Indicators: Employment Trends for Adults with ID/DD and Suggestions - - PowerPoint PPT Presentation

National Core Indicators: Employment Trends for Adults with ID/DD and Suggestions for Policy Development

Agenda

• Why are we looking at these data?
• Intro to NCI
• Methods, Measures and Sample
• Findings
• Policy opportunities
• Discussion/Questions?

National Core Indicators (NCI)

Why?

• Rates of integrated employment among people with

ID/DD receiving services are low

• Remained essentially unchanged for the past 10 years.
• Systems change efforts underway in over 40 states
• State Employment Leadership Network
• AIDD Partnerships and Employment Learning

Community

• ODEP employment first initiative
• NCI can offer an important perspective in

employment and employment outcomes of people with ID/DD receiving services.

National Core Indicators (NCI)

WHAT IS NATIONAL CORE INDICATORS (NCI)?

• Multi-state collaboration of state DD agencies
• Measures performance of public systems for people

with intellectual and developmental disabilities

• Assesses performance in several areas, including:

employment, community inclusion, choice, rights, and health and safety

• Launched in 1997 in 13 participating states
• Supported by participating states
• NASDDDS – HSRI Collaboration

National Core Indicators (NCI)

CT

NCI State Participation 2013-14

HI WA AZ OK KY AL NC PA MA TX AR GA NM NJ MO NH OH* IL LA NY Wash DC FL CA* SD OR MN UT CO KS MS TN SC WI MI IN VA DE MD

State contract awarded in 2013-14 through AIDD funding

CA*- Includes 21 Regional Centers OH*- Also includes the Mid-East Ohio Regional Council

39 states, the District of Columbia and 22 sub-state regions

ME

WHAT IS NCI?

• Adult Consumer Survey

 In-person conversation with a sample of adults receiving services to gather information about their experiences  Keyed to important person-centered outcomes that measure system-level indicators related to: employment, choice, relationships, case management, inclusion, health, etc.

• Adult Family, Child Family, and Family/Guardian Surveys

Mail surveys – separate sample from Adult Consumer Survey

• Other NCI state level data: Mortality, Staff Stability

National Core Indicators (NCI)

Data Source: Adult Consumer Survey

• Standardized, face-to-face interview with a sample
• f individuals receiving services
• Background Information
• Section I (no proxies allowed)
• Section II (proxies allowed)
• No pre-screening procedures  states don’t filter

anyone out of the sample.

• Conducted with adults only (18 and over) receiving

at least one service in addition to case management

• Section I and Section II together take 50 minutes (on

average)

National Core Indicators (NCI)

Methods, Measures and Sample:

• 2012-2013 data collection cycle
• 25 states, one regional council

(Alabama, Arkansas, Connecticut, Florida, Georgia,

Hawaii, Illinois, Indiana, Kentucky, Louisiana, Maryland, Mid-East Ohio Regional Councils, Missouri, Mississippi, North Carolina, New Hampshire, New Jersey, New York, Ohio, Oregon, Pennsylvania, South Carolina, Texas, Utah, Virginia and Wisconsin.)

• Total N: 13,157 individuals

National Core Indicators (NCI)

• People under the age of 22 who were enrolled in public

schools (or for whom this information could not be determined) were excluded from most of the NCI 2012- 13 analyses in this presentation, except where indicated.

