ISSUE NO. 20, 2018 BRINGING EMPLOYMENT FIRST TO SCALE Key Findings A Roadmap to Competitive Integrated Employment: from the RRTC on Advancing Strategies for Provider Transformation Employment By Esther Kamau & Jaimie Timmons SERIES OVERVIEW: This series shares research from Where the findings came from ICI’s ThinkWork projects, which focus on increasing The information in this brief came from two sources: employment for individuals with IDD. The goal of this a) a Delphi process series is to identify and share findings that support b) case study research state agencies, providers, advocates, individuals and Delphi Process families to make the philosophy of Employment First A Delphi panel consisting of experts in the a reality. organizational transformation process was convened to identify and rank the most important elements Introduction of organizational change. All panel members had Competitive integrated employment is defined knowledge and experience in either leading or within the Workforce Innovation and Opportunity participating in an organizational transformation Act (WIOA, 2014) as full-time or part-time work at process. Panelists identified and ranked ten elements minimum wage or higher, with wages and benefits necessary for organizational transformation (www. similar to those without disabilities performing the thinkwork.org/essential-elements-organizational same work, and fully integrated with coworkers transformation-findings). These ten elements were without disabilities. The Act requires that states used to design case studies with providers. ensure employment is offered as a priority outcome Case Study Research for people with intellectual and developmental Case studies were conducted with four providers that had disabilities (IDD). As a result, providers who offer undergone transformation toward integrated employment employment support to people with IDD have within the past 10 years. These providers no longer used been working to phase out sheltered workshops sub-minimum wage, and the majority of individuals whom and transform to offer competitive integrated they supported had IDD. The finalists were: employment. » The Arc of Westchester The Institute for Community Inclusion (ICI) www.arcwestchester.org/ partnered with The Arc of the United States to » At Work! identify ten elements of successful organizational www.atworkwa.org/ transformation to competitive integrated » Work Inc. employment. They asked four providers who www.workinc.org/ successfully closed sheltered workshops to provide » Penn-Mar Human Services implementation strategies that they used according www.penn-mar.org/ to each of the ten elements. The following brief will: While the Delphi panel identified and ranked the ten » define each element elements necessary for successful organizational » explain why it is valuable to the change process transformation, the case studies offered an opportunity to understand how each element was » offer a set of considerations to providers. implemented in practice. A PROJECT OF RRTC on Advancing Employment for Individuals with Intellectual and Developmental Disabilities INSTITUTE FOR COMMUNITY INCLUSION, UMASS BOSTON -2- BRINGING EMPLOYMENT FIRST TO SCALE Element #1: Clear and Consistent Goals Considerations for providers: What is it? To transform agencies’ services, there » Allow the agency culture to evolve. The is need for an explicit commitment to increasing transformation process is evolutionary and competitive integrated employment. This will develop and progress over time, including commitment should be driven by a set of specific shifting agency programs and policies to align goals that are measurable, flexible to the needs of with new priorities. individuals, compelling, and easy to grasp. The goals » Center your agency’s culture within the must be directly reflective of your core mission, organization’s new values, vision, and mission. modifiable, and specific to an established time frame. Agency cultures that are built on strong philosophical beliefs around inclusion and full Considerations for providers: community contribution are far more likely to make » Develop goals and time frames for the progress than those that are transforming only transformation. You will need to create a vision because of mandates. Set your vision and create for the transformation and engage in a strategic your culture because you believe in it, and because planning process to convert that vision into a set you believe it is in the interest of those whom you of goals, attaching specific timeframes to goals to support. Leadership can set the tone for the new act as benchmarks. agency culture by ensuring that policy and practice » Set and track short-term goals to assess progress. decisions match the agency’s core values. You can measure things like the achievement of » Create a culture that nurtures and invests in staff job placement targets, time spent supporting talent. Effective agency leadership stimulates trust, individuals in the community versus the facility, teamwork, and high expectations to nurture staff and (later) employee retention. talent. Whether it is through creating incentives for » Form a multi-stakeholder group. For example, it current employees or hiring new people, cultivating could be a team that represents the full range of a mission-focused staff is an invaluable resource. your staff and board members. Such efforts create » Emphasize continuous learning, innovation, and multiple points of view and potential gaps to be quality improvement. Your agency culture needs identified and addressed as goals are developed. to emphasize continual improvement, maintain