Arun Karpur | Cornell University (original) (raw)

Papers by Arun Karpur

Research paper thumbnail of The Relationship between Employer-Paid Health Insurance and Job-Change Among People with Disabilities

SSRN Electronic Journal, 2000

Research paper thumbnail of Secondary Datasets for studying employment, compensation and health outcomes for people with disabilities

National survey and administrative datasets continue to be a rich resource for generating nationa... more National survey and administrative datasets continue to be a rich resource for generating national-level statistics for people with disabilities in the United States. Despite a plethora of existing data sets, very few have been utilized systematically studying employment, compensation and health outcomes for people with disabilities. Heterogeneous definitions of identifying individuals with disabilities as well as the varying sampling framework limit the use of these. Additionally, there are no good tools for comparing these datasets to facilitate making an informed choice to employ the best alternative data set for use in public health research. This presentation will demonstrate a unique web-based resource developed by the Employment and Disability Institute, Cornell University, providing researchers access to meta-data on publicly available datasets consisting of information on employment, compensation, and health outcomes for people with disabilities. This meta-data includes inf...

Research paper thumbnail of Chapter 5 Using Adaptive and Disruptive Change Strategies to Create an Integrated Delivery System: Montefiore Medical Center's Experience

Organizing for Sustainable Effectiveness, 2012

Research paper thumbnail of Research Methods and Epidemiology for Children with Special Health Care Needs

Handbook of Children with Special Health Care Needs, 2012

Research paper thumbnail of Research Brief: Employer Practices and the Employment of People with Disabilities: Scoping the Literature

Research paper thumbnail of Translating Knowledge Through Blended Learning: A Comparative Analysis of Face-To-Face and Blended Learning Methods

Rehabilitation Research, Policy, and Education, 2012

ABSTRACT This study is a comparative analysis of the impact of traditional face-to-face training ... more ABSTRACT This study is a comparative analysis of the impact of traditional face-to-face training contrasted with a blended learning approach, as it relates to improving skills, knowledge and attitudes for enhancing practices for achieving improved employment outcomes for individuals with disabilities. The study included two intervention groups: one participated exclusively in a half-day traditional face-to-face training program entitled Disability is Diversity; the other participated in both the traditional program and also accessed a series of additional online tutorials to reinforce knowledge translation. The pre-/post-analysis of participants indicated a statistically significant increase in knowledge and intentions of improving employment outcomes for people with disabilities across both groups. A six-month post-training follow-up provided important details about the continued impact of training on improving employment for individuals with disabilities. Specifically, participants who participated in the blended learning model were more likely to advocate the use of leading practices compared to those who attended only the traditional program. Thus, use of a blended learning model appears to increase capacity building of practicing professionals as they approach employment issues for people with disabilities as an issue of diversity, leading toward improved employment outcomes.

Research paper thumbnail of Impact of Parental Welfare Participation: Transition to Postsecondary Education for Youth With and Without Disabilities

Career Development and Transition for Exceptional Individuals, 2014

Research paper thumbnail of Partnerships for Youth Transition (PYT): Overview of Community Initiatives and Preliminary Findings on Transition to Adulthood for Youth and Young Adults with Mental Health Challenges

... Gordon@ clark. wa. gov Mason Haber, PhD National Center on Youth Transition for Behavioral He... more ... Gordon@ clark. wa. gov Mason Haber, PhD National Center on Youth Transition for Behavioral Health (NCYT), Louis de la Parte Florida Mental Health Institute, 13301 Bruce B. Downs Blvd., Tampa, FL 33612-3807, 813-974-6448 fax: 813-974-6257, email: mhaber@ fmhi. usf. ...

