Since 1986, the supported employment program has experienced remarkable growth. However, a number of policy and implementation barriers remain which limit access to all individuals who could benefit from the program, and which limit the outcomes which participants experience. This article defines and discusses 10 program development, research, and policy analysis needs that are crucial for the continued success of the program.
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References
1.
AgostaJ., BrownL., & MeldaK. (1993). Job coaching in supported employment: Present conditions and emerging directions: National survey results: Data summaries. Salem, OR: Human Services Research Institute.
2.
BaerR., SimmonsT., FlexerR., & SmithC. (1995). A study of the costs and benefits of supported employment for persons with severe physical and multiple disabilities. Journal of Rehabilitation Administration, 18(1), 46–57.
3.
BeareP. L., SeversonS. J., LynchE. C., & SchneiderD. (1992). Small agency conversion to community-based employment: Overcoming the barriers. Journal of the Association for Persons with Severe Handicaps, 17, 170–178.
4.
BenzM. R., JohnsonD. K., MikkelsenK. S., & LindstromL. E. (1995). Improving collaboration between schools and vocational rehabilitation: Stakeholder identified barriers and strategies. Career Development for Exceptional Individuals, 18, 133–144.
5.
BenzM., LindstromI. E., & HalpernA. (1995). Mobilizing local communities for transition. Career Development for Exceptional Individuals, 18, 117–125.
6.
BondG. R., ClarkR. E., & DrakeR. E. (1995). Cost-effectiveness of rehabilitation. Psychotherapy and Rehabilitation Research Bulletin, 4, 26–31.
7.
BondG., DietzenL., McGrewJ., & MillerL. (1995). Accelerating entry into supported employment for persons with severe psychiatric disabilitiesRehabilitation Psychology, 40, 91–111.
8.
BraddockD., & HempJ. (1996). Medicaid reductions and developmental disability servicesJournal of Disability Policy, 8(2), 1–32.
9.
BraddockD., HempR., BachelderL., & FujiuraG. (1994). The state of the states in developmental disabilities. Washington, D.C.: American Association on Mental Retardation.
10.
BradleyV. J., AshbaughJ. W., & BlaneyB. C. (Eds.). (1994). Creating individual supports for people with developmental disabilities: A mandate for change at many levels. Baltimore: Paul H. Brookes Publishing Co.
11.
BrookeV., BarcusM., & IngeK. (Eds.). (1992). Consumer advocacy and supported employment: A vision for the future. Richmond: Virginia Commonwealth University.
12.
BrothersonM. J., CookC. C., Cunconon-LehrR., & WehmeyerM. (1995). Policy supporting self-determination in the environments of children with disabilitiesEducation and Training in Mental Retardation and Developmental Disabilities, 30, 3–12.
13.
BrownL., Udvari-SolnerA., Frattura-KampschroerE., DavisL., AhlgrenC., Van DeventerP., & JorgensenJ. (1991). Integrated work: A rejection of segregated enclaves and mobile work crews In MeyerL., PeckC., & BrownL. (Eds.), Critical issues in the lives of people with severe disabilities (pp. 219–228). Baltimore: Paul H. Brookes Publishing Co.
14.
Chadsey-RuschJ., GonzalezP., TinesJ., & JohnsonJ. R. (1989). Social ecology of the workplace: Contextual variables affecting social interactions of employees with and without mental retardationAmerican Journal on Mental Retardation, 94, 141–151.
15.
ClarkR., & BondG. (1995). Costs and benefits of vocational programs for persons with serious mental illness In Moscarelli & Sartorius (Eds.), The economics of schizophrenia (pp. 1–42). Sassex, England: John Wiley & Sons.
16.
CokerC. C., OsgoodM. S., & ClouseK. R. C. (1995). A comparison of job satisfaction and economic benefits of four different employment models for persons with disabilitiesMenomonie, Wisconsin: Rehabilitation Research and Training Center on Improving Community-based Rehabilitation Programs.
