Gaining Insight from Innovation: Promising Practices that Promote Integrated Employment by State IDD Agencies

Inclusion ◽  
2013 ◽  
Vol 1 (3) ◽  
pp. 197-208
Author(s):  
Jaimie Timmons ◽  
Jennifer Bose ◽  
Allison Hall
Keyword(s):  
Developmental Disabilities ◽  
Policy Formation ◽  
Lessons Learned ◽  
State Agency ◽  
Intellectual And Developmental Disabilities ◽  
Promising Practices ◽  
Employment Agency ◽  
Telephone Interviews ◽  
Integrated Employment ◽  
State Employment

Abstract State employment agency policies and practices vary widely in their level of commitment to improving access to integrated employment for people with intellectual and developmental disabilities (IDD). State IDD agencies are charged to seek creative approaches to policy formation, organizational change, and service provision that directly influence the development of employment opportunities. The goal of this study was to understand the promising practices and strategies being used by state intellectual and developmental disabilities agencies in order to understand what factors make these strategies successful, the lessons learned from implementation, and how the themes derived from this analysis can help to further articulate integrated employment as the preferred outcome for individuals with IDD. Semistructured, one-on-one telephone interviews with key state IDD agency personnel revealed six themes that were common across 30 state agency practices. These were (a) identifying barriers, (b) forming a coalition, (c) developing a mission and strategic plan, (d) aligning the infrastructure with vision and policies, (e) building stakeholder capacity, and (f) measuring progress and monitoring implementation. Recommendations are offered to state agency administrators to broaden perceptions about methods for expanding integrated employment options and outcomes at the systems level.

Lessons Learned From Our Elders: How to Study Polypharmacy in Populations With Intellectual and Developmental Disabilities

2014 ◽  
Vol 52 (1) ◽  
pp. 60-77 ◽  
Author(s):  
Jessica N. Stortz ◽  
Johanna K. Lake ◽  
Virginie Cobigo ◽  
Hélène M. J. Ouellette-Kuntz ◽  
Yona Lunsky
Keyword(s):  
Developmental Disabilities ◽  
The Elderly ◽  
Population Based ◽  
Lessons Learned ◽  
Future Research ◽  
Intellectual And Developmental Disabilities ◽  
Sampling Strategies ◽  
Negative Consequences ◽  
Concurrent Use ◽  
Associated Variables

Abstract Polypharmacy is the concurrent use of multiple medications, including both psychotropic and non-psychotropic drugs. Although it may sometimes be clinically indicated, polypharmacy can have a number of negative consequences, including medication nonadherence, adverse drug reactions, and undesirable drug–drug interactions. The objective of this paper was to gain a better understanding of how to study polypharmacy among people with intellectual and developmental disabilities (IDD). To do this, we reviewed literature on polypharmacy among the elderly and people with IDD to inform future research approaches and methods on polypharmacy in people with IDD. Results identified significant variability in methods used to study polypharmacy, including definitions of polypharmacy, samples studied, analytic strategies, and variables included in the analyses. Four valuable methodological lessons to strengthen future polypharmacy research in individuals with IDD emerged. These included the use of consistent definitions of polypharmacy, the implementation of population-based sampling strategies, the development of clinical guidelines, and the importance of studying associated variables.

scholarly journals Toward Competitive Employment for Persons with Intellectual and Developmental Disabilities: What Progress Have We Made and Where Do We Need to Go

2018 ◽  
Vol 43 (3) ◽  
pp. 131-144 ◽  
Author(s):  
Paul Wehman ◽  
Joshua Taylor ◽  
Valerie Brooke ◽  
Lauren Avellone ◽  
Holly Whittenburg ◽  
...  
Keyword(s):  
Developmental Disabilities ◽  
Postsecondary Education ◽  
Supported Employment ◽  
Future Research ◽  
Intellectual And Developmental Disabilities ◽  
Competitive Employment ◽  
Integrated Employment ◽  
Working Age ◽  
Workforce Innovation ◽  
Research And Policy

Progress toward competitive integrated employment (CIE) for people with intellectual and developmental disabilities (IDD) over the last 40 years has been mixed. Despite evidence showing that supported employment interventions can enable adults with IDD to effectively get and keep jobs, national rates of integrated employment remain below a third of the working-age population. Progress is being made to improve these outcomes. Pathways have been identified that lead to CIE through supported employment, customized employment, internship experiences, and postsecondary education. The recent passage of the Workforce Innovation and Opportunity Act (WIOA) has created fresh momentum and increased the onus on interagency collaboration. This article examines what is known about promoting CIE through these pathways and highlights recommendations for future research and policy change. Recommendations for the future provide direction toward positive change for CIE into the 21st century.

