What follows below are State Agency Promising Practices from the Access To Integrated Employment project that exemplify excellent implementation of funding and service contracting to improve employment outcomes. We define funding and service contracting more specifically as:
In 2016, Alabama’s Department of Mental Health (ADMH)/Division of Developmental Disabilities (DDD) contracted with the Alabama Department of Rehabilitation Services (ADRS) to train Community Partner Work Incentive counselors (CPWICs) to provide benefits counseling to individuals served by ADMH who were moving from facility-based day services into competitive integrated employment. State agency staff were aware that many individuals and their families chose not to pursue integrated employment for fear of losing Medicaid, cash benefits, and other income support programs.
In 2016, Alabama’s Department of Mental Health (ADMH)/Division of Developmental Disabilities (DDD) contracted with the Alabama Department of Rehabilitation Services (ADRS) to train Community Partner Work Incentive counselors to provide benefits counseling to individuals served by ADMH who were moving from facilitybased day services into competitive integrated employment. State agency staff were aware that many individuals and their families chose not to pursue integrated employment for fear of losing Medicaid, cash benefits, and other income support programs.
In North Carolina, counties have been consolidated into Local Management Entities (LMEs). These entities contract for services with community providers and provide oversight on access, utilization, best practices, and community collaborations. The Mecklenberg County LME established the Best Practices Community Committee, comprising service providers, individuals and family members, advocacy agencies, community partners, interested community volunteers, and LME staff. Sub-committees addressed several areas, including employment.
Contracts with Industry, implemented in the 1990s as the Natural Supports Initiative, is a program option that allows the Oklahoma Department of Human Services (OKDHS) Developmental Disabilities Services Division (DDSD) to contract directly with businesses to provide job coaching supports that become a part of the natural workplace. Individuals participating in this program are employed by a business and are paid minimum wage or better.