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John Butterworth Carmen Donegan Dana Baccanti

Employment Services and Outcomes for People with Intellectual and Developmental Disabilities: National Trends & Successful Collaborations. John Butterworth Carmen Donegan Dana Baccanti. Where have we been? Where do we stand What does it mean to be Employment First ?

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John Butterworth Carmen Donegan Dana Baccanti

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  1. Employment Services and Outcomes for People with Intellectual and Developmental Disabilities:National Trends & Successful Collaborations John Butterworth Carmen Donegan Dana Baccanti

  2. Where have we been? • Where do we stand • What does it mean to be Employment First? • What are the implications for IDD/VR partnerships?

  3. 1970s American Community Survey

  4. SupportedEmployment 1980s

  5. Train Place Place Train to

  6. NoPrerequisites

  7. 1990s –2000s ADA Rehabilitation Act Amendments IDEA TWWIIA Workforce Investment Act CMS

  8. Customized employment

  9. Resource Ownership

  10. Self Employment

  11. Kids meeting the puppets

  12. American Community Survey

  13. Employment participation 2000 Percent Working American Community Survey

  14. Employment participation 2009 Percent Working American Community Survey

  15. Annual Earned Income 2009Nation American Community Survey

  16. Lives in Household Below Poverty Threshold – 2009 American Community Survey

  17. BLS Employment SituationUnemployment rate: Ages 16-64 BLS-Current Population Survey

  18. State IDD Agencies

  19. Employment and Day SupportsNation ICI IDD Agency Survey

  20. State success in integrated employment varies widely ICI IDD Agency Survey

  21. WA 2009

  22. WA 2009

  23. Individual OutcomesIndividuals supported by state IDD Agencies

  24. Mean Wage/Month Percent Working National Core Indicators Project 2008-2009

  25. Mean Hours Worked/Week Percent Working National Core Indicators Project 2008-2009

  26. Mean Hours Worked/WeekIndividual Supported Jobs National Core Indicators Project 2008-2009

  27. Percent in Group Employment of those in Integrated Jobs National Core Indicators Project 2008-2009

  28. Vocational Rehabilitation

  29. Successful closures declinedPersons with ID/DD Sheltered work not a successful closure RSA 911 RSA 911 – Persons with IDD

  30. Wages at Closure RSA 911 – Persons with IDD

  31. Vocational Rehabilitation (RSA 911)Weekly wage at Closure–Persons with IDD RSA 911 – Persons with IDD

  32. Outcomes vary widely Rehabilitation Rate • 34 percent in Arkansas to85 percent in Vermont Weekly earnings • $151/week in Montana to $313 in Arkansas Weekly work hours • 18 hours in Vermont to 32 hours in Georgia and South Carolina RSA 911 – Persons with IDD

  33. Closures by Age at Application RSA 911 – Persons with IDD

  34. Vocational Rehabilitation (RSA 911)Cost of purchased services: Persons with IDD

  35. Vocational Rehabilitation (RSA 911)# closed/100,000 population: Persons with IDD

  36. Social Security Work Incentives

  37. Limited Use of Work Incentives December 2009 • 6,582,261 SSI recipients • 340,175 SSI recipients working (5.2%) • 1,457 PASS plans • 3,862 used IRWEs

  38. How Are We Doing?

  39. Emerging Areas of Focus Employment First Seamless Transition Waiver Service Definitions Employer Engagement Ticket to Work Resource Coordination

  40. Employment First … refers to the affirmation in state and federal public policies, legislative statutes, regulations and operational procedures that “employment in integrated settings at minimum wage or higher with commensurate benefits” is a priority objective and preferred outcome …. CPSD - Rehab Act Amendment Recommendations

  41. Washington Working Age Adults Policy Supports to pursue and maintain gainful employment in integrated settings in the community shall be the primary service option for working age adults

  42. MinnesotaGrassroots Change …expecting, encouraging, providing, creating, and rewarding integrated employment in the workforce as the first and preferred option of youth and adults with disabilities. (Minnesota’s Employment First Manifesto, 2007).

  43. ConnecticutFocus on Demand

  44. Strategy Policy Funding Outcome Data Capacity Development Innovation Leadership Integrated Jobs Values Collaboration Hall et al (2007)

  45. VR/IDD Community of Practice • Definition of an employment outcome • Hours worked • Supported employment/competitive employment/integrated employment • Readiness for engagement in VR • VR understanding of Medicaid waivers • Roles/functions/funding for providers • Coordination with Medicaid services • Transition to VR and to extended supports • Provider capacity

  46. Transition from school to employment • VR role • Resource coordination • Seamless • Funding tensions • Entitlement vs eligibility

  47. VR and ID: Pennsylvania's Work in Progress

  48. VR and ID: Pennsylvania's Work in Progress Department of Labor & Industry Office of Vocational Rehabilitation (OVR) Special Programs Division Department of Public Welfare Office of Developmental Programs Quality Initiatives

  49. VR and ID: Pennsylvania's Work in Progress History of Collaboration • 1996 Memorandum of Understanding between PA Department of Labor & Industry (OVR) and Department of Public Welfare (ODP and Office of Mental Health & Substance Abuse Services) • 1998 Transition Memorandum of Understanding between PA Departments of Education, Public Welfare, Labor & Industry and Health; renewed in 2006 and 2010

  50. VR and ID: Pennsylvania's Work in Progress Goals of Collaboration: • Developing consistent Inter-Agency Practices with regard to Data Collection/Sharing, Definition of Services, Rate Structures, and Reporting • Maximizing Existing Resources • Better understanding of Organizational Missions, Resulting Processes, and Shared Outcomes • Increased Cooperation at Direct Service/Local Level

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