Disability Employment Support Service

MSWA's disability employment support services assist people living with a neurological condition in Perth and Western Australia  to retain and find employment.

Disability employment support service

The MSWA Employment Support Service (ESS) is a specialist program that assists people diagnosed with a neurological condition, including multiple sclerosis (MS), stroke, Parkinson’s disease and acquired brain injury, to retain and find employment.

We provide specialised disability employment support services through the Federal Government’s Disability Employment Services (DES - ESS) program at no cost to you.  

Our service offering includes personalised assessments and support to help you manage symptoms, optimise your ability to work, and maintain your wellbeing. We can assist in finding employment, as well as advocate for your needs and assist in educating employers and colleagues.

Disability Employment Services (DES) is a government funded free services that is available to individuals with a disability, injury or health condition. 

Employment Assistance (EA)

MSWA is a DES provider and can assist West Aussies living with neurological conditions to: 

  • Get ready for work
  • Train for specific job skills
  • Resume writing and practice interview skills
  • Seek for jobs that suit your needs 

Once you've secured employment, MSWA will endeavour to support you to maintain employment for as long as possible by advocating for reasonable adjustments and obtain any disability aids you require. 

Work Assist

The Work Assist program provides individuals with disability, illness or a health condition with free help to keep their jobs. 

Work Assist help can include:

  • Face-to-face support, such as meeting in-person for appointments.
  • A full workplace assessment to work out what support the employee with disability needs.
  • Advice about redesigning a job, for example changing or swapping tasks.
  • Workplace changes or special equipment.
  • Referrals to health support services, such as physiotherapy, occupational therapy, pain management or counselling.
Transcript (MSWA Employment Support services: Cathy Watson)

So I got diagnosed about I think seven or eight years ago. Two days before school started I came down with a massive headache and I got blurring in my right eye and I thought it was just a normal migraine. Two days later they went "Oh you've got lesions on your brain and you have MS." So it was quite a quick diagnosis for me. 

I've been with MSWA for about 7 years now. Peta has been bit of a godsend for the last two years. I touch base with her pretty much every Friday after work so the deputies and the executive team really helped push through the process of trying to get support in here otherwise I would have quit. 

The MSWA employment support services is a wonderful program. We come and we meet with people with a neurological condition to work out ways that we can support them to continue doing what they love which is working. 

My journey with Kathy has been a very rewarding journey. We've broken ground because we've actually worked to get some wonderful assistance in the workplace with her support worker Tara.

We've got on like a house on fire since we met each other and we're still doing the same today and it's fantastic to actually work in a position with Kathy. I am her legs around the school I try and preserve Kathy's fatigue physically and cognitively so the less energy she uses during the day means that she goes home with more because it actually compounds as the day goes on. 

Basically anything and everything that I can do to help to stop Kathy from overloading. 

Kathy first of all you need to understand as a high performing teacher she's a very valued member of staff. You know some people see that disability but providing the support those people can still contribute and contribute at a really high level to an organization

Support service that we run is a completely free program through the federal government so there's no out-of-pocket costs to the employer to the person so we can have as much contact. 

If that person needs two hours of your day you can do that it doesn't limit us working with people the location because we can do that through tele-health. 

The evidence is really strong employing someone with a disability is actually a win-win for any employer so definitely if anyone is interested in employ someone with a neurological condition we'd love to hear from them. 

And in fact were it not for Kathy's persistence in working through the hurdles to make that happen, it probably wouldn't wouldn't have happened either.

The importance of having employment support for me was it kept me working if I can do this for for me then hopefully it will help other people do that. 

Our disability employment support services

Our Specialist Neurological Employment Support Service is run by allied health professionals and is designed specifically to help people living with progressive neurological conditions. This is a real strength of our service offering, as our clinical background means we have a deep understanding of the conditions our Clients are living with. It allows us to carry out thorough assessments and put the right supports in place. 

No matter the field you work in, we can assist. We have helped people working in a range of industries to stay employed, including teaching, nursing, finance, research, retail, and administration.  

