abstract: 'Introduction This case-study research followed the journey of one person

  who has severe learning and high support needs as, supported by

  occupational therapy, she attempted to gain a real paid job.

  Method Qualitative triangulated methodology was used, combining a

  reflexive account of clinical occupational therapy intervention with

  interview data and secondary documentary analysis. The link between

  policy and practice was also explored.

  Findings Ultimately, the participant was unsuccessful in gaining a paid

  job, but remained motivated towards this goal. She became empowered to

  aspire for paid work, voiced opinions, and developed pre-vocational

  skills enabling continued pursuit of her goals. Negotiating access to

  potential employers on behalf of the participant was a significant

  barrier for the occupational therapist.

  Conclusion The journey of the participant in seeking paid employment was

  a new experience for everyone involved. There was a clear dichotomy

  between the aspirational language of policy and the reality of putting

  those aspirations into practice. As occupational therapists increasingly

  move into emerging fields, exploring employment for this client group

  presents opportunities to apply and expand core occupational therapy

  skills, to achieve mutually rewarding co-occupation and to influence an

  outstanding issue of occupational injustice.'
affiliation: 'Ineson, R (Corresponding Author), Sheffield Hallam Univ, Dept Occupat
  Therapy, Robert Winston Bldg,Coll Crescent Campus, Sheffield S10 2BP, S Yorkshire,
  England.

  Sheffield Hallam Univ, Dept Occupat Therapy, Sheffield S10 2BP, S Yorkshire, England.'
author: Ineson, Rachel
author-email: r.ineson@hotmail.co.uk
author_list:
- family: Ineson
  given: Rachel
da: '2023-09-28'
doi: 10.1177/0308022614561234
eissn: 1477-6006
files: []
issn: 0308-0226
journal: BRITISH JOURNAL OF OCCUPATIONAL THERAPY
keywords: Severe learning disability; paid employment
keywords-plus: PROVISION
language: English
month: JAN
number: '1'
number-of-cited-references: '41'
pages: 58-65
papis_id: 7d01e7bcd4413b49ebe6170e55938fa7
ref: Ineson2015exploringpaid
times-cited: '6'
title: 'Exploring paid employment options with a person with severe learning disabilities
  and high support needs: An exploratory case study'
type: article
unique-id: WOS:000351699100008
usage-count-last-180-days: '0'
usage-count-since-2013: '11'
volume: '78'
web-of-science-categories: Rehabilitation
year: '2015'