2. Systems Change 3

3. Integrated Jobs Strategy Policy Funding Outcome Data Capacity Development Innovation Leadership Values Collaboration Hall et al (2007)

4. Percent Employed 22-30 16-21 22-30 16-21 No Disability Cognitive Disability American Community Survey

5. % Employed: IDD Agencies National Core Indicators 2011-2012

6. % with Goal in Service Plan National Core Indicators 2011-2012

7. VR Closures by Age at Application RSA 911 FY2011 – Persons with ID

8. Percent Employed 2011 American Community Survey

9. Participation in integrated employment services ICI National Survey of State IDD Agencies FY 2011

10. Transition Service Integration Model Certo et al. – California The last day of school should be no different than the day after Service delivery model shifts from public school to integration across multiple systems Schools integrate staff and resources with community providers, state VR, state DD

11. Employment & Young Adults American Community Survey www.StateData.info 24

12. Percent with Diploma or GED 2011 American Community Survey www.StateData.info

13. Washington Jobs by 21 Partnership Project MOU with key partners: Schools, DVR, DDD, providers, students, parents, parent organizations, employers, Work Source Center, WIA youth service providers, community and technical colleges, self-advocacy groups, … Transition Councils or inter-agency groups Adult employment provider participation

14. Missouri – Show Me Careers Business engagement Guideposts of success (http://www.ncwd-youth.info)http://www.ncwd-youth.info Using demos to scale up best practices State employment director 12 regional employment specialists Participating in AIDD Family Community of Practice www.showmecareers.org 12

15. Iowa ODEP Employment First Leadership Mentor Project Coalition for Integrated Employment Outcome measurement system Increase capacity of providers for SE/CE Messaging: Targeting case managers Rate studies, extensive communication with stakeholders to obtain buy in 13

16. Wisconsin-Let’s Get to Work 9 school pilot sites-75% increase in employment outcomes Policy development focus Parent videos to build parental expectations VR funds $500 for youth experiences for all eligible youth VR capacity building 20 business consultants http://www.letsgettoworkwi.org/ http://www.letsgettoworkwi.org/ 15

17. Alaska Integrated Employment Initiative Increase youth employment with IDD in VR from 20-25% and hours from 13-20/week Business engagement Youth participation Mental Health Trust Authority funding large scale employment initiative http://alaskaworksinitiative.org/index.html 17

18. New York Common assessment tool for VR and DD NY OPWDD transformation agenda Facilitates relationships among state agencies Project Search replication 18

19. Mississippi Employment First Executive Order Customized employment, transition and Gathering Grounds demos Youth engagement Waiver definition changes to competitive employment http://www.mspeidd.org/ 19

20. Tennessee Works ODEP EFMSLP Family survey Executive Order in 2013 for Employment First policy Cross agency data collection system Detailed MOU development Community conversations http://tennesseeworks.org/ 20

21. Partnership Project Employment Outcomes Participants more likely to earn wages in 3 months before graduation Participants were more likely to earn wages in 3 months after graduation Participants were more likely to have long term employment supports in place, and those who did earned higher wages than Non- Participants 21

22. System change requires focus on several distinct systems areas (federal & state) Collaborations across agency build foundation Gaining state agency leader involvement takes tenacity National momentum for employment is helping to fuel states’ efforts 36

23. We Are Learning Youth and family involvement at all levels of systems change is key--- and makes change sustainable Families need to hear employment message early in their child’s life to build an expectation of success VR engagement starts early—ages 14-16; Capacity building is necessary (teachers, rehab counselors, employment specialists, support coordinators, provider agencies) 23

24. We Are Learning Post secondary education, vocational ed and other college experiences valued by individuals and employers Connection between disability world and employers needs work 24

25. Federal Government Pushing Change 25 CMS guidelines Department of Justice (RI Consent Decree) Workforce Innovations and Improvement Act

26. A Tale of 3 States Oregon Massachusetts Rhode Island

27. 27

28. Partnerships in Employment Karen Flippo Institute for Community Inclusion University of Massachusetts, Boston www.partnershipsinemployment.com Karen.Flippo@umb.edu 617-287-4344 Barbara Brent National Association of State Directors of Developmental Disabilities Services bbrent@nasddds.org 703-896-0043 28