Supported Employment, Demographic Covariates, and Adjunctive Vocational Rehabilitation Services as Predictors of Competitive Integrated Employment for Young Adults with Intellectual and Developmental Disabilities: A Hierarchical Logistic Regression Analysis

Author:

Iwanaga Kanako1,Wehman Paul1,Schall Carol1,Avellone Lauren1,Chan Fong2,Inge Katherine1,McDonough Jennifer1

Affiliation:

1. Virginia Commonwealth University

2. University of Wisconsin–Madison

Abstract

Abstract Purpose Compelling evidence strongly supports competitive integrated employment (CIE) as a driving force for improving the economic well-being, as well as the physical and mental health, and overall quality of life for individuals with Intellectual and Developmental Disabilities (IDD). However, the employment participation rate for those with IDD remains notably lower than those without IDD. Supported Employment (SE) is evidence based vocational rehabilitation intervention, which offers personalized workplace support necessary for successful performance within CIE settings. This study aims to predict CIE outcome for youth and young adults with IDD by evaluating demographic variables, SE, and adjunctive state vocational rehabilitation agency (SVRA) services. Methods This study sample included 67,884 youth and young adults with IDD extracted from the U.S. Department of Education's Rehabilitation Services Administration Case Service Report dataset. Our analytical approach was logistic regression analysis. Results The findings indicated that SE had a highly significant association with positive CIE outcomes. Participants who received SE were considerably more likely to achieve CIE compared to those who didn't. Adjunctive SVRA services also played a crucial role, with notable differences in CIE odds between those who received workplace support, job placement assistance, and job search assistance and who didn’t. The final model explained 27% variance in a CIE outcome. Conclusions These findings underscore the efficacy of SE in supporting youth and young adults with IDD in achieving CIE. Consequently, this study's insights hold potential to guide vocational rehabilitation professionals in optimizing SE delivery alongside adjunctive SVRA services.

Publisher

Research Square Platform LLC

Reference28 articles.

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2. The impact of competitive integrated employment on economic, psychological, and physical health outcomes for individuals with intellectual and developmental disabilities;Taylor J;J Appl Res Intellect Disabil,2022

3. Winsor J, Butterworth J, Migliore A, Domin D, Zalewska A, Shepard J, Kamau E, StateData. The national report on employment services and outcomes through 2019. University of Massachusetts Boston, Institute for Community Inclusion; 2022.

4. U.S. Bureau of Labor Statistics. Table 2. Employed full- and part-time workers by disability status and age, 2022 annual averages. https://www.bls.gov/news.release/disabl.t02.htm Published 2022.

5. National Core Indicators. In-person survey, 2017–2018 Final Report. Cambridge, MA: Human Services Research Institute. https://www.nationalcoreindicators.org/upload/core-indicators/17-18_IPS_National_Report_PART_I_update_CA_entitlement.pdf Published 2019.

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