Employment Outcomes For Adults Research Articles

Life After High School: The Employment Experiences of Autistic Young Adults

The present study examined the employment landscape for 129 autistic young adults. Data were collected over multiple waves including high school and early adulthood. Parents participated in interviews and responded to questions regarding young adult employment outcomes, on-the-job supports, job match, and overall job satisfaction. The predictive relationship between in-school variables and employment outcomes was examined. Findings indicate over 50% of the sample had at least one job working independently in the community for pay. Parents reported the need for both formal and informal support to both obtain and sustain employment. Over half of the parents reported that the young adult’s job was aligned with their interests/strengths and that the young adult was satisfied. Predictive analyses indicated a relationship between work-based learning experiences in high school and general education involvement during high school and later paid employment in adulthood. Future research, limitations, and implications for practice are discussed.

Strengths and challenges to embrace attention-deficit/hyperactivity disorder in employment—A systematic review

Attention-deficit/hyperactivity disorder (ADHD) has a significant impact on psychosocial and occupational functioning. Sixty-five percent of children with ADHD continue to meet full or partial diagnostic criteria for ADHD in adulthood, and an estimated 4% of the workforce has a diagnosis of ADHD. We performed a systematic literature review to understand the experience of ADHD in the workplace. Articles were included in the systematic literature review if they reported results on employment outcomes of adults with ADHD. Methodological quality assessment was evaluated using the Mixed Methods Appraisal Tool. Seventy-nine studies were included in this systematic literature review ( nADHD = 68,275). Results were synthesized into four categories: challenges, strengths, adaptations, and sex differences. Eight themes were included: ADHD symptoms at work, workplace performance, job satisfaction, maladaptive work thoughts and behaviors, interpersonal relationships at work, personal strengths, embracing ADHD, person-environment fit, and accommodations and support. Workers with ADHD can adapt and thrive in employment with the right person-environment fit, and accommodations and support. Many challenges related to ADHD can be remodeled into assets in a workplace environment that promotes flexible working practices and openness to neurodiversity.

Using Machine Learning to Predict Patterns of Employment and Day Program Participation.

In this article, we demonstrate the potential of machine learning approaches as inductive analytic tools for expanding our current evidence base for policy making and practice that affects people with intellectual and developmental disabilities (IDD). Using data from the National Core Indicators In-Person Survey (NCI-IPS), a nationally validated annual survey of more than 20,000 nationally representative people with IDD, we fit a series of classification tree and random forest models to predict individuals' employment status and day activity participation as a function of their responses to all other items on the 2017-2018 NCI-IPS. The most accurate model, a random forest classifier, predicted employment outcomes of adults with IDD with an accuracy of 89 percent on the testing sample, and 80 percent on the holdout sample. The most important variable in this prediction was whether or not community employment was a goal in this person's service plan. These results suggest the potential machine learning tools to examine other valued outcomes used in evidence-based policy making to support people with IDD.

Examining the gender role in workplace experiences among employed adults with autism: Evidence from an online community

BACKGROUND: Despite the fact that poor employment outcomes of adults with autism was evident in literature, little attention was paid to the role of gender in shaping their labor market experiences. Recent research emphasizes the critical need for such an investigation to inform gender-specific vocational support and workplace accommodation. OBJECTIVE: This exploratory study investigated the gender-based differences among employed adults with autism about both types and severity of the challenges they face in the workplace. METHODS: The study drew on qualitative content analysis of 714 randomly sampled posts (357 by women and 357 by men) from an online autism forum to explore on-the-job challenges as voiced by individuals with autism. RESULTS: The overarching observation was that women were more likely to experience greater workplace challenges. Women expressed higher concerns related to workplace stress, social interaction, and interpersonal communication. Additionally, women were disadvantaged by gender-related office expectations, especially about appearance. Men revealed a higher struggle with deficiencies in executive functions and disclosing their disability. Over-stimulating the physical environment influenced the workplace wellbeing of both women and men. CONCLUSION: Gender-sensitive vocational approaches in addition to flexible, communicative, structured, and supportive management behavior are needed to improve the workplace experiences of adults with autism.