Job search

If you face barriers maintaining or securing employment due to your neurological condition, the MSWA ESS Team can assist you with: 

  • Vocational assessments to identify new or alternative employment options.
  • Job search assistance, including:
    • Resume creation,
    • Employment preparation assistance,
    • Online job search and
    • Activities to promote skills and abilities.
  • Assist employers with job design or re-design.
  • Training and information for employers and staff to support you in the workplace.
  • Support employers to access Provision of Workplace assessments, financial incentives, and modifications, through liaison with the Job Access Provider. 
Maintain employment

To help you maintain your current employment, our team can assist you with:  

  • Assessments to review physical or cognitive limitations to determine your limits or abilities. If you’re experiencing any of the following at work, we can help:
    • Trouble moving around the workplace
    • Difficulty accessing the bathroom
    • Problems with concentration and memory
    • Stiffness and pain
    • Fatigue
  • Funding of interventions and workplace modifications to manage physical and psychological symptoms. As well as strategies to improve fitness and general wellbeing.
  • Assessment and support on whole of life issues that may impact your ability to work, such as fatigue management.
  • Workplace assessments to review current duties and workplace set up, to provide modification advice on work structures and physical environment.
  • Ongoing tailored support to maintain productivity and employment. 

How do disability employment support services work

Our team of clinicians will meet with you one-on-one to assess your psychological, social, cognitive, physical, and vocational needs. 

Based on your needs, we can provide the following:

  • Symptom management strategies for you and your workplace.
  • Comprehensive workplace assessment to review your current duties and workplace set up.
  • Advice on how to modify your hours of work if necessary.
  • Advice and assistance regarding new technology and equipment to suit your needs.
  • Simple processes to help you think more clearly and reduce ‘cog fog’.
  • Financial assistance to access services, treatments, or therapies.
  • Support to decide if, when and how to disclose your neurological condition.
  • Education for your employer and colleagues.

No matter the field you work in, we can assist. We have helped people working in a range of industries to stay employed, including teaching, nursing, finance, research, retail, and administration.  

MSWA Employment Support Services: Peter Wells
Transcript (MSWA Employment Support services: Peter Wells)

The MSWA Employment Support Services is a very unique program in WA.

We're one of two specialist providers where it's clinicians actually supporting people in the Work Assist Program.

So that really sets us apart from other DES providers which don't offer that specialist clinical support for people.

It's a really holistic program where we look at all different elements of how people perform at work.

My journey with Peta has been a really wonderful experience for myself and I hope for Peter.  

Through that, I started working with him when he was working at another company.

With MS, there's a lot of physical barriers as well when you're doing more physical work, and we find ways in the Work Assist Program to actually help them to succeed at work.

So that might be looking at things like equipment if they need equipment, advocacy with the workplace to make accommodations, and just find things that will help them to get to work as well.

We believe I was undiagnosed with MS at the age of 21. I suffered optic neuritis while driving and then once I was diagnosed I met all the lovely people from MSWA, Peta and Leigh.

Peta found all the paperwork for me to get onto the NDIS.

I since found a decent physio that have helped me rebuild my muscle strength, taking me from borderline wheelchair to back on the tools.

Neurology is quite a broad spectrum of conditions and how neurological conditions impact individuals is so varied depending on where their lesions are or how they present.  

I think having Allied Health in that role is particularly important because we understand the conditions really well.

We're able to thoroughly assess our clients and then we're also able to put a lot of clinical supports in place and the equipment that we obtain is again quite specialized for that reason.

So it's great to have this service in MSWA because it's essentially free for the clients to access. They don't have to pay to access it, we're funded directly by the Federal Government.

We do a lot of things with our clients in terms of supporting them with other Clinical Services not just getting them equipment and workplace advocacy.

But if they want any support, I think the best thing they can do is reach out and touch base with myself or my team and we'll be able to give them advice and support them.  

Having four young kids I can't exactly just lay down and go - you know this this is a crappy hand that you've been dealt, it's time to quit - that doesn't mean it's the end of the road for you.

Your path may change but you can still get to a destination but there's no quitting. 

Who we support

The MSWA Employment Support team supports people in Perth and Western Australia living with a diagnosed neurological condition, including:

  • Multiple sclerosis
  • Stroke
  • Huntington’s disease
  • Parkinson’s disease
  • Motor neuron disease
  • Acquired brain injury

This list is not exhaustive. You can find a comprehensive list of conditions here. If your neurological condition doesn't appear, please contact us on 08 9365 4888 or complete the form below.

