State Intellectual and Developmental Disability Agencies' Service Trends

Data Note No. 38, 2012

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By Jean E. Winsor.

Source: The National Survey of State Intellectual and Developmental Disabilities Day and Employment Services (Institute for Community Inclusion, State Data Project)

The National Survey of State Intellectual and Developmental Disabilities Day and Employment Services is a longitudinal study commissioned by the Administration on Developmental Disabilities to analyze community-based day and employment service trends between FY1988 and the present for individuals with IDD and closely related conditions. The survey is administered to state IDD agencies and is designed to provide the following information: trends in the number of people served in integrated employment, facility-based employment, and facility-based and community-based non-work programs; trends in the number of individuals waiting for services; funding sources that are being used to support day and employment services; and the allocation of funds across day and employment services.

In FY2010, an estimated 566,188 individuals received day or employment supports from state intellectual and developmental disability (IDD) agencies. This number grew from 458,650 in FY1999, a 23.4 percent increase. The estimated number of individuals supported in integrated employment services increased from 108,296 in FY1999 to 113,937 in FY2010, a 5.2% increase. State investment in supports continues to emphasize facility-based and non-work services rather than integrated employment services. Figure 1 shows the trends in the percentage of people served in integrated employment and facility-based and non-work settings between FY2004 and FY2010.

Major findings include the following:

  • National estimates suggest that there has been modest growth in the number of individuals in integrated employment services since 1988.
  • The percentage of individuals receiving integrated employment services has declined from a peak of 24.7 percent in 2001 to 20.1 percent in FY2010.
  • Growth in integrated employment primarily occurred between the mid-1980s and mid-1990s, and there has not been a meaningful change in the number of people in integrated employment since 2001.
  • Growth in community-based non-work services has continued for states that report on this service. Nationally, the reported participation in community-based non-work (CBNW) services has grown steadily for states that report it as a service, from 18.7 percent in FY1999 to 47 percent in FY2010.
  • There is large variation across states in participation in integrated employment, ranging from 5% in Alabama to 89% in Washington (Table 1).

Figure 1. Estimated IDD Agency Service Distribution by Year

Figure 1. Estimated IDD Agency Service Distribution by Year

[Figure 1 shows the trends in the percentage of people served in integrated employment and facility-based and non-work settings between FY2004 and FY2010. In FY2010, an estimated 20.1 percent of individuals receiving day supports from state IDD agencies received integrated employment services. In 2009, it was 19.90%. In 2007, 20.80% of individuals received integrated employment services. In 2004, the number was 21.10%. In FY2010, 79.90% of people were served in facility-based and non-work settings. In 2009, it was 80.10%. In 2007, 79.20% of individuals were served in facility-based and non-work settings. In 2004, the number was 78.90%.]

*Percents displayed represent estimates for the number of people served in integrated employment nationally including all 50 states and Washington, DC.

Table 1. Participation in Day and Employment Services in FY2010
State Total Served Percent Integrated Employment Percent Community-based Non-work Percent Facility-based Work Percent Facility-based Non-work
AK 1,360 28 0 0 93
AL 4,966 5 - 1 94
AR 1- - - - -
AZ - - - - -
CA 74,273 15 71 14.5 0
CO 5,357 25 75 25 56
CT 9,287 53 47 5 0
DC - - - - -
DE - - - - -
FL 21,507 15 - - -
GA 6,661 40 84 0 -
HI 1,499 7 89 - 0
IA 8,950 21 - 31 47.5
ID - - - - -
IL 26,280 10 0 13 76
IN 10,614 23 53 45 41
KS 6,217 15 55 37 46
KY 8,668 11 29 0 62
LA 4,563 33 .5 33 33
MA 14,039 25 17 26.5 52
MD 11,476 39 0 0 60.5
ME 4,133 23 77 0 -
MI 17,042 24 42.5 33 14
MN 13,546 18 - 83 -
MO 5,038 7 4 0 81
MS - - - - -
MT 1,789 11 - - -
NC 17,908 17 42 18 22
ND - - - - -
NE 3,785 6 28 9 83.5
NH 2,366 51 47 2 0
NJ 9,130 14 12 19 52
NM 3,243 37 29 0 77.5
NV 2,060 20 1 55 24
NY 67,770 13 62 21 2
OH 30,22 22 - 54.5 25.5
OK 4,079 61 30 54 0
OR 10,025 25 17 25 19.5
PA - - - - -
RI - - - - -
SC 7,435 31 0 49 54
SD 2,325 19 29 38 26
TN 7,7892 16 - - -
TX 44,053 7 30 - -
UT 2,796 23 76 - -
VA 11,574 21 3 7 69
VT 2,561 37 63 0 0
WA 8,271 893 5 9 0.1
WI 13,702 20 26 46 52
WV - - - - -
WY 1,468 19 4 9 68

1 Data not provided

2 FY2010 data furnished from source outside of state IDD agency

3 5,319 (64% of total) are in paid employment

Suggested Citation

Winsor, J. E. (2012). State intellectual and developmental disability agencies' service trends. DataNote Series, DataNote 38. Boston, MA: University of Massachusetts Boston, Institute for Community Inclusion.


This is a publication of StateData.info, funded in part by the Administration on Developmental Disabilities, U.S. Department of Health and Human Services (#90DN0216).

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