abstract: 'Background Families of children with disabilities experience extra financial strains, and mothers are frequently unable to participate in paid work because of caregiving obligations. Methods A mailed survey and follow-up phone calls were used to gather data about mother''s health, workforce participation and barriers to inclusion in the workplace (n = 152). Verbatim reports of issues that hindered workforce participation were analysed qualitatively to derive themes. Maternal health-related quality of life (HRQoL) was measured using the Short Form Health Survey Version 2 (SF-36v2). Norm-based conversions were used to compare HRQoL between working and non-working mothers and to compare to population norms. Results Eighty-two per cent of mothers in the sample wanted and needed to work for pay but indicated over 300 issues that prevent their work participation. Data analysis revealed 26 common issues which prevent work participation. These issues fit into three main categories: mother-related reasons (28\%), child-related reasons (29\%) and service limitations (43\%). Mothers who worked (n = 83) reported significantly better HRQoL than mothers who did not work (n = 69) on five of the eight SF-36v2 dimensions and overall mental health. Conclusions Compared to other working Australians, mothers in this study had higher education yet reported poorer health, lower family income and lower workforce participation. Respondents reported that service system limitations were the main barriers to participation in the paid workforce. Investigation of service changes such as increased respite care, availability of outside hours school care, improved professional competency and family-centred services is recommended in order to improve maternal participation in paid work.' affiliation: 'Bourke-Taylor, H (Corresponding Author), Monash Univ, Sch Primary Hlth Care, Dept Occupat Therapy, Fac Med Nursing \& Hlth Sci, Peninsula Campus,POB 527, Frankston, Vic 3199, Australia. Bourke-Taylor, H., Monash Univ, Sch Primary Hlth Care, Dept Occupat Therapy, Fac Med Nursing \& Hlth Sci, Frankston, Vic 3199, Australia. Howie, L., La Trobe Univ, Fac Hlth Sci, Sch Occupat Therapy, Bundoora, Vic, Australia. Law, M., McMaster Univ, Sch Rehabil Sci, Hamilton, ON, Canada. Law, M., McMaster Univ, CanChild Ctr Childhood Disabil Res, Hamilton, ON, Canada.' author: Bourke-Taylor, H. and Howie, L. and Law, M. author-email: helen.bourke-taylor@monash.edu author_list: - family: Bourke-Taylor given: H. - family: Howie given: L. - family: Law given: M. da: '2023-09-28' doi: 10.1111/j.1365-2788.2011.01407.x eissn: 1365-2788 files: [] issn: 0964-2633 journal: JOURNAL OF INTELLECTUAL DISABILITY RESEARCH keywords: 'disability; family QoL; maternal well-being; health-related QoL; paid work' keywords-plus: 'QUALITY-OF-LIFE; SCHOOL-AGE-CHILDREN; INTELLECTUAL DISABILITIES; DEVELOPMENTAL-DISABILITY; BEHAVIOR PROBLEMS; CEREBRAL-PALSY; MENTAL-HEALTH; MIXED METHODS; PRIMARY-CARE; MOTHERS' language: English month: MAY number: '5' number-of-cited-references: '49' pages: 511-520 papis_id: 4c0a2058d7ebe42b567dbd0ed23641b5 ref: Bourketaylor2011barriersmaternal times-cited: '44' title: Barriers to maternal workforce participation and relationship between paid work and health type: article unique-id: WOS:000288705000006 usage-count-last-180-days: '2' usage-count-since-2013: '14' volume: '55' web-of-science-categories: 'Education, Special; Genetics \& Heredity; Clinical Neurology; Psychiatry; Rehabilitation' year: '2011'