By Dr. Francie Bennett MSW, Dr. David C. Clemmons PhD, Dr. Robert T. Fraser PhD

This booklet offers a realistic standpoint on cognitive issues and their courting to vocational and psychosocial adjustment concerns for individuals with a number of sclerosis (MS). It additionally offers useful ways to rehabilitation, vocational, and psychosocial interventions, with illustrative case stories. Of specific word is that each one tables, figures, and case research fabric supplement the textual content and will be used for PowerPoint slides or overheads in education courses for allied wellbeing and fitness personnel.Of specific curiosity are discussions of the cognitive concerns in MS, that have now not formerly been good mentioned within the literature, transparent discussions of evaluate instruments and site types in vocational evaluation and rehabilitation making plans, and an intensive studying record and self-help source lists that would be of guidance in knowing psychosocial adjustment during this population.This advisor is an outgrowth of vocational rehabilitation counselor education performed by means of the authors, and suggestions from the counselor attendees helped to refine the booklet. will probably be precious to vocational rehabilitation counselors and to all individuals of the health and wellbeing care workforce involved in the psychosocial prestige in their consumers with MS. The ebook is split into 4 sections: A broad-based clinical evaluation offers a easy dialogue of the process the MS affliction technique, its analysis and symptomatology, clinical remedies, and rehabilitation A dialogue of neuropsychological matters, together with suggestions of value in vocational rehabilitation and the explicit cognitive and comparable impairments which are attribute of MS and that reason vocational problems A overview of vocational rehabilitation interventions targeting evaluation and rehabilitation making plans A overview of psychosocial matters and interventions that target a variety of matters affecting the relations and communityThe booklet is designed for use as a uncomplicated education textual content for somebody counselor or medical professional trying to study extra approximately MS vocational rehabilitation or psychosocial adjustment and neuropsychology. it might probably even be used because the center fabric for education teams. Case reports are incorporated as small workforce dialogue education instruments. (20100503)

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Extra resources for Multiple Sclerosis: Psychosocial and Vocational Interventions

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There has appeared a longstanding tendency, as noted by LaRocca, for women to drop out of the workforce in greater numbers than men. In coping with this complex illness, it can be difficult enough for a woman (often a primary home manager) to focus on M 45 Fraser Section 03 2/8/02 8:43 AM Page 46 46 Multiple Sclerosis: Psychosocial and Vocational Interventions TABLE III-1 ■ ■ ■ ■ What Is the Employment Picture for Adults with MS? 90% have a work history 60% working at time of diagnosis 20–30% working at 10–15 years from diagnosis Majority of population is women with post-secondary education (LaRocca, 1995) housekeeping and child care alone—she generally is unable to maintain the additional vocational role given the disability’s complications.

Poor problem solving skills and some impaired judgment), increasingly close supervision and higher levels of structure will be helpful (see Section III on the benefits of job coaching or a paid coworker as mentor). , Rao, 1991, 1995) has suggested that people with MS, as a population, may evidence specific patterns of neuropsychological impairment. While neuropsychological impairment in MS is, in theory, correlated with lesion location and lesion load, a statistical review of cognitive difficulties, as measured by neuropsychological batteries, suggests a tendency for difficulties in three areas (see Table II-11).

The neuropsychological deficits reviewed herein are in the mild to borderline range of impairment. , reactive depression, increased somatic concerns) contribute to the overall picture. It may be desirable to readminister tests which fell outside normal limits in a year’s time. 6. An important goal of the supportive therapy recommended above should be the review of Ms. Smith’s depressive concerns, which are assumed to be reactive to her current difficulties with MS. Should these not alleviate, consideration of more aggressive psychotherapy and/or consideration for a trial on antidepressant medication should be weighed.

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