17.
DiLeoD. (1995). The risks of misapplying natural supports in the workplaceSupported Employment InfoLines, 6(8), 4–5.
18.
FabianE. S., EdelmanA., & LeedyM. (1993). Linking workers with severe disabilities to social supports in the workplace: Strategies for addressing barriersJournal of Rehabilitation, 59(3), 29–34.
19.
Federal Register (11 February 1997). 62(28), 6334–6363, 34 CFR 361.
20.
Feist-PriceS. (1995). African-Americans with disabilities in Vocational Rehabilitation services: One state's reviewRehabilitation Counseling Bulletin, 39, 119–129.
21.
GerveyR., ParrishA., & BondG. (1995). Survey of exemplary supported employment for persons with psychiatric disabilitiesJournal of Vocational Rehabilitation, 5, 115–126.
22.
GreenwoodR., & JohnsonV. A. (1985). Employer concerns regarding workers with disabilities. Fayetteville, AR: Arkansas Research and Training Center in Vocational Rehabilitation.
23.
HagnerD., & DileoD. (1993). Working together: Workplace culture, supported employment and persons with disabilitiesBrookline, MA: Brookline Books.
24.
HaydenM., & DePaepeP. (1994). Waiting for community services: Impact on persons with mental retardation and other developmental disabilities In HaydenM. F., & AveryB. H. (Eds.), Challenges for a service system in transition (pp. 173–206). Baltimore: Paul H. Brookes Publishing Co.
25.
HelmsB. L., MooreS. C., & McSewynC. A. (1991). Supported employment in Connecticut: An examination of integration and wage outcomesCareer Development for Exceptional Individuals, 14, 159–166.
26.
HillM., WehmanP., KregelJ., BanksD., & MetzlerH. (1987). Employment outcomes for people with moderate and severe disabilities: An eight year longitudinal analysis of supported competitive employmentJournal of Association for Persons with Severe Handicaps, 12, 182–189.
27.
JohnsonV. A., GreenwoodR., & SchrinerK. F. (1988). Work performance and work personality: Employer concerns about workers with disabilitiesRehabilitation Counseling Bulletin, 32, 50–57.
28.
KiernanW. E., SchalockR. L., ButterworthJ., & SailorW. (1993). Enhancing the use of natural supports for people with disabilities. Boston: Children's Hospital, Training and Research Institute for People with Disabilities.
29.
KiernanW., McGaugheyM., LynchS., SchalockR., & McNallyL. (1991). National survey of day and employment programs: Results from State VR agencies. Boston, MA: Children's Hospital, Training and Research Institute for People with Disabilities.
30.
KiernanW. E., McGaugheyM. J., & SchalockR. C. (1986). National Employment Survey for Adults with Developmental Disabilities. Boston: Children's Hospital, Developmental Evaluation Clinic.
31.
KnollJ., & RacinoJ. (1994). Field in search of a home: The need for support personnel to develop a distinct identity In BradleyV., AshbaughJ., & BlaneyB. (Eds.), Creating individual supports for people with developmental disabilities: A mandate for change at many levels (pp. 299–323). Baltimore: Paul H. Brookes Publishing Co.
32.
KregelJ. (1992). A consumer empowerment approach to the design of human service systems: Implications for supported employment In BrookeV., BarcusM., & IngeK. (Eds.), Consumer advocacy and supported employment: A vision for the future (pp. 33–48). Richmond, VA: Virginia Commonwealth University, Rehabilitation Research and Training Center on Supported Employment.
33.
KregelJ. (1994). Natural supports and the job coach: An unnecessary dichotomyRichmond, VA: Virginia Commonwealth University, Rehabilitation Research and Training Center.
34.
KregelJ. (1995). Personal and functional characteristics of supported employment participants with severe mental retardationJournal of Vocational Rehabilitation, 5, 221–231.
35.
