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FRIENDSHIPS | JOBS | LEADERSHIP

BEST BUDDIES JOBS 1995: FIRST PLACEMENT IN MIAMI

BEST BUDDIES JOBSWHAT IT MEANS TO HAVE A COMPETITIVE JOB

JOBS PROGRAM STATISTICS

Referral Vocational assessment Goal setting Situational assessment Resume and interview preparation Applications and interviews

JOB DEVELOPMENT

EMPLOYMENT CONSULTANT ROLE

On site during onboarding On site as needed during employment Sensitivity Training with supervisors/ co-

workers Follow-along Individualized Written Program Plan (IWPP)

BEST BUDDIES CITIZENS

BEST BUDDIES CITIZENS PROGRAM

• Buddy and Peer Buddy• One-to-one activities two times a month• Communication once a week• Group activities once a month• Matched for one year• Match people based on age, preferably

same gender, common interest and location to each other

BEST BUDDIES CAPITAL REGION JOBS

Sheryl DizonEmployment Consultant

Phone: (803) 983-1444SherylDizon@bestbuddies.org

Karen GlasserRegional Director

Phone: (703) 533-9420KarenGlasser@bestbuddies.org

BESTBUDDIES.ORGCHANGING A LIFE. ONE JOB AT A TIME.

Bringing Employment First to ScaleOpportunities and challenges

2

1970s 1980s

1990 + …

Try another way

Supported Employment

Customize employmentSelf employment

Current Policy Influences

CMS Employment GuidanceCMS Settings Rule

Department of JusticeWIOA

Employment First Policy

33 states with official policy

17 states passed legislation

Remainder have policies issued by state agencies, Executive Orders, etc.

21 states with cross-disability policy; Remainder IDD specific

How many people are employed?

