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HomeArthritis on the jobLegal rightsWork relationshipsWhat if arthritis forces change?Continuing to workReasonable accommodationsVocational rehabilitationWorking from homeWork disabilityTaming arthritis at work

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Work and Arthritis.

Last updated Thursday, January 06, 2005

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What if arthritis forces change?

Continuing to work

There are times when, in spite of all your doctor's efforts and in spite of all your own efforts, arthritis makes it impossible for you to continue in your present job.

This does not mean you will have to stop working altogether. With the help of the ADA and vocational rehabilitation services, you may be able to continue working for many years. However, you may have to change jobs, work fewer hours, or consider self-employment.

If your job involves physical labor, it may be helpful to have your doctor refer you to an occupational or physical therapist or a state vocational rehabilitation agency for a physical work performance evaluation or functional capacity evaluation. Such a test will determine exactly how much you can lift, carry, push, pull, and perform fine motor skills.

There are three ways to continue working if arthritis prevents you from doing your present job. They are: reasonable accommodations, vocational rehabilitation, or working from home.

Reasonable accommodations

The ADA says your employer must make reasonable job accommodations to assist you. These might include:

  • restructuring (changing the duties of) your job to cut out tasks you have difficulty doing
  • allowing you to work on a flexible schedule or part-time
  • placing you in a different job.

Vocational rehabilitation

Vocational rehabilitation (VR) is another road to employment if the ADA can't help you. The goal of VR is to help people with disabilities develop job skills and find and keep employment. It has been found to have a 50-percent success rate in helping people with arthritis find employment. Vocational rehabilitation services vary from state to state, but usually include:

  • counseling and guidance about possible careers
  • help in getting transportation and assistive devices such as wheelchairs
  • tools, equipment, supplies, and licenses needed to help you work
  • job training and job placement services
  • personal assistance services

Working from home

You may work from home by starting your own business or by working at home for an employer. If you are independent, self-disciplined, and like to plan your own hours, then a home business may be right for you.

Before you begin, however, consider the following questions:

  • Do you have the self-discipline you need to focus on work?
  • Will you miss socializing with others?
  • Will you miss getting out?
  • Will you be able to successfully develop and run a business?

If you feel confident that you can deal with these issues, contact the Small Business Administration Office (SBA) in your area. The SBA's Handicapped Assistance Loan (HAL-2) program provides direct loans and loan guarantees to qualified individuals with disabilities to set up their own businesses. The agency also provides individual guidance and a variety of classes for people starting out in their own business. Many college and community adult education programs offer similar classes.

Some companies will allow you to work for them out of your home. They often provide you with the equipment you will need. Jobs that can be done largely on computers or by telephone are best suited for this arrangement. To find such companies, check with your local chamber of commerce, businesses in your area, classified ads, vocational rehabilitation agencies, and friends.

Work disability

If you become disabled because of arthritis and are unable to return to work, you may be eligible for Social Security disability benefits. The Social Security Administration considers you disabled if you are unable to do any kind of work for which you are suited, if your inability to work is expected to last at least one year or to result in death.

There are two kinds of benefits: Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). Both offer specific incentives to encourage people receiving these benefits to return to work.

If you have bought private disability insurance, your benefits will be governed by the terms of the policy.

The Social Security Administration offers work incentives to enable people receiving disability benefits to continue to work.


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