Research paper thumbnail of Employer Practices for Employment of People With Disabilities: A Literature Scoping Review

Rehabilitation Research, Policy, and Education, 2014

ABSTRACT

Research paper thumbnail of Rural Indian tribal communities: an emerging high-risk group for HIV/AIDS

BMC international health and human rights, Jan 21, 2005

BACKGROUND: Rural Indian tribes are anthropologically distinct with unique cultures, traditions a... more BACKGROUND: Rural Indian tribes are anthropologically distinct with unique cultures, traditions and practices. Over the years, displacement and rapid acculturation of this population has led to dramatic changes in their socio-cultural and value systems. Due to a poor health infrastructure, high levels of poverty and ignorance, these communities are highly vulnerable to various health problems, especially, communicable diseases including HIV/AIDS. Our study sought to assess knowledge, attitudes and practices regarding sexuality, and the risk factors associated with the spread of HIV/AIDS and STDs among these communities. METHODS: A nested cross sectional study was undertaken as part of the on going Reproductive and Child Health Survey. A total of 5,690 participants age 18-44 were recruited for this study. Data were obtained through home interviews, and focused on socio-demographics, knowledge, attitudes and behaviors regarding sexuality, HIV/AIDS and other STDs. RESULTS: The study re...

Research paper thumbnail of Transition to Independence Process (TIP): System Development & Research Merged Data Analysis (MDA) Project Transition to Adult Roles for Students with EBD: A Follow-up Study of Student Exiters from a Transition Program

Research paper thumbnail of Transition to Independence Process (TIP): System Development & Research Merged Data Analysis (MDA) Project Post-Secondary Outcomes for Students with EBD: Use of Existing Datasets for Analyzing Indicators of Community Life Functioning Across Disability Classifications

Research paper thumbnail of Predicting Improvement of Transitioning Young People in the Partnerships for Youth Transition Initiative: Findings from a Multisite Demonstration

The Journal of Behavioral Health Services & Research, 2008

Prior research has indicated that young people with serious mental health conditions show poorer ... more Prior research has indicated that young people with serious mental health conditions show poorer progress and greater challenges in the transition to adulthood, as reflected by lower rates of employment and postsecondary education, higher rates of criminal justice involvement, and greater interference in daily activities from mental health and substance use disorders. Little knowledge exists, however, regarding improvement on these indicators among young people enrolled in community-based transition support programs and individual characteristics that might moderate this improvement. This study describes rates of improvement on indicators of transition progress and challenges among young people enrolled in a multisite demonstration of transition support programs. Young people in the study showed increased rates of progress and decreased rates of challenges over four quarters of enrollment. Moderation of these changes by individual characteristics including demographic, historical, and diagnostic variables suggested ways of improving transition support programs and avenues for future research.

Research paper thumbnail of Transition to Adult Roles for Students With Emotional/Behavioral Disturbances: A Follow-Up Study of Student Exiters From Steps-to-Success

Career Development for Exceptional Individuals, 2005

... ARUN KARPUR HEWITT B. CLARK PETER CAPRONI HANK STERNER ... accep-tance of the responsibilitie... more ... ARUN KARPUR HEWITT B. CLARK PETER CAPRONI HANK STERNER ... accep-tance of the responsibilities and privileges of early adult-hood in the domains of employment, education, living situation, and personal-and community-life functioning (Clark & Davis, 2000; Vander ...

Research paper thumbnail of Partnerships for Youth Transition (PYT): Overview of community initiatives and preliminary findings on transition to adulthood for youth and young adults with …

Systems of Care

... Gordon@ clark. wa. gov Mason Haber, PhD National Center on Youth Transition for Behavioral He... more ... Gordon@ clark. wa. gov Mason Haber, PhD National Center on Youth Transition for Behavioral Health (NCYT), Louis de la Parte Florida Mental Health Institute, 13301 Bruce B. Downs Blvd., Tampa, FL 33612-3807, 813-974-6448 fax: 813-974-6257, email: mhaber@ fmhi. usf. ...

