title: How employment support and social integration programmes are viewed by the intellectually disabled.
abstract: BACKGROUND
  Supported employment is intended to facilitate and promote participation and integration of intellectually disabled citizens in society. This study investigated their view of the programme.
  
  
  METHODS
  Q-methodology was used. Eighteen respondents with a mild intellectual disability rank-ordered 22 statements representing five main aspects of supported employment. The data were factor-analysed to group respondents according to their views. Q-methodology was a feasible approach that facilitated in-depth conversations with respondents with a mild intellectual disability in a playful manner.
  
  
  RESULTS
  Two views on the impact of supported employment on social integration were observed: 'work as participation' and 'work as structure'. The first placed greater value on participation, task variety, belonging, and feeling appreciated; the second placed greater value on working independently, clear working agreements, and friendly co-workers. The views indicate two distinct approaches to effecting a positive relationship between supported employment and social integration.
  
  
  CONCLUSIONS
  From the perspective of people with an intellectual disability supported employment contributes to self-development and has a positive effect on well-being, albeit in different ways for the individual groups.
authors.affiliation: Erasmus MC, institute of Health Policy & Management, Rotterdam, The Netherlands.
authors.forename: J M
authors.initials: JM
authors.lastname: Cramm
authors.forename: H
authors.initials: H
authors.lastname: Finkenflügel
authors.forename: R
authors.initials: R
authors.lastname: Kuijsten
authors.forename: N J A
authors.initials: NJ
authors.lastname: van Exel
mesh_terms: D000328:Adult; D001290:Attitude; D016832:Employment, Supported / Q000523:psychology*; D005260:Female; D006801:Humans; D007206:Individuality; D008607:Intellectual Disability / Q000523:psychology* / Q000534:rehabilitation; D007360:Intelligence; D007588:Job Satisfaction; D008297:Male; D010549:Personal Satisfaction; D011594:Psychometrics; D011779:Q-Sort; D011788:Quality of Life / Q000523:psychology; D012917:Social Adjustment; D012944:Social Support; D055815:Young Adult