“…Lower emotional and/or behavioural problems have been associated with the employment status of people with intellectual disabilities (Martorell, Gutierrez-Recacha, Pereda, & Ayuso-Mateos, 2008;McDermott, Martin, & Butkus, 1999;McInnes, Ozturk, McDermott, & Mann, 2010;Siperstein et al, 2014), as have absence of psychiatric symptoms (Martorell et al, 2008) The majority of the studies in this review are cross-sectional, and as such, it is not possible to attribute causality. Even in the best-quality longitudinal study identified, the authors note that they cannot confirm the direction of the relationship between change in behaviour and day occupation .…”