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This study investigates the associations between age, gender, living condition, level of intellectual disability, diagnoses, behaviour, mental health, and employment in adults with intellectual disabilities in Norway.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A cross\u2010sectional community\u2010based survey including 214 adult participants (56% men) with intellectual disabilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In our sample, 25% had no organised day activity, 27% attended non\u2010work day care, 19% attended sheltered employment, or day care with production, without pay and 29% worked in paid sheltered employment. One participant attended mainstream employment. Moderate and severe\/profound level of intellectual disability, possible organic condition and irritability significantly reduced the odds of employment (paid and unpaid).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Findings suggest unequal access to the sheltered employment that was meant to be inclusive. More individualised evaluation of prerequisites is suggested to further facilitate employment for this group.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jar.13217","type":"journal-article","created":{"date-parts":[[2024,3,9]],"date-time":"2024-03-09T11:21:07Z","timestamp":1709983267000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Mental health, challenging behaviour, diagnosis, and access to employment for people with intellectual disabilities in <scp>Norway<\/scp>"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8182-5016","authenticated-orcid":false,"given":"Erlend Refseth","family":"Pedersen","sequence":"first","affiliation":[{"name":"Department of Mental Health Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audny","family":"Anke","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation University Hospital of North Norway  Troms\u00f8 Norway"},{"name":"Faculty of Health Sciences, Department of Clinical Medicine UiT \u2013 The Arctic University of Norway  Troms\u00f8 Norway"},{"name":"Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Model and Services (CHARM), Faculty of Medicine University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmy Elizabeth","family":"Lang\u00f8y","sequence":"additional","affiliation":[{"name":"Department of Mental Health Norwegian University of Science and Technology  Trondheim Norway"},{"name":"H\u00f8gskolen i Molde  Molde Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4955-2231","authenticated-orcid":false,"given":"Monica Isabel","family":"Olsen","sequence":"additional","affiliation":[{"name":"Faculty of Humanities, Social Sciences and Teacher Education, Department of Teacher Education and Pedagogy UiT \u2013 The Arctic University of Norway  Troms\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"S\u00f8ndenaa","sequence":"additional","affiliation":[{"name":"Department of Mental Health Norwegian University of Science and Technology  Trondheim Norway"},{"name":"St. Olavs Hospital Centre for Research and Education in Forensic Psychiatry  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,9]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Aberrant behavior checklist manual","author":"Aman M. 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