Transition to Work Model that works! Overview June 23, 2016 11/2011 Transition to Work Model that works! Overview June 23, 2016 PS copyright

Project SEARCH at Cincinnati Children’s Hospital Medical Center Program began in 1996 Developed as a means to: meet entry level employment needs at CCHMC support their Diversity Initiative, and partner with schools and community services agencies Reference how the program began from Erin’s business perspective. Created not to become a internationally replicated program. The success of the program in changing outcomes for young people with disabilities and meeting the needs of employers has created opportunities for replication. In 1996, Project SEARCH reached 12 young persons per year, now, well over 2000. © CCHMC 1/3/06

Program Goals Employment for each Project SEARCH intern 16 hours a week or more Minimum wage or better Integrated Setting Non-Seasonal Bonus: Culture change at the host business as the work skills of young adults with disabilities are recognized Publicly funded systems working together 4/24/2012 PS copyright © CCHMC 1/3/06

Philosophy People with disabilities have the right to choose a path toward education and employment. However, while freedom of choice is given, the right to work is earned. Earning the right to work is dependent upon the student's preparation. Simon, Stephen, ADA Quarterly, Fall 1998. © CCHMC 1/3/06

Project SEARCH Key Concepts Business-Led in collaboration with education, rehabilitation and long term support agencies Braided funding Immersion and impact Training in real work settings Low risk, low cost for business Hiring students who are “good fit” 4/24/2012 PS copyright All Project SEARCH programs are led by the business with the other organizations sending staff and supporting the students and programs. Braided funding implies that all the Project SEARCH partners use their existing funding streams to fund staff and other program materials, making it look seamless to the business. Students are immersed in the business all day, every day for an entire school year and positively impact the business through their contributions. They train each day in a real work environment, not simulated work. The program is low risk for the business – we are asking them to provide a training environment through the classroom and internships. We are asking them to be open to hiring students who might be a good fit for an open position.

Funding for Employment Typical Linear Services/Funding Funding for Employment Education VR IDD Project SEARCH Model Education Project SEARCH VR IDD © CCHMC 1/3/06

Student Intern Business Families Community job coaching/job development services providers Texas Department of Assistive and Rehabilitative Services Business Education – School District or adult education Long term support Developmental Disabilities Organizations, Community Agencies 4/24/2012 Student Intern PS copyright Each Project SEARCH program is a unique partnership with the local community partners. However the basic partners are usually the same: school, vocational rehabilitation, DD agency, supported employment agency, etc. This slide could be customized to replace the generic names with the local agencies involved in your Project SEARCH program. Families © CCHMC 1/3/06 © CCHMC 1/3/06

Host Business provides a Liaison, an on-site classroom and a variety of internships that teach core skills related to that business or industry. Educational organization or Consortium provides an instructor, employability skills curriculum and student interns Vocational Rehabilitation provides individual career guidance, job coaching and supports for each intern to gain employment. Workforce Investment agencies provide training/employment resources and long term supports Supported Employment Agency provides job coaching and job development for interns at the host business and in their initial job. Families bring a new perspective, give valuable feedback to the team, add an additional voice for student selection, and facilitate the Family Involvement Program Local Authorities (IDD) organizations provide funding for long term retention and support for eligible interns once they secure a job. 4/24/2012 PS copyright

Program Description – What does Project SEARCH look like? One year program (typically aligns with school year) 10 - 12 young people (average) Individuals with a variety of disabilities Rotation through 3 unpaid internships with continual feedback to gain/increase job skills Consistent on-site staff provided by service agencies Outcome of employment 4/24/2012 PS copyright Project SEARCH is one academic year long, following the school calendar. Feel free to customize this as well.

Annual School Schedule AUG JUNE 1st Internship Graduate & Begin Work at Host Site or in Community 2nd Internship 3rd Internship 2 – 3 week Orientation Workshop Week Begin 4/24/2012 PS copyright Regular Employment Planning Meetings Job Search intensifies during 2nd Internship Business Advisory Groups and Family Involvement Curriculum

School Day 8:00 Staff Meeting: Employability Skills 9:00 Worksites 11:30 Lunch 12:00 Worksites 2:30 Review, reflect, plan 3:00 Depart 4/24/2012 PS copyright This is just an example; each Project SEARCH program follows the typical school day of the local school district partner. Transportation may also impact the times of the program day. The key is that students should come straight to the host business in the morning and go home directly from the host business. There should be enough time for Employability Skills class for at least one hour and four hours on the internships.

Basic Eligibility Guidelines Students in their last year of high school education or young adults with a variety of disabilities Appropriate hygiene, social and communication skills Ability to take direction and change behavior Access public transportation Pass drug screen, background check, immunizations - whatever is required of other employees Desire to Work! 4/24/2012 PS copyright

Internships Cornerstone of the program Competitive, marketable, transferable skills 4 – 5 hours of day Work/ Social Skills 10-12 weeks/Flexible Multi-faceted evaluation 4/24/2012 PS copyright

Internship to Job 1st Rotation: VP Office at University Program – focus on phone skills 2nd Rotation: Consumer Lending – focus on computer skills 3rd Rotation: Receptionist in Lobby Hired as receptionist Promoted to Admin Assist and is able to live on her own. © CCHMC 1/3/06

