are designed to "test" or measure via only one modality, that of paper-and-pencil or computer screening devices. (Fry & Botterbusch, 1988) aptitude – A combination of abilities and other characteristics, whether native or acquired, that are indicative of an individual's ability to learn or develop proficiency in some particular area if appropriate education or training is provided. (Mitchell, n.d.) The following aptitudes can be measured: G - Intelligence - General learning ability or the ability to "catch on" or understand instructions and underlying principles; the ability to reason and make judgments. V - Verbal Aptitude -The ability to understand meaning of words and use them effectively. The ability to comprehend language, to understand relationships between words and to understand meanings of whole sentences and paragraphs. N - Numerical Aptitude – The ability to perform arithmetic operations quickly and accurately. S - Spatial Aptitude – The ability to think visually of geometric forms and to comprehend the two-dimensional representation of three-dimensional objects. P - Form Perception – The ability to perceive pertinent detail in objects or in pictorial or graphic material. The ability to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. Q - Clerical Perception – The ability to perceive pertinent detail in verbal or tabular material. The ability to observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. K - Motor Coordination – The ability to coordinate eyes and hands or fingers rapidly and accurately in making precise movements with speed. F - Finger Dexterity –The ability to move the fingers and manipulate small objects with the fingers rapidly or accurately. M - Manual Dexterity – The ability to move the hands easily and skillfully. The ability to work with the hands in placing and turning motions. (U.S. Department of Labor, 1970) assistive technology (device) - Any item, piece of equipment, or product system, whether acquired commercially off the shelf, modified or customized, that is used to increase, maintain, or improve functional capabilities of individuals with disabilities. (Technology- Related Assistance for Individuals with Disabilities Act, 1988) SYN: Rehabilitation technology. background information - Pertinent information on an individual obtained prior to the start of the assessment process from the individual; from lay persons such as relatives, friends, former employers; or from professionals such as physicians, psychologists, counselors, social workers, or other vocational evaluators. (Fry & Botterbusch, 1988, edited 1993) behavior - Any directly observable and measurable activity of an individual or group of individuals within a physical and social environment. (Fry & Botterbusch, 1988) career assessment - Any process of measurement which: is used to identify individual characteristics and education, training, and placement needs; contributes to the career planning process and; provides the individual with insight into their career potential. The types of career assessment include: itemized assessment , exploratory assessment, focused assessment, community-based assessment and comprehensive career assessment. career assessment report - A well-planned, carefully written document that communicates vital career-related information about an individual. It is a permanent record of significant career data observed as the individual and the evaluator interact in various types of work and work-like situations. The report puts the assessment plan, action, results, reasons, and interpretation of the assessment in writing. It often includes description of the individual's physical capacities, learning ability, personal characteristics, social competence, and worker traits as they compare to minimum requirements of selected jobs or work areas. The report includes recommendations for the future and may also provide a prescriptive-descriptive sequence of experiences that are aimed at maximizing the individual's potential. (Fry & Botterbusch, 1988, edited 1993, 2001) career exploration - A process whereby a person is exposed to work experiences and occupational information intended to increase knowledge of the world of work. (Fry & Botterbusch, 1988) certified in vocational evaluation (CVE) - An individual certified in vocational evaluation by the Commission on Certification of Work Adjustment and Vocational Evaluation Specialists (CCWAVES) and who has met the published standards of the Commission in areas such as: job analysis, occupational information, interviewing, individualized vocational evaluation planning, work samples, psychological testing, learning style, situational assessment, functional living skills, functional limitations of disability, and report development. (Commission of Certification of Work Adjustment and Vocational Evaluation Specialists, 1992) client follow-up - Supportive assistance provided to an individual following career assessment. Such services also provide feedback to the organization and may provide the employer with needed assistance in maintaining the individual's employment. (Fry & Botterbusch, 1988, edited 1993, 2001) client plan - A written program of action developed and reviewed at regular intervals, with the direct participation