Most employment consultants access professional development to learn about best practices in supported and customized employment that lead to individual integrated employment. However, little is known about how widely these best practices are actually implemented.
Objective
This article provides a window into how a typical 8-h workday of an employment consultant aligns with best practices in supported and customized employment.
Methods
We estimated employment consultants’ average daily time allocation to key activities and best practices using 12 months of data from 96 employment consultants across 13 employment programs in seven states.
Results
On a typical 8-h workday, employment consultants dedicate about two and a half hours on supports leading to hire—one hour in community settings, 29 min on specific best practices, and six minutes engaging with job seekers’ families and social networks. Administrative tasks account for nearly three hours per day. Time allocation varied widely across the 13 employment programs.
Conclusion
Employment consultants are key to helping job seekers achieve individual integrated employment. State funding agencies should equip them with data-based tools for self-reflection, goal setting, and action planning to drive continuous improvement.
AaronsG. A.HurlburtM.HorwitzS. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 4–23. https://doi.org/10.1007/s10488-010-0327-7
2.
AbrahamS. (2012). Job satisfaction as an antecedent to employee engagement. Journal of Management, 8(2), 27–36.
AthamanahL. S.CushingL. S.FastzkieE. M.BrownE. R. (2024). Natural supports in competitive integrated employment: A scoping review. Journal of Vocational Rehabilitation, 60(3), 327–339. https://doi.org/10.3233/JVR-240017
7.
BarwickM.DubrowskiR.PetriccaK. (2020). Knowledge translation: The rise of implementation. American Institutes for Research.
8.
BellamyG. T.HornerR. H.InmanD. P. (1979). Vocational habilitation of severely retarded adults: A direct service technology. University Park Press.
9.
BhattacharyyaO.ReevesS.ZwarensteinM. (2009). What is implementation research? Rationale, concepts, and practices. Research on Social Work Practice, 19(5), 491–502. https://doi.org/10.1177/1049731509335528
10.
BiasonR. S. (2020). The effect of job satisfaction on employee retention. International Journal of Economics, Commerce and Management, 8(3), 405–413.
11.
ButterworthJ.MiglioreA.LyonsO.MahoehneyD. C.EastmanJ.MilesB.FoosP.ZalewskaA. (2023) Supporting employment consultants to implement supported and customized employment. Intellectual and Developmental Disabilities, 61(6), 468–480. https://doi.org/10.1352/1934-9556-61.6.468
12.
ButterworthJ.MiglioreA.NordD.GelbA. (2012) Improving the employment outcomes of job seekers with intellectual and developmental disabilities: A training and mentoring intervention for employment consultants. Journal of Rehabilitation, 78(2), 20–29.
13.
ButterworthJ.MiglioreA.Nye-LengermanK.LyonsO.GuntyA.EastmanJ.FoosP. (2020). Using data-enabled performance feedback and guidance to assist employment consultants in their work with job seekers. An experimental study. Journal of Vocational Rehabilitation, 53(2), 189–203. https://doi.org/10.3233/JVR-201096
14.
ButterworthJ.WinsorJ. E.KamauE.MiglioreA.MahoehneyD. (2024). The state of employment for people with IDD: Implications for practice, policy, and equity. Intellectual and Developmental Disabilities, 62(3), 225–240. https://doi.org/10.1352/1934-9556-62.3.225
15.
CaldwellJ.KayeH., S. (2016). Quality in home and community-based services to support community living: Addressing gaps in performance measurement. [Final Report, September 2016]. National Quality Forum.
16.
CallahanM. (2019). Discovery is…A white paper. Marc Gold and Associates.
17.
CallahanM.GriffinC.HammisD. (2011). Twenty years of employment for persons with significant disabilities: A retrospective. Journal of Vocational Rehabilitation, 35, 163–172. https://doi.org/10.3233/JVR-2011-0565
18.
CallahanM.ShumpertN.CondonE. (2009). Discovery: Charting the course to employment. Translating the activities of everyday lives into possibilities for employment. Marc Gold & Associates.
19.
CarterE. W.LanchakE. R.GuestL.McMillanE. D.TaylorJ. L.FlemingL. P.DaoA. (2023). Family perspectives on the complexities of pursuing integrated employment for adults with intellectual and developmental disabilities. American Journal on Intellectual and Developmental Disabilities, 128(3), 219–236. https://doi.org/10.1352/1944-7558-128.3.219
ChannellM. M.LoveallS. J.BurkeM. M. (2023). Exploring caregiver perceptions of post-high school employment experiences among young adults with down syndrome. Intellectual and Developmental Disabilities, 61(2), 158–171. https://doi.org/10.1352/1934-9556-61.2.158
22.
