EMPLOYMENT SERVICES
Overview
Findings in research over the past 20 years have concluded that individuals with intellectual and developmental disabilities (IDDs), including autism, have difficulty getting and keeping jobs and often when they are employed, they are underemployed. According to findings of the 2022 US Census Bureau, approximately 79% of individuals with an IDD 16 years or older are not in the workforce, at all. The graph below demonstrates the difference between people with and without disabilities in the work force.
Note that "unemployed" refers to people not working but looking for work, and those not in the work force are not working, or looking for work. They are completely disconnected.
​
​
​
​
​
​
​
​
​
​
​
Research also demonstrates employers terminate people with intellectual and developmental disabilities (IDD) most commonly not based on their ability to learn or do the tasks, but based on the following reasons, in order (Siperstein et al., 2014; Akdemir & MelekoÄŸlu (2023); Smith et al., 2020; Shandra, C. (2018).
-
Social communication and interpersonal challenges such as understanding workplace norms, conflicts with co-workers, interpreting social cues or non-verbal communication, (unintentional workplace behavior)
-
Executive functioning skills such as time management, task initiation, organization, prioritization, working memory, self-regulation, self-monitoring, problem solving, flexibility and adapting to change
-
Attendance and transportation issues such as being able to get to work, work schedule changes, and family support in getting to work
-
Job demands and support needs such as placements not aligning to strengths, interests, preferences, and needs.
​
Teaching the skills noted above, while systematically balancing how and when to fade (reduce) supports to promote greater independence and success in the workplace. With specific and individualized employment skills training, young adults can be more prepared for work by having paid work experiences while in high school. This is the number one predictor of employment after high school (Avellone et al., 2023; Wehman et al., 2015; Siperstein et al., 2014).
​
​All employment offerings are customized for each individual’s needs and include programming to assist the individual to gain skills including providing supports, fading of supports, providing natural supports, and teaching skills to ensure individual to reach their full potential and the opportunity to be part of the work force. All offerings provide the following level of supports as needed:
-
Universal supports as needed including visuals, co-worker training, relationship training, and any additional supports
-
Assessment and evaluation to determine level of supports needed and implementation of supports and fading of supports
-
Assistance on job site of job coach trained in universal supports using evidence base procedures
-
Job coaches trained in evidence-based employment and behavioral principles including task analysis, prompting and prompting hierarchy, fading prompts, shaping behaviors, and other reinforcement of strategies.
-
-
Data collection and analysis for making decisions most beneficial to the individual which includes goal setting, target skills and behaviors, task analysis of target skills with data collection at the task level, programming decisions based on data, identification of pre-requisite skills, reporting on skill mastery, and recommendations for continued or future skill needs
-
Clinical therapist provides oversight including reviewing of data collection and analysis towards progress of goals​​
​​

US Civilian Population
16 years and older
​
​
Based on findings by the
US Census Bureau (2022)
Offerings
Career Exploration/Vocational Assessment
A variety of tools and methods are used to better assess the person's interests, strengths, preferences, and needs. This person-centered process will include interviewing people close to the individual (for example parents, siblings, teachers, support workers, case managers, etc.); completing industry-standard surveys that help in determining job or career areas of strength and interest (for example O-NET, visual support inventories, and others) and areas where training may be needed; and involving the person individually throughout the process to help determine overall recommendations to meet that person's needs.
