New Article: Araten-Bergman et al, Psychosocial Adjustment of Israeli Veterans with Disabilities

Araten-Bergman, Tal, Patricia Tal-Katz, and Michael Ashley Stein. “Psychosocial Adjustment of Israeli Veterans with Disabilities: Does Employment Status Matter?” Work 50.1 (2015): 59-71.

URL: http://dx.doi.org/10.3233/WOR-141925

 

Abstract

BACKGROUND: Since its establishment in 1948, the state of Israel has been deeply committed to reintegrating veterans with disabilities into mainstream society. Prominently, the Israeli Ministry of Defence’s rehabilitation division provides veterans with disabilities with a wide array of benefits and services aimed at restoring their physical and psychosocial functioning, especially in the workplace. The focus on employment is motivated by a prevailing assumption among professionals that successful adjustment to disability is contingent on an individual’s ability to reacquire normative occupational function. To date, however, this widely accepted wisdom has not been empirically scrutinized.

OBJECTIVE: To empirically explore whether employment status is associated to psychological, social, and behavioural adjustment attributes.

METHODS: One hundred and one employed veterans were compared to 111 non-employed veterans in respect to their self-reported levels of hope, acceptance of disability, social networks size and social participation patterns.

RESULTS: Employed veterans reported significantly higher levels psychological adjustment as manifested in elevated hope and acceptance of disability and lighter social network than their non-employed counterparts. However no differences were found between employed and non-employed veterans with respect to their social participation patterns.

CONCLUSIONS: The value of these findings, as well as wider implications for rehabilitation professionals and policy makers, is discussed.

New Article: Paran et al, Development of Rehabilitation Medicine in Israel (1948-1974)

Paran, G., L. Rozenberg-Friedman, and A. Ohry. “The Development of the Rehabilitation Medicine Concept in Israel (1948-1974).” Harefuah 154 (July 2015): 451-5, 468 (in Hebrew).

 

URL: http://www.ncbi.nlm.nih.gov/pubmed/26380466

 

Abstract

The field of physical medicine and rehabilitation in Israel was developed in different ways. Some services were developed as a part of comprehensive rehabilitation centers like the Loewenstein Hospital and others were developed as a part of specific disciplines, like the Polio-Rehabilitation Center at Assaf Harofeh hospital. Moreover, the various fields of rehabilitation medicine were developed at different rates. The origin of each stemmed from different circumstances. Sometimes they were developed with a direct connection to a national event and sometimes separately. Occasionally, the field was developed as a result of one person’s initiation and others as a result of the establishment’s recognition of the value and the essentiality of the field. This essay will focus, in a chronological manner, on the development of the medical rehabilitation fields, that took place in the two leading rehabilitation centers in Israel, the Loewenstein Hospital and at Tel Hashomer. These rehabilitation centers were established in Israel close to the establishment of the State of Israel and their activity will be discussed until 1974, the year in which the Israeli society had to deal with the results of the Yom Kippur war, which had drastic implications on rehabilitation medicine.

 

 

New Article: Barzilai et al, Characteristics of Trauma Casualties in the Gaza Strip and Other Combat Regions

Barzilai, L., M. Harats, I. Wiser, O. Weissman, N. Domniz, E. Glassberg, D. Stavrou, I. Zilinsky, E. Winkler, J. Hiak. “Characteristics of Improvised Explosive Device Trauma Casualties in the Gaza Strip and Other Combat Regions: The Israeli Experience.” Wounds 27.8 (2015): 209-14.

 
URL: http://www.ncbi.nlm.nih.gov/pubmed/26284374

 
Abstract
OBJECTIVE: Low-intensity conflict is characterized in asymmetrical conventional and nonconventional warfare. The use of improvised explosive devices (IEDs) in the Israeli-Palestinian conflict has evolved over the past few decades to include the addition of diesel, biological agents, shrapnel, and nitroglycerin to the explosive content. Due to its nature and mechanism, an IED injury might present as a multidimensional injury, impairing numerous systems and organs.