of the client, personnel from other agencies, and other significant persons. It specifies objectives and goals and identifies a continuum of services to achieve those objectives and goals within a specific time. (Fry & Botterbusch, 1988) SYN: Client program, individual career assessment plan, individual program plan, individual employment plan. Commission on Certification of Work Adjustment. and Vocational Evaluation Specialists (CCWAVES) - An independent commission whose members are assigned from one of several appointing organizations. CCWAVES' purpose is to identify and certify vocational evaluation and work adjustment professionals in order to provide assurance that those professionals can meet acceptable standards of quality. The existence of such standards is considered to be in the best interests of clients, other practitioners, individuals in allied professions, and the public. (Commission on Certification of Work Adjustment and Vocational Evaluation Specialists, 1992) community-based assessment - A holistic assessment of an individual's interests, needs, and abilities in a job/worksite setting located in the community. Community-based assessment is an umbrella term depicting a category of methods, which may include: Situational assessment, Onthe-job evaluations, Job try-outs or trials, Supported Employment assessment. (MDVEWAA, 2000) community resources – public or private agencies, schools, or programs offering social services to people. Such resources are usually funded by governmental bodies, community drives, donations and fees. (Fry & Botterbusch, 1988) comprehensive career assessment - A holistic, broad-based intensive process, which is grounded in the use of real or simulated work, individualized, answers questions that could not be answered by other CAS options, and uses a combination of all typical assessment methods with the possible (but not required) exception of a community-based assessment. This option is appropriate for an individual with the most significant disabilities who: would have difficulty handling the reading or motor activity required to independently perform the paper/pencil assessment activities typically utilized as part of an Exploratory Career Assessment; have sensory impairments which require significant accommodation to enable their participation; have never worked or have a significant period of absence from the work force; due to their disability, require an extended period of observation to determine their work behaviors. dexterity - Skill in using fingers, hands, arms, and shoulders, sometimes in combination with other body parts. It is usually measured by observing performances on various work activities, such as work samples, or by administering standardized performance tests. (Fry & Botterbusch, 1988) diagnostic test - A test used to "diagnose" or analyze; that is, to locate an individual's specific areas of weakness or strength, to determine the nature of his weaknesses or deficiencies, and wherever possible, to suggest their cause. (Mitchell, n.d.) disability - Any restriction or lack of ability (resulting from impairment) to perform an activity in the manner or within the range considered normal for the human being. (Wood, 1980) disadvantaged individual - Any individual who is economically restricted due to factors such as: physical or mental disability, youth, advanced age, low educational attainment, ethnic or cultural factors, prison, or delinquency records or poverty. (Fry & Botterbusch, 1988) enclave - A small group of persons (usually six to eight) with disabilities employed in an industry to work along with or beside co-workers without disabilities. Typically, continual support by a supported employment specialist is provided. Creative enclave models do not cluster the persons with disabilities together. (Powell, Panecofar, Steere, Butterworth, Itzkowitz, & Rainforth, 1991) environmental (working) conditions - The physical surroundings of the job that make specific demands on a worker's physical capacity. (Botterbusch, 1984) exploratory assessment - A process utilizing career exploration resources and/or methods designed to provide information on the next step in long range planning for the individual. Investigation and education in jobs and job clusters, taking into consideration the individual’s interests, needs, abilities and functional limitations. (MDVEWAA, 2000) focused assessment - Assessment to determine the feasibility of a specific chosen career area as a career goal (can include real or simulated work). (MDVEWAA, 2000) functional limitations - Behaviors or conditions exhibited by individuals and/or presented by their environments that need to be eliminated or improved in order for the individuals to fulfill their potential or maximize their functioning. (CARF, 2000) generalizable skills - Cognitive, affective, or psychomotor skills that are basic to, necessary for success in and transferable within and across vocational programs and occupations. They are functional and important because they are common vocational curriculum components that facilitate learners' transitions from vocational programs into the world of work or postsecondary education and training. Persons who possess generalizable skills should be able to adapt to