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This study examined the relevance of the disease-and-demographics model for explaining the employment outcomes of adults with multiple sclerosis (MS). Participating in a national survey of their employment concerns, 1,310 adults with MS provided data for the study (274 men, 21%; 1,020 women, 78%; 16 participants did not identify their gender). With an average age of 50 ( SD = 12.14), most of the respondents were White (92%), well educated (97% were high school graduates, 40% were college graduates), and residing in urban and suburban areas (74%). Results from a backward stepwise multiple logistic regression analysis included the following variables as best predictors of employment status: educational attainment, severity of symptoms, persistence of symptoms, and presence of cognitive impairment/dysfunction ( R2 = .23). The article discusses the relationship of the findings to psychosocial and career development models in rehabilitation and to training, educational, accommodation planning, and cognitive interventions.

Customized interventions from allied health professionals and rehabilitation counselors that are grounded in the unique features of MS and that reflect current best practices in Vocational Rehabilitation are required to improve rehabilitation outcomes for people with MS.

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This study identified factors predicting employment or lack thereof among adults with multiple sclerosis (MS). Data for the analysis were provided by 139 individuals with MS who were considered available for the workforce (i.e., were no older than 62 and did not declare themselves retired). Results from a backward, stepwise multiple logistic regression analysis included the following variables as the best predictors of employment: symptom persistence, severity of symptoms, educational attainment, and presence of cognitive limitations. The relevance of the findings for rehabilitation assessment and intervention strategies is discussed.

Client demographic and VR service-related variables significantly predict competitive employment outcomes for transition-age youth with traumatic brain injuries. Vocational rehabilitation services should focus on the specific interventions that are most closely associated with successful rehabilitation.

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