Our specialised neurological employment support services are based in the MSWA Wilson Service Centre, and Telehealth is available to Clients in regional Western Australia.  

80% of people who have used the MSWA Employment Support Service are still employed two years later.

Frequently asked questions

Guide for employees

Can I still work with MS or other neurological conditions?

Yes, people with multiple sclerosis and other neurological conditions can still work. However, needs and experiences may vary depending on the progression on the condition. 

Some continue in their current roles, while others may require adjustments to hours, tasks or work environment. It is your right to ask for adjustments at your work place. 

The MSWA Employment Support Service team can help you understand your rights and access support. 

What do I need to know?

Although many people with MS do not consider themselves to have a disability, the condition meets the criteria of disability in the Disability Discrimination Act 1992 (Cth). This definition applies from the moment a person is diagnosed with MS regardless of how it affects them.

An employer has a duty of care to protect employees under the Work Health and Safety Act 2011.

It is unlawful for an employer to treat unfairly, harass, or discriminate against a person, or to allow this to happen, in the workplace. It is also unlawful to discriminate against a potential employee because they have MS.

An employer may be required to make reasonable adjustments to the employee’s work or to their work processes to enable the employee to get the job done, noting the inherent requirements of a position are the essential activities and tasks that are carried out to get a job done and relate to results rather than how this is accomplished.

An employer may also be required to make reasonable adjustments to the workplace to accommodate the needs of the employee. An employer is not required to make adjustments that would lead to unjustifiable hardship.

Do I have to tell my employer I have MS?

Disclosing a diagnosis of MS is a very personal choice and the decision will depend on a variety of factors.

You are required to disclose your diagnosis of MS if your symptoms prevent you from completing the essential tasks inherent to your work role or present an occupational health and safety risk to yourself or others. For example, a truck driver who experiences visual disturbances or takes pain medication that can cause drowsiness would be required to disclose their diagnosis of MS to the employer as the condition may impact safety while driving.

If you can maintain your work role, continue to complete the tasks required, and do not present a risk to yourself, others, or the organisation, you may choose to delay disclosure or not disclose at all.

If you elect to disclose, do not feel compelled to provide information beyond what is relevant to the workplace. For example, a discussion simply about fatigue and heat sensitivity may promote a discussion to enable you to work from home or in a cooler location.

What do I tell my employer about MS?

MS is the most common neurological condition affecting over 25,600 Australians. Nearly three times as many women than men are affected, and people are typically diagnosed when aged in their 20s and 30s.

MS is a non-infectious and non-contagious disease of the central nervous system including the optic nerve. It can attack multiple areas of the central nervous system therefore symptoms vary, and no two people with MS will have the same experience.

MS may affect mobility and coordination, but many other possible symptoms are invisible including neuropathic pain, visual disturbance, heat sensitivity, bladder urgency, sensory issues such as numbness, and physical and cognitive fatigue. A person may appear the same as usual, yet be experiencing symptoms of MS.

The most common course of the disease is relapsing-remitting MS with symptoms partially or completely disappearing during the remission stage. While there is no cure for MS, the new generation of therapies greatly reduce the frequency and severity of relapses thereby slowing disease progression, meaning the long-held public perception of the disease progression is no longer valid.

Due to its varied nature, there is no ‘one size fits all’ approach to managing MS in the workplace.

Disclosure: potential for positive outcomes

Receive support:

The employer has an obligation to consider the health and, if necessary, make workplace adjustments to enable a person with MS to work effectively and enjoy equal opportunity with others.

Depending how MS impacts the employee, this could be as simple as:

  • Having an ergonomic office chair.
  • Using a desk-fan.
  • Having access to a refrigerator for cooling products.
  • Moving a workstation away from a heat source, or closer to the restrooms.
  • Installing a stair chair.
  • Negotiating flexible or reduced work hours.
  • Shifting start or finish times.
  • Working from home.
  • Having somewhere to rest for short periods during the workday.
  • Using a parking space close to the entrance to work.

Telling an employer about MS enables the employer to provide support with these changes.

Debunk the myths:

Telling colleagues about MS creates opportunities to challenge the stigma often associated with the condition and educate the community about MS.