changes in vocational programs, careers, occupations, or jobs, thereby enhancing their employability. (Greenan, 1989, as cited in Berkell & Brown, 1989) grade equivalent -The grade level for which a given score is the real or estimated average. (Mitchell, n.d.) handicap - The disadvantages experienced by an individual as a result of impairments and disabilities. Handicaps reflect interaction with and adaptation to the individual’s surroundings. (World Health Organization, 1980.) heavy work - Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. Physical demand requirements are in excess of those for medium work. (U.S. Department of Labor, 1991) impairment - Any loss or abnormality of psychological, physiological, or anatomical structure or function; it can be the result of disease, injury, malnutrition, or birth defect. (Wood, 1980) independent living skills - Basic skills needed by individuals with disabilities to successfully function on their own to the greatest extent possible in most appropriate and least restrictive environments. Such skills can include self-help, domestic maintenance, community living, financial planning and maintenance, etc. (Davis, 1986) individual placement model - Placing an individual with a disability in a job site where most coworkers are not disabled and the individual with a disability is not part of a work group of other individuals with disabilities. This model provides the maximum integration and is the preferred model. (Hill, 1986) individualized career assessment plan - A directed, systematic series of events designed to specifically meet the needs of the individual being served and satisfy the demands of the referral source. Through the individualized career assessment plan, the individual being served, the referral source, and the evaluator obtain a concise picture of the individual's overall career assessment program. (McCray, 1978) individualized education program (IEP) - A written statement for each student with a disability that is developed in any meeting by a representative of the local education agency or an intermediate educational unit who shall be qualified to provide, or supervise the provision of, specially designed instruction to meet the unique needs of students with disabilities, which shall include a statement of the needed transition services for students beginning no later than age 16 and annually thereafter (and, when determined appropriate for the individual, beginning at age 14 or younger), including, when appropriate, a statement of interagency responsibilities or linkages (or both) before the student leaves the school setting. (Individuals with Disabilities Education Act, 1990). industrial standards - Industrial worker requirements based on the employer's expectations in terms of quality and quantity of work. (Fry & Botterbusch, 1988, edited 1993) informed choice - A decision made by a person served that is based on sufficient experience and knowledge, including exposure, awareness, interactions, or instructional opportunities, to ensure that the choice is made with adequate awareness of the alternatives to and consequences of the options available. (CARF, 2000) intake - Those activities resulting in an individual's entry into an agency or referral to another more appropriate agency, including the action taken to make the necessary arrangements for such entry (e.g., funding, housing, or programming). (Fry & Botterbusch, 1988, edited 1993) integrated work setting - Industry-based work setting where competitive work is performed with opportunity for work and non-work interaction with workers who are not disabled. Ratio of nondisabled to disabled workers is no higher than 8:1. (Hursh & Kerns, 1989) intelligence quotient - A measure of general intelligence obtained by testing consisting of either: (1) a ratio of mental age to chronological age or (2) a deviation score from an expected test performance by age. (Fry & Botterbusch, 1988) interdisciplinary approach - A method of diagnosis, evaluation, and individual program planning in which two or more specialists (e.g., physicians, psychologists, teachers, vocational evaluators, therapists, social workers, rehabilitation counselors, etc.) participate as a team, contributing their skills, competencies, insights, perspectives to focus on identifying the needs of an individual and on devising ways to meet those needs. (Fry & Botterbusch, 1988, edited 1993) interest - The existence of a strong preference, attention, or curiosity about some occupational, vocational, or career-related activity or area. (Fry & Botterbusch, 1988, edited 1993) interview - Communication between two or more persons used for purposes such as diagnosis, education, counseling, or to obtain information. (Fry & Botterbusch, 1988, edited 1993) ,. inventory -A questionnaire or check list, usually in the form of a self-report, designed to elicit nonintellective information about an individual. (Mitchell, n.d.) itemized assessment - An individual assessment tool/instrument or method used to answer a very specific referral question. (MDVEWAA, 2000) job analysis - The gathering, evaluating, and recording of accurate, objective, and complete job data. Job analysis identifies and describes, in a systematic and comprehensive