An Exploratory Study of General Self-Efficacy and Employment in Adults with Retinitis Pigmentosa

Introduction: In this study, the author examined the association between general self-efficacy (GSE) and employment status in working-age adults with retinitis pigmentosa (RP; N = 183). The author further examined the associations between employment status and factors that were previously found to be linked to employment outcomes in individuals with visual impairments: educational attainment, mobility tool use (i.e., use of dog guide or cane), ability to drive, age, gender, and age at onset of visual impairment. Methods: Multiple logistic regression was used to analyze cross-sectional data collected online in 2015. Results: Findings indicated that individuals with RP who have a bachelor’s degree or higher had significantly higher odds of being employed ( p < .01) and that individuals with RP who use a cane or dog guide had significantly lower odds of being employed ( p < .01). Although not statistically significant, findings further indicated that individuals with RP who have higher GSE had higher odds of being employed ( p = .07) and that individuals who are able to drive had 130% higher odds of being employed ( p = .06). Discussion: Results demonstrated an association between GSE and employment status, after controlling for factors that were previously linked to employment outcomes in individuals with visual impairment. Implications for practitioners: Self-efficacy is an alterable cognitive construct and may be the target of interventions to increase employment outcomes for adults with RP or other eye conditions.

Employment outcomes for individuals with intellectual and developmental disabilities: A literature review

This review examined various studies regarding the employment outcomes for adults with intellectual and developmental disabilities (IDD) within the United States. This review provides a snapshot of the individuals' employment rate, setting, income, quality of life, and well-being. A thorough literature review was conducted to retrieve studies and gather information. The studies were retrieved from Proquest, Ebscohost, Emerald, Google Scholar, and Web of Science. Other databases included Eric and PsycINFO. The inclusion criteria were the studies published after the Americans with Disabilities Act (ADA) of 1990, as well as the studies published in English and limited to the population of the United States. A total of 27 studies were included in the review. The results indicated that the employment settings for individuals with IDD, such as sheltered, supported, or competitive employment, have different impacts on working hours and weekly wages. This paper also established that the employment of individuals with IDD has a positive influence on their self-esteem, self-confidence, career progression, and independence levels, especially in integrated employment. Furthermore, this review demonstrated that the work of such individuals provides a source of income and enables them to contribute to the national economy through taxes. However, the review suggests that there is still a need to improve the employment of such individuals in order to increase the employment outcomes to significant levels. There is a need to mainly focus on enhancing sheltered employment whose results are relatively lower when compared to the other forms of work. Practices and research implications were also discussed.

A Systematic Review of Factors Related to Employment Outcomes for Adults with Visual Impairments

Introduction: The purpose of this study was to conduct a systematic review of survey-based research on predictors or correlates of employment outcomes for individuals with visual impairments (i.e., those who are blind or have low vision). Methods: We used a three-pronged systematic search process to identify quantitative, English, peer-reviewed articles published from 1990 to August 2018 that included analyses of factors related to employment in American adults with visual impairments. We coded all included articles for sample parameters, participant characteristics, quality indicators (QIs), and study outcomes. Results: Thirteen articles were included in the review. The majority of studies met few, if any, QIs. Education level, braille reading medium, and attending integrated or public schools were significantly associated with employment outcomes in most analyses in which those variables were included. Other demographic and disability-related variables were generally not associated with employment or yielded inconsistent results across studies. Psychosocial, service, and miscellaneous variables were included less frequently and were generally not associated with employment or yielded mixed results, with a few exceptions. Discussion: Based on our quality indicator ratings, there were consistent methodological weaknesses in this body of literature. Small samples ( N = 200 or fewer) were prevalent across studies, which limits both generalizability and statistical power. Use of nonrepresentative and nonnational samples further limits generalizability of the results, and a lack of longitudinal studies hinders our ability to draw causal inferences. More high-quality employment research is needed, particularly in the areas of braille, transportation self-efficacy, and other psychosocial factors. Implications for practitioners: Despite the methodological issues identified in the included studies, results support findings from other systematic reviews regarding the importance of educational advancement for individuals with visual impairments. Practitioners should encourage individuals with visual impairments who do not have college degrees to explore options for postsecondary education.

