Introduction

Within vocational rehabilitation (VR), Counseling and Guidance (C&G) is a substantial service provided to all individuals who have applied for or been determined eligible by Texas Workforce Commission–Vocational Rehabilitation (TWC-VR).

For more information about the definition of "substantial service," see B-601: Closing a VR Case.

C&G is short-term, problem-centered counseling provided by a VR counselor that focuses on helping the customer achieve competitive integrated employment, which includes information and support services to help the customer make informed choices.

C&G is provided throughout the life of the case for all customers as a part of both Pre-Employment Transition Services (Pre-ETS) and traditional VR.

For more information about Pre-ETS, see C-1300: Transition Services for Students and Youth with Disabilities.

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C-101: Legal Authorization

C&G is recognized in federal law as an integral component to the delivery of VR services. Federal law requires that, as appropriate to the VR needs of each individual, and consistent with the customer's individualized plan for employment (IPE), TWC-VR must ensure that certain VR services are available to assist the individual with a disability in preparing for, securing, retaining, advancing in, or regaining an employment outcome that must be consistent with the individual's unique strengths, resources, priorities, concerns, abilities, capabilities, interests, and informed choice. C&G is one of these required VR services. (34 CFR §361.48(b)(3))

Federal regulations also establish a number of points during the life of a VR case at which C&G must be provided. For example, §§361.48(a)(2)(i) and 361.48(a)(2)(iii) of Title 34 of the Code of Federal Regulations (CFR) designate job exploration counseling and counseling on transition or postsecondary educational programs as required activities that must be provided as part of Pre-ETS:

"Scope of vocational rehabilitation services for individuals with disabilities.

(a) Pre-employment transition services. Each State must ensure that the designated State unit, in collaboration with the local educational agencies involved, provide, or arrange for the provision of, pre-employment transition services for all students with disabilities, as defined in §361.5(c)(51), in need of such services, without regard to the type of disability, from Federal funds reserved in accordance with §361.65, and any funds made available from State, local, or private funding sources. Funds reserved and made available may be used for the required, authorized, and pre-employment transition coordination activities under paragraphs (2), (3) and (4) of this section.

(2) Required activities. The designated State unit must provide the following pre-employment transition services:

(i) Job exploration counseling;

(iii) Counseling on opportunities for enrollment in comprehensive transition or postsecondary educational programs at institutions of higher education"

As a specifically required service that must be made available to VR customers, 34 CFR §361.53(b)(2) makes C&G exempt from a determination of the availability of comparable services and benefits applicable to other types of VR services:

"(ii) The following vocational rehabilitation services described in CFR §361.48(b) are exempt from a determination of the availability of comparable services and benefits under paragraph (a) of this section:

(2) Counseling and guidance, including information and support services to assist an individual in exercising informed choice."

TWC-VR's C&G is provided only by a VR counselor who is an employee of TWC-VR. C&G is recognized under federal law as a staff skill directly relevant to the VR counselor's obligation to "ensure that personnel have a 21st-century understanding of the evolving labor force and the needs of individuals with disabilities." Specifically, 34 CFR §361.18(c)(2)(ii) explains:

"Ensuring that personnel have a 21st-century understanding of the evolving labor force and the needs of individuals with disabilities means that personnel have specialized training and experience that enables them to work effectively with individuals with disabilities to assist them to achieve competitive integrated employment and with employers who hire such individuals. Relevant personnel skills include, but are not limited to—

(C) Counseling and guidance skills, including individual and group counseling and career guidance; §361.18."

For more information about the required qualifications of VR counselors who work for TWC-VR and about the Comprehensive System of Personnel Development (CSPD), see TWC rules at 40 Texas Administrative Code Chapter 850, Subchapter A, §850.11, Qualified Vocational Rehabilitation Counselor.

As described in the Commission on Rehabilitation Counselor Certification (CRCC) Code of Professional Ethics for Rehabilitation Counselors, VR counselors "practice only within the boundaries of their competence, based on their education, training, supervised experience, professional credentials, and appropriate professional experience." C&G within TWC-VR is not viewed as psychological therapy or treatment; customers who need more intensive therapy or treatment must be referred to an appropriate resource, such as the local mental health authority.

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C-102: Policy

C-102-1: Individualized Plan for Employment Requirement

C&G is a core VR service and must be included in the customer's IPE.

C-102-2: Frequency of Counseling and Guidance

C&G topics, frequency, and duration must be individualized and adjusted throughout the life of the case to meet each customer's needs.

C&G must be provided to each eligible customer at least every 180 days. Any exception to the 180-day C&G frequency requirement must be justified clearly by the VR counselor in ReHabWorks (RHW).

C-102-3: Non-Counseling and Guidance Contacts

In addition to C&G contacts, substantive customer contact also may be made by any TWC-VR staff member. These contacts are made as often as necessary to advance the customer's program of services. The contacts are documented in RHW with the appropriate case note topic heading. These non-C&G contacts meet the requirement for maintaining the frequency of contact that is identified on the IPE, but they do not meet the 180-day requirement for C&G.