but succinct manner: What the worker does in terms of activities or function; How the work is done -- the methods, techniques, or processes involved, and the work devices used; Results of the work--the goods produced, services rendered, or materials used; Worker characteristics--the skills, knowledge, abilities, and adaptations needed to accomplish the tasks involved. It also identifies the context of the work in terms of environmental and organizational factors and the nature of the worker's discretion, responsibility, or accountability. (U.S. Department of Labor, 1982) job carving - Analyzing work duties at a job location and identifying specific tasks that might be assigned to an employee with severe disabilities. (Griffin, 1991) job coach - A professional or possibly paraprofessional who provides individualized one-to-one assistance to the client in job placement, travel training, skill training at the job site, ongoing assessment, and long-term assessment. (Wehman & Melia, 1985) job development specialist - An individual who contacts businesses and industries for the purpose of placing individuals in competitive employment or on-the-job training stations. The specialist analyzes the job in respect to the individual's capabilities and consults with the individual's counselor, the facility, and the individual in recommending him/her for a specific job. The job development specialist may provide follow-up services to the individual on the job. (Fry & Botterbusch, 1988, edited 1993) job keeping skills - Those skills enabling a person to keep employment once hired. These may include knowledge/expectations of attendance, punctuality, quantity and quality of work done, supervisor interaction, co-worker interaction, safety, grooming/hygiene. (Fry & Botterbusch, 1988, edited 1993) job matching - The process whereby an individual's worker characteristics are compared with the results of a thorough job analysis for a particular job. (R. J. Spitznagel, personal correspondence, May 24, 1991) job modification - A process in which a target job is altered to meet the needs of a particular worker. This is accomplished through environmental adaptations, adaptive equipment and devices, or job process modification. (Ogden-Niemeyer. & Jacobs, 1989) job sample - Those work samples that, in their entirety, are replicated directly from industry and include the equipment, tools, raw materials, exact procedures, and work standards of the job. (Fry & Botterbusch, 1988) job seeking skills - Those skills enabling a person to seek out job vacancies and follow through the hiring process. It includes knowledge of where to find information about job openings and how to fill out applications, take employment tests, construct resumes, and make a positive impression before, during, and after the interview. (Fry & Botterbusch, 1988, edited 1993) job task - A single work activity taken in its entirety (without any changes) directly from a specific job. (Fry & Botterbusch, 1988) job tryout - A temporary job placement or internship designed to provide the participant with real work experience and community contacts. Job tryouts: 1.) expose the participant to new occupational experiences; 2.) assess the participant's work, social, and personal skills in a real work environment (situational assessment); 3.) expose employers to persons with disabilities as potential and viable workers; 4.) gather additional data useful in making job placement decisions; and 5.) provide the participant with references and work experience to be documented on his/her resume. (Neubert & Tilson, 1987) labor market information (LMI) - Current data that project the availability and growth or decline of jobs or occupational areas (clusters) within a specific geographic region (e.g., city, state, region, or nation) . LMI also includes specific job titles, salaries, job responsibilities, requirements, and demands within specific businesses and companies as well as within general occupational definitions. (P. J. Leconte, personal correspondence, July 15, 1991) labor market survey - A systematic analysis, based on an individual's transferable skills and residual functional capacity, of a given job or jobs within a geographic area with respect to hiring trends, salary levels, employment availability, growth potential, and future outlook. (Hursh & Kerns, 1989) learning style - The way in which an individual learns new material. Learning style is usually defined in terms of the sensory modalities (e.g., visual, auditory, tactile, and kinesthetic) by which the person learns the fastest. (Fry & Botterbusch, 1988) light work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for sedentary work. Even though the weight lifted may be only a negligible amount, a job should be rated light work: (1.) when it requires walking or standing to a significant degree; (2.) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3.) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. (U.S. Department of Labor, 1991) medium work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical demands are in excess of those for light work. (U.S. Department of Labor, 1991) methods of career assessment - Those techniques, instruments and organized, systematic activities which assist in the process of gathering relevant information about an individual in relation to facilitating his or her career development or career decision-making. Methods of career assessment may include job analysis, training analysis, psychometric testing (e.g., interest inventories, temperament surveys, aptitude tests, dexterity performance tests, learning style assessments, etc.), observations and recording of behavior, work sampling, situational assessment, community based assessment, interviewing, review of background information, taking employment histories, and physical capacity assessments. (Leconte, 1991) methods-time-measurement (MTM) - A procedure which analyzes any manual operation or method into the basic motions required to perform it and assigns to each motion a predetermined time standard which is determined by the nature of the motion and the conditions under which it was made. (Maynard, Stegemerten, & Schwab, 1948) mobile work crews - A supported employment model in which an individual works in a communitybased job site either alone or as part of a small work crew having no more than eight handicapped individuals. A work supervisor is usually responsible for this small crew. The work done is usually contracted and can be at different locations or at the same location for a limited time until another contract takes effect. Integration must take place during working hours with persons other than the supervisor or job coach and must involve more than just social integration at lunch and breaks. (Hill, 1986; Wehman & Melia, 1985) natural supports - The use of coworkers, employers, and other naturally occurring sources of assistance to facilitate the employment of an individual in an integrated, community-based employment setting. (Schafer, 1990) norms - Statistics that supply a frame of reference by which meaning may be given to obtain test scores. (Mitchell, n.d.) percentile rank - The expression of an obtained test score in terms of its position within a group of 100 scores; the percentile rank of a score is the percent of scores equal to or lower than the given score in its own or some external reference group. (Mitchell, n.d.) performance test - A test involving some motor or manual response on the examinee's part, generally a manipulation of concrete equipment or materials. (Mitchell, n.d.) physical capacity - The degree of physical strength, mobility, and endurance needed by a person to perform the physical demands of a specific job or a cluster of related jobs. (Fry & Botterbusch, 1988) psychometric instruments - Standardized instruments, typically pencil tasks, that measure aspects of cognition, psychomotor skills, affect, interest, needs, and values. They are important to the educational and rehabilitation process by answering questions concerning an individual's personal, social, and vocational domains. (Fry & Botterbusch, 1988, edited 1993) raw score - The first quantitative result obtained in scoring a test. It is usually the number of right answers; time required for performance; number of errors; or another similar direct, unconverted, uninterpreted measure. (Mitchell, n.d.) reasonable accommodation - Any change or adjustment to a job or work environment that permits a qualified applicant or employee with a disability to participate in the job application process, to perform the essential functions of a job, or to enjoy the benefits and privileges of employment equal to those enjoyed by employees without disabilities. (The Americans With Disabilities Act, 1990) reliability - The extent to which a test is consistent in measuring whatever it does measure: dependability, stability, trustworthiness; relative freedom from errors of measurement. (Mitchell, n.d.) sedentary work - Exerting up to 10 pounds of force occasionally (up to 1/3 of the time) and/or a negligible amount of force frequently (2/3 or more of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. (U.S. Department of Labor, 1991) simulated work sample - A work sample that attempts to replicate a segment of the essential work-related factors and tools of a job as it is performed in industry. (Fry & Botterbusch, 1988) single-trait work sample - A work sample that assesses a single trait or characteristic. It may have relevance to a specific job or many jobs, but it is intended to assess only a single, isolated factor. (Fry & Botterbusch, 1988, edited 1993) situational assessment - The systematic observation process for evaluating work-related behaviors in a controlled or semi-controlled work environment. Although any type of task or situation may be used, real work is most often used in order to add relevance. The element distinguishing situational assessment from other types of assessment is the capability of systematically varying demands in order to evaluate work-related behaviors (e.g., social skills, quantity of work, and use of materials) .