A Conflict of Interests: A Motivational Perspective on Special Interests and Employment Success of Adults with ASD.

A course of action often suggested in an attempt to improve employment outcomes of adults with autism spectrum disorder, is to match between special interests and job opportunities. In this commentary, we propose that the match may be more complicated than it seems, possibly overseeing more pressing employment needs that should be answered such as: the job's characteristics, labor market demands, and stress resulting from job expectations. Self determination theory of motivation is suggested as a lens through which the association between special interests and a paying job can be examined, highlighting important considerations that hold the potential to increase employment success. Recommendations for new research directions and vocational rehabilitation practice are discussed.

Examining the relevance of employment integration policies on disability benefit receipt: a multilevel analysis of older working age adults in 16 countries

Purpose: Nearly all advanced economic countries have adopted employment integration policies to improve the labor market outcomes of workers with disabilities and to reduce enrollment on disability benefits. To date, research has yet to investigate whether the adoption of integration policies is associated with a reduced likelihood of an older working age adult receiving disability benefits.Materials and methods: This study, drawing on data of older working-age adults from the Survey of Health Ageing and Retirement in Europe, the English Longitudinal Study of Ageing, and the Health and Retirement Study, applies multilevel logistic regression to investigate the relationship between country-level integration policies and the likelihood of disability benefit receipt in 16 OECD countries.Results: No clear association was identified between the adoption of major integration policies (comprehensiveness of vocational rehabilitation systems, employer obligation policies, work-incentive rules, benefit suspension options, and early intervention efforts) and an individual’s likelihood of receiving disability benefits. The minimum level of disability required to receive benefits was, however, identified as a significant country-level factor.Conclusions: The findings of this study may prove useful for policy makers who must weigh the costs and benefits of expanding integration measures targeted at those nearing the state pension age.Implications for RehabilitationMany countries have adopted integration policies to improve employment outcomes of adults with work-disabilities.No clear association is identified between the adoption of integration policies and a reduced likelihood of receiving disability benefits among older adults in 16 countries.The strictness of the definition of disability used to determine eligibility is identified as a significant country-level predictor.Policy makers should carefully weigh the costs and benefits of expanding integration measures targeted at those nearing the state pension age.

The Consequences of Adolescent Delinquent Behavior for Adult Employment Outcomes.

Delinquent behavior is common during adolescence and may disrupt trajectories of labor market attainment. Estimates of the relationship between delinquency and employment are threatened by selection bias, as youth who engage in delinquency often differ substantially from youth who do not. The current study examined the association between adolescents' engagement in serious delinquency and four measures of occupational attainment in young adulthood: unemployment, personal earnings, employer-provided benefits, and occupational earnings. It examined the effect of delinquency independent of between-person differences in a variety of attributes and tested whether the hypothesized relationship was mediated by educational attainment, work experience, disconnectedness from both education and work, or criminal justice sanctioning. This study analyzed data from the first four waves of the National Longitudinal Survey of Adolescent to Adult Health (Add Health), yielding an analytic sample of 14,800 (51% female, mean age 16 years). The Wave 1 Add Health survey was administered in 1994-1995, and Wave 4 of the survey was administered in 2007-2008. The analytic strategy, propensity score weighting, produced estimates that were less biased by differences between youth who had and who had not engaged in delinquent behavior. The study found that delinquency was significantly associated with the likelihood of being unemployed: compared to non-delinquents, delinquents were more likely to be unemployed even after controlling for temporally prior traits and resources, human capital, and criminal justice contact. The results provided more qualified support for hypothesized relationships between delinquency and job quality. The study concluded that offending may result in less fruitful job searches, but once a search results in employment, employed delinquents are not readily discernible from employed non-delinquents in the quality of their jobs. These conclusions contribute to literature on the labor market outcomes of people with histories of adolescent delinquency as they enter young adulthood.

