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Individuals with disabilities in rural areas are less likely to apply for vocational rehabilitation (VR) services. This study highlights the need for research to understand and improve VR application rates across diverse geographic locations.

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Area of Science:

  • Vocational Rehabilitation Research
  • Disability Services Evaluation
  • Rural Health Disparities

Background:

  • Existing literature on vocational rehabilitation (VR) program evaluation often overlooks self-selection bias in program application.
  • The decision to apply for VR services is a critical factor influencing program participation and outcomes.

Purpose of the Study:

  • To investigate the decision-making process for applying to VR services.
  • To specifically examine the impact of rurality on the likelihood of applying for VR services.

Main Methods:

  • Employed ordinary least squares (OLS) regression with and without state-specific fixed effects.
  • Utilized maximum likelihood estimation (MLE) to model the VR application decision.

Main Results:

  • Individuals with disabilities residing in rural counties demonstrate a lower propensity to apply for VR services compared to their urban counterparts.
  • Significant variation exists in state-specific MLE estimates, with Order-of-Selection rules explaining only a minor portion of this inter-state variability.

Conclusions:

  • States should prioritize and fund research to elucidate the factors driving disparities in VR application rates between states and counties.
  • Findings suggest strategies for increasing low VR application rates through targeted research and interventions.