Vocational Outcomes of High School Students with Epilepsy

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Abstract
In the fall of 1982, 42 adolescents with epilepsy referred for neuropsychological testing were followed 6.44 years after testing (4.55 years after high school) with respect to vocational outcome. Forty-three percent of the sample were either employed or involved in continuing education (N = 18); 57% reported no competitive employment (N = 24). Thirty-one percent were receiving federal living subsidies. Thirty-six percent (N = 15) had received state vocational rehabilitation (VR) services, with a placement rate of 13% (N = 2). The low VR placement is consistent with recent literature. The sample demonstrated lowered performance on an expanded Halstead-Reitan Battery. Significant t-test differences (P< .01) were observed between working and non-working portions of the sample on the Weschler Adult Intelligence Scale and on percentage of neuropsychological tests outside normal limits. Similar results have been reported with adult epileptics seen at this Center. A discussion of priorities in rehabilitation planning and of the use of neuropsychological testing to aid in identifying vocationally “at risk” youth is presented.

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