Research paper thumbnail of Health Care Expenditure Among People With Disabilities: Potential Role of Workplace Health Promotion and Implications for Rehabilitation Counseling

Rehabilitation Counseling Bulletin, 2012

ABSTRACT Workplace health-promotion programs have the potential to reduce health care expenditure... more ABSTRACT Workplace health-promotion programs have the potential to reduce health care expenditures, especially among people with disabilities. Utilizing nationally representative survey data, the authors provide estimates for health care expenditures related to secondary conditions, obesity, and health behaviors among working-age people with disabilities. Furthermore, by computing the expenditures attributable to secondary conditions, obesity, and health behaviors, the authors emphasize the importance of disability-inclusive workplace health-promotion programs for employees with disabilities. Overall, the authors observed that the annual average health care expenditure among employed people with disabilities was US$4,524 (95% confidence interval [CI] = US$4,248–US$4,800) compared with US$1,325 (95% CI = US$1,299–US$1,351) for employed people without disabilities. Furthermore, obesity accounted for 27% to 41% of excess expenditures for people with various disability classifications compared with their nonobese peers with disabilities. Secondary conditions accounted for about 20% to 25% of higher health care expenditures among working people with various disability classifications, compared with their peers with disabilities who do not have secondary conditions. In addition, lack of exercise and alcohol consumption accounted for one fourth to over one third of excess health care expenditures among employed people with disabilities. The authors discuss implications of these findings for rehabilitation counselors and public health practitioners.

Research paper thumbnail of Workforce Development Policy: Unrealized Potential for Americans with Disabilities

Individuals with disabilities have lower rates of workforce participation and lower earnings than... more Individuals with disabilities have lower rates of workforce participation and lower earnings than their nondisabled peers. This article traces the history of the U.S. workforce development policy framework, including the Workforce Investment Act of 1998; the Rehabilitation Act of 1973, as amended; and the impact of the Ticket to Work and Work Incentives Improvement Act of 1999 on both of these policies. Reviewing literature and administrative data, we discuss how these policies have impacted current rehabilitation practice and identify remaining service delivery gaps. We conclude with a set of recommendations for enhancing the current workforce development policy and practice environment.

Research paper thumbnail of The Relationship between Employer-Paid Health Insurance and Job-Change Among People with Disabilities

SSRN Electronic Journal, 2000

Research paper thumbnail of Secondary Datasets for studying employment, compensation and health outcomes for people with disabilities

National survey and administrative datasets continue to be a rich resource for generating nationa... more National survey and administrative datasets continue to be a rich resource for generating national-level statistics for people with disabilities in the United States. Despite a plethora of existing data sets, very few have been utilized systematically studying employment, compensation and health outcomes for people with disabilities. Heterogeneous definitions of identifying individuals with disabilities as well as the varying sampling framework limit the use of these. Additionally, there are no good tools for comparing these datasets to facilitate making an informed choice to employ the best alternative data set for use in public health research. This presentation will demonstrate a unique web-based resource developed by the Employment and Disability Institute, Cornell University, providing researchers access to meta-data on publicly available datasets consisting of information on employment, compensation, and health outcomes for people with disabilities. This meta-data includes inf...

Research paper thumbnail of Chapter 5 Using Adaptive and Disruptive Change Strategies to Create an Integrated Delivery System: Montefiore Medical Center's Experience

Organizing for Sustainable Effectiveness, 2012

Research paper thumbnail of Research Methods and Epidemiology for Children with Special Health Care Needs

Handbook of Children with Special Health Care Needs, 2012

Research paper thumbnail of Research Brief: Employer Practices and the Employment of People with Disabilities: Scoping the Literature

Research paper thumbnail of Translating Knowledge Through Blended Learning: A Comparative Analysis of Face-To-Face and Blended Learning Methods

