The increasing emphasis on government accountability at the state and federal levels has increased interest in and use of outcome data. Moreover, research has found that high performing states in integrated employment generally have a clear and visible data collection system that provides individual outcome data (Hall et al, 2007). But what are the most important elements in designing and using a system?
As evidence of the positive outcomes associated with integrated employment develops it is important to identify policy and practices at the state level that expand access to employment opportunity. This brief presents findings from Institute for Community Inclusion (ICI) case study research focused on state agencies that support individuals with developmental disabilities.
The past twenty years have seen an increasing emphasis on community-based services and equal access to employment for all individuals, including those with the most significant disabilities. The question is, to what extent have changes in philosophy translated into changes for state agencies and the people they serve?
Employment is a critical need for people with intellectual and developmental disabilities (ID/DD). The recognition of the pivotal role that work can play in the lives of people with IDD is driving many state developmental disabilities agencies to adopt "Employment First" policies that prioritize employment in integrated settings as the preferred day service alternative. The need for this policy shift is clear. While few policymakers, providers, families or advocates fail to recognize the benefits of employment for people with ID/DD, the outcomes have been difficult to achieve.
The SSA/VR reimbursement program is the process by which public vocational rehabilitation (VR) agencies submit claims to the Social Security Administration (SSA). In effect since 1983, the procedure enables the VR system to receive reimbursement for the costs expended assisting SSI recipients and SSDI beneficiaries to enter and sustain employment above the substantial gainful activity (SGA) level.
As state developmental disability service systems strive to balance myriad challenges, the inevitable question of funding must be addressed. Through State Employment Leadership Network (SELN) events, member states have regularly expressed the need for additional analysis and insights related to rates, reimbursement, and funding issues. This series of Funding Summaries is intended to shed light on the complexities as well as successes experienced by state systems across the country.
The state of Florida's Agency for Persons with Disabilities (APD) has implemented a five-year employment initiative for people with ID/DD. One goal is to enable at least 50 percent of adults (ages 18 to 55) receiving APD-funded day services (including adult day training, supported employment, and non-residential supports and services), as of July 1, 2004, to achieve community employment by July 1, 2009.
Between the years of 1985 and 1996 Colorado experienced significant growth in integrated employment for people with mental retardation and developmental disabilities (MR/DD). Several factors were consistently highlighted as contributing to Colorado's employment outcomes during this period. These included:
This brief presents findings on people with all disabilities and people with intellectual and developmental disabilities who are served in employment and non-work settings by community rehabilitation providers (CRPs).