No disability

Any disability

Cognitive disability

No disability

Any disability

Cognitive disability

Works In Integrated EmploymentNation

5.7%

14.0%

19.1%

0% 10% 20% 30% 40%

Group supported job

Individual Job

Works in IntegratedEmployment

Source: National Core Indicators2015-2016

Number in Employment and Day Services

0

100,000

200,000

300,000

400,000

500,000

600,000

700,000

1990 1993 1996 1999 2004 2008 2012 2016

Non-work

Facility-based work

Integrated employment

632,000

312,448

Source: ICI National Survey ofState IDD Agencies

Number in Employment and Day Services

0

100,000

200,000

300,000

400,000

500,000

600,000

700,000

1990 1993 1996 1999 2004 2008 2012 2016

Non-work

Facility-based work

Integrated employment

632,000

312,448

Source: ICI National Survey ofState IDD Agencies

+12%

Participation in integrated employment services varies widely

0%

20%

40%

60%

80%

100%

Source: ICI National Survey ofState IDD Agencies 2015

Higher-Performing States Model

Hall et al., 2007

Challenges & Opportunities

Supporting Choice

No paid job 81%

Paid job 19%

Does not want job

53%

Wants job 47%

No job goal in

ISP59%

Job goal 41%

610,188 232,011 136,886

Source: National Core Indicators2015-2016

Changing Investments

FB & Non-Work FB & Non-Work87.0%

Services Funding

Integrated Employment 18.8%

Integrated Employment 13.0%

Source: ICI National Survey of State IDD Agencies 2016

Self Sufficiency & Meaningful DayAverage hours worked per week: Individual job

0

10

20

30

40

ME HI TN VT KY AL UT

MI

MO KS RI VA IL

MA PA NC

WA SD AR MS AZ CO WY

DC IN CT GA WI

LA FL NY

OH DE MN NV

OK

14Source: National Core Indicators Project2015-16

VR: Number of closures: Persons with ID

0

10,000

20,000

30,000

40,000

50,000

60,000

Source: RSA 911

Recession

Total closures

Closed into employment

Interagency partnershipsVR: Percent of closures with an ID

0%

10%

20%

30%

Massachuse…

Utah

New

Mexico

ArkansasSouth…N

ew Jersey

TexasArizonaIdahoN

ew York

Montana

AlaskaConnecticutN

ew…

North Dakota

Nevada

FloridaPennsylvaniaM

ichiganCaliforniaRhode IslandDelaw

areW

yoming

Maine

Nebraska

District of…O

klahoma

LouisianaM

innesotaM

ississippiHaw

aiiW

est VirginiaIllinoisKentuckyVerm

ontW

ashingtonKansasAlabam

aW

isconsinM

arylandSouth D

akotaO

regonG

eorgiaIndianaM

issouriColoradoVirginiaIow

aTennesseeO

hioN

orth…

16Source: National Core Indicators Project2015-16

Holistic Perspective

Individuals and families …

Confusing guidance and low systems expectations

Navigation is hard: lack of alignment & discontinuity

System lacks capacity More success when relying on self and

family

Capacity DevelopmentTime employment consultants spend on finding jobs

19

20

Focus & ValuesGoals

Culture of inclusion

InfrastructureResource allocationCommunication planStaff development

Performance measurement

Community partnerships

Employment Consultant PracticesCustomer engagement

Holistic approachActive job placement

Provider Transformation

22

Community of PracticeNetwork meetingsOnline community

State-to-state dialogTopical work groups

Strategic PerspectiveState assessment

Systems change work planData systems

State specific TA

Topical supportEducation & information

Network web eventsPolicy analysis

Implementation resources

Emerging Focus AreasWIOA Implementation

Pre-employment Transition ServicesSection 511: Subminimum wageInteragency collaboration

CMS Settings RuleCommunity Life EngagementProvider capacityCase ManagementValue-based fundingPeer leadership

John Butterworth(617) 287-4357

john.butterworth@umb.edu

www.ThinkWork.org

www.RealWorkStories.org

Advocacy, Research, and Innovation for Employment for People with I/DD

Alaskan Innovations

Corey Gilmore, Vice Chair

Kristin Vandagriff, Planner

Alaska Discussion Overview

• Alaska’s system context

• Alaska’s DD Vision Journey

• Alaska DD Collaborative

• How the Vision elevated employment

• Alaska’s Partnerships in Employment federal grant innovations

Making Lemonade Out of Lemons

• $3 Billion State Budget Deficit• System Change Fatigue (Multiple State & Federal System Changes)

– Conflict Free Case Management– CMS Integrated Settings Rule– Electronic Visit Verification– New State Data System Rollout for Plan of Care– Transition from State Developmental Disability grant services to a

1915(c) Individualized Supports Waiver

• Imperfect system – stakeholders wanted more

• A journey to re-center and rejuvenate through a common shared vision

The Lemons:

The Lemonade:

Alaska’s DD Vision Journey

• DD System Assessment

– Individuals with I/DD, family members, state agency staff, service providers, and community members all engaged in the development of a DD shared vision.

– Community Forums, Webinars, & Surveys.

Shared DD Vision

Alaskans share a vision of a flexible system in which each person directs their own supports, based on their strengths and abilities, toward a

meaningful life in their home, their job and their community. Our vision includes supported families, professional staff and services available throughout

the state now and into the future.

Sharing the Vision(with Policy Makers)

DD Collaborative Formed

Alaska DD Collaborative

• Implementing the shared DD vision:

– Project Area Teams:

1. Culture Change

2. Direct Service Professional Workforce Development

3. Legislative Engagement

4. Community Outreach

5. Measuring Progress

6. Self Advocacy Advisory – Led by 70 Alaskans

Alaska DD Vision Process and Update Videos:

• Alaska DD Vision (without reader) https://www.youtube.com/watch?v=HKNljvAoVQM&feature=youtu.be

• Alaska DD Vision (with reader) https://www.youtube.com/watch?v=Osw77usDUWE&feature=youtu.be

Senate Bill 174 – The DD Vision BillGoal: to enshrine the Shared DD Vision, through aspirational language, in statute.

– Have an empowered and high expectation lens with which we filter how services are provided throughout the state.

– Ensure that individuals with developmental disabilities will receive services that lead to meaningful lives, with employment as a key facet.• Builds on progress from 2014 Alaska Employment First Law

– The Shared DD Vision is anchored in person-centered thinking, self-determination, and individualization.

Status Update: • It passed both the House and Senate! • Currently awaiting the Governor’s signature to become law

So… what does this mean for employment?

•Employment is part of the broad conversation – the big picture!

•Momentum is built to raise expectations across the system

•Supported transition system enhancement and policy work

Alaska’s Partnerships in Employment Federal Grant Work

• Repealing the High School Graduation Qualifying Exam (with retroactive provision)

• Employment First Law (cross-disability legislation)

• Alaska ABLE Act

• Alaska Disability Benefits 101 Website

• Alaska Project SEARCH Expansion

• Supported Decision Making (HB 336 passed!)