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C-103: Procedures

C-103-1: Communication Strategies

C&G may be provided in person, by phone, and/or through secure electronic communications.

The VR counselor is expected to communicate in ways that are developmentally, cognitively, functionally, and culturally appropriate for the customer. This can include the use of translators, interpreters, and other forms of communication assistance. Refer to C-300: Communication Services for more information.

The VR counselor must ensure that all communication with the customer remains confidential and is conducted within the requirements outlined in A-200: Customer Rights and Legal Issues.

C-103-2: Documentation Requirement

C&G services must be documented in a case note or series of case notes with the topic heading "Counseling and Guidance" in RHW. The documentation must be done in a timely manner to ensure that an accurate and complete record of services is maintained. The number and frequency of C&G sessions are tracked as a federal reporting requirement.

These case notes must include:

  • issues related to the impediments to employment, IPE, and/or participation in VR services;
  • strategies for resolution of the issues to include description of decision-making processes involved;
  • the customer's participation in the resolution;
  • the customer's reaction; and
  • actions required of the customer or VR counselor.

C-103-3: Counseling and Guidance as a Substantial Service

C&G is considered a substantial service when the VR counselor addresses one or more of the following topics and there is documented evidence that the topic had a substantial impact on the outcome of the case.

The VR counselor:

  • helps the customer understand his or her strengths and limitations in relation to his or her disability and impediments to employment;
  • explores with the customer transferable skills and how they might be applied to overcome impediments to employment;
  • helps the customer select and/or maintain a competitive integrated employment goal by providing information that allows the customer to make appropriate informed choices;
  • maximizes the customer's self-awareness regarding barriers to productivity and possible reasonable accommodations at the customer's place of employment;
  • helps the customer develop the self-advocacy skills needed for taking responsibility for continued career success; and
  • provides the customer with information about relevant support services and facilitates access to those services for continued success in employment.

For more information about the definition of "substantial service," see B-601: Closing a VR Case.

C-103-4: Closing a Counseling and Guidance-Only Case

C&G must be provided and documented as a service in all VR cases, along with all other substantial services that influenced the outcome of the case. In some cases, C&G might be the only substantial service that the customer needs to achieve a competitive integrated employment outcome.

If C&G is the only substantial VR service provided to the customer and the case meets the other criteria for a successful closure, the case can be closed successfully.

For more information about successful closure requirements, see B-600: Closure and Post-Closure Services.

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C-104: Additional Guidance

C-104-1: Essential Aspects of Counseling and Guidance

The essential aspects of C&G include, but are not limited to:

  • developing rapport with the customer;
  • keeping the customer engaged in the VR process;
  • continually assessing the customer's progress throughout the VR process;
  • identifying the rehabilitation needs and providing information to meet those needs;
  • helping the customer develop compensatory strategies to reach a successful outcome;
  • addressing issues as they arise;
  • helping the customer learn about the options and resources available for achieving success; and
  • helping the customer develop an IPE.

C-104-2: Counseling and Guidance Techniques and Modalities

The Code of Professional Ethics for Rehabilitation Counselors offers the following information about C&G techniques and modalities.

"The specific techniques and modalities utilized within the rehabilitation counseling process may include, but are not limited to:

  • assessment and appraisal;
  • diagnosis and treatment planning;
  • career (vocational) counseling;
  • individual and group counseling treatment interventions focused on facilitating adjustments to the medical and psychosocial impact of disability;
  • case management, referral, and service coordination;
  • program evaluation and research;
  • interventions to remove environmental, employment, and attitudinal barriers;
  • consultation services among multiple parties and regulatory systems;
  • job analysis, job development, and placement services, including assistance with employment and job accommodations; and
  • provision of consultation about and access to rehabilitation technology."

(Code of Professional Ethics, January 1, 2017, page 1)

C-104-3: Counseling and Guidance Topics

C&G includes helping the customer to:

  • understand his or her disability and related impediments to employment;
  • understand physical and mental restoration procedures;
  • get accurate information to make an informed choice;
  • make informed choices from among alternative employment goals, objectives, services, and service providers;
  • identify strengths on which to capitalize to achieve the vocational goal;
  • identify and use transferable skills;
  • acquire new skills;
  • develop a realistic action plan to address a problem;
  • use rehabilitation technology;
  • develop residual capabilities;
  • understand work requirements, the work environment, and/or work culture;
  • identify and use community resources and relevant support services;
  • resolve barriers affecting the employment outcome, such as transportation issues, child care issues, or family issues;
  • modify his or her attitudes and behaviors;
  • develop self-advocacy skills;
  • cope successfully with on-the-job stressors;
  • explore occupational and labor market information;
  • disclose his or her disability;
  • stay employed; and/or
  • make progress toward the employment goal.

C-104-4: Counseling and Guidance Ethics

For more information about C&G ethics and the role of the VR counselor, refer to the Code of Professional Ethics for Rehabilitation Counselors.

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