Employment Sustainability for People with Intellectual Disability: A Systematic Review.
Helena Taubner, Magnus Tideman, Carin Staland Nyman
PMID 34958449WHAT IT FOUND
Very little international research has examined how people with intellectual disability stay in regular paid work over time.
Existing studies define sustainability differently, and societal barriers were largely missing.
Key findings
01Only ten studies met the criteria for examining employment sustainability for people with intellectual disability.
02Only four studies explicitly defined employment sustainability, and the timespans varied from one month to eight years.
03Reported facilitators included independent daily living skills, family support, employer flexibility, and supportive co-workers; barriers included stigma, discrimination, and lack of advancement potential.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Only ten studies were included, and they came from seven countries, so the evidence base is small and cannot support firm practice recommendations. The studies defined sustainability differently, with timespans from one month to eight years, so their results cannot be compared directly. Most studies did not explicitly define employment sustainability. The included studies used different disability terms and groups, such as intellectual disability, intellectual and developmental disabilities, autism with intellectual disability, and special education needs, so it is unclear whether they studied the same population. The review excluded intervention studies, so it cannot show that any workplace support causes better job retention. No societal barriers were reported, so labour-market and welfare-system factors remain unexplained. Only English-language publications were included, so relevant research in other languages may be missing. The authors say their own prior knowledge shaped the search terms, which may have introduced bias.
Declared interests
The supplied publication types indicate non-U.S. government research support, but the article text provided does not include an author conflicts-of-interest declaration.
The easy way to misread this
Do not treat the listed facilitators as proven causes of job retention. The studies used different definitions and timeframes, and the review could not compare them.