title: Evidence-Based Interventions for Increasing Work Participation for Persons With Various Disabilities.
abstract: Title I of the Americans With Disabilities Act prohibits discrimination in employment; however, 26 years later, employment rates for persons with disabilities hover at 34%. This systematic review investigates the effectiveness of evidence-based interventions to increase employment for people with various disabilities. Forty-six articles met the inclusion criteria for evidence-based interventions. The majority of studies assessed interventions for persons with mental health disabilities. Strong evidence was found for ongoing support and work-related social skills training prior to and during competitive employment for persons with mental health disabilities. Moderate evidence supported simulation and use of assistive technology, especially apps for cueing and peer support to increase work participation for persons with intellectual disabilities, neurological/cognitive disabilities, and autism spectrum disorder. Many of the strategies to increase work participation were appropriate for occupational therapy intervention. Suggestions were made for research, specifically looking at more rigorous evaluation of strategies in the long term.
authors.affiliation: 1 MGH Institute of Health Professions, Boston, MA, USA.
authors.forename: Diane L
authors.initials: DL
authors.lastname: Smith
authors.affiliation: 1 MGH Institute of Health Professions, Boston, MA, USA.
authors.forename: Katie
authors.initials: K
authors.lastname: Atmatzidis
authors.affiliation: 1 MGH Institute of Health Professions, Boston, MA, USA.
authors.forename: Marisa
authors.initials: M
authors.lastname: Capogreco
authors.affiliation: 1 MGH Institute of Health Professions, Boston, MA, USA.
authors.forename: Dominic
authors.initials: D
authors.lastname: Lloyd-Randolfi
authors.affiliation: 1 MGH Institute of Health Professions, Boston, MA, USA.
authors.forename: Victoria
authors.initials: V
authors.lastname: Seman
mesh_terms: D015928:Cognitive Behavioral Therapy; D006233:Persons with Disabilities; D016832:Employment, Supported; D006801:Humans; D001523:Mental Disorders / Q000534:rehabilitation; D012050:Rehabilitation, Vocational; D012656:Self-Help Devices; D066107:Social Skills; D017132:Workplace
keywords: accommodations; assistive technology; disability policy; employment; vocational rehabilitation