ChurrucaK.LudlowK.TaylorN.LongJ. C.BestS.BraithwaiteJ. (2019). The time has come: Embedded implementation research for health care improvement. Journal Of Evaluation In Clinical Practice, 25(3), 373–380. https://doi.org/10.1111/jep.13100
23.
DamschroderL. J.ReardonC. M.WiderquistM. A. O., et al. (2022). The updated consolidated framework for implementation research based on user feedback. Implementation Science, 17(75), 1–16. https://doi.org/10.1186/s13012-022-01245-0
24.
DarlingD. (2010). The networking survival guide: Practical advice to help you gain confidence, approach people, and get the success you want (2nd ed.). McGraw-Hill.
EricssonK. A.KrampeR. T.Tesch-RömerC. (1993). The role of deliberate practice in the acquisition of expert performance. Psychological Review, 100(3), 363. https://doi.org/10.1037/0033-295X.100.3.363
27.
FixsenD. L.NaoomS. F.BlaseK. A.FriedmanR. M.WallaceF. (2005). Implementation research: A synthesis of the literature. University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231).
28.
FlemingA. R.PhillipsB. N.RiesenT.LangoneA. (2024). Enhancing transition outcomes: A toolkit to facilitate data-driven Pre-employment transition services. Journal of Vocational Rehabilitation, 60(2), 197–209. https://doi.org/10.3233/JVR-240006
29.
FriedmanC.RizzoloM. C. (2021). Value-based payments: Intellectual and developmental disabilities quality indicators associated with billing expenditures. Intellectual and Developmental Disabilities, 59(4), 295–314. https://doi.org/10.1352/1934-9556-59.4.295
30.
GraffamJ.ShinkfieldA.SmithK.PolzinU. (2002). Factors that influence employer decisions in hiring and retaining an employee with a disability. Journal of Vocational Rehabilitation, 17(3), 175–181. https://doi.org/10.3233/JVR-2002-00157
31.
GriffinC.HammisD.GearyT. (2007). The Job developer's handbook. Paul H Brookes Publishing Co.
32.
HarterJ. K.SchmidtF. L.KeyesC. L. (2003). Well-being in the workplace and its relationship to business outcomes: A review of the Gallup studies. In KeyesC. L.HaidtJ. (Eds.), Flourishing: The positive person and the good life (pp. 205–224). American Psychological Association.
33.
HerbertJ. T.YoonH. J.O'SheaA.Al BalushiI. (2023). Recruitment and retention of state vocational rehabilitation counselors: A mixed methods analysis. Journal of Rehabilitation,89(1), 61–71.
34.
IngeK. J.GrahamC. W.Brooks-LaneN.WehmanP.GriffinC. (2018). Defining customized employment as an evidence-based practice: The results of a focus group study. Journal of Vocational Rehabilitation, 48(2), 155–166. https://doi.org/10.3233/JVR-180928
35.
IngeK. J.SimaA. P.RiesenT.WehmanP.Brooks-LaneN. (2023). The essential elements of customized employment: Results from a national survey of employment providers. Rehabilitation Counseling Bulletin, 66(3), 170–185. https://doi.org/10.1177/00343552221088256
36.
JohnsonK. E.BaileyC. E.WeissN. R.EidelmanS. M. (2021). Direct support professionals’ perspectives on workplace support: Underappreciated, overworked, stressed out, and stretched thin. Intellectual and Developmental Disabilities, 59(3), 204–216. https://doi.org/10.1352/1934-9556-59.3.204
37.
LueckingR. G. (2019). The way to work. How to facilitate work experiences for youth in transition (2nd ed.). Paul H Brookes.
MetzA.AlbersB.BurkeK.BartleyL.LouisonL.WardC.FarleyA. (2021). Implementation practice in human service systems: Understanding the principles and competencies of professionals who support implementation. Human Service Organizations: Management, Leadership & Governance, 45(3), 238–259. https://doi.org/10.1080/23303131.2021.1895401
40.
