Moving towards employment: the challenges experienced by people with a dual disability

Abstract

Aim: Job seekers with a dual disability face particular challenges when competing for and maintaining employment in the Australian labour market. This study examined the nature and impact of these challenges and the implications for support services. Method: Individual interviews and semi-structured focus groups were conducted with people with a dual disability and with rehabilitation professionals who provide both independent living and vocational support services. Results: A service delivery focus on developing and maintaining employment goals is associated with an improved quality of life. Results indicated that, for those with a dual disability, they may face particular challenges such as lower levels of social support, a significant rate of physical illness, vulnerability to abuse, substance misuse/abuse, forensic issues and exposure to support services that may not fully understand the nature of dual disability and therefore engage in unsuitable support interventions. Conclusions: Support services would benefit from targeted education and skills-based training, and they should identify and manage potential risk factors that people with a dual disability may encounter and that may impact on vocational activities.