Opening communication and being honest about MS and its impact can raise awareness of the condition and encourage advocacy in the workplace.

Managing symptoms in the workplace can model living well with MS.

Share experiences:

We are all human. Often the sharing of challenges and struggles is reciprocated, and colleagues can provide strength, compassion, encouragement, or simply someone to talk to especially on a ‘bad MS day’.

Disclosure: potential for negative outcomes

Stigma:

Employers and colleagues may hold negative views, or may have an inaccurate and outdated perception of MS.

They may anticipate the employee with MS will be unreliable, take a lot of time off work, work slowly, or need supervision putting more pressure on them.

Assumptions:

The employer may assume an employee with MS does not want or would not be able to cope with further training or a promotion due to symptoms of MS: they may focus on the disability rather than the skillset and career aspirations of the individual.

Ignorance/fear:

MS is not well-understood adding to the importance of debunking the myths and challenging the stigma and assumptions still held by some employers.

Not everyone is aware of the new generation of therapies that greatly reduce the frequency and severity of relapses thereby slowing disease progression.

Not everyone is aware of the effective symptom-management strategies an employee with MS can use to minimise the impact of symptoms in the workplace.

How do I manage my symptoms of MS in the workplace?

Consider disclosing your diagnosis of MS to the employer:

Having open communication and understanding with your employer about MS can provide you with support and assistance to manage symptoms in the workplace. Access to minor work adjustments may enable you to continue your tasks by assisting you to manage symptoms throughout the working day.

Disclosing your MS may also alleviate stress often associated with disguising symptoms in the workplace.

Be realistic:

Be honest with yourself regarding how MS is affecting you, your work role, and your own abilities and coping strategies.

Maintaining a work-life balance encourages good mental and physical health and well-being and will likely contribute to making employment more sustainable.

Take responsibility:

Take personal responsibility to manage symptoms as well as possible in the workplace, in the community, and at home.

This could be as simple as:

  • Drinking ice-cold water, wearing a cooling vest, or using a desk fan to manage heat sensitivity.
  • Completing complex tasks when feeling alert and more routine/simpler tasks if cognitively fatigued.
  • Asking colleagues to request information via email rather than in conversation.
  • If given the opportunity, work from home to limit consecutive days requiring commute toa workplace.
  • Alternate between high energy and low-energy tasks to manage physical and cognitive fatigue.
  • Avoid strenuous physical activity prior to work to manage physical fatigue.
  • Participate in intervention and treatments to manage symptoms, for example a physical exercise programme, meditation and mindfulness, myotherapy/massage.
  • Incorporate healthy lifestyle habits in the workplace, for example take rest breaks, short walks, and complete stretches.

Make reasonable adjustments:

Discuss reasonable adjustments to the work role, work process, or workplace with the employer. A reasonable adjustment refers to workplace adjustments required to enable a person with MS (or other disability) to work effectively and enjoy equal opportunity with others.

Alert the employer to the Australian Government Job Access Employment Assistance Fund for advice and financial support for disability-specific workplace tools and equipment.

Many adjustments however cost little or nothing to put in place and may include:

  • Having an ergonomic office chair.
  • Using a desk-fan.
  • Having access to a refrigerator for cooling products.
  • Moving a workstation away from a heat source, or closer to the restrooms.
  • Installing a stair chair (funding available through Employment Assistance Fund).
  • Negotiating flexible or reduced work hours.
  • Shifting start or finish times.
  • Working from home arrangements.
  • Having somewhere to rest for short periods during the workday.
  • Using a parking space close to the entrance to work.
How can I take control of my career?

A diagnosis of MS is a life-changing event, often prompting people to rethink their priorities and career aspirations. This can be a very positive experience. It may present as an opportunity to pursue something you have always wanted to do.

Equally, despite symptom-management strategies and workplace adjustments, you may no longer want or be able to continue in your current role. This does not mean you have to stop work altogether as there are several other options you could explore.

Consider a different role within the same organisation. It will depend on the organisation you work for, but there may be an option to move to another role that allows you to better manage your symptoms of MS.

Have a change in direction: this may include training or study, seeking new employment, turning a passion into a business, becoming self-employed.