a » Invest in external expertise. Consider hiring a focus on the future, be flexible, and adapt to varied consultant to guide and support your strategic political and economic contexts. planning process. The consultant may work in collaboration with your multi-stakeholder strategic Element #3: Active, Person-centered planning team, but they’ll also bring their own skills Job Placement and perspective. What is it? Providers must be proactive in finding jobs for one person at a time. This hands-on Element #2: An Agency Culture that approach creates momentum and enthusiasm as Supports Inclusion successful employment outcomes are achieved What is it? Providers must establish an agency culture and celebrated. An active, person-centered job that values supporting individuals in the community placement process prioritizes the placement of rather than in facilities. The culture also values individuals in the community and helps providers positive thinking, learning, creativity, innovation, and not to feel overwhelmed. Starting with a deliberate continuous quality improvement. Creating an agency placement plan that includes identifying priority culture that supports full inclusion ensures that daily individuals can create a positive snowball effect. practices and decisions are in line with the agency’s Considerations for providers: core beliefs. By creating a culture that values new ideas, nurtures staff, is adaptable, and continually » Create a prioritization system as you begin to evolves, the entire agency will feel ownership over the move individuals out of the workshop. You might transformation and beyond. start with the individuals who express the most A Roadmap to Competitive Integrated Employment: Strategies for Provider Transformation BRINGING EMPLOYMENT FIRST TO SCALE -3- interest or enthusiasm, or those with the broadest Considerations for providers: skill set and work history, or those who are seen » Communicate about the intended transformation as leaders by others in the workshop and can be as early as possible. Even if you do not have all encouraging to those who are more cautious. the answers, involve everyone early on in the » Take the time to do a comprehensive person- transformation process and provide as much centered discovery process. This process should information as possible. include family members, friends, neighbors, and » Be as transparent as possible right from the anyone else requested by the job seeker. Each beginning. Transparency and candor are critical participant will bring their own perspective and to successful transformation. While confidence in personal resources. Immediate family members your vision is important, don’t hesitate to admit learn about employment as well. what you don’t know or are unsure about. » Use exploration opportunities to broaden » Use champions. A champion is someone interests for employment. These might include influential who could assist in getting their peers workplace tours, where different job roles and on board. Champions can naturally emerge as responsibilities are identified, or volunteer participants share success stories about having positions that align with preferences. These new experiences in the community, finding a job, opportunities will also give you another lens for or shifting into a new role within the organization. understanding the individual’s job accommodation » Provide avenues for one-on-one or small groups and support needs. communication with individuals and families. This » Use exploration opportunities to build human will help build trusting relationships and provide and social capital needed for work. “Human support in processing the change. capital” includes job search skill building and » Use diverse modes of communication. soft skills. “Social capital” includes meeting This includes staff orientation, staff and socializing with new people, as well as training, newsletters, email and regular mail interpersonal skill building. correspondence, board reports, and social media. » Apply best practices in job development. » Positively frame your message. Campaign Best practices include networking, person- materials may include emails to individuals and centered Discovery and planning, volunteering, their families, a revised brochure, refreshed text informational interviews, time-limited work trials, for your website, etc. Instead of “closing the job creation, and job carving. This also means workshop,” for example, you might describe “a offering post-hire supports to ensure ongoing new business model with new opportunities for workplace accommodations. learning and contributing to the community.” Element #4: A Strong Internal and Element #5: Reallocated and External Communications Plan Restructured Resources What is it? There is a need for providers to What is it? Transforming an agency means making communicate clear, authentic expectations to a changes to how it funds services, and how it range of people. Internally, this includes all levels directs staff to budget their time and energy. It is of staff, individuals with disabilities, and their important to have an active and ongoing investment families. Externally, successful organizations market in realigning all fiscal, material, and staff resources themselves and their services throughout the to achieve the organization’s overall goal: putting community. Communication creates investment into place the supports and services needed for and engagement in the transformation process. It increasing competitive integrated employment. provides assurances, alleviates confusion, and tackles resistance to the transformation process head on. A Roadmap to Competitive