KregelJ., ParentW., & WestM. (1994). The impact of behavioral deficits on employment retention: An illustration from supported employmentNeuroRehabilitation, 4(1), 114.
36.
KregelJ., ShaferM., WehmanP., & WestM. (1989). Policy and program development in supported employment: Current strategies to promote statewide systems change In WehmanP., KregelJ., & ShaferM. (Eds.), Emerging trends in the national supported employment initiative: A preliminary analysis of 27 states (pp. 15–45). Richmond, VA: Virginia Commonwealth University.
37.
KregelJ., & UngerD. (1993). Employer perceptions of the work potential of individuals with disabilities: An illustration from supported employmentJournal of Vocational Rehabilitation, 3(4), 17–25.
38.
KregelJ., & WehmanP. (1989). Supported employment: Promises deferred for individuals with severe disabilitiesJournal of the Association for Persons with Severe Handicaps, 14, 293–308.
39.
KregelJ., WehmanP., & BanksP. D. (1989). The effects of consumer characteristics and type of employment model on individual outcomes in supported employmentJournal of Applied Behavior Analysis, 22, 407–415.
40.
KregelJ., WestM., & RevellW. G. (1996, February). South Dakota Supported Employment Systems Change Project: Comprehensive evaluation study. Richmond, VA: Virginia Commonwealth University, Rehabilitation Research and Training Center on Supported Employment.
41.
LagomarcinoT. (1990). Job separation issues in supported employment In RuschF. (Ed.), Supported employment: Models, methods, and issues (pp. 301–316). Sycamore, IL: Sycamore Publishing.
42.
LevyJ. M., JessopD. J., RimmermanA., & LevyP. H. (1992). Attitudes of Fortune 500 corporate executives toward the employability of persons with severe disabilities: A national studyMental Retardation, 30, 67–75.
43.
LewisD. R., JohnsonD. R., BruininksR. H., KallsenL. A., & GuilleryR. P. (1992). Is supported employment cost-effective in Minnesota?Journal of Disability Policy Studies, 67(3), 67–92.
44.
Lignugaris/KraftB., SalzbergC. L., RuleS., & StowitschekJ. J. (1988). Social-vocational skills of workers with and without mental retardation in two community employment sitesMental Retardation, 26, 297–305.
45.
Louis Harris and Associates (1994). Survey for the International Center for the Disabled: The ICD Survey II: Employing disabled AmericansWashington, DC: National Organization on Disability.
46.
MankD. (1994). The underachievement of supported employment: A call for reinvestmentJournal of Disability Policy Studies, 5(2), 1–24.
47.
MankD., & BuckleyJ. (1989). Strategies for integrating employment environments In KiernanW., & SchalockR. (Eds.), Economics, industry, and disability: A look ahead (pp. 319–335). Baltimore, MD: Paul H. Brookes Publishing Co.
48.
MankD., BuckleyJ., CioffiA., & DeanJ. (1996). Do social systems really change? Retrospective interviews with state-supported employment systems-change projectorsFocus on Autism and Other Developmental Disabilities, 11, 243–250.
49.
McAllisterM., & MankD. (1992). Rehabilitation facility implementation of supported employment: A survey of five states in the Pacific NorthwestEugene: University of Oregon, Specialized Training Program.
50.
McCaughrinW. B., EllisW. K., RuschF. R., & HealL. W. (1993). Cost-effectiveness of supported employmentMental Retardation, 31, 41–48.
51.
McDonald-WilsonK., RevellW. G., NguyenS., & PetersonM. (1991). Supported employment outcomes for people with psychiatric disability: A comparative analysisThe Journal of Vocational Rehabilitation, 1(3), 30–44.
52.
McGaugheyM. J., KiernanW. E., McNallyL. C., & GilmoreD. S. (1993). National perspectives on integrated employment: State MR/DD agency trends. Boston: Children's Hospital, Institute for Community Inclusion.
