Supported
employment, which uses behavioral training techniques and systematic instruction
in real work environments, works very well to assist adults with Down syndrome
in obtaining and maintaining employment in real jobs in their own community. There
are five major components to supported employment:Consumer
assessment: This process identifies interests and attributes of the adult
with Down syndrome that may facilitate or inhibit job performance. It includes
an interview of the adult and significant others, observation in a variety of
settings, and review of educational, vocational, psychological and medical evaluations.
Job development: A job coach contacts employers who may
have suitable positions available, and discusses the employer’s attitude,
job requirements, and duties.
Job placement: The consumer’s abilities and interests
are matched with a particular job opening, and an employment decision is made.
Job training: Generally, job site training is facilitated
by the job coach, who uses behavior analysis, counseling, and cognitive strategies
to help the adult with Down syndrome learn the required job skills.
Ongoing support/follow-along services/extended services:
The job coach contacts both the adult with Down syndrome and the employer at
agreed-upon intervals to make sure both parties are satisfied that the job placement
is working. Long-term support to the adult may also address mobility, communication,
adaptive equipment, wages, co-worker relationships, and changes in work routine.
Nurses working with adults
with Down syndrome often have significant interactions with job coaches and
employers. Skilled in assessment and knowledgeable about health issues, the
nurse can be a valuable asset to the employment team.