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State Intellectual and Developmental Disability Agencies' Service Trends

Data Note No. 38, 2012

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By Jean E. Winsor.

Source: The National Survey of State Intellectual and Developmental Disabilities Day and Employment Services (Institute for Community Inclusion, State Data Project)

The National Survey of State Intellectual and Developmental Disabilities Day and Employment Services is a longitudinal study commissioned by the Administration on Developmental Disabilities to analyze community-based day and employment service trends between FY1988 and the present for individuals with IDD and closely related conditions. The survey is administered to state IDD agencies and is designed to provide the following information: trends in the number of people served in integrated employment, facility-based employment , and facility-based and community-based non-work programs; trends in the number of individuals waiting for services; funding sources that are being used to support day and employment services; and the allocation of funds across day and employment services.

In FY2010, an estimated 566,188 individuals received day or employment supports from state intellectual and developmental disability (IDD) agencies. This number grew from 458,650 in FY1999, a 23.4 percent increase. The estimated number of individuals supported in integrated employment services increased from 108,296 in FY1999 to 113,937 in FY2010, a 5.2% increase. State investment in supports continues to emphasize facility-based and non-work services rather than integrated employment services. Figure 1 shows the trends in the percentage of people served in integrated employment and facility-based and non-work settings between FY2004 and FY2010.

Major findings include the following:

  • National estimates suggest that there has been modest growth in the number of individuals in integrated employment services since 1988.
  • The percentage of individuals receiving integrated employment services has declined from a peak of 24.7 percent in 2001 to 20.1 percent in FY2010.
  • Growth in integrated employment primarily occurred between the mid-1980s and mid-1990s, and there has not been a meaningful change in the number of people in integrated employment since 2001.
  • Growth in community-based non-work services has continued for states that report on this service. Nationally, the reported participation in community-based non-work (CBNW) services has grown steadily for states that report it as a service, from 18.7 percent in FY1999 to 47 percent in FY2010.
  • There is large variation across states in participation in integrated employment, ranging from 5% in Alabama to 89% in Washington (Table 1).

Figure 1. Estimated IDD Agency Service Distribution by Year

Figure 1. Estimated IDD Agency Service Distribution by Year

[Figure 1 shows the trends in the percentage of people served in integrated employment and facility-based and non-work settings between FY2004 and FY2010. In FY2010, an estimated 20.1 percent of individuals receiving day supports from state IDD agencies received integrated employment services. In 2009, it was 19.90%. In 2007, 20.80% of individuals received integrated employment services. In 2004, the number was 21.10%. In FY2010, 79.90% of people were served in facility-based and non-work settings. In 2009, it was 80.10%. In 2007, 79.20% of individuals were served in facility-based and non-work settings. In 2004, the number was 78.90%.]

*Percents displayed represent estimates for the number of people served in integrated employment nationally including all 50 states and Washington, DC.

Table 1. Participation in Day and Employment Services in FY2010

State

Total Served

Percent Integrated Employment

Percent Community-based Non-work

Percent Facility-based Work

Percent Facility-based Non-work

AK

1,360

28

0

0

93

AL

4,966

5

-

1

94

AR

1-

-

-

-

-

AZ

-

-

-

-

-

CA

74,273

15

71

14.5

0

CO

5,357

25

75

25

56

CT

9,287

53

47

5

0

DC

-

-

-

-

-

DE

-

-

-

-

-

FL

21,507

15

-

-

-

GA

6,661

40

84

0

-

HI

1,499

7

89

-

0

IA

8,950

21

-

31

47.5

ID

-

-

-

-

-

IL

26,280

10

0

13

76

IN

10,614

23

53

45

41

KS

6,217

15

55

37

46

KY

8,668

11

29

0

62

LA

4,563

33

.5

33

33

MA

14,039

25

17

26.5

52

MD

11,476

39

0

0

60.5

ME

4,133

23

77

0

-

MI

17,042

24

42.5

33

14

MN

13,546

18

-

83

-

MO

5,038

7

4

0

81

MS

-

-

-

-

-

MT

1,789

11

-

-

-

NC

17,908

17

42

18

22

ND

-

-

-

-

-

NE

3,785

6

28

9

83.5

NH

2,366

51

47

2

0

NJ

9,130

14

12

19

52

NM

3,243

37

29

0

77.5

NV

2,060

20

1

55

24

NY

67,770

13

62

21

2

OH

30,22

22

-

54.5

25.5

OK

4,079

61

30

54

0

OR

10,025

25

17

25

19.5

PA

-

-

-

-

-

RI

-

-

-

-

-

SC

7,435

31

0

49

54

SD

2,325

19

29

38

26

TN

7,7892

16

-

-

-

TX

44,053

7

30

-

-

UT

2,796

23

76

-

-

VA

11,574

21

3

7

69

VT

2,561

37

63

0

0

WA

8,271

893

5

9

0.1

WI

13,702

20

26

46

52

WV

-

-

-

-

-

WY

1,468

19

4

9

68

1 Data not provided

2 FY2010 data furnished from source outside of state IDD agency

3 5,319 (64% of total) are in paid employment

Suggested Citation

Winsor, J. E. (2012). State intellectual and developmental disability agencies' service trends. DataNote Series, DataNote 38. Boston, MA: University of Massachusetts Boston, Institute for Community Inclusion.


This is a publication of StateData.info, funded in part by the Administration on Developmental Disabilities, U.S. Department of Health and Human Services (#90DN0216).

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