There are employment support services specialising in assisting people with MS to find suitable work. Contact your state MS organisation for more information about their employment support services and the Australian Government Disability Employment Services.

If seeking new employment, the same guidelines regarding disclosure of MS apply. It is however important to consider your digital presence as a potential employer may learn of your MS if they search you online. Consider the possible positive and negative outcomes of this scenario; it may be that debunking the myths surrounding MS is the best approach.

Where can I get support and advice?

Contact us using the form below.

Can I still work with multiple sclerosis (MS)?

Yes,  you can still work with MS. Many people with MS don't experience symptoms that impact their ability to wok, and are able to continue in their professions until a normal retirement date. 

For patients where the condition progresses with symptoms that affect their work-abilities, employment support services are available to assist in finding new employment, or request accommodations in their current role. 

Can I go back to work after a stroke?

Many people can return to work after a stroke, depending on their individual recovery progress and their occupation. A phased return to work may be advisable for some. 

Can I work with Huntington's disease?

It is possible to maintain employment in the early stages of Huntington's disease. The progression of the condition causes cognitive and physical challenges that can ultimately affect the ability to work. 

Can I still work with Parkinson's disease?

Many people with Parkinson's disease are able to continue to work after their diagnosis. Maintaining employment can be challenging depending on the progression of the condition, however access to employment support can assist you in maintaining your current employment or finding a new one. 

How can specialist employment support help me?

Specialist employment support can help people living with neurological conditions to acquire personalised assessments and support to help them manage symptoms, optimise their ability to work, and maintain their wellbeing. We can assist in finding employment, as well as advocate for their needs and assist in educating employers and colleagues.

Is MSWA Employment Support Services available for newly diagnosed?

Yes, MSWA Employment Support Services is available for people who are newly diagnosed. Being proactive, communicating openly with your employer, and exploring reasonable adjustments can help you maintain your independence and confidence at work for as long as possible.

What makes MSWA Employment Support Services team unique?

The MSWA Employment Support Services team uniquely comprises of qualified clinicians, including physiotherapists and occupational therapists, which enables the team to provide clinical advice, along with high quality vocational support. 

What tools are available to employers to support staff with a neurological condition?

Employers have access to a range of tools and supports to support a staff member living with a neurological condition. 

MSWA can assist in identifying and implementing practical solutions such as:

Assistive technology tailored to individual needs, including:

  • Voice-to-text or speech recognition software
  • Ergonomic keyboards and tremor-friendly mice
  • Screen magnifiers or larger monitors
  • Task tracking or fatigue management apps

Workplace adjustments to help manage fatigue and maintain productivity, such as:

  • Flexible hours or reduced workdays
  • Scheduled breaks throughout the day
  • Delegation of physically demanding tasks
  • Access to quiet or low-stimulation spaces

In addition, MSWA can support employers with accessing funding through the Disability Employment Services (DES) program and provide guidance around eligibility for supports like the NDIS. Our team works collaboratively with both employers and employees to create sustainable, supportive work environments that promote long-term success.

Guide for employers

What do I need to know?

Although many people with MS do not consider themselves as having a disability, the condition meets the criteria of disability in the Disability Discrimination Act 1992 (Cth). This definition applies from the moment a person is diagnosed with MS regardless of how it affects them.

An employer has a duty of care to protect employees under the Work Health and Safety Act 2011.

It is unlawful for an employer to treat unfairly, harass, or discriminate against a person, or to allow this to happen, in the workplace. It is also unlawful to discriminate against a potential employee because they have MS.

An employer may be required to make reasonable adjustments to the employee’s work or to their work processes to enable the employee to get the job done, noting the inherent requirements of a position are the essential activities and tasks that are carried out to get a job done and relate to results rather than how this is accomplished.

An employer may also be required to make reasonable adjustments to the workplace to accommodate the needs of the employee and may seek advice and financial assistance to do this through the Australian Government’s Employment Assistance Fund.

In most instances, reasonable adjustments to meet an employee’s needs are minor (refer to examples below) and employers are not required to make adjustments that would lead to unjustifiable hardship.

Should an employee with a disability require a workplace adjustment to be able to work or be able to participate equally in aspects of working life, and that adjustment could have been reasonably provided but was not, then this may be considered ‘indirect discrimination’.