MATERIALS AND METHODS: The authors present a case series of 5 Israeli Defense Forces (IDF) soldiers wounded by an IED presenting a typical and similar pattern of burns to their faces, trunks, and limbs, in addition to ocular, ear/nose/throat, and orthopedic injuries. An analysis of the experience in treating the aforementioned injuries is included.

RESULTS: Improvement in casualties’ burns and traumatic tattoos was observed following debridement, aggressive scrubbing with or without dermabrasion, and conservative local dressing treatment protocol. The authors found a positive correlation between improvement degree and treatment timing. Injury pattern was correlative to the protective gear worn by the soldiers. Wearing protective eye gear and wearing ceramic vests can diminish the extent of IED injuries, while creating typical patterns of injuries to be treated.

CONCLUSION: Based on these experiences, such injuries should be brought to a trauma center as soon as possible. Treating multidimensional trauma should be done in a facility with abilities to treat head injuries, eye injuries, penetrating injuries, blast injuries, and burns. Such specialized disciplines and facilities that have past experience with IEDs and war injuries are able to assess and treat these injuries in a more dedicated manner, resulting in better long-term rehabilitation.
.

 

 

New Article: Moran et al, Why Do Mental Health Consumers Who Receive Rehabilitation Services, Are Not Using Them?

Moran, Galia S., Yael Baruch, Faissal Azaiza, and Max Lachman. “Why Do Mental Health Consumers Who Receive Rehabilitation Services, Are Not Using Them? A Qualitative Investigation of Users’ Perspectives in Israel.” Community Mental Health Journal (early view; online first).

 

URL: http://dx.doi.org/10.1007/s10597-015-9905-1

 

Abstract

A recovery-oriented approach to mental health involves creating person centered services and enhancing engagement in psychiatric rehabilitation. Israel’s Rehabilitation in the Community of Persons with Mental Disabilities Law is a progressive initiative that shifted the locus of psychiatric care to community care supporting individualized rehabilitation and recovery-oriented processes. Yet over a quarter of applicants do not implement their assigned rehabilitation plans and services. This qualitative study investigated reasons and experiences related to lack of utilization from applicants’ perspectives. Fifteen service users were interviewed face to face in semi-structured interviews analyzed using Grounded theory approach. Seven categories emerged: (1) Lack of knowledge and orientation; (2) Negative perceptions about rehabilitation services (3) Lack of active participation/shared decision-making; (4) Not feeling heard by the committee; (5) Lack of congruence between participants’ goals and committee’s final decisions; (6) Lack of escorting professionals’ competencies; and (7) Family members’ influence. The results are interpreted at the structural and human process levels. Suggestions are provided for augmenting systemic procedures and human interactions processes.

New Article: Gueta & Addad, Long-Term Recovery of Former Drug-Dependent Israeli Women

Gueta, Keren, and Moshe Addad. “A House of Cards: The Long-Term Recovery Experience of Former Drug-Dependent Israeli Women.” Women’s Studies International Forum 48 (2015): 18-28.

 

URL: http://dx.doi.org/10.1016/j.wsif.2014.10.003

 

Abstract

While previous studies on recovery from drug addiction have tended to focus on recovery initiation and treatment issues among men, the primary purpose of this study is to shed light on the experience of long-term recovery among women. For this purpose, we employed qualitative methods and interviewed nine long-term (two to seven years) recovering women. Additionally, we monitored five women for two years of the recovery process in a dual research track (a total of 24 interviews). The research findings indicate that developing recovery capital, including self-awareness, stress-coping strategies, and various social resources (Granfield & Cloud, 1999), can be part of an effective strategy for overcoming long-term recovery challenges while financial difficulties, intrusive memories, motherhood and inability to find leisure activities may hinder it. These results indicate the need to reconsider gender-sensitive therapies in order to help women to not only initiate, but also maintain recovery.