Rehabilitation Research, Policy, and Education, 2012

ABSTRACT This study is a comparative analysis of the impact of traditional face-to-face training ... more ABSTRACT This study is a comparative analysis of the impact of traditional face-to-face training contrasted with a blended learning approach, as it relates to improving skills, knowledge and attitudes for enhancing practices for achieving improved employment outcomes for individuals with disabilities. The study included two intervention groups: one participated exclusively in a half-day traditional face-to-face training program entitled Disability is Diversity; the other participated in both the traditional program and also accessed a series of additional online tutorials to reinforce knowledge translation. The pre-/post-analysis of participants indicated a statistically significant increase in knowledge and intentions of improving employment outcomes for people with disabilities across both groups. A six-month post-training follow-up provided important details about the continued impact of training on improving employment for individuals with disabilities. Specifically, participants who participated in the blended learning model were more likely to advocate the use of leading practices compared to those who attended only the traditional program. Thus, use of a blended learning model appears to increase capacity building of practicing professionals as they approach employment issues for people with disabilities as an issue of diversity, leading toward improved employment outcomes.

Research paper thumbnail of Impact of Parental Welfare Participation: Transition to Postsecondary Education for Youth With and Without Disabilities

Career Development and Transition for Exceptional Individuals, 2014

Research paper thumbnail of Partnerships for Youth Transition (PYT): Overview of Community Initiatives and Preliminary Findings on Transition to Adulthood for Youth and Young Adults with Mental Health Challenges

... Gordon@ clark. wa. gov Mason Haber, PhD National Center on Youth Transition for Behavioral He... more ... Gordon@ clark. wa. gov Mason Haber, PhD National Center on Youth Transition for Behavioral Health (NCYT), Louis de la Parte Florida Mental Health Institute, 13301 Bruce B. Downs Blvd., Tampa, FL 33612-3807, 813-974-6448 fax: 813-974-6257, email: mhaber@ fmhi. usf. ...

Research paper thumbnail of Employer Practices for Employment of People With Disabilities: A Literature Scoping Review

Rehabilitation Research, Policy, and Education, 2014

ABSTRACT

Research paper thumbnail of Rural Indian tribal communities: an emerging high-risk group for HIV/AIDS

BMC international health and human rights, Jan 21, 2005

BACKGROUND: Rural Indian tribes are anthropologically distinct with unique cultures, traditions a... more BACKGROUND: Rural Indian tribes are anthropologically distinct with unique cultures, traditions and practices. Over the years, displacement and rapid acculturation of this population has led to dramatic changes in their socio-cultural and value systems. Due to a poor health infrastructure, high levels of poverty and ignorance, these communities are highly vulnerable to various health problems, especially, communicable diseases including HIV/AIDS. Our study sought to assess knowledge, attitudes and practices regarding sexuality, and the risk factors associated with the spread of HIV/AIDS and STDs among these communities. METHODS: A nested cross sectional study was undertaken as part of the on going Reproductive and Child Health Survey. A total of 5,690 participants age 18-44 were recruited for this study. Data were obtained through home interviews, and focused on socio-demographics, knowledge, attitudes and behaviors regarding sexuality, HIV/AIDS and other STDs. RESULTS: The study re...

Research paper thumbnail of Transition to Independence Process (TIP): System Development & Research Merged Data Analysis (MDA) Project Transition to Adult Roles for Students with EBD: A Follow-up Study of Student Exiters from a Transition Program

Research paper thumbnail of Transition to Independence Process (TIP): System Development & Research Merged Data Analysis (MDA) Project Post-Secondary Outcomes for Students with EBD: Use of Existing Datasets for Analyzing Indicators of Community Life Functioning Across Disability Classifications

Research paper thumbnail of Predicting Improvement of Transitioning Young People in the Partnerships for Youth Transition Initiative: Findings from a Multisite Demonstration

The Journal of Behavioral Health Services & Research, 2008

Prior research has indicated that young people with serious mental health conditions show poorer ... more Prior research has indicated that young people with serious mental health conditions show poorer progress and greater challenges in the transition to adulthood, as reflected by lower rates of employment and postsecondary education, higher rates of criminal justice involvement, and greater interference in daily activities from mental health and substance use disorders. Little knowledge exists, however, regarding improvement on these indicators among young people enrolled in community-based transition support programs and individual characteristics that might moderate this improvement. This study describes rates of improvement on indicators of transition progress and challenges among young people enrolled in a multisite demonstration of transition support programs. Young people in the study showed increased rates of progress and decreased rates of challenges over four quarters of enrollment. Moderation of these changes by individual characteristics including demographic, historical, and diagnostic variables suggested ways of improving transition support programs and avenues for future research.