Job Developer
A trained professional in communicating and collaborating with employers and matching the needs, interests, and skills of the individual with the employment experience. . May provide assessments to better understand interests, skills, goals, and support needs
Supported Employment (includes Job Coach)
Provide supports to assist individuals in need of gaining additional employment skills to gain/maintain competitive employment. Assistance can be provided on and/or off the job site depending on needs of individual. Generally, assistance includes a job coach who will be systematically faded. (Length and duration of supports will vary depending on requests and needs)
Customized Employment (includes Job Coach)
Provide assistance with supports beginning at pre-employment in finding employment for a non-existent position at an employer site to meet the needs of the employer and the individual. . Includes assessment of individual and site development to determine proper placement . Incorporate supports, training, and modification of work setting to meet the needs of the individual . Provide job coach to integrate critical skills into job setting . Pre-training to individualize job and social skills needed in specific settings . Length and duration of supports vary depending on requests and needs . Data collected at task level for setting employment goals, decision making, guiding programming, increase skills, and promote success on the job
Work-Based Learning/Job Experience (more intensive experience in job/career area with job coach provided)
Provide employment setting for individuals to gain an experience of how to perform job duties in the employment setting. . Provided with a job coach with the level of supports dependent on the individual’s needs and fading toward increased independence . An assessment is prepared prior to starting to ensure appropriate placement . Traditionally for individuals who need additional supports in gaining skills to become independently employed . Work to increase stamina in job experiences. For example, individual starts at 1 hour per day 2-5 days a week while systematically building duration of sessions to more hours per day. Includes 20-60 hours of direct on the job experience All placement locations have been through the job development process May be paid, incentive based, or a volunteer experience (will be considered based on individual and settings) Data collected at task level for setting employment goals, decision making, guiding programming, increase skills, and promote success on the job
Job Sampling/Job Shadowing (brief experience in job/career area)
Individual is provided employment setting(s) to serve as an example of the duties and responsibilities in specific work environments and occupations. . Job sampling: hands-on experience where placements are determined by an assessment of the individual’s skills and interests . A site development process will be completed for all employment settings prior to placement . Sampling may be provided without a job coach, led by the employer and facilitated and organized by a job developer . Each experience is between 4-6 hours . Job shadowing: placements are determined by assessing interests of the individual. Typically 3 job shadow opportunities provided. . Shadowing is observational of the job and its functions in an employer setting . A site will be developed with employers based on the individual’s interests and future goals . Shadowing is provided with a job coach and led by the employer and facilitated and organized by a job developer . Opportunity is for experience to job or career and not paid or incentive-based . Each is experience between 4-6 hours
Site Development
Initiate and collaborate with employers to identify opportunities for individuals to be integrated into an employment setting. Site development includes the following: . Contact employers to determine if they will participate in providing job opportunities . Determine individual’s skills, interests, and environmental sensitivities (sensory needs) to ensure adequate placement . Work with employer to determine job duties and any supports or assistance prior to and during placement(s) . Work with employer to determine scheduling and duration of employment opportunity depending on the employment service being provided . Educate employer prior to and the duration of the placement to ensure the understand and know how to support individual . Transition the individual into the employment setting including providing supervision to job coach if a job coach is needed
Follow-on Services and Placement
Services are available if assistance is needed in finding permanent employment or support on the job. . Follow-on Services: individuals may be employed full or part-time and need assistance with job accommodations; individual work on employment, communication, executive function, or soft skills; self-awareness, self-advocacy, or self-regulation; or have other needs to reach greater independence on the job. Programming can be designed for the person's specific interests and needs. . Placement Services: if a person needs assistance transitioning into a job, services are available to aid in that transition through personalized strategies and supports.
References & Research
-
Akdemir, B., & MelekoÄŸlu, M. A. (2023). Determination of employment-related social skills in the service sector for individuals with intellectual disabilities. International Journal of Developmental Disabilities, 71(2), 287–295.
-
Avellone, L., Taylor, J., Ham, W., Schall, C., Wehman, P., Brooke, V., & Strauser, D. (2023). A scoping review on internship programs and employment outcomes for youth and young adults with intellectual and developmental disabilities. Rehabilitation Counselors and Educators Journal, 12(1).
-
Pezzimenti, F., Durrani, E., Zheng, S., Adams, R. E., Bishop, S. L., & Lounds Taylor, J. (2024). Perspectives on employer-initiated terminations among young adults on the autism spectrum. Journal of Autism and Developmental Disorders, 54(4), 1332–1343
-
Siperstein, G. N., Heyman, M., & Stokes, J. E. (2014). Pathways to employment: A national survey of adults with intellectual disabilities. Journal of Vocational Rehabilitation, 41(3), 165–178.
-
Smith, M., Manduchi, B., Burke, É., Carroll, R., & McCallion, P. (2020). Communication difficulties in adults with intellectual disability: Results from a national cross-sectional study. Research in Developmental Disabilities, 97, 103557.
-
Wehman, P., Sima, A. P., Ketchum, J., West, M. D., Chan, F., & Luecking, R. (2015). Predictors of successful transition from school to employment for youth with disabilities. Journal of Occupational Rehabilitation, 25(2), 323–33.





