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Job Outlook

This information is provided by the Bureau Of Labor Statistics publication "Occupational Outlook Handbook"

Occupational Therapy

Physical Therapy

Speech Language Pathology

Mental Health Counselors

Mental Health Nurse Aids

Psychologists

Social Workers

Occupational Therapy Job Outlook

Opportunities for job seekers should be favorable. Employment of occupational therapy assistants and aides is expected to grow much faster than the average for all occupations through 2006. Although the occupation is expected to be one of the fastest growing in the economy, only a small number of job openings will result, because the occupation is small.

Growth will result from an aging population, including the "baby-boom" cohort, which will need more occupational therapy services. Demand will also result from advances in medicine that allow more people with critical problems to survive, who then need rehabilitative therapy. Furthermore, employers seeking to reduce health care costs are expected to hire more occupational therapy assistants and aides for tasks currently performed by more highly paid occupational therapists.

Job opportunities for occupational therapists are expected to continue to be good. Employment of occupational therapists is expected to increase much faster than the average for all occupations through the year 2006, due to anticipated growth in demand for rehabilitation and long-term care services. The baby-boom generation's move into middle age, a period during which the incidence of heart attack and stroke increases, will increase the demand for therapeutic services. Additional services will also be demanded by the population 75 years of age and above, a rapidly growing age group that suffers from a very high incidence of disabling conditions.

Medical advances are now making it possible for more patients with critical problems to survive. These patients, however, may need extensive therapy. Finally, additional therapists will be needed to help children with disabilities prepare to enter special education programs, as required by Federal legislation.

Due to industry growth and more intensive care, hospitals will continue to employ a large number of occupational therapists. Hospitals will also need occupational therapists to staff their growing home health-care and outpatient rehabilitation programs.

Fast employment growth in schools will result from expansion of the school-age population and extended services for disabled students. Employment of occupational therapists in the home health field is also expected to grow very fast. The rapidly growing number of people age 75 and older who are more likely to need home health care, and the greater use of at-home follow-up care, will encourage this growth.

Physical Therapy Job Outlook

Physical therapist assistants and aides are expected to be among the fastest growing occupations through the year 2006. Demand for physical therapist assistants and aides will continue to rise with growth in the number of individuals with disabilities or limited function. The rapidly growing elderly population is particularly vulnerable to chronic and debilitating conditions that require therapeutic services. Also, the baby-boom generation is entering the prime age for heart attacks and strokes, increasing the demand for cardiac and physical rehabilitation. Older patients often need more assistance in their treatment, making the roles of assistants and aides vital.

Licensed physical therapist assistants can enhance the cost-effective provision of physical therapy services. After a patient is evaluated and a treatment plan is designed by the physical therapist, the physical therapist assistant can provide many aspects of treatment, as prescribed by the therapist.

Anecdotal reports about shortages of physical therapists that existed in recent years are no longer common. The number of physical therapist educational programs has increased and more graduates have moved into the labor force. Nevertheless, job prospects are expected to continue to be very good.

Physical therapists are expected to be among the fastest growing occupations through the year 2006 as the demand for physical therapy services grows. The rapidly growing elderly population is particularly vulnerable to chronic and debilitating conditions that require therapeutic services. Also, the baby-boom generation is entering the prime age for heart attacks and strokes, increasing the demand for cardiac and physical rehabilitation. More young people will need physical therapy as technological advances save the lives of a larger proportion of newborns with severe birth defects. Future medical developments will also permit a higher percentage of trauma victims to survive, creating additional demand for rehabilitative care. Growth may also result from advances in medical technology which permit treatment of more disabling conditions.

Widespread interest in health promotion should also increase demand for physical therapy services. A growing number of employers are using physical therapists to evaluate worksites, develop exercise programs, and teach safe work habits to employees in the hope of reducing injuries.

Employment of physical therapist would grow even faster were it not for continued emphasis on controlling health care costs by limiting the use of therapeutic services in some instances.