53.
McGaugheyM. J., KiernanW. E., McNallyL. C., & GilmoreD. S. (1995). A peaceful coexistence? MR/DD agency trends in integrated employment and facility-based servicesMental Retardation, 33, 170–180.
54.
MurphyS., & RoganP. (1995). Closing the shop: Conversion from sheltered to integrated work. Baltimore: Paul H. Brookes Publishing Co.
55.
MurphyS., RoganP., & FisherE. (1994). Diversity or confusion? National survey of SE natural supportsSupported Employment InfoLines, 5(4).
56.
NaeveL., HardingF., SheaI., & AllenW. (1990, July). Results of a job satisfaction survey of persons with disabilities who are supportively employed Paper presented at the Association for Persons in Supported Employment conference, Denver, CO.
57.
National Center for Disability Services (1993). Employer evaluations of supported employment RTI News, 3(1), 12–13.
58.
NisbetJ. (1992). Natural supports in school, at work, and in the community for people with severe disabilities. Baltimore: Paul H. Brookes Publishing Co.
59.
NobleJ., & ConleyR. (1987). Accumulating evidence on the benefits and costs of supported and transitional employment for persons with severe disabilitiesJournal of the Association for Persons with Severe Handicaps, 12, 163–174.
60.
ParentW. (1994). Job satisfaction and quality of life: Perceptions of individuals with severe disabilities who receive supported employment services Unpublished manuscript, Virginia Commonwealth University.
61.
RamsingK., RhodesL., SandowD., & MankD. (1993). A paradigm shift: Quality responsibilities for vocational rehabilitation professionalsJournal of Vocational Rehabilitation, 3(4), 5–16.
Rehabilitation Act Amendments of 1992, Public Law102-569. Title 29, U.S.C. 701–802, Section 101[c].
64.
RevellW. G., WehmanP., KregelJ., WestM., & RayfieldR. (1994). Supported employment for persons with severe disabilities: Positive trends in wages, models, and fundingEducation and Training in Mental Retardation, 29, 256–264.
65.
RevellW. G., WestM., & ChengY. (in press). Funding supported employment: Are there better ways?Journal of Disability Policy Studies.
66.
RhodesL., SandowD., MankD., & BuckleyJ. (1991). Expanding the role of employers in supported employmentJournal of the Association for Persons with Severe Handicaps, 16, 213–217.
67.
RogersS. E. (1996). Cost-benefit studies in vocational servicesPsychiatric Rehabilitation Journal, 20(3), 25–33.
68.
RogersE. S., SciarappaK., MacDonald-WilsonK., & DanleyK. (1995). A benefit-cost analysis of a supported employment model for persons with persons with psychiatric disabilitiesEvaluation and Program Planning, 18, 105–115.
69.
RuschF. R. (1990). Supported employment: Models, methods, and issues. Sycamore, IL: Sycamore Press.
70.
ShaferM., BanksP. D., & KregelJ. (1991). Employment retention and career movement among individuals with mental retardation working in supported employmentMental Retardation, 29, 103–110.
71.
SmithG. A. (1994). Supported employment and the HCB Waiver program Presentation at the Rehabilitation Research and Training Center on Supported Employment, Richmond, VA, 30 April 1994.
72.
StoreyK., & LengyelL. (1992). Strategies for increasing interactions in supported employment settings: A reviewJournal of Vocational Rehabilitation, 2(3), 46–57.
73.
SzymanskiE. M. (1994). Transition: Life span and life span considerations for empowermentExceptional Children, 60, 402–410.
74.
TestD. W., & WoodW. M. (1996). Natural supports in the workplace: The jury is still outJournal of the Association for Persons with Severe Handicaps, 21, 155–173.
75.
TestD. W., HinsonK. B., SolowJ., & KeulP. (1993). Job satisfaction of persons in supported employmentEducation and Training in Mental Retardation, 28, 38–46.
76.
