"Getting your wheel in the door": Successful full-time employment experiences of individuals with cerebral palsy who use augmentative and alternative communication

Eight individuals with cerebral palsy who use augmentative and alternative communication (AAC) and were employed full time participated in a focus group discussion that was conducted on the Internet. Six major themes emerged from the discussion: (a) descriptions of employment activities, (b) benefits of employment and reasons for being employed, (c) negative impacts resulting from employment, (d) barriers to employment, (e) supports required for employment, and (f) recommendations for improving employment outcomes for individuals with cerebral palsy who use AAC. Factors identified as key to preparation for successful employment included appropriate education and vocational experiences. Community networks, government policies, and computer technology were identified as important supports for obtaining employment. Personal characteristics, technology, supportive coworkers, personal care assistance, and family supports were described as important supports for maintaining employment.