• 12,720 adults remained in the data.

~~~~~~~~~~~~

Residence Type:

National Core Indicators (NCI)

4.4% 34.0% 14.6% 37.1% 9.8% Specialized Institutional Settings Community-Based Residences Independent Homes or Apartments Parent or Relative's home Other

Number of Respondents in Integrated Employment/Paid Community Jobs: Different Datasets

National Core Indicators (NCI)

8.6% 14.7% 18.4% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

ACS Cognitive Disability + SSI NCI 2012-13 IDD Agency Survey FY12

Employment:

• Integrated Employment:
• Paid job in a place where most other workers do not have

disabilities (e.g. competitive or supported employment, enclave, work crew)

• Unpaid Community Activity
• Unpaid activity in a place where most other workers do not have

disabilities(e.g. volunteer activities, skills training, community experiences)

• Paid Facility-Based Work
• Paid job in a place where most people do have disabilities

(e.g. workshop, activity center)

• Unpaid Facility Based Activity
• Unpaid activity in a place where most people do have

disabilities (e.g. day habilitation, prevocational, seniors programs)

National Core Indicators (NCI)

NCI 2012-13: What Do NCI Respondents Do During the Day?

National Core Indicators (NCI)

14.7% 22.6% 27.0% 44.3%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Integrated Employment Unpaid Community Activity Paid Facility-Based Work Unpaid Facility- Based Activity

What ELSE?

• 46.1% of those in integrated employment

also took part in another type of day activity/employment

• 29.1% also in unpaid community activity
• 16.6% also had a paid facility-based job
• 22.3% were also in an unpaid facility-based

activity

National Core Indicators (NCI)

NCI 2012-13: Type of Employment by Residence

National Core Indicators (NCI) 1.4% 11.1% 24.3% 16.2% 13.6% 12.3% 8.4% 21.5% 22.3% 24.6% 27.3% 23.5% 34.9% 28.6% 26.7% 26.2% 19.4% 26.8% 46.0% 55.8% 24.2% 41.3% 48.4% 36.2%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Institution Community-based residence Independent home/apartment Parent/relative's home Foster care/host home Other

Integrated Employment Unpaid Community-Based Activity Paid Facility-Based Job Unpaid Facility-Based Activity

Paid Work Vs. Non-Work

National Core Indicators (NCI)

• -Denominators do not include missing or don’t know responses

**Includes unpaid facility-based and community-based activities

18.0% 14.7% 15.3% 13.4% 14.7% 30.0% 28.3% 24.6% 27.5% 27.0% 67.9% 68.0% 61.7% 71.0% 66.9%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 2008-09 2009-10 2010-2011 2011-12 2012-13 Integrated Employment Paid Facility-Based Work Unpaid Activities**

NCI 2012-13: Integrated Employment?

National Core Indicators (NCI)

14.7% 85.3 % Paid job No paid job 47.1% 52.9% Wants a job Does not want a job, or in between 30.0 % 70.0 % Job goal in ISP No job goal in ISP

Of those WITHOUT integrated employment…. Of those WITHOUT integrated employment who would LIKE integrated employment …

NCI:2012-13: In Integrated Employment and Likes Job

National Core Indicators (NCI)

2.3% 5.8% 91.9%

No In-between Yes

NCI 2012-13: Working in Integrated Employment but Wants to Work Somewhere Else

National Core Indicators (NCI)

61.2% 9.4% 29.4%

No In-between Yes

NCI 2012-13: Participation in Integrated Employment By State

4.6% 13.2% 37.5% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

National Core Indicators (NCI)

NCI 2012-13: Average Hours Worked in 2

• Wk. Period in Integrated Job by State

14 25 33 10 20 30 40 50 60 70 80 90 100 National Core Indicators (NCI)

NCI 2012-13: Average Wages Earned in 2

• Wk. Period in Integrated Job by State

$100.41 $186.88 $264.35 $0.00 $50.00 $100.00 $150.00 $200.00 $250.00 $300.00 National Core Indicators (NCI)

NCI 2012-13: In Integrated Employment by Age Group

National Core Indicators (NCI)

15.1% 19.2% 16.0% 13.9% 10.7% 5.5% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 18-25 26-35 36-45 46-55 56-65 65+

NCI 2012-13: Younger Adults

National Core Indicators (NCI) 17.8% 26.0% 22.7% 38.5% 15.2% 21.4% 30.8% 46.0% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Integrated Employment Unpaid Community Activity Paid Facility-Based Work Unpaid Facility-Based Activity 18-34 35-54

NCI 2012-13: Selected Outcomes

81.6% 81.9% 62.2% 75.1% 78.4% 58.0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Has friends other than family or staff Has a best friend Never feels lonely

Relationships

Has Integrated Job Does Not Have Integrated Job

