The objective of the study was to determine the effect of task-specific self-efficacy on stages of readiness for change among people with substance abuse problems. Participants were 140 men and 33 women with substance abuse problems receiving services in outpatient therapeutic community service programs. The Stages of Change Scale-Substance Abuse (SCS-SA) was the outcome measure. People with substance abuse problems receiving outpatient treatment services can be meaningfully classified into four stages of change groups: (1) Precontemplation, (2) Inactive, (3) Ambivalent-Conforming, and (4) Participation. Readiness for change is related to self-efficacy in work-related skills and risk-avoidance skills. Task-specific self-efficacy is related to stages of change. The findings of this study suggested that providing skill training to enhance task specific self-efficacy can help people with substance abuse problems progress from lower level to higher level of stages of change.

Archival data from a cross-sectional survey of two cohorts of community-residing New Zealand adults (n = 157; n = 141) was analysed to examine social attitudes towards people with mental illness in a historical period associated with the establishment of a community mental health facility. Participants completed the Opinions about Mental Illness (OMI; Cohen & Struening, 1959), and the Comfort in Interaction Scale (CI, Beckwith & Mathews, 1994); the latter a measure of level of prior contact with people with mental illness. Across cohorts, the OMI Mental Hygiene subscale and the CI scale had significant variability. Older participants endorsed more Authoritarian, Social Restrictiveness and Interpersonal Ideology attitudes in their perception of people with mental illness than younger participants. Data supported the hypothesis that attitudes towards people with mental illness were influenced by social attitudes, and by opportunities to interact with people with mental illness in work settings.

This study examined personality characteristics of undergraduate and graduate students in rehabilitation counselling programs. Cluster analysis of 204 NEO Five-Factor Inventory (NEO-FFI) personality profiles of these students indicated a three-cluster solution as optimal. These three personality clusters were identified as the Therapist Personality cluster, Case Manager Personality cluster, and the Sensitive Personality cluster. Implications for rehabilitation job roles, rehabilitation education, and counselling are discussed.

The aim of this study was to describe and analyze how caseworkers in the Swedish disability services deal with people disabled by road accidents. Data were collected by means of a web-based survey of 259 caseworkers, and a direct content analysis of open-ended questions was used to interpret and analyse the data. The conceptual toolbox consisted of Habermas' lifeworld-system dichotomy, social recognition, and concepts from human service organisation research. Dilemmas within the following areas were identified: interaction with the service users, experiences of communication, assessment of needs, and inter-organisational cooperation between health care and disability services. These difficulties occurred because of tensions between ‘lifeworld’ and ‘system’, and because social recognition and mutual communicative action were not easy to achieve when cognitive impairments distorted and prevented the development of an ‘ideal speech situation’. Inter-organisational cooperation was difficult because of different regulations and professional perspectives.