Integrated Employment: Strategies for Provider Transformation A Roadmap to Competitive Integrated Employment: Strategies for Provider Transformation -4- BRINGING EMPLOYMENT FIRST TO SCALE Considerations for providers: staffers’ confidence with their new responsibilities, making them feel more comfortable with their » Analyze your budget to ensure calculated risk changing roles. and to set financial expectations. For example, you must critically examine cost per staff, revenue » Identify gaps in staff capacity, and tailor needed to break even, costs associated with the professional development activities accordingly. services provided, and any hidden costs. Think beyond just job placement and job development skill building and hone in on other » Realign current or emerging funds into staff needs, including addressing challenging behaviors, resources. Take note of how and where your critical thinking, and problem-solving skills. funding is not aligned with your new mission and decide where your resources can be restructured » Combine several different training methods. or realigned. For example, use capital tied up in This may include online courses and webinars, your buildings toward new job developer positions, in-person classes, informal trainings, and/or or invest in staff training. conferences, depending on your organization’s needs. Complement training with mentorship, role » Transition away from contracts gradually if neces modeling, and supervision. sary to ensure sustainability. For example, you may be able to renegotiate contracts to create oppor » Seek out reputable capacity-building resources. tunities such as going to people’s place of employ Invest in trainers with experience in both the ment, instead of bringing the work to the workshop. process of transformation and the latest best practices in job development. » Diversify your funding sources. Seek new ways to generate income to assist and/or fund the transitional phase. You might explore fundraising Element #7: Customer Focus and Engagement initiatives or apply for grants through private foundations. What is it? This means making strong, vital connections with two customer groups: job Element #6: Ongoing Professional seekers with disabilities and their families, and Development of Staff employers. These connections are essential for success with community employment. Job What is it? An engaged and educated workforce seekers and their family members and guardians is key to providing sustained, high-quality job must be the first partners followed by the development and coaching supports. Frequent business community. Collaborating with both training, continuing education, conference of these customer groups creates the value participation, and mentorship opportunities of mutual benefits of meeting individuals and are critical to maintain core competencies and market needs. It increases their comfort with your implement best practices. Successful organizations agency’s transformation and builds trust, key to support employees at all levels to meaningfully the success of the transition process. contribute their ideas and energy to the mission. Professional development allows this to happen, as Considerations for providers: staff increase their skills and their investment in your Engage individuals and families. agency’s work. » Start with one person at a time (or in small Considerations for providers: groups) to build trust. This means offering » Consider training an investment. Making training opportunities for families to share their fears, a priority before moving individuals out of the setting up plans to reassure them, keeping them workshop helps to avoid front-line staff being left informed, and focusing on transparency, every step without the tools to be effective. of the way. » Use professional development to facilitate » Combine formal and informal strategies. Formal engagement. Professional development increases strategies involve outreach through print or online A Roadmap to Competitive Integrated Employment: Strategies for Provider Transformation BRINGING EMPLOYMENT FIRST TO SCALE -5- newsletters, and via social media and email. complementing the hard numbers with subjective Equally important are informal gatherings, such as information on job seekers’ experiences. barbeques, picnics, and regular “office hours” at a » Explore a range of formal data collection tools. local coffee shop. If they don’t meet your needs, create your own. » Know your audience and create strategies that » Use and share your data. Providers can use data meet their needs. For example, are some families to make informed decisions about service gaps more receptive about the transition to community or inefficiencies, to objectively evaluate their employment? Are the families you serve from supports, to plan, fundraise, measure progress specific cultural and socio-economic groups? towards achieving their vision, set future goals, Engage businesses. and to motivate your staff. » Create forums for employer-to-employer Element # 9: A Holistic Approach storytelling. Employers want to hear from other employers about successful experiences What is it? Providers must consider the whole integrating people with disabilities into their person with wrap-around life supports. At the workforce. individual level, a holistic approach enhances the » Join boards and associations. This will expand career planning process with a broader set of your reach to the business community and local resources and perspectives, as well as a deeper, entities. more well-rounded understanding of the job seeker. At the organizational level, it creates opportunities » Talk