Research paper thumbnail of Transition to Adult Roles for Students With Emotional/Behavioral Disturbances: A Follow-Up Study of Student Exiters From Steps-to-Success

Career Development for Exceptional Individuals, 2005

... ARUN KARPUR HEWITT B. CLARK PETER CAPRONI HANK STERNER ... accep-tance of the responsibilitie... more ... ARUN KARPUR HEWITT B. CLARK PETER CAPRONI HANK STERNER ... accep-tance of the responsibilities and privileges of early adult-hood in the domains of employment, education, living situation, and personal-and community-life functioning (Clark & Davis, 2000; Vander ...

Research paper thumbnail of Partnerships for Youth Transition (PYT): Overview of community initiatives and preliminary findings on transition to adulthood for youth and young adults with …

Systems of Care

... Gordon@ clark. wa. gov Mason Haber, PhD National Center on Youth Transition for Behavioral He... more ... Gordon@ clark. wa. gov Mason Haber, PhD National Center on Youth Transition for Behavioral Health (NCYT), Louis de la Parte Florida Mental Health Institute, 13301 Bruce B. Downs Blvd., Tampa, FL 33612-3807, 813-974-6448 fax: 813-974-6257, email: mhaber@ fmhi. usf. ...

Research paper thumbnail of Health Care Expenditure Among People With Disabilities: Potential Role of Workplace Health Promotion and Implications for Rehabilitation Counseling

Rehabilitation Counseling Bulletin, 2012

ABSTRACT Workplace health-promotion programs have the potential to reduce health care expenditure... more ABSTRACT Workplace health-promotion programs have the potential to reduce health care expenditures, especially among people with disabilities. Utilizing nationally representative survey data, the authors provide estimates for health care expenditures related to secondary conditions, obesity, and health behaviors among working-age people with disabilities. Furthermore, by computing the expenditures attributable to secondary conditions, obesity, and health behaviors, the authors emphasize the importance of disability-inclusive workplace health-promotion programs for employees with disabilities. Overall, the authors observed that the annual average health care expenditure among employed people with disabilities was US$4,524 (95% confidence interval [CI] = US$4,248–US$4,800) compared with US$1,325 (95% CI = US$1,299–US$1,351) for employed people without disabilities. Furthermore, obesity accounted for 27% to 41% of excess expenditures for people with various disability classifications compared with their nonobese peers with disabilities. Secondary conditions accounted for about 20% to 25% of higher health care expenditures among working people with various disability classifications, compared with their peers with disabilities who do not have secondary conditions. In addition, lack of exercise and alcohol consumption accounted for one fourth to over one third of excess health care expenditures among employed people with disabilities. The authors discuss implications of these findings for rehabilitation counselors and public health practitioners.

Research paper thumbnail of Workforce Development Policy: Unrealized Potential for Americans with Disabilities

Individuals with disabilities have lower rates of workforce participation and lower earnings than... more Individuals with disabilities have lower rates of workforce participation and lower earnings than their nondisabled peers. This article traces the history of the U.S. workforce development policy framework, including the Workforce Investment Act of 1998; the Rehabilitation Act of 1973, as amended; and the impact of the Ticket to Work and Work Incentives Improvement Act of 1999 on both of these policies. Reviewing literature and administrative data, we discuss how these policies have impacted current rehabilitation practice and identify remaining service delivery gaps. We conclude with a set of recommendations for enhancing the current workforce development policy and practice environment.