ThompsonL., PowersG., & HouchardB. (1992). The wage effects of supported employmentJournal of The Association for Persons with Severe Handicaps, 17, 87–94.
77.
TorreyW. C., BeckerD. R., & DrakeR. E. (1995). Rehabilitative day treatment versus supported employment: II. Client, family and staff reactions to a program changePsychosocial Rehabilitation Journal18(3), 67–75.
78.
U.S. General Accounting Office (1993). Vocational Rehabilitation: Evidence for Federal program's effectiveness is mixed (Report # GAO/PEMD-93-19). Washington, DC: Author.
79.
WehmanP. (1993). Natural supports: More questions than answers?Journal of Vocational Rehabilitation, 3, 1–3.
80.
WehmanP. (1996). Life Beyond the Classroom, (2nd edition). Baltimore: Paul H. Brooks.
81.
WehmanP., & KregelJ. (1995). At the crossroads: Supported employment a decade laterJournal of the Association for Persons with Severe Handicaps, 20, 286–299.
82.
WehmanP., & RevellW. G. (1996). Supported employment: A national program that worksFocus on Autism and Other Developmental Disabilities, 11, 235–242.
83.
WehmanP., RevellG., & KregelJ. (1997). Supported employment: A decade of rapid growth and impact Manuscript submitted for publication.
84.
WehmanP., SherronP., KregelJ., KreutzerJ., TranS., CifuD. (1993). Return to work for patients following severe traumatic brain injury: Supported employment outcomes after five yearsAmerican J. of Physical Medicine and Rehabilitation, 72(6), 355–363.
85.
Weiner-ZivolichJ., & ZivolichS. (1995). If not now, when? The case against waiting for sheltered workshop changeoverJournal of Association for Persons with Severe Handicaps, 20, 311–312.
86.
WestM. (1992). Job retention: Toward vocational competence, self-management, and natural supports In WehmanP., SaleP., & ParentW. (Eds.), Supported employment: Strategies for integration of workers with disabilities (pp. 176–203). Stoneham, MA: Andover Medical Publishers.
87.
WestM., JohnsonA., ConeA., HernandezA., & RevellG. (1998). Extended employment support: Analysis of implementation and funding issuesEducation and Training in Mental Retardation and Developmental Disabilities, 33, 357–366.
88.
WestM., KregelJ., & BanksP. (1990). Fringe benefits available to supported employee participantsRehabilitation Counseling Bulletin, 3(2), 126–134.
89.
WestM., KregelJ., HernandezA., & HockT. (1997). Everybody's doing it: A national survey of the use of natural supports in supported employmentFocus on Autism and Other Developmental Disabilities, 12, 175–181.
90.
WestM. D., & ParentW. S. (1992). Consumer choice and empowerment in supported employment services: Issues and strategiesJournal of The Association for Persons with Severe Handicaps, 17, 47–52.
91.
WestM., & ParentW. S. (1995). Community and workplace supports for individuals with severe mental illness in supported employmentPsychosocial Rehabilitation Journal, 18(4), 13–24.
92.
WestM., RevellG., & WehmanP. (1992). Achievements and Challenges 1: A five-year report on consumer and system outcomes from the supported employment initiativeJournal of Association for Persons with Severe Handicaps, 17, 227–235.
93.
WestM., RevellG., & WehmanP. (in press). Conversion from segregated services to supported employment: Continuing challenges for the VR service systemEducation and Training in Mental Retardation and Developmental Disabilities.
94.
WestM. D., WehmanP., & RevellG. (1996). Use of social security work incentives by supported employment agencies and consumers: Findings from a national surveyJournal of Vocational Rehabilitation, 7, 117–123.
95.
WoodW. M., & FreemanT. G. (1993). Supported employment services based on actual cost: A necessity for quality service delivery over timeThe Advance, 4(4), 1–3. Richmond, VA: Association for Persons in Supported Employment.