Tuesday, August 09, 2005

DISABILITY and WORKING; JAN (Job Accommodation Network) BEST RESOURCE for Disabled Workers!!!

JAN - the Job Accommodation Network is, without doubt, the absolute best resource and link for anyone who is disabled, who is facing becoming disabled, and who is still working! The purposes of this blog are:
  • to describe what this Resource is;
  • to give you an example of what types of information it can provide for you;
  • to give you an example (from my own experience) of how you can trigger the ADA (Americans with Disability Act) to continue working as your company provides you with "reasonable accommodations"; and,
  • to give you a link to this very valuable website.

OK, let's say that you have just been told by your Neurologist that the series of conditions that have been making you miserable for over the past 35 years really are the result of Multiple Sclerosis (MS). My first reaction was, OH DARN!!!

At this point in time, I was struggling to keep 2 kids in college, and was working in the best job that I had ever had! I was the Vice President of Human Resources for a Ship Repair Yard. My staff and I provided Human Resorces services to over 2,500 employees in 11 crafts (Unions) running a 24 (hour)/7 (days) week operations. (Note: you can see more about me by going to the "About Us" section of the www.disabilitykey.com website.)

My next reaction, since I am an ingrained "control freak", I decided to become an Expert Patient, even though I would not discover that phrase until over a decade later. If I was to become a Chronic Disease Self-Manager (again, I would not discover that phrase until over a dacade later) I needed to know all about Multiple Sclerosis, its symptoms, and, for whatever symptoms I had, their explicit impact on me. For, you see, my wonderful Doctor and I had been practicing Patient-centered health care (another yet-to-be-discovered concept) for years up to that point.

AND, since I still had bills to pay, two kids to keep in college (and those of you who have experienced this, you KNOW how expensive college is these days) I needed to keep working. But, my job skills were becoming increasingly more impacted by my MS symptoms. I knew that I must research, in addition to the disease, the concept of working while disabled.

Here, in a nutshell, is what I discovered. (By the way - I very much wish that there had been information like this for me to access when I needed it; that's one of the reasons that I am so passionate about providing the information to y'all, so that you can use it in your own unique situations.)

  • I learned that there was a federal law called "ADA". (OK, truth time; I already knew about this law as a Human Resources professional; what I mean to say, is that now I knew about the law as a DISABLED PERSON. Believe you me, the two "knowings" are as different as are night from day! One is academic, the other is experiential. It is the very nature of my experiential knowledge about disability and other "stuff" that fires me up to share the information with you so you don't have to recreate the wheel.)
  • Here is how the JAN describes WHAT the patterns and pracatices of a Company's employment nondiscrimination policies are under the ADA:

" The ADA prohibits discrimination in all employment practices, including job application procedures, hiring, firing, advancement, compensation, training, and other terms, conditions, and privileges of employment. It applies to recruitment, advertising, tenure, layoff, leave, fringe benefits, and all other employment-related activities."

  • This is how the JAN describes WHO is covered by the ADA:

"Employment discrimination is prohibited against "qualified individuals with disabilities." This includes applicants for employment and employees. An individual is considered to have a "disability" if s/he has a physical or mental impairment that substantially limits one or more major life activities, has a record of such an impairment, or is regarded as having such an impairment. Persons discriminated against because they have a known association or relationship with an individual with a disability also are protected."

  • Please note the sentence in red ink, and praticularly the words in bold that are larger. It is very important that you understand that you need not just "have" a physical or mental impairment, that/those impairment(s) must substantially limit one or more major of life's activities, and, furthermore, you must have documentation of that impairment ( and/or "be regarded as having such an impairment", which basically means that the impairment and it's limitations must be documented).
  • It is this information in red ink that made me realize the great truth about working and disability: I had to do the work myself to determine what my impairements were, and what activities they impacted; I had to become that Expert Patient who was also an Expert Disabled Worker! Here's how the JAN describes a "qualified individual with disabilities":

"A qualified individual with a disability is a person who meets legitimate skill, experience, education, or other requirements of an employment position that s/he holds or seeks, and who can perform the "essential functions" of the position with or without reasonable accommodation. Requiring the ability to perform "essential" functions assures that an individual with a disability will not be considered unqualified simply because of inability to perform marginal or incidental job functions. If the individual is qualified to perform essential job functions except for limitations caused by a disability, the employer must consider whether the individual could perform these functions with a reasonable accommodation. If a written job description has been prepared in advance of advertising or interviewing applicants for a job, this will be considered as evidence, although not conclusive evidence, of the essential functions of the job."

  • Next step, get a copy of the Job Description for your job. The job description should detail what is called "the Essential Duties (or Functions) of the Job". (Note: a copy of a Job Description that has such essential duties described, and the process of how to get one from your company's Human Resource department can be found at the www.disabilitykey.com website in the Disabilitykey Workbook. This Workbook is an "e-book" of over 100 pages with How-To's and lots of forms and examples. It can be purchased for a minimum cost.)
  • OK, you know your symptoms and their impacts upon you, and you have detailed them (once again, how to do this is covered in the Disabilitykey Workbook). Now you have to look at the Job Description for your own Job, and decide what you can and can't do.

OK, this is really hard stuff to do. That's where the JAN comes in that is so helpful! It has a link on the left hand column called "Accommodation Toolbox". If you click on this box, it will take you to a page with a wealth of information. Scroll down about an 15% of the page and you will find a section entitled "Accommodation Ideas". When you click on this section, you will find an index of illnesses/conditions, with some great information for you. You will need to understand accommodation ideas to

  • Here's what the JAN has to say about "Reasonable Accommodations", and about some accommodations applicants and employees may/can need.

