Article

The National Service Framework (NSF) for Long-Term Neurological
Conditions (LTNC) highlights the need for vocational rehabilitation (VR) services
in quality requirement 6. As a part of a review of this requirement, an extensive
literature review was undertaken to identify, review and report on all relevant
research undertaken in the area of employment for people with multiple sclerosis
(MS). DATA SOURCES: A systematic review of the English language literature for
studies under the headings: multiple sclerosis and employment, unemployment,
vocational rehabilitation, occupational health, job and work adjustment. The
following databases were systematically searched AMED (1985 to Feb 2010), CINAHL
(1982 to Feb 2010), PsycINFO (1806 to Feb 2010), EMBASE (1974 to Feb 2010),
Medline (1950 to Feb 2010) and PubMed (1950 to Feb 2010). DATA EXTRACTION AND
STUDY SELECTION: Four hundred and sixty-two papers were identified. This number
was reduced removing the duplicates, non-English, not reporting research, not
primarily about MS and not primarily about work which left 89 papers reviewed.
CONCLUSION: The body of evidence reviewed gives clear indicators as to what the
barriers to working with MS are and what is required for a VR service to meet the
often complex needs of people with MS. Further research is needed to identify the
efficacy of different models of VR, and their cost-effectiveness, and
particularly for means of identifying and measuring the effectiveness of
interventions that support work retention.

Langue : ANGLAIS