Employment: Renewed Investments

Inclusion ◽  
2013 ◽  
Vol 1 (1) ◽  
pp. 7-16 ◽  
Author(s):  
David M. Mank ◽  
Teresa A. Grossi
Keyword(s):  
United States ◽  
Developmental Disabilities ◽  
Supported Employment ◽  
The United States ◽  
Intellectual And Developmental Disabilities ◽  
Integrated Employment ◽  
Fair Pay

Abstract Supported employment for people with intellectual and developmental disabilities emerged in the 1980s, clearly showing the untapped potential of people to work productively in integrated jobs. Expanding across the United States and other countries, supported employment was shown to be an effective approach to employment across communities and cultures. While supported employment has expanded little in the last decade, there is a renewed investment nationwide and in some other countries. The renewed developments include improvements in supported employment methods, interest in funding based on outcomes rather than services, concern about the persistence of segregated workshops, the need for qualified supported employment personnel, investment in Employment First policies in states, the emergence of litigation promoting integrated employment over segregation, renewed investment in transition, investments in other countries, and the increasingly clear voice of self-advocates with intellectual and developmental disabilities calling for community jobs and fair pay. While there is renewed interest in supported employment, threats remain to further improvement and expansion that must also be addressed.

scholarly journals COVID-19 IDD: A global survey exploring the impact of COVID-19 on individuals with intellectual and developmental disabilities and their caregivers

2020 ◽  
Vol 3 ◽  
pp. 39 ◽  
Author(s):  
Christine Linehan ◽  
Tal Araten-Bergam ◽  
Julie Beadle-Brown ◽  
Christine Bigby ◽  
Gail Birkbeck ◽  
...  
Keyword(s):  
Intellectual Disability ◽  
Developmental Disabilities ◽  
Living Arrangements ◽  
Online Survey ◽  
Healthcare Access ◽  
National Level ◽  
Lessons Learned ◽  
Intellectual And Developmental Disabilities ◽  
Survey Team ◽  
The Impact

Background: This protocol outlines research to explore the impact of coronavirus disease 2019 (COVID-19) on individuals who have intellectual and developmental disabilities and their caregivers. Evidence suggests that people with intellectual and developmental disabilities experience disparities in healthcare access and utilisation. This disparity was evident early in the pandemic when discussions arose regarding the potential exclusion of this population to critical care. Methods: An anonymous online survey will be conducted with caregivers, both family members and paid staff, to explore the impact of COVID-19 on this population in terms of demographics, living arrangements, access to services, the impact of social distancing, and also carer wellbeing. The survey will be developed by the research team, many of whom are experts in intellectual disability within their own jurisdictions. Using back-translation our team will translate the survey for distribution in 16 countries worldwide for international comparison. The survey team have extensive personal and professional networks in intellectual disability and will promote the survey widely on social media with the support of local disability and advocacy agencies. Statistical descriptive and comparative analyses will be conducted. Ethical approval has been obtained for this study from University College Dublin’s Human Research Ethics Committee (HS-20-28-Linehan). Dissemination: Study findings will be prepared in a number of formats in order to meet the needs of different audiences. Outputs will include academic papers, lessons learned paper, practice guidelines, reports, infographics and video content. These outputs will be directed to families, frontline and management delivering disability services, national-level policy makers, healthcare quality and delivery authorities, national pandemic organisations and international bodies.

Building an Evidence-Based, Holistic Approach to Advancing Integrated Employment

2018 ◽  
Vol 43 (3) ◽  
pp. 207-218 ◽  
Author(s):  
Allison Cohen Hall ◽  
John Butterworth ◽  
Jean Winsor ◽  
John Kramer ◽  
Kelly Nye-Lengerman ◽  
...  
Keyword(s):  
Developmental Disabilities ◽  
Supported Employment ◽  
Holistic Approach ◽  
Intellectual And Developmental Disabilities ◽  
Self Employment ◽  
Integrated Employment ◽  
Policy And Strategy ◽  
Employment Supports ◽  
Substantial Investment ◽  
Services And Supports

Since the introduction of supported employment in the Developmental Disabilities Act of 1984 and the Rehabilitation Act Amendments of 1986, there has been continued development and refinement of best practices in employment services and supports. Progress includes creative outcomes for individuals with significant support needs including customized jobs and self-employment, community rehabilitation providers that have shifted emphasis to integrated employment, and states that have made a substantial investment in Employment First policy and strategy. Despite these achievements, the promise of integrated employment remains elusive for the majority of individuals with intellectual and developmental disabilities. The number of individuals supported in integrated employment by state agencies has remained stagnant for the past 15 years, participation in nonwork services has grown rapidly, and individual employment supports have not been implemented with fidelity. This article presents preliminary findings from activities completed by the Rehabilitation Research and Training Center on Advancing Employment for Individuals with Intellectual and Developmental Disabilities and discusses a framework for organizing state and federal investments in research, practice, and systems change.

