Affiliations: Medical Rehabilitation Research and Training Center for Multiple Sclerosis, Department of Medicine, St. Agnes Hospital-New York Medical College, White Plains, NY, USA | Small and Associates, 63 Valley Street, Orange, NJ 07079, USA
Note: [] Corresponding author, St. Agnes Hospital, 303 North St., Suite 203, White Plains, NY 10605, USA. Tel.: + 1 914 3286416, ext. 230, fax: + 1 914 3286408.
Abstract: Objectives: The objective was to develop and evaluate the feasibility of a medical-community job-retention model in MS. Study Design: 43 individuals with MS at risk for losing their jobs were randomized to one of two groups. Both received standard medical care. The experimental group received specialized services geared toward job-retention conducted by medical personnel and an employment specialist. The control group received only standard medical care. Both groups were followed for 1 year. Results: The new program was feasible, however, participants made little use of its services. At the I-year follow-up there was no difference between the two groups in job retention. Conclusions: A combined medical-community job-retention program is feasible in MS. However, patients do not generally wish to take advantage of job-retention services until an employment crisis develops. Future programs should develop more effective approaches to early intervention to realize their maximum potential.
