Abstract
The Ticket to Work and Work Incentives Improvement Act of 1999 provided legislative underpinnings for expanding personal assistance services to support employment for individuals with significant disabilities. The program of employment personal assistance services (EPAS) was developed by the State of Utah through the Medicaid State plan. The program provides assistance with activities of daily living and instrumental activities of daily living both at home and at work to individuals with disabilities who work a minimum of 40 hours per month. Over one-third of program participants, at time of the evaluation, had psychiatric disabilities. A program evaluation conducted on the EPAS program finds participants experienced enhanced well-being and quality of life and improved employment outcomes. The evaluation identifies areas for further program improvement.
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