Inclusive Employment

Joseph A. Fuemmeler, Linda L. Moore, Daniel J. van Ingen,
Kelly Ryan, Carol Kampfer, Kara Townsend
Chrestomathy, Inc.
Research on Job Perspectives of Adults with ID
Adults with ID frequently feel that jobs are being
“chosen for them” (Bass & Drewett, 1997).
Adults with ID often complain that jobs lack sufficient
stimulation (Walker, 2000).
Adults with ID feel they are not being challenged
(Wistow & Schneider, 2003).
Research on Inclusion for Adults with ID
◦ Workers with intellectual disabilities felt lonely and
excluded when inclusion in community life was low
(Petrovsky & Gleeson, 1997).
◦ Paid employment improves the quality of life for
individuals with an intellectual disability (Eggleton,
Robertson, Ryan, & Kober,1999).
◦ Case study—review of Chrestomathy, Inc. clients
 Over 25 years as a day program in Minneapolis
 Clients “on the edge of inclusion”
◦ Selection of the Six Factors
 Factors identified from examination of job placements
 Factors that were outside of Client or Provider
influence were eliminated.
◦ Development of the Supported Employment Survey
 Review of assessment process
 Consolidation of relevant items into single form
“Chrestos” meaning “useful”and “mathein” meaning “to
Day program provider serving Adults with IDD
 Services help the whole person
 Vocational
 Educational
 Therapeutic
Most clients are “on the edge of inclusion”
Progress is not a straight line to the top.
Success is rarely static, often cyclical.
“Bouncing back”
The goal is to reduce long term effects of relapse
and bounce back to greater achievement.
 Skills training
 Opportunities for pay both onsite and offsite
 Communication
 Community Integration
 Anger Management and Social Skills Group
 Behavioral Supports and Interventions
 Physical Exercise/ Sensory Integration
Long-term focus—“no demit” policy for clients with
complex needs
 Dual diagnosis, Autism, Behavioral needs
 Over 50% demitted from other programs for behavioral
 Almost 30% came directly from school programs due to need
for enhanced supports.
Chrestomathy provides specialized supports
 High staff to client ratio
 Individualized Behavior Support Programs
 Transportation to and from job sites as well as residence
The Six Factors
Behavioral Stability
Match of Skills and Job Duties
Following a Long Term Plan
Independence in a Job Setting
Unique Services or Strengths that Add Value
Supportive Relationships
Each of the six factors has two sