CASE EXAMPLES - CEREBRAL PALSY CASE
APPENDIX B
VOCATIONAL WORKSHEET
NAME:
AGE:
DOB:
DOA:
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Melissa Wingerd
5
March 23, 1999
September 3, 1998 |
ANTICIPATED LENGTH OF REHABILITATION
PROGRAM
It is anticipated that Melissa will require an extensive
habilitation program throughout her developmental years,
and beyond. Additionally, she will require some level of
supervision and oversight for the remainder of her life expectancy,
the level of which will be determined by her ultimate level
of development.
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VOCATIONAL HANDICAPS
Melissa's vocational handicaps are consistent with developmental
delays in cognition and gross and fine motor skills development.
Additionally, she was born with a heart defect that has been
surgically repaired, but she remains at risk for future problems
related to heart condition. These handicaps will likely interfere
with her educational and vocational development, reducing
her potential over a non-disabled status.
· Fine motor skills deficits.
- Gross motor skills deficits, needs to build strength
and coordination.
- Language delays – receptive and expressive, with
hypernasal vocal quality.
- Cognitive delays and probable learning disability.
- Lifting and carrying ability not at age appropriate
level.
- Ambulates with wide based gait.
- Step and/or stair climbing requires standby assistance.
- Balance deficits leading to falls.
- Bronchial Pulmonary Dysplasia – Asthma.
- Near sighted – requires monitoring at this time
but no lense correction.
- Mild hearing loss bilaterally – Currently has
PE tubes.
- Hearing condition related to Tetralogy of Fallot. May
require additional surgery.
- Easily distracted and difficult to maintain focus on
task.
- Reduced stamina.
- Inability to work in positions other than light and
sedentary.
· Inability to work in unsupervised, unstructured
positions.
· Limitations on working in noisy environments.
- Inability to work in hot wet and humid conditions.
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IMPACT ON PLACEMENT
Severe. Melissa's vocational handicaps present a severe
impact on her ability to be placed in the competitive labor
market. It is difficult to determine at this time, Melissa’s
ultimate vocational potential. I feel that placement within
a sheltered work program is the most likely scenario. A best
case scenario, however, should be considered. This would
provide for placement in a supported work program where she
would be provided job coaching, placement assistance and
periodic follow-up support.
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IMPACT ON RANGE OF JOB ALTERNATIVES
Severe. Melissa's range of job alternatives will be drastically
reduced by her vocational handicaps. Any avocational program
will have to offer her light and sedentary activities only.
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REHABILITATION PLAN
See Life Care Plan.
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VOCATIONAL DEVELOPMENT OPTIONS
PRE-ONSET
I. Direct placement in the labor market after graduation
from high school.
II. Direct placement in the labor market after completion
of Associate’s Degree program.
III. Direct placement in the labor market after completion
of Bachelor’s Degree program.
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VOCATIONAL DEVELOPMENT OPTIONS
POST-ONSET
I. After completion of her special education program (after
age 21), she will transition to a sheltered work program
for avocational activity.
II. After completion of her special education program,
participation in a supported work program (after age 21),
that can offer her vocational/avocational opportunities within
a structured and supervised setting, is a best case scenario.
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PRE-ACCIDENT VOCATIONAL ALTERNATIVES
BY
OPTION
I. Average earnings for Caucasian females, ages 18 to 24,
in the United States with a high school diploma are $19,400.
II. Average earnings for Caucasian females, ages 18 to
24, in the United States with an Associate’s Degree
are $24,488.
II. Average earnings for Caucasian females, ages 18 to
24, in the United States with a Bachelor’s Degree are
$37,948.
Source: Current Population Survey, Consumer Income, "Total
Money Earnings March 2002," U.S. Department of Commerce,
Bureau of the Census.
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POST-ACCIDENT VOCATIONAL ALTERNATIVES
BY
OPTION
I. Participation in a sheltered work program does not constitute
gainful employment. Nominal wages may be paid to provide
participants with a sense of pride. (The cost of participating
in a sheltered work program is outlined within the Life Care
Plan.)
II. Participation in a supported work program does not
constitute gainful employment. However, nominal wages are
paid to the participants. Estimate minimum wage of $5.15
to be paid for 10 to 15 hours of work per week, 48 weeks
per year. This would give her total earnings of $2,472 to
$3,708 per year through age 65. (The cost of participating
in a supported work program is outlined within the Life Care
Plan.)
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