Speech Language Pathology Job Outlook

Employment of speech-language pathologists and audiologists is expected to increase much faster than the average for all occupations through the year 2006. Employment in health and rehabilitation services will increase as a result of advances in medical technology and growth in the elderly population. Because hearing loss is strongly associated with aging, rapid growth in the population age 55 and over will cause the number of persons with hearing impairment to increase markedly. In addition, baby boomers are now entering middle age, when the possibility of neurological disorders and associated speech, language, and hearing impairments increases. Medical advances are also improving the survival rate of premature infants and trauma and stroke victims, who then need assessment and possible treatment.

Employment in schools will increase along with growth in elementary and secondary school enrollments, including enrollment of special education students. Federal law guarantees special education and related services to all eligible children with disabilities. Greater awareness of the importance of early identification and diagnosis of speech, language, and hearing disorders will also increase employment.

The number of speech-language pathologists and audiologists in private practice, though small, is likely to rise sharply due to the increasing use of contract services by managed care, hospitals, schools, and nursing homes. In addition to job openings stemming from rapid job growth over the 1996-2006 period, some openings for speech-language pathologists and audiologists will arise from the need to replace those who leave the occupation.

Mental Health Counselors Job Outlook

Overall employment of counselors is expected to grow about as fast as the average for all occupations through the year 2006. In addition, replacement needs should increase significantly as a large number of counselors reach retirement age.

Employment of school and vocational counselors is expected to grow as a result of increasing enrollments, particularly in secondary and postsecondary schools, State legislation requiring counselors in elementary schools, and the expanded responsibilities of counselors. Counselors are becoming more involved in crisis and preventive counseling, helping students deal with issues ranging from drug and alcohol abuse to death and suicide. Also, the growing diversity of student populations is presenting challenges to counselors in dealing with multicultural issues. Job growth among counselors, however, may be dampened by budgetary constraints. High student-to-counselor ratios in many schools could increase even more as student enrollments grow. When funding is tight, schools usually prefer to hire new teachers before adding counselors in an effort to keep classroom sizes at acceptable levels.

Rapid job growth is expected among rehabilitation and mental health counselors. Under managed care systems, insurance companies increasingly provide for reimbursement of counselors, enabling many counselors to move from schools and government agencies to private practice. Counselors are also forming group practices to receive expanded insurance coverage. The number of people who need rehabilitation services will rise as advances in medical technology continue to save lives that only a few years ago would have been lost. In addition, legislation requiring equal employment rights for people with disabilities will spur demand for counselors. Counselors not only will help individuals with disabilities with their transition into the work force, but also will help companies comply with the law. Employers are also increasingly offering employee assistance programs which provide mental health and alcohol and drug abuse services. A growing number of people are expected to use these services as the elderly population grows, and as society focuses on ways of developing mental well-being, such as controlling stress associated with job and family responsibilities.

As with other government jobs, the number of employment counselors, who work primarily for State and local government, could be limited by budgetary constraints. However, demand for government employment counseling may grow as new welfare laws require welfare recipients to find jobs. Opportunities for employment counselors working in private job training services should grow as counselors provide skill training and other services to laid-off workers, experienced workers seeking a new or second career, full-time homemakers

Mental Health Nursing Aids Job Outlook

Job prospects for nursing aides should be good through the year 2006. Numerous openings will arise from a combination of fast growth and high turnover for this large occupation. Employment of nursing aides is expected to grow faster than the average for all occupations in response to an emphasis on rehabilitation and the long-term care needs of a rapidly aging population. Employment will increase as a result of the expansion of nursing homes and other long-term care facilities for people with chronic illnesses and disabling conditions, many of whom are elderly. Financial pressure on hospitals to release patients as soon as possible should produce more nursing home admissions. Modern medical technology will also increase the employment of nursing aides. This technology, while saving and extending more lives, increases the need for long-term care provided by aides. As a result, nursing and personal care facilities are expected to grow very rapidly and to provide most of the new jobs for nursing aides.