What is MS?

MS is the most common neurological condition affecting over 25,000 Australians. Nearly three times as many women than men are affected, and people are typically diagnosed when aged in their 20s and 30s.

MS is a non-infectious and non-contagious disease of the central nervous system including the optic nerve. It can attack multiple areas of the central nervous system therefore symptoms vary, and no two people with MS will have the same experience.

MS may affect mobility and coordination, but many other possible symptoms are invisible including neuropathic pain, visual disturbance, heat sensitivity, bladder urgency, sensory issues such as numbness, and physical and cognitive fatigue. A person may appear the same as usual, yet be experiencing symptoms of MS.

The most common course of the disease is relapsing-remitting MS with symptoms partially or completely disappearing during the remission stage. While there is no cure for MS, the new generation of therapies greatly reduce the frequency and severity of relapses thereby slowing disease progression, meaning the long-held public perception of the disease progression is no longer valid.

Due to its varied nature, there is no ‘one size fits all’ approach to managing MS in the workplace. Some people have no need to alter their role or working conditions, while others may benefit greatly from small and reasonable adjustments.

The importance of workplace culture

A person may be diagnosed with MS at any stage of their working life without impacting their expertise or value to the workplace. It would be prudent for an employer to be open to learning how this employee could best be supported – and thus retained – in the workplace. This is most often best achieved by opening dialogue with the employee by having a ‘can do’ attitude.

For many people with MS, having support from their employer is what enables them to remain, and thrive, in the workforce.

Demonstrating an open, responsible, and productive approach to people with MS (and those with other medical conditions and/or disability) fosters a positive workplace culture for all employees and presents an inclusive and socially responsible organisation to customers.

How can I support my employee?

Have an open conversation:

MS is an individual disease and does not automatically lead to severe disability: the new generation of therapies mean the long-held public perception of the disease progression is no longer valid.

Talking to an employee with MS will likely be more than a one-off conversation so foster a relationship of trust. Regularly review the need for additional or different support but maintain focus on the employee as an individual rather than on their disability.

  • Open a dialogue with the employee to establish what support they need. The support needed will depend on how MS is affecting them, their work role, and their own abilities and coping strategies.
  • Encouraging healthy lifestyle habits to be utilised in the workplace, for example rest breaks, short walks, and stretches, may be a simple yet effective contribution to the management of symptoms.
  • Respect the employee’s ability to manage their MS and to determine what they can or cannot do. Trust their self-evaluation and encourage their input into decisions about future roles, responsibilities, and opportunities for professional growth.
  • Ask questions only related to work; the employee is sharing sensitive information and should not feel compelled to disclose information beyond what is relevant to the workplace.
  • Ensure any information provided by the employee about their MS remains confidential and if such information is to be shared for example for occupational health and safety reasons, do so in a way that maintains the privacy of the employee.

Make reasonable workplace adjustments if required:

A reasonable adjustment should respond to the needs of the employee and be determined in consultation with that employee.

Many adjustments cost little or nothing to put in place and may include:

  • Having an ergonomic office chair
  • Using a desk-fan
  • Having access to a refrigerator for cooling products
  • Moving a workstation away from a heat source, or closer to the restrooms
  • Installing a stair chair (funding available through Employment Assistance Fund)
  • Negotiating flexible or reduced work hours
  • Shifting start or finish times
  • Working from home arrangements
  • Having somewhere to rest for short periods during the workday
  • Using a parking space close to the entrance to work.
Where can I get support, advice, and further information?

Contact us using the form below.

Further information

Human Rights and Equal Opportunity Commission (HREOC)

HREOC has responsibilities for inquiring into alleged infringements under current legislation.

Tel: 1300 369 711

Visit: www.humanrights.gov.au

Australian Government: Job Access and the Employment Assistance Fund

Funding applications for workplace tools and equipment can be submitted by an individual, an organisation, or a Disability Employment Service

Tel: 1800 464 800

Visit: https://www.jobaccess.gov.au/home

To enquire about our Employment Support service, contact us on 1300 865 209 or complete the form below and our team will contact you.

Date of birth
Preferred means of contact 
What supports do you feel that you would benefit from?