" Q. What is "reasonable accommodation"?
A. Reasonable accommodation is any modification or adjustment to a job or the work environment that will enable a qualified applicant or employee with a disability to participate in the application process or to perform essential job functions. Reasonable accommodation also includes adjustments to assure that a qualified individual with a disability has rights and privileges in employment equal to those of employees without disabilities.
Q. What are some of the accommodations applicants and employees may need?
A. Examples of reasonable accommodation include making existing facilities used by employees readily accessible to and usable by an individual with a disability; restructuring a job; modifying work schedules; acquiring or modifying equipment; providing qualified readers or interpreters; or appropriately modifying examinations, training, or other programs. Reasonable accommodation also may include reassigning a current employee to a vacant position for which the individual is qualified, if the person is unable to do the original job because of a disability even with an accommodation. However, there is no obligation to find a position for an applicant who is not qualified for the position sought. Employers are not required to lower quality or quantity standards as an accommodation; nor are they obligated to provide personal use items such as glasses or hearing aids.
The decision as to the appropriate accommodation must be based on the particular facts of each case. In selecting the particular type of reasonable accommodation to provide, the principal test is that of effectiveness, i.e., whether the accommodation will provide an opportunity for a person with a disability to achieve the same level of performance and to enjoy benefits equal to those of an average, similarly situated person without a disability. However, the accommodation does not have to ensure equal results or provide exactly the same benefits. "

So, I now know my symptoms and their impacts; I know about the ADA, and about something called "reasonable accommocations". I have a copy of my Job Description, and am now trying to compare "ME" to the job's Essential Duties.

Again, here's where the JAN is soooooo valuable. Here's the information, copied directly from JAN about Multiple Sclerosis. Look at how detailed and varied the information is!


"Multiple Sclerosis (MS) is a chronic disease of the central nervous system. MS is often characterized by a pattern of exacerbation and remission. Symptoms may be mild, such as numbness in the limbs, or severe, such as paralysis or loss of vision. Possible symptoms include fatigue, loss of coordination, muscle weakness, spasticity, numbness, slurred speech, visual difficulties, paralysis, muscle cramps, bladder or bowel problems, and sexual dysfunction.

There are an estimated 250,000 to 350,000 people with MS in the United States. Because most people develop MS between the ages of 20 and 40, many are likely to be employed when first diagnosed. The following is a quick overview of some of the job accommodations that might be useful for people with MS. For a more in depth discussion, access our publication titled “Accommodating People with Multiple Sclerosis” at http://www.jan.wvu.edu/media/MS.html and the Searchable Online Accommodation Resource (SOAR) at http://www.jan.wvu.edu/soar/MS.html. To discuss an accommodation situation with a consultant, contact JAN directly at 800-526-7234 (V/TTY) or

1) What symptoms or limitations is the individual with MS experiencing?
2) How do these symptoms or limitations affect the person and the person's job performance?
3) What specific job tasks are problematic as a result of these symptoms and limitations?
4) What accommodations are available to reduce or eliminate these problems?

5) Are all possible resources being used to determine possible accommodations?
6) Has the employee with MS been consulted regarding possible accommodations?
7) Once accommodations are in place, would it be useful to meet with the person with MS to evaluate the effectiveness of the accommodations and to determine whether additional accommodations are needed?
8) Do supervisory personnel and employees need training regarding MS, other disability areas, or the Americans with Disabilities Act?


Activities of Daily Living:
· Allow use of a personal attendant at work
· Allow use of a service animal at work
· Make sure the facility is accessible
· Move workstation closer to the restroom
· Allow longer breaks
· Refer to appropriate community services

Cognitive Impairment:
· Provide written job instructions when possible
· Prioritize job assignments
· Allow flexible work hours
· Allow periodic rest breaks to reorient
· Provide memory aids, such as schedulers or organizers
· Minimize distractions and provide more structure
· Allow a self-paced workload
· Reduce job stress

· Reduce or eliminate physical exertion and workplace stress
· Schedule periodic rest breaks away from the workstation
· Allow a flexible work schedule and flexible use of leave time and work from home
· Implement ergonomic workstation design
· Provide a scooter or other mobility aid if walking cannot be reduced

Fine Motor Impairment:
· Implement ergonomic workstation design
· Provide alternative computer access
· Provide alternative telephone access
· Provide arm supports
· Provide writing and grip aids
· Provide a page turner and a book holder
· Provide a note taker

Gross Motor Impairment:
· Modify the work-site to make it accessible:
§ Provide parking close to the work-site
§ Provide an accessible entrance
§ Install automatic door openers
§ Provide an accessible restroom and break room
§ Provide an accessible route of travel to other work areas used by the employee
· Modify the workstation to make it accessible:
§ Adjust desk height if wheelchair or scooter is used
§ Make sure materials and equipment are within reach range
§ Move workstation close to other work areas, office equipment, and break rooms

Heat Sensitivity:
· Reduce work-site temperature
· Use cool vest or other cooling clothing
· Use fan/air-conditioner at the workstation
· Allow flexible scheduling and flexible use of leave time
· Allow work from home during hot weather

Speech Impairment:
· Provide speech amplification, speech enhancement, or other communication device
· Use written communication, such as email or fax
· Transfer to a position that does not require a lot of communication
· Allow periodic rest breaks"

At the bottom of the MS page, there's a link entitled: "Example Accommodations For People With Multiple Sclerosis". This link provides some actual situations.

OK: HERE'S THE LINK: http://www.jan.wvu.edu/

Stay tuned. Tomorrow we'll talk a little more about why and how you should/can put together a package yourself for your Human Resources department. And, as always, feel free to write comments, ask questions, seek clarification, etc. Particularly if you use this information, your questions can help others out there!


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