The Effects of Vocational Rehabilitation for People with Physical Disabilities

We evaluate the impact of vocational rehabilitation (VR) services on employment outcomes of adults with physical disabilities. Using detailed panel data from the Virginia Department of Aging and Rehabilitation Services in state fiscal year 2000, we estimate a structural model of participation that accounts for the potentially sudden onset of physical impairments and the endogenous selection of VR services. The results imply that VR services have large, positive long-run labor market effects that substantially exceed the cost of providing services.

Family Perspectives on Integrated Employment for Adults with Intellectual and Developmental Disabilities

Families are essential partners in efforts to elevate the employment outcomes of adults with intellectual and developmental disabilities (IDD). We examined the employment-related expectations, preferences, and concerns of 673 parents and other family members of adults with IDD. Participants prioritized paid integrated employment over sheltered options, and such perspectives were strongly associated with the recent employment status of their family member with IDD. In addition, they valued qualitative dimensions of a potential workplace (e.g., personal satisfaction, social interaction opportunities) more highly than prevailing employment metrics (e.g., rate of pay, hours per week, benefits). Multiple factors informed the views of parents and other family members regarding integrated employment and the extent to which their family member with IDD had been employed previously in the community. We offer recommendations for research, practice, and systems change efforts aimed at raising expectations for and access to integrated employment for adults with IDD.

Transition to work: Perspectives from the autism spectrum.

To improve employment outcomes for adults with autism spectrum disorder, it is necessary to identify factors associated with successful transition to work from the perspectives of the individual and from those who work with or support them. This study involved focus groups with adults with autism spectrum disorder ( n = 9) participating in a 3-year employment and training programme, as well as focus groups with family members ( n = 6), support staff ( n = 7) and co-workers ( n = 6). The aim was to gain better understanding of the experience of transition to work, barriers and also the factors that promote workplace success. Main themes included factors that facilitated success at work ( Enablers), barriers to success ( Challenges) and programme outcomes ( Outcomes). Organisation support, advice from co-workers, supportive leadership, allowance of environmental modifications and presence of a consultant were identified as enablers that most facilitated success at work. Challenges included task-related difficulties, individual factors, social difficulties and distractibility, not managing work-related stress, and being perceived to be too frank. Outcomes were rated as positive and encompassed work-related outcomes, as well as outcomes related to sense of purpose, achieving personal independence and improvements in social relationships, both with work colleagues and within families.

Employment proximity and outcomes for Moving to Opportunity families

ABSTRACTThe Moving to Opportunity for Fair Housing Demonstration (MTO) randomly assigned housing vouchers to public housing residents in an experimental test of the effect of neighborhood and location on household outcomes. In terms of adult employment outcomes, the 2 treatment groups did not significantly differ from the control group. We use MTO data to examine whether spatial proximity to jobs and job growth explains this lack of treatment effect. We first estimate differences in access to jobs and job growth for the 3 MTO groups. We then use 2-stage least squares models to test relationships between employment accessibility and 2 key outcomes: employment status and earned income. We find that employment accessibility declined for all groups, and these declines were strongest for the 2 treatment groups. However, our results show essentially no effect of employment proximity on earnings or employment status for MTO participants.

Technology-Aided Interventions for Employment Skills in Adults with Autism Spectrum Disorder: A Systematic Review

There is a growing body of research investigating the effects of technology on remediating the employment challenges experienced by individuals with autism spectrum disorder (ASD). The current study provides a focused systematic review of 18 studies identified within the literature to employ technology to teach employment skills to adults with ASD. The review included 13 single-subject research and 5 group designs. Reichow’s (2011) criteria were employed to assess the interventions as evidence-based practice (EBP). Results showed that the use of technology-aided interventions to be effective on increasing employment outcomes for adults with ASD. Furthermore, the current study presented the ranges of employment skills targeted, as well as the focus of intervention towards those with higher functioning ASD. The review also highlights avenues for further research.

