BACKGROUND: Obtaining and retaining employment for persons with spinal cord injury (SCI) is frequently a greater challenge than it is for the non-SCI population. It is particularly difficult during COVID-19 because all the barriers to employment are compounded for people with SCI as they have to take extra precaution to protect their health and wellbeing. OBJECTIVE: The objective of the study was to understand how isolation related to COVID-19 has had an effect on the employment experiences for persons living with SCI. METHODS: Three virtual focus groups were conducted with Kentuckians who had SCI. RESULTS: The major themes were: the impact of disruption in routine on physical and mental health, importance of having the right accommodations, working from home as an accommodation, and the uncertainty of work. CONCLUSIONS: Accommodations are a critical component for people with SCI to be retained in the workforce. Employers should be proactive in offering various inclusive and accessible accommodations to employees so that people do not have to bear the additional burden of asking for accommodations. Rehabilitation professionals would serve the SCI population well by finding ways to help clients better advocate for themselves, provide adaptive home therapeutic equipment, and help identify diverse employment skill sets.

OBJECTIVE: This article provides descriptive findings from a sub-sample of 143 female African Americans with multiple sclerosis (MS) who responded to a national survey of the employment concerns of Americans with MS. Respondents evaluated 38 employment concerns items on two dimensions, importance and satisfaction, for the purpose of identifying strengths and weaknesses in the employment policies and practices affecting the labor force participation of African American women with MS. RESULTS: Results revealed a unique "strength and weakness" profile of African American women with MS consisting of 16 employment strengths and 22 employment weaknesses, a combination that distinguishes this population from profiles of other MS sub-populations. CONCLUSION: Implications of these findings for future rehabilitation programming and research are examined.

In this article we present the results of a needs assessment evaluating the employment-based needs of individuals with intellectual and developmental disabilities (IDD), from the perspectives of self-advocates, their families and care givers, and IDD service providers in a primarily rural state. Participants were recruited through statewide distribution of a questionnaire about key issues and barriers to employment. A total of 467 adults participated. Employment was identified as a top concern across the groups. An inductive thematic analysis approach was used to analyze the qualitative comments provided by respondents about their employment needs. The results were generally consistent with prior research among Americans with IDD, in that employer expectations, transportation barriers, disability benefits, limited opportunities to develop employment skills, and broader economic factors influencing the community were identified as key issues. However, the results demonstrate the magnified impact of these barriers in rural areas, particularly rural areas facing economic challenges. The results of this needs assessment are discussed in terms of the broad national implications, and in terms of the local process of engaging multiple stakeholder groups to identify potential solutions.

This study was conducted to better understand how COVID-19 has impacted the stress, resiliency, and quality of life of people with disabilities near the height of the first surge of the COVID-19 pandemic in the summer of 2020. Research Method/Design: An online survey of 990 individuals who self-identified as having at least one disability in the United States was conducted. Results: Quality of life, coping/resilience skills, number of identified disabilities, and age were all significantly related to perceived stress. While access to technology was not significantly related to perceived stress, increased use of technology since the pandemic was associated with increased reported stress, though the practical significance was small. Conclusions/Implications: There is a need for increased attention to dissemination of information to people with disabilities. Knowledge of medical rights was significantly associated with following social distancing practices and suggests that health knowledge does change behavior. Ensuring that people with disabilities are aware of coping skills and how to promote resilience is a needed area of focus for the field. Impact and ImplicationsLarge n survey research is presented assessing COVID quality of life and stressors for people with disabilities. Cross-disability perspective at the height of first COVID surge in the United States was studied. More awareness of health care rights is needed, especially in crisis scenarios. Renewed attention to promoting coping/resilience skills for people with disabilities is needed.

METHODS: Four employed people with neurological disabilities who took part in a larger job retention project funded by the United States Department of Labor completed structured interviews to determine their needs for employment accommodations during COVID-19. A trained interviewer administered the Work Experience Survey (WES) in teleconsultation sessions with each participant to identify: (a) barriers to worksite access, (b) difficulties performing essential job functions, (c) concerns regarding continued job mastery, and (d) extent of job satisfaction. RESULTS: Owing primarily to the sequelae of their disabling conditions and less so to social distancing requirements and telecommuting technology, participants reported a wide range of accessibility barriers and difficulties in performing essential functions of their jobs that they believed had the potential to significantly affect their ongoing productivity. Considering the stress and uncertainty that have accompanied the COVID-19 pandemic, it is surprising that the majority of participants reported high levels of job mastery and job satisfaction. CONCLUSION: The interviewer concluded the WES interview by recommending a job accommodation plan, which included suggestions from Job Accommodation Network (JAN) consultants.