Exploring paid employment options with a person with severe learning disabilities and high support needs: An exploratory case study

Abstract

Introduction This case-study research followed the journey of one person who has severe learning and high support needs as, supported by occupational therapy, she attempted to gain a real paid job. Method Qualitative triangulated methodology was used, combining a reflexive account of clinical occupational therapy intervention with interview data and secondary documentary analysis. The link between policy and practice was also explored. Findings Ultimately, the participant was unsuccessful in gaining a paid job, but remained motivated towards this goal. She became empowered to aspire for paid work, voiced opinions, and developed pre-vocational skills enabling continued pursuit of her goals. Negotiating access to potential employers on behalf of the participant was a significant barrier for the occupational therapist. Conclusion The journey of the participant in seeking paid employment was a new experience for everyone involved. There was a clear dichotomy between the aspirational language of policy and the reality of putting those aspirations into practice. As occupational therapists increasingly move into emerging fields, exploring employment for this client group presents opportunities to apply and expand core occupational therapy skills, to achieve mutually rewarding co-occupation and to influence an outstanding issue of occupational injustice.