Every October, we mark National Disability Employment Awareness Month (NDEAM). Parents ask us the same heartfelt question year after year: “What kind of job will my child be able to do after epilepsy surgery?”

It’s not a simple answer. Many of our kids face complex challenges such as neurodevelopmental disabilities, communication differences, and sensory needs that don’t fit neatly into a job application or interview.

One dad recently shared:

“My son just got rejected from a fast food job after a four-question interview. He spent a lot of time preparing and was ready for every question they asked. He’s now been turned down after about 12 job interviews. It feels like discrimination. He can do every one of these jobs. None are customer-facing.  What he can’t do is sell himself.”

We hear stories like this all the time.

Why the IEP Matters for Employment

This year’s NDEAM theme, ‘Celebrating Talent and Value,’ feels especially personal.

For my family, the turning point came when my son (who had a right hemispherectomy as a toddler) started preparing for adulthood. School was always hard. He has physical, sensory, and communication challenges. When we started asking, “What are his strengths?” and “Where does he thrive?” instead of only focusing on challenges, everything shifted.

The transition section of his Individualized Education Plan (IEP) became our roadmap. It helped us ask better questions, set realistic goals, and find creative paths toward employment.

We used tools like PESA’s IEP Goal Bank (check the “transition” tab) and a functional vocational evaluation that looked at his strengths, interests, and support needs to identify environments where he could shine.

Planning for employment truly starts with the IEP. These plans shouldn’t be limited to academics because the entire purpose of the IEP is to prepare a young person for the rest of their life.

Beginning by age 16 (and even earlier in some states), students with IEPs are entitled to transition services that prepare them for work, postsecondary education, and independent living.

The IEP can include:

  • Career assessments
  • Work-based learning opportunities
  • Job coaching
  • Communication and executive function supports
  • Goals for medical self-management and independence

A strong transition IEP doesn’t just help in school; it lays the foundation for adulthood. 

What’s New in Disability Employment?

There’s some good news: as of August 2025, the employment rate for working-age adults with disabilities (ages 16–64) is 38.5%, the highest it has ever been. (Disability Labor Force Statistics, August 2025. U.S. Department of Labor, Office of Disability Employment Policy)

Employers are becoming more open to remote work, job customization, and inclusive hiring. But many traditional hiring systems still don’t work for people who communicate differently, struggle with executive function, or simply don’t “sell themselves” well in interviews. Many young adults with a history of epilepsy have challenges that are not always visible.

That’s where something called customized employment can make a huge difference.

My Son’s Journey to a Job That Fit

After high school, college didn’t feel like the right path for my son. Filling out job applications online and prepping for interviews was overwhelming.

He started volunteering at a local theatre, a place that he loved. He enjoyed being part of the team, but he wanted a paycheck, not just a badge.

With help from our state’s Vocational Rehabilitation (VR) agency, he joined WorkLink, a community-based employment program in our area.

They spent time getting to know him and asking questions like:

  • What makes him feel successful?
  • What environments feel safe and manageable?
  • What kind of tasks bring him joy?

Instead of forcing him into an open position that didn’t fit, they created one just for him, right there at the theatre.

Now he works part-time greeting guests, sending emails, supporting volunteers, and prepping for small events while using his adaptive tools and strategies to manage sensory overload. A job coach checks in weekly to help him stay on track. 

This job is designed around his strengths. It’s his job, and he’s proud of it.

What Is Customized Employment?

Customized employment is a person-centered, strengths-based way of helping people with disabilities find work that fits. It doesn’t start with a job listing. It starts with the person.

Sara Murphy  from TransCen explained it this way in a recent podcast interview:

“We don’t ask employers to make concessions. Instead, we identify how a person’s strengths can solve real problems.”

Programs like this begin with a discovery process that helps identify what a person enjoys, where they excel, and what support they need. From there, job coaches connect with employers to design or adapt roles that align with the job seeker’s skills.

What the Research Says: Hope After Epilepsy Surgery

Many adults with epilepsy, intellectual disability, or medical complexity want to work but can’t find jobs through traditional programs.

But there is hope.

A large population-based study in Sweden followed children who had epilepsy surgery and tracked their outcomes into adulthood. Among those with a pre-surgery IQ of 70 or higher, 69–77% were employed 10 to 20 years later. Adults who were seizure-free were significantly more likely to work full-time, and those with typical IQs had full-time employment rates close to the general population. (Reinholdson, et al. 2020)

This confirms what many families already know: with early intervention, creativity, and the right supports, young people with a history of epilepsy surgery can thrive in work and life.

But most won’t get there without help and, most importantly, people in their corner who believe in their value.

Tips for Navigating Transition and Employment:

  • Start with strengths and interests. Look for activities your child enjoys and places where they feel calm, focused, or successful. Volunteering at a favorite spot (such as a library, animal shelter, or theatre) can be a low-pressure way to discover what kinds of tasks and settings work well.

  • Ask about customized employment. Not every Vocational Rehabilitation (VR) office offers it directly, but many partner with community agencies. Ask: “Do you offer discovery-based or customized employment services?

  • Use the IEP. A strong transition IEP can set the stage for real-world success. Use it to identify preferences, strengths, and goals, not just what they “can’t” do.

  • Build a support team. Your young adult needs champions: a job coach, a VR counselor, family members, supportive employers, and people who know them well.

  • Acknowledge their worries (and yours!). After years of medical challenges and school stress, the idea of work can feel overwhelming for both of you. But with the right job, right supports, and the right setting, success is possible.

Final Thoughts

This blog post is in honor of my son and so many others like him who show up every day in a world that wasn’t built with them in mind. I’m grateful for the people and programs that didn’t ask, “Can he fit the job?” but instead asked, “How can the job fit him?

“There is a job out there for everyone. We just have to stop getting bogged down in what the disability is and start focusing on people’s assets.”  (Sara Murphy, TransCen)

Explore our free tools for IEP and transition planning:

The IEP Process After Epilepsy Surgery, our free, self-paced IEP course.

Educational Transition After Epilepsy Surgery, a comprehensive, plain-language guide for parents of students with epilepsy and neurological needs.

Transition Roadmap for Youth with Neurological Conditions, our free, self-paced transition course covering education, health care, legal, and financial planning.

Transition to Adulthood Checklist, a step-by-step tool created in partnership with the Rare Epilepsy Network.

PESA’s IEP Goal Bank includes dozens of transition and health-related goals (click on the “transition” tab and scroll down to the goals in peach).

Previous blog posts:

Find these resources and more on The (Almost) Everything List

Additional resources:

Murphy, S. (2024, November 6). Customized and supported employment (Episode 31) [Audio podcast]. In B. Chase (Host), Boggs Center on Developmental Disabilities Podcast.

National Disability Employment Awareness Month (NDEAM) (U.S. Department of Labor)

Reinholdson J, Olsson I, Edelvik Tranberg A, Malmgren K. Long-term employment outcomes after epilepsy surgery in childhood. Neurology. 2020 Jan 14;94(2):e205-e216.

Young Adults in Transition: Vocational Rehabilitation Services: Part 1 (Center for Parent Information and Resources)

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about the author

Audrey Vernick is our Director of Patient and Family Advocacy. She is the parent of a child who had hemispherectomy for seizures caused by stroke. She holds a level 2 certification in Special Education Advocacy Training from the Council of Parent Attorneys and Advocates and is certified by The ARC in future planning. She also serves on the International League Against Epilepsy’s Social Work and Social Services Section.

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