Employment of psychiatric aides is expected to grow slower than the average for all occupations. Employment will rise in response to the sharp increase in the number of older persons many of whom will require mental health services. Employment of aides in outpatient community mental health centers is likely to grow because of increasing public acceptance of formal treatment for drug abuse and alcoholism, and a lessening of the stigma attached to those receiving mental health care. However, employment in hospitals3/4where one-half of psychiatric aides work3/4is likely to decline due to attempts to contain costs by limiting inpatient psychiatric treatment.

Replacement needs will constitute the major source of openings for aides. Turnover is high, a reflection of modest entry requirements, low pay, and lack of advancement opportunities.

Psychology Job Outlook

Employment of psychologists is expected to grow more slowly than the average for all occupations through the year 2006. Job opportunities in health care should increase slightly in health care provider networks, such as health maintenance and preferred provider organizations, and in nursing homes and alcohol and drug abuse programs. More job opportunities will arise in businesses, nonprofit organizations, and research and computer firms for psychologists working as consultants. Companies will use psychologists' expertise in survey design, analysis, and research to provide marketing evaluation and statistical analysis. The increase in employee assistance programs, which offer employees help with personal problems, should also spur job growth.

Opportunities for people holding doctorates from leading universities in areas with an applied emphasis, such as clinical, counseling, health, and educational psychology, should have particularly good prospects. Psychologists with extensive training in quantitative research methods and computer science may have a competitive edge over applicants without this background.

Graduates with a master's degree in psychology are qualified for positions in school and industrial-organizational psychology. Graduates of master's degree programs in school psychology should have the best job prospects, as schools are expected to increase student counseling and mental health services. Masters' degree holders with several years of industrial experience can obtain jobs in consulting and marketing research. Other master's degree holders may find jobs as psychological assistants in the community mental health field, which often requires direct supervision by a licensed psychologist. Still others may find jobs involving research and data collection and analysis in universities, government, or private companies.

Bachelor's degree holders can expect very few opportunities directly related to psychology. Some may find jobs as assistants in rehabilitation centers, or in other jobs involving data collection and analysis. Those who meet State certification requirements may become high school psychology teachers.

 

Social Work Job Outlook

Employment of social workers is expected to increase faster than the average for all occupations through the year 2006. The number of older people, who are more likely to need social services, is increasing rapidly. In addition, growing concern about crime, juvenile delinquency, and services for the mentally ill, the mentally retarded, AIDS patients, and individuals and families in crisis will spur demand for social workers. Many job openings will also stem from the need to replace social workers who leave the occupation.

As hospitals increasingly emphasize early discharge of patients in an effort to control costs, more social workers will be needed to ensure that the necessary medical and social services are in place when individuals leave the hospital. Social worker employment in home health care services is growing, not only because hospitals are releasing patients earlier, but because a large and growing number of people have impairments or disabilities that make it difficult to live at home without some form of assistance.

Employment of social workers in private social service agencies will grow, but not as rapidly as demand for their services. Agencies will increasingly restructure services and hire more lower-paid human services workers instead of social workers. Employment in government may grow in response to increasing needs for public welfare and family services; however, many of these jobs will be contracted out to private agencies. Additionally, employment levels will depend on government funding for various social service programs.

Employment of school social workers is expected to grow, due to expanded efforts to respond to rising rates of teen pregnancy and to the adjustment problems of immigrants and children from single-parent families. Moreover, continued emphasis on integrating disabled children into the general school population will lead to more jobs. Availability of State and local funding will dictate the actual job growth in schools, however.

Opportunities for social workers in private practice will expand because of the anticipated availability of funding from health insurance and public-sector contracts. Also, with increasing affluence, people will be better able to pay for professional help to deal with personal problems. The growing popularity of employee assistance programs is also expected to spur demand for private practitioners, some of whom provide social work services to corporations on a contractual basis.

Competition for social worker jobs is stronger in cities where training programs for social workers are prevalent; rural areas often find it difficult to attract and retain qualified staff.

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