National Core Indicators (NCI)

NCI 2012-13: Selected Outcomes

21.6% 49.3% 27.7% 1.4% 11.3% 43.2% 40.7% 4.8% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Excellent Very Good Fairly Good Poor

Reported Health Status

Has Integrated Job Does Not Have Integrated Job

National Core Indicators (NCI)

NCI 2012-13: Selected Outcomes

69.9% 72.0% 63.2% 93.7% 97.0% 47.3% 60.3% 38.6% 80.1% 89.9%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Choosing home Choosing staff Choosing roomates Choosing schedule Choosing what to do in freetime

Choice: Individual had at least some input in:

Has Integrated Job Does Not Have Integrated Job

National Core Indicators (NCI)

Paid Community Jobs

• A integrated job can be of one of three types:
• an individual job without supports (competitive),
• an individual job with supports (individual-

supported) and

• group-supported.
• All three are types of “integrated” employment.
• Individually-supported employment and

competitive employment make up “individual” jobs.

National Core Indicators (NCI)

NCI 2012-13: Type of Employment Support

National Core Indicators (NCI)

N % of total in integrated jobs Integrated Job 1779 100%

• Individual Job

(Individually- supported and Competitive) 971 55%

• Individually-

supported 520 29%

• Competitive

451 25%

• Group Supported

433 24% Type of employment support not specified 375 21%

NCI 2012-13: Percent of Those in Integrated Employment in Group-Supported Employment- By State

3% 23% 54% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

National Core Indicators (NCI)

NCI 2012-13: Hours and Wages in a Two Week Period

Hours Gross Wages Hourly Wage Integrated Job 25.4 $182.76 $7.83

• Individual Job

(Individually- supported and Competitive) 24.5 $192.67 $8.38

• Individually-

supported 23.9 $186.27 $8.49

• Competitive

25.3 $200.26 $8.27

• Group Supported

27.6 $172.93 $6.76 Paid Facility-based Job 32.2 $56.87 $2.39

National Core Indicators (NCI)

***Information on type of community job is not available for all individuals in integrated jobs

Federal Minimum Wage: $7.25/hr

NCI 2012-13: Benefits

National Core Indicators (NCI)

Receives paid vacation and/or sick time at his/her job Paid Community Job 24.8%

• Individual Job (Individually-

supported and Competitive)

• 26.5%
• Individually-supported
• 24.9%
• Competitive
• 28.3%
• Group Supported
• 26.0%

***Information on type of community job is not available for all individuals in integrated jobs

NCI 2012-13: Volunteering

“Do you do any volunteer work?”

National Core Indicators (NCI)

71.4% 70.5% 70.1% 66.7% 67.3% 28.6% 29.5% 29.9% 33.3% 32.7% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 2008-09 2009-10 2010-11 2011-12 2012-13 No Yes

Somebody has to do something and its just incredibly pathetic that it has to be us.

Why are we stuck?

Policy opportunities…

• Employment first policy and practice
• Prioritize $ for employment at transition
• Seamless movement between systems
• Redefining non-work and prevoc services
• Adequate funding for IE
• Investment in capacity building
• Robust & transparent employment data
• State hiring practices

Emerging Influences

• Department of Justice (DOJ)
• Centers for Medicaid and Medicare Services

(CMS)

• Advocacy efforts
• Legislative and executive initiatives
• Federal initiatives: AIDD, DOL, SSA, DOE

Policy opportunities…

• Employment first policy
• Prioritize $ for employment at transition
• Seamless movement between systems
• Flexible use of funds
• Adequate funding for integrated

employment

• Robust & transparent employment data
• State hiring practices

New York Road to Reform

• No new workshop admissions (7/1/2013)
• Increase competitive employment by 700
• Plan: transition to employment (10/2013)
• Plan for workshop closure (10/2013)
• Redesigned “front door”
• Restructure case management
• Redesign funding structure
• Employment data

Massachusetts Blueprint for Success

• Close front door to workshops 1/2014
• Close sheltered workshops by 7/2015
• Transition workshop participants to IE or CBDS
• Transition individuals from CBDS to integrated

work

• Phase out group employment settings that pay less

than minimum wage

11/2013

Policy Questions

National Core Indicators (NCI)

Contacts

• Institute for Community Inclusion at UMASS Boston:
• John Butterworth: John.Butterworth@umb.edu
• HSRI
• Josh Engler: jengler@hsri.org
• Dorothy Hiersteiner: dhiersteiner@hsri.org
• NASDDDS
• Mary Lee Fay: MLFay@nasddds.org

National Core Indicators (NCI)