Insights on Access to Integrated Employment Outcomes and Services

This collection of images presents data and information related to access and participation in integrated employment outcomes and services for individuals with disabilities. It includes statistics on employment numbers, trends, and services provided over the years, highlighting the importance of community engagement and promising practices in supporting employment for people with disabilities.

• Disability employment
• Integrated services
• Workforce development
• Community engagement
• Vocational rehabilitation

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1. Access to Integrated Employment Outcomes, Services, & Opportunities February 13, 2019

2. Core Activities National Survey on Day and Employment Services State IDD Agencies VR services and outcomes RSA 911 National Core Indicators American Community Survey Employment participation and outcomes Social Security Administration Work incentive use, work participation Workforce development Number of customers, entry into employment

3. Core Activities Promising Practices IDD Agency, Community Providers, Community Life Engagement National Survey of Community Rehabilitation Providers 1987, 1992, 2002-2003, 2010 Employment first case studies Young Adult Outcomes and Services Report Real People Real Jobs www.realworkstories.org

4. How many people are employed? No disability No disability Any disability Any disability Cognitive disability Cognitive disability Source: American Community Survey

5. Number in Employment and Day Services Draft 1/15/19 700,000 637,000 600,000 500,000 Non-work 312,448 400,000 300,000 200,000 Facility-based work 100,000 Integrated employment 0 1990 1993 1999 2004 2008 2012 2017 Source: ICI National Survey of State IDD Agencies

6. Number in Employment and Day Services Draft 1/15/19 700,000 637,000 600,000 500,000 Non-work 312,448 400,000 300,000 200,000 Facility-based work 100,000 Integrated employment 0 1990 1993 1999 2004 2008 2012 2017 +18% Source: ICI National Survey of State IDD Agencies

7. Participation in integrated employment services varies widely 100% 80% 60% 40% 20% 0% Source: 2017 ICI National Survey of State IDD Agencies

8. Context matters Higher-Performing States Model Hall et al., 2007

9. Works In Integrated Employment Nation Works in Integrated Employment 20.0% Individual Job 12.0% individual job with 6.4% supports Individual job without 5.6% supports Group supported job 5.5% 0% 10% 20% 30% 40% Source: National Core Indicators 2016-2017

10. NCI How spend time 60% 50% 50% 44% 38% 40% 28% 30% 24% 21% 21% 20% 20% 19% 20% 15% 13% 10% 0% Community job Unpaid community activity Paid FB work Unpaid FB activity 2011-12 2014-15 2016-17

11. Supporting Choice Paid job 20% Job goal 39% Does not want job 53% Wants job 47% No job goal in ISP 61% No paid job 80% 637,000 297,480 180,270 Source: National Core Indicators 2016-2017

12. Changing Investments Integrated Employment 13.0% Integrated Employment 18.8% FB & Non-Work FB & Non-Work 87.0% Services Funding Source: ICI National Survey of State IDD Agencies 2016

13. Self Sufficiency & Meaningful Day Mean Hours and Wages per week Hours worked Gross Wages 12.5 $106 Individual job with supports 14.5 $129 Individual job without supports 15.1 $87 Group supported job Source: National Core Indicators 2016-2017

14. Self Sufficiency & Meaningful Day Mean hours worked/week Individual Supported Jobs 30 21 20 13 10 5 0 TN TX AR WY NH AL ID KS OK WI IN IL OH KY NC GA NV NJ CO NE CT NY FL DC VA HI PA UT VT DE RI SD MS LA MI MN ME MO Source: National Core Indicators 2016-17

15. VR trends: Nation Number of closures: Persons with ID 60,000 Total closures 50,000 40,000 30,000 Closed into employment 20,000 10,000 Recession 0 * PY2017 adjusted due to 9 month year Source: RSA 911

16. VR: Engagement Percent of closures with an ID 30% 20% 10% 0% MA SC UT NM AR NJ AK NY TX ID NH CA AZ WY LA MT NV PA DE MI NE HI MS FL VT ME IL WA WV KY KS DC RI OK ND MD MN SD WI CT AL CO IN OR GA MO IA VA TN OH NC Source: RSA 911 PY2017 16

17. Use of work incentives: Impairment Related Work Expenses 15,000 Nation Nation 10,000 5,000 0 1990 1993 1996 1999 2002 2005 2008 2011 2014 2017 Source: SSA

18. Policy Influences CMS Employment Guidance CMS Settings Rule Department of Justice WIOA State Employment First

19. Focus Areas WIOA Implementation Pre-employment Transition Services Section 511: Subminimum wage Interagency collaboration Community Life Engagement Provider capacity Case Management Service definition redesign Funding

20. 20 2 1 3

21. John Butterworth (617) 287-4357 john.butterworth@umb.edu www.ThinkWork.org www.RealWorkStories.org www.StateData.info