Abstract
The rapid expansion of supported employment has generated calls for adopting standards to ensure quality services. This article discusses state actions that might be taken to promote the quality of supported employment services. The difficulty that states have in investing and assuring high quality is also discussed. It is proposed that quality assurance systems for supported employment include such features as incentives for performance; data systems that are timely and result in feedback and assistance to providers; investment in local ownership; and a decrease in the amount of costly behaviors that are required to meet standards, but do not influence quality improvements.
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