Higher education attainment does not improve the adult employment outcomes of adolescents with ill health

This paper assesses whether attaining a higher education improves the chances of employment in adulthood amongst those who had a chronic health condition in adolescence. Using longitudinal analysis of twelve waves of the nationally representative Household Income and Labour Dynamics in Australia Survey, conducted between 2001 and 2012, a cohort of adolescents aged 15 to 21 in Wave 1 were followed through to age 24 (n=624). The results show that those who did have a chronic health condition during adolescence were2.4 times more likely to not be employed at age 24 compared to those who did not have a chronic health condition (95% CI: 1.4 – 4.4, p=0.0024). The results were adjusted for age, sex, education attainment at age 24, health status at age 24 and household income poverty status at age 24. Amongst those who did have a chronic health condition during adolescence there was no significant difference in the likelihood of being employed for those with a Year 12 and below (p=0.1087) level of education attainment or those with a Diploma, Certificate III or IV (p=0.6366) compared to those with a university degree. Education attainment was not shown to mitigate the impact of having a chronic health condition during adolescence on adult employment outcomes . Keywords: employment; chronic health conditions; poverty; living standards; longitudinal.

Higher education attainment does not improve the adult employment outcomes of adolescents with ill health

This paper assesses whether attaining a higher education improves the chances of employment in adulthood amongst those who had a chronic health condition in adolescence. Using longitudinal analysis of twelve waves of the nationally representative Household Income and Labour Dynamics in Australia Survey, conducted between 2001 and 2012, a cohort of adolescents aged 15 to 21 in Wave 1 were followed through to age 24 (n=624). The results show that those who did have a chronic health condition during adolescence were2.4 times more likely to not be employed at age 24 compared to those who did not have a chronic health condition (95% CI: 1.4 – 4.4, p=0.0024). The results were adjusted for age, sex, education attainment at age 24, health status at age 24 and household income poverty status at age 24. Amongst those who did have a chronic health condition during adolescence there was no significant difference in the likelihood of being employed for those with a Year 12 and below (p=0.1087) level of education attainment or those with a Diploma, Certificate III or IV (p=0.6366) compared to those with a university degree. Education attainment was not shown to mitigate the impact of having a chronic health condition during adolescence on adult employment outcomes.

Disease-related and functional predictors ofemployment status among adults withmultiple sclerosis.

Due to the extent and complexity of its physical, cognitive, and psychological accompaniments, multiple sclerosis has tremendously negative effects on employment outcomes for adults with the disease. This article extends the current understanding of the relationship between disease-related and functional factors and employment status among adults with multiple sclerosis. Findings are reported in terms of descriptive statistics and logistic regression. The logistic regression analysis was completed to determine the extent to which disease-related and functional predictors contributed to the overall prediction model for the employment status of adults with MS. The combined variables explained approximately 33% of the variance in employment status. In addition to three items of the Psychological subscale and 12 items of the Physical subscale, one of the items from the Cognitive Functioning Scale contributed to the prediction of employment status. The findings emphasize the importance of including physical, psychological, and cognitive functioning variables when predicting employment status among adults with multiple sclerosis.

Eight Steps to School-Based Employment Training for Adolescents with Autism Spectrum Disorder and Intellectual Disability

Despite the transition requirements mandated by IDEA, and a growing body of research supporting effective transition planning for learners with autism spectrum disorders and intellectual disability, current national surveys of transition from school to work document dismal employment outcomes for adults with significant disabilities who frequently are without employment or are under-employed. Enrollment in vocational or employment-related programs in high schooi improves post secondary employment attainment for students with disabilities. Using a restaurant organized and delivered by students with ASD and ID at their local high school as a model, the following describes eight, research-based, practical steps for teachers seeking to develop and implement high-quality, inclusive employment training programs for their students with disabilities. Implementing these steps will assist teachers in preparing students to assume post-secondary, meaningful integrated employment opportunities that are associated with greater economic self-sufficiency, social and community inclusion, and overall personal life satisfaction.

Promoting Access to Postsecondary Education for Low-Income Students With Disabilities

Few students with disabilities from high-poverty backgrounds attend college. We discuss the effects of disability and growing up in poverty on expectations for postsecondary education attendance. We describe the limiting effects of attending high-poverty high schools on student achievement followed by challenges faced by low-income students with disabilities in accessing and completing college programs including the role of federal student aid programs. Finally, we discuss the limited employment outcomes for adults with disabilities, in particular, those from high-poverty backgrounds who have not completed college. We conclude with implications and recommendations for policy.