Are We There Yet? Screening Processes for Intellectual and Developmental Disabilities in Jail Settings

2009 ◽  
Vol 47 (1) ◽  
pp. 13-23 ◽  
Author(s):  
Anna Scheyett ◽  
Jennie Vaughn ◽  
Melissa Taylor ◽  
Susan Parish
Keyword(s):  
Criminal Justice ◽  
Developmental Disabilities ◽  
Criminal Justice System ◽  
Early Identification ◽  
Justice System ◽  
Best Practice ◽  
Self Report ◽  
Intellectual And Developmental Disabilities ◽  
Telephone Interviews ◽  
To Receive

Abstract Early identification of intellectual and developmental disabilities in persons in the criminal justice system is essential to protect their rights during arrest and trial, ensure safety when incarcerated, and maximize the opportunities to receive services while incarcerated and postrelease. Using telephone interviews of jail administrators (N = 80) in 1 state, this study examined how people with intellectual and developmental disabilities were identified in jails. Findings indicated that administrators varied widely in awareness of individuals with intellectual and developmental disabilities in their jails. Few jails (6%) used formal screening instruments for intellectual and developmental disabilities, others relied on officer observation and self-report (53%), and some provided no screening at all; in addition, officers received little training in this regard. Findings suggest that few jails are operationalizing best-practice screening processes for intellectual and developmental disabilities.

scholarly journals State Employment Agency of Latvia Training Event in Conformity with the Labor Market Needs

2015 ◽  
Vol 2 ◽  
pp. 291
Author(s):  
Inese Barbare
Keyword(s):  
Labor Market ◽  
Secondary Analysis ◽  
Management Approach ◽  
Research Database ◽  
Employment Agency ◽  
Telephone Interviews ◽  
Training Event ◽  
State Employment ◽  
Conceptual Shift ◽  
Market Needs

State Employment Agency (SEA) 2011 initiated a conceptual shift away from a short-term crisis management approach to long-term labor market policy measures, which include changes to the range of training activities and organization. The goal of this research paper is to ensure the SEA training aligns with labor market needs, and offers assessment and proposals for their improvement. This paper covers the training relevance assessment according to labor market needs, analyses SEA customer demand, awareness and satisfaction regarding the training events, provides guidance on the counselors' role and its impact, as well as assessment of the coupon method. The objective of the study was to use a variety of data collection and analysis methods: an analysis of policy documents, statistical data analysis, a secondary analysis of previous research, database analysis, telephone interviews, focus group discussions and expert discussions.

Family Perspectives on Integrated Employment for Adults with Intellectual and Developmental Disabilities

2018 ◽  
Vol 43 (1) ◽  
pp. 20-37 ◽  
Author(s):  
Carly B. Gilson ◽  
Erik W. Carter ◽  
Jennifer L. Bumble ◽  
Elise D. McMillan
Keyword(s):  
Developmental Disabilities ◽  
Family Member ◽  
Employment Status ◽  
Family Members ◽  
Personal Satisfaction ◽  
Intellectual And Developmental Disabilities ◽  
Research Practice ◽  
Multiple Factors ◽  
Integrated Employment ◽  
Family Perspectives

Families are essential partners in efforts to elevate the employment outcomes of adults with intellectual and developmental disabilities (IDD). We examined the employment-related expectations, preferences, and concerns of 673 parents and other family members of adults with IDD. Participants prioritized paid integrated employment over sheltered options, and such perspectives were strongly associated with the recent employment status of their family member with IDD. In addition, they valued qualitative dimensions of a potential workplace (e.g., personal satisfaction, social interaction opportunities) more highly than prevailing employment metrics (e.g., rate of pay, hours per week, benefits). Multiple factors informed the views of parents and other family members regarding integrated employment and the extent to which their family member with IDD had been employed previously in the community. We offer recommendations for research, practice, and systems change efforts aimed at raising expectations for and access to integrated employment for adults with IDD.

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