Progress to Date Close to 400 sites in existence, several in process Over 45 states England, Ireland, Scotland, Canada Condition of license for each site Independent model fidelity audits Data collection for documenting outcomes Wide mix of rural and urban Huge businesses and small

Types of Businesses Partnering with Project SEARCH Retirement Communities Retail: Wegman’s, etc. Distribution Centers Law Enforcement and Courthouses Chesapeake Oil Many large and small hospitals McConnell Air Force Base Manufacturing: Shaw Flooring, Atlas Copco Drilling, Cargill Local, State and Federal Government Smithsonian Institute National Institutes of Health Water and Power Lottery Banking and Insurance Universities Zoos and Parks

Employment Outcomes Class of 2014 - 2015 International Outcome average – over 74 % of graduates obtained competitive employment (16 hours/week or more, non-seasonal) Increased outcomes each year Over 170 programs recognized for 60-100% employment 11/3/2018 PS copyright © CCHMC 1/3/06

Employment Outcomes Data 92% of sites entered data into the Project SEARCH database. 33% of graduates were employed by the host site, 67% were employed outside of the host site. Average hourly wage was $9.13 Average hours worked were 25.39/week 11/3/2018 PS copyright © CCHMC 1/3/06

How do we start Project SEARCH program? Frequently Asked Questions Does it cost? Yes – one time fee of $16,000 for license, technical assistance training/support and access to all of our copyrighted materials. Renewal of license is $300. per year. Texas Council on Developmental Disabilities is currently supporting the initial licensing/technical assistance and on-going support for program development – in fourth year of 5 year grant What are the first steps? Determine the interest of the key partners – educational entity and DARS, plus long term support agencies and potential host business (business partner does not have to be identified in initial phase) Contact national Project SEARCH office to begin process © CCHMC 1/3/06

Texas Project SEARCH sites: Seton Medical Center Hays Seton Medical Center Williamson Dell Children's Medical Center of Central Texas University Medical Center Brackenridge Atlas Copco Drilling Solutions, Garland Medical Center Lewisville Texas Wesleyan University, Fort Worth United Healthcare, Sugar Land Baylor/Scott &White Brenham Baylor/Scott & White College Station SanMar Distribution, Irving

Texas Project SEARCH sites: Frisco Embassy Suite and Conference Center Seton Medical Center Northwest Trinity Mother Frances Hospital, Tyler City of Lewisville Baylor Scott & White, Garland La Cantera Resort & Spa This Fall: Texas Children’s Health Plan San Antonio ISD Palo Alto Community College Baylor Scott & White Plans Lakeway Regional Medical Center

Texas Success: Project SEARCH has grown from 1 program at Seton Healthcare Family in 2007 to 17 programs in various industries in 2015. Training has begun with 4 new programs to start next school year. The graduation class in 2014, 78% of the interns in gained competitive integrated employment. The graduation class of 2015 has increased to 83.5% for competitive integrated employment. Many of these sites are at 100% employment outcome.

Project SEARCH at SanMar, Inc. in Irving © CCHMC 1/3/06

SanMar Distribution center for apparel and accessories 3,500 employees in 8 warehouses across the country © CCHMC 1/3/06

Project SEARCH at SanMar, Inc. Partners © CCHMC 1/3/06

Internship Rotations Internship Locations Employee Store Recycling Box Program Restocking Pulling Returns Receiving © CCHMC 1/3/06

Receiving & Box Program © CCHMC 1/3/06

Project SEARCH SanMar Data Year One 2014-2015 87.5% competitively employed Year Two 2015-2016 © CCHMC 1/3/06

Project SEARCH at La Cantera Hill Country Resort Utilized 9 departments within first year. Interns rarely worked within same department as one another. 7 of 10 interns were hired at host site. Host business supervisors led hiring decision. © CCHMC 1/3/06

Importance of Long term Support Providing supports after 90 days of coaching is completed. Ensuring interns are moving forward in process for receiving supports. Collaborating with interns, families, long-term support coordinator, school with on-site team. © CCHMC 1/3/06

Long Term Service Provider Responsibilities Confirms eligibility for long term support through the ALA Intake and Eligibility Department; providing a Determination of an Intellectual Disability (DID) for individuals requesting services. Consumer Benefits screening to ensure eligible individuals are receiving maximum state and federal benefits. Service Coordination for individuals accessing General Revenue (GR) funded services, HCS and/or TxHmL. Service Coordination Activities Communicates with manager at business host site and other team members for issues and problem solving. Facilitates crisis intervention Communicates with families or care providers Links students to other support service agencies or supports as necessary. Provides employment retention services to student once hired through Supported Employment service. Supported Employment provider monitors work performance; document progress and issues.

Program Success Numerous local national awards and recognition Project SEARCH Book High School Transition that Works: Lessons Learned from Project SEARCH® By Maryellen Daston, Ph.D., J. Erin Riehle, M.S.N., & Susie Rutkowski, M.A., Foreword by Paul Wehman, Ph.D. Discuss successful outcomes, recognition, book. Reference that success is more than employment – It is about changing the outcomes for young people with disabilities ----- refer to many interns at Cincinnati Children’s that now live on their own, have married. Reference the “confidence change” that interns and famililes identify at the end of the year. © CCHMC 1/3/06

Project SEARCH Cincinnati www.projectsearch.us Like us on Facebook – Project SEARCH Cincinnati Bon Secours graduation I © CCHMC 1/3/06 © CCHMC 1/3/06