about “the bottom line”. Sell employee skill for cross-departmental quality improvement sets that meet a business need. By identifying and greater understanding of staff people’s areas of employer inefficiency, you can show how roles. Breaking down silos puts employment on hiring an individual with a disability will pay off. everyone’s mind and fosters efficiency and a shared sense of responsibility. This type of approach lets Element #8: Performance Measurement, staffers make the most of each other’s resources Quality Assurance, and Program Oversight and specialties. What is it? Providers must establish a clear Considerations for providers: framework for implementing and measuring administrative, management, and program strategies » Look at each person’s whole life from the beginning of the transition process. Providers over defined periods of time. This helps to determine must consider the whole person with wrap the impact of the provider’s efforts, and to measure around life supports as necessary. success in obtaining results. Data helps providers to learn about their provision of supports, and » Use non-work day supports for skill building to make informed decisions about how they can and job finding. Use day programs to engage in increase efficiency. It also allows them to track their volunteer opportunities that build both hard and performance during the transformation process, soft skills. Find recreational activities that build and to celebrate their achievements through community access skills. documentation of hard numbers. » Make employment everybody’s business. Break Considerations for providers: down departmental silos, and make the goal of integrated employment every staff person’s » Starting the data collection process as soon as business. For example, residential staff can be possible. This will allow you to make the best involved in the discovery and exploration process, strategic decisions during the transformation and if trained appropriately, can provide job- process. coaching supports. » Measure not only the quantity, but the quality of your employment supports. This will mean A Roadmap to Competitive Integrated Employment: Strategies for Provider Transformation A Roadmap to Competitive Integrated Employment: Strategies for Provider Transformation -6- BRINGING EMPLOYMENT FIRST TO SCALE Element #10: Multiple and Diverse Conclusion Community Partnerships Organizational transformation will not happen What is it? This refers to engaging with overnight, but these ranked elements and organizations and state systems to create buy- associated strategies are offered as a roadmap to in for the change process. These partnerships providers as a way to prioritize and begin planning. can happen with school districts, state agency Achieving competitive integrated employment offices such as vocational rehabilitation, requires a paradigm shift to occur at all levels of faith-based organizations, and transportation the organization, from the vision, mission, and resources. These partnerships can create new core values to clear, specific and timebound goals funding opportunities, expand opportunities that guide allocation of resources. There is need for job seekers, and offer resources that for innovation and creativity in staff development, build job seekers’ human and social capital. in internal and external communication, and in Partnerships with other providers and those at performance measurement. The organization must the state level will allow sharing of ideas, and foster a culture of inclusion, value learning, and allow you to create a larger coalition invested demonstrate continuous quality improvement. in transformation. Considerations for providers: » Identify your staff and board members’ professional relationships. This might include state agencies, elected officials, local school systems, colleges and universities, employers both large and small, and social Acknowledgements service agencies. Use your staff and board The development of this brief was supported in part by Grant members’ relationships to continually expand # 90RT5019, the National Institute on Disability, Independent your network of partners. Living, and Rehabilitation Research, and Grant #90RT5028, » Describe your transformation effort to pre and the Rehabilitation Research and Training Center on existing partners and expect occasional Advancing Employment for Individuals with Intellectual and resistance. This means engaging partners Developmental Disabilities, both grants funded through the in the idea of integrated employment, Administration for Community Living (ACL), U.S. Department and even re-defining your relationship, of Health and Human Services (HHS). The content of this for example with businesses that used to brief does not necessarily represent the policy of ACL or HHS. provide contract work in the workshop, and For more information with schools that would refer students to the sheltered settings. Jaimie Timmons [email protected] » Use whatever resources each partner can (941) 928-8450 bring to the transformation effort. Take advantage of partnerships for exploration Suggested Citation and Discovery opportunities, accessing Kamau, E., & Timmons, J. (2018). A Roadmap to support services that build job seekers’ Competitive Integrated Employment: Strategies for human and social capital, volunteering and Provider Transformation. Bringing Employment First to internship options, and financing. Scale, Issue 20. Boston, MA: University of Massachusetts Boston, Institute for Community Inclusion. www.ThinkWork.org/rrtc A Roadmap to Competitive Integrated Employment: Strategies for Provider Transformation