“…Further research to determine specific health benefits attributable to employment for people with intellectual disabilities is required, as well as research to elucidate the causal pathways that operate with reference to existing models on the relationship between (un)employment and health in the general population (e.g., Janlert & Hammarström, 2009, Paul & Moser, 2006. Whilst SE programs can be expensive, they can be cost-effective due to reducing cost for day activity services (Tholen, Hultkrantz, & Persson, 2017), cost-efficient regardless of severity and number of disabilities (Cimera, 1998) and lead to work in integrated settings for people traditionally thought of as unemployable due to the severity of their intellectual disabilities (Walsh, Lynch, & deLacey, 1994). Firstly, it would support the argument that health outcomes should become a driver for pursuing employment for people with intellectual disabilities as well as financial cost-benefit issues and an equality agenda.…”