MiglioreA.ButterworthJ.LyonsO.Nye-LengermanK.FoosP. (2018). Supporting employment consultants in their work with job seekers: A longitudinal study. Journal of Vocational Rehabilitation, 49(3), 273–286. https://doi.org/10.3233/JVR-180973
41.
MiglioreA.ButterworthJ.Nye-LengermanK. (2022). Rethinking management information systems for scaling up employment outcomes. Journal of Disability Policy Studies, 33(2), 133–142. https://doi.org/10.1177/10442073211043518
42.
MiglioreA.HallA.ButterworthJ.WinsorJ. (2010) What do employment specialists really do? A study on job development practices. Research and Practice for Persons with Severe Disabilities, 35(1–2), 15–23.https://doi.org/10.2511/rpsd.35.1-2.15
43.
MiglioreA.MilesB.FleisigM.GentryJ. (2023) Supporting employment consultants leveraging data to deliver quality services and outcomes. Journal of Vocational Rehabilitation, 58(3), 271–277. https://doi.org/10.3233/JVR-230015
NewportC. (2016) Deep work: Rules for focused success in a distracted world. Grand Central Publishing.
46.
NisbetJ.HagnerD. (1988). Natural supports in the workplace: A reexamination of supported employment. Journal of the Association for Persons with Severe Handicaps, 13(4), 260–267. https://doi.org/10.1177/154079698801300404
47.
NordD.GrossiT.AndresenJ. (2020). Employment equity for people with IDD across the lifespan: The effects of state funding. Intellectual and Developmental Disabilities, 58(4), 288–300. https://doi.org/10.1352/1934-9556-58.4.288
ParentW. S.SherronP.StallardD.BoothM. (1993). Job development and placement. Journal of Vocational Rehabilitation, 3(3), 17–26. https://doi.org/10.3233/JVR-1993-3304
50.
PascoeK. M.Petrescu-PrahovaM.SteinmanL.BacciJ.MahorterS.BelzaB.WeinerB. (2021). Exploring the impact of workforce turnover on the sustainability of evidence-based programs: A scoping review. Implementation Research and Practice, 2, 1–23. https://doi.org/10.1177/26334895211034581
51.
PerschA. C.ClearyD. S.RutkowskiS.MaloneH. I.DarraghA. R.Case-SmithJ. D. (2015). Current practices in job matching: A project SEARCH perspective on transition. Journal of Vocational Rehabilitation, 43(3), 259–273. https://doi.org/10.3233/JVR-150774
52.
RiesenT.HallS.KeetonB.JonesK. (2019). Customized employment discovery fidelity: Developing consensus among experts. Journal of Vocational Rehabilitation, 50(1), 23–37. https://doi.org/10.3233/JVR-180985
53.
RiesenT.SnyderA.ByersR.KeetonB.IngeK. (2023). An updated review of the customized employment literature. Journal of Vocational Rehabilitation, 58(1), 27–38. https://doi.org/10.3233/JVR-221222
54.
RuschF. R.SchutzR. P. (1979). Non-sheltered employment of the mentally retarded adult: Research to reality?Journal of Contemporary Business, 8, 85–98.
TuckermanP. (2016). Using data to determine what works and achieve better employment outcomes for people with intellectual disabilities. Journal of Intellectual Disability Research, 60(7–8), 627–627.
57.
Vindrola-PadrosC.PapeT.UtleyM.FulopN. J. (2017). The role of embedded research in quality improvement: A narrative review. BMJ Quality & Safety, 26(1), 70–80. https://doi.org/10.1136/bmjqs-2015-004877
58.
WalzL. C.NautaM. H.Aan Het RotM. (2014). Experience sampling and ecological momentary assessment for studying the daily lives of patients with anxiety disorders: A systematic review. Journal of Anxiety Disorders, 28(8), 925–937. https://doi.org/10.1016/j.janxdis.2014.09.022
59.
WehmanP. (2023). Supported employment and customized employment: How effective are these interventions and what has been their impact on the field?Journal of Vocational Rehabilitation, 58(3), 237–247. https://doi.org/10.3233/JVR-230022
WehmanP. H. (2011). Employment for persons with disabilities: Where are we now and where do we need to go?Journal of Vocational Rehabilitation, 35(3), 145–151. https://doi.org/10.3233/JVR-2011-0562
62.
Workforce Innovation and Opportunity Act, 29 U.S.C. § 3101 et seq. (2014). Final Rule: 34 C.F.R. § 361.5(c)(9).