The Alaska Transition Handbook

A where to turn for employment for Alaskans with

disabilities

Teacher Postcards for IEP Meetings

Alaska’s Subminimum Wage Regulation Repeal

– Only 3rd state in nation to do this

– Joins Maryland and New Hampshire

• What led to this in Alaska?– AK PIE Project Advisory Board Discussions

– AK Barriers to Integrated Employment Report

– Employment First law passage & implementation

– Collaboration on national subminimum wage briefs

– Bottom Dollars showings across the state

– DD Vision Momentum (job = part of a meaningful life)

National News & ResourcesNational Subminimum Wage Briefs:• Partnerships in Employment Brief: Guidance on How to Obtain

Data on the Use of Subminimum Wages Within a State to Inform Systems Change Activities– https://scholarworks.umb.edu/cgi/viewcontent.cgi?referer=http://www.google.com/url?sa=t&rct=j&q=&

esrc=s&source=web&cd=1&ved=0ahUKEwi82a3koJzaAhWmv1QKHWNABpgQFggpMAA&url=http%3A%2F%2Fscholarworks.umb.edu%2Fcgi%2Fviewcontent.cgi%3Farticle%3D1054%26context%3Dici_pubs&usg=AOvVaw1sZVsuA2I_4ZqEofKSud4H&httpsredir=1&article=1054&context=ici_pubs

• Partnerships in Employment Brief: Influencing Changes in State Policy and Practice with Data on Subminimum Wages – https://scholarworks.umb.edu/ici_pubs/40/

• Collaborative between Alaska and Tennessee’s Partnerships in Employment (PIE) projects as well as the Protection and Advocacy organizations in both states include bottom dollars link

Bottom Dollars Documentary: http://www.rootedinrights.org/videos/employment/bottom-dollars/

Includes info on hosting a screening and map of 14c across the nation

The Power of Success

“There is no greater disability in

society, than the inability to see a person as more.”

– Robert M. Hensel

Questions?

Corey Gilmore, Vice Chair

Kristin Vandagriff, Planner

3601 C Street, Suite 740

Anchorage, AK 99503

1-888-269-8990

http://dhss.alaska.gov/gcdse

“Putting Self-Advocacy Requirements into Action”

Presented by Valerie Breen, Executive Director

Sheila Gritz-Swift, Deputy Director of Programs

Objectives

• Participants will learn… – how self-advocates are preparing for leadership roles

in systems change efforts– about replicable strategies their states and

stakeholders can use– about Florida’s outcomes and connections across

systems change efforts.

Preparation: Skills and Leadership Development

• Florida SAND• Partners in Policymaking• Project SALT• Route to Self-Determination

Florida SAND

Partners in Policymaking

Other Self-Advocacy Initiatives

• Project SALT• Route to Self-Determination

Self-Advocate Leaders

Self-Advocate Outcomes and Replicable Strategies

• Employment First/Employ Me 1st Self-Advocate Advisory Committee

• Employment First/Employ Me 1st Grassroots Group

• Developmental Disabilities Day Advocacy

Easy Read Materials• http://www.employmentfirstfl.org/sites/employmentfirstfl.o

rg/files/files/PL-EFudo.pdf

• http://www.employmentfirstfl.org/sites/employmentfirstfl.org/files/files/web-What%20is%20Florida%20Employment%20First.pdf

• https://www.plainlanguage.gov/guidelines/

Explore Work Curriculum• Why people work• Myths about people with disabilities and work• How people decide what type of job they want• How to advocate for yourself when you are looking for a

job• Working with Employment Specialists• Disclosure and asking for supports one you get a job• Getting there…figuring out transportation

http://www.employmentfirstfl.org/explore-work-curriculum

Grassroots Group• Presentation on Explore Work curriculum• Participate in all webinars to offer information from the self-

advocate perspective

Developmental Disabilities Awareness Day

Individuals with Disabilities Act

Task Force on Transportation Disadvantaged

“Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it’s the

only thing that ever has.”- Margaret Mead

For more information:• Valerie Breen, Executive Director

– Valerieb@fddc.org

• Sheila Gritz-Swift, Deputy Director of Programs– Sheilags@fddc.org

850.488.4180https://www.fddc.org/