At the national level, integrated employment has become an important policy priority. Greater expectations are being placed on those charged with delivering employment supports, and disability systems are responding. However, the promise of integrated employment has yet to be realized for individuals with intellectual and developmental disabilities (IDD).
Enacting changes to state policies is a slow and complex process. But this kind of systems change can be transformative when it creates opportunities for people with disabilities to engage with and contribute to their communities. Learn more about state policy and systems change in these resources.
Originally published: 1/2009
The state of Florida has implemented a five-year employment initiative for people with ID/DD. The goal is to enable at least 50% of adults (ages 18 to 55) receiving APD-funded day services as of July 1, 2004, to achieve community employment by July 1, 2009. APD- funded services include adult day training, supported employment, and non-residential supports and services. Florida is specifically targeting a total of 25% of individuals who were in Adult Day Training (ADT) on July 1, 2004, to be employed by July 1, 2009.
The Tennessee Division of Mental Retardation Services (DMRS) implemented the Employment First! initiative in 2002. The goal of Employment First was to make employment the first day service option for adults receiving supports funded by DMRS, Medicaid, or the state.
Washington's Division of Developmental Disabilities (DDD) has recently issued a new policy which went into full effect on July 1, 2006. This policy "designates employment supports as the primary method of furnishing state-financed day services to adult participants." Emphasizing community employment as the primary
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As state developmental disability service systems strive to balance myriad challenges, the inevitable question of funding must be addressed. Through State Employment Leadership Network (SELN) events, member states have regularly expressed the need for additional analysis and insights related to rates, reimbursement, and funding issues.
The state of Florida's Agency for Persons with Disabilities (APD) has implemented a five-year employment initiative for people with ID/DD. One goal is to enable at least 50 percent of adults (ages 18 to 55) receiving APD-funded day services (including adult day training, supported employment, and non-residential supports and services), as of July 1, 2004, to achieve community employment by July 1, 2009.
Between the years of 1985 and 1996 Colorado experienced significant growth in integrated employment for people with mental retardation and developmental disabilities (MR/DD). Several factors were consistently highlighted as contributing to Colorado's employment outcomes during this period. These included:
The past thirty years have seen considerable growth in community-based services and supports for adults with developmental disabilities. One category of community-based day supports, integrated employment, has been clearly defined and widely implemented for years. However, another emerging model, community-based non-work (CBNW), is used in a number of states but is less clearly defined and understood.
Tennessee implemented its Employment First initiative in 2002 with a goal of making employment the first day service option for adults receiving supports from the Department of Mental Retardation Services. As part of the Employment First initiative, the state requires a periodic community-based