(Fry & Botterbusch, 1988, edited 1993) standard score - A general term referring to any of a variety of " transformed" scores, in terms of which raw scores may be expressed for reasons of convenience, comparability, and ease of interpretation. (Mitchell, n.d.) standardized test - A test designed to provide a systematic sample of individual performance, administered according to prescribed directions, scored in conformance with definite rules, and interpreted in reference to certain normative information. (Mitchell, n.d.) supported employment or supported work (model) - Paid employment for individuals with severe disabilities. All supported employment programs take place in integrated settings. A major difference between supported employment and other rehabilitation models is that permanent ongoing job site support is provided by professional staff to the severely disabled. (RRTC, VCU, 1987) These programs provide intensive on-site training in integrated, community-based employment settings. (Wehman & Kregel, 1985) synthesizing - The process by which case study information from various segments of rehabilitation and other information sources are combined or integrated into a whole for purposes of understanding and planning. (Wright, 1980) temperament -The adaptability requirements made on the worker by specific types of jobs. Temperaments became one of the components of job analysis because it was found that different job situations called for different personality traits on the part of the worker. (U.S. Department of Labor, 1982) transferability of work skills - A person is considered to have skills that can be used in jobs other than those performed previously .when the skilled or semi-skilled work activities from past jobs can be "used to meet the requirements of skilled or semi-skilled work activities of other jobs or kinds of work. The transferability of a person's skills is most probably and meaningful among jobs which: 1) The same or a lesser degree of skill is required, and 2) The same or similar tools and machines are used, and 3) The same or similar raw materials, products, processes or services are involved. (Code of Federal Regulation, 1988, Vol. 20, part 404, section 1560-1568) transition services - A coordinated set of activities for an individual, designed within an outcomeoriented process, which promotes movement from school to postschool activities, including postsecondary education, vocational training, integrated employment (including supported employment), continuing and adult education, adult services, independent living, or community participation. The coordinated set of activities shall be based upon the individual's preferences and interests and shall include instruction, community experience, the development of employment and other post-school adult living objectives, and, when appropriate, acquisition of daily living skills and functional vocational evaluation. (Individuals with Disabilities Education Act, 1990) validity - The extent to which a test does the job for which it is used. (Mitchell, n.d.) very heavy work - Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds frequently, and/or in excess of 20 pounds of force constantly to move objects. Physical demands are in excess of heavy work. (U.S. Department of Labor, 1991) vocational counseling - The process of obtaining information from and providing occupational information to an individual and assisting that person to understand vocational assets and liabilities in choosing a suitable occupation. (Fry & Botterbusch, 1988) vocational evaluation - a term which has historically been used to describe comprehensive career assessment. (MDVEWAA, 2000) work habits - Those aspects of behavior in a work setting that enable a person to meet the demands of the job in accordance with employment standards. This includes areas such as: attendance, punctuality, hygiene, social behavior, team work, cooperation, ability to accept constructive criticism, ability to accept supervision, effort, initiative, perseverance, dependability, meeting work schedules, attention to detail, housekeeping, neatness in work performed, careful use of materials and property, and safety awareness. (Fry & Botterbusch, 1988) work history - The cumulative paid or unpaid employment experiences, including job titles, job requirements, work environments, and specific duties performed by an individual. Work or employment histories are typically taken from written documentation (a form completed by the individual) and/or an interview conducted by a professional as part of a career assessment process. (P. J. Leconte, personal correspondence, July 15, 1991) SYN: Employment history. work sample - A well-defined work activity involving tasks or materials, and tools that are identical or similar to those in an actual job or cluster of jobs. Work samples are used to assess a person's aptitude(s), work characteristics, and/or interests (Fry & Botterbusch, 1988) work tolerance - Ability to sustain a work effort for a prolonged period of time; ability to maintain a steady flow of production at an acceptable pace and acceptable level of quality; ability to handle a certain amount of pressure as determined by the job demands. (Fry & Botterbusch, 1988) worker trait - The occupational requirements made of the worker in terms of the following factors: general educational development, aptitudes, specific vocational preparation, physical demands, environmental conditions, interests, and temperaments. All of these factors are defined, measured, and used in conjunction with the U.S. Department of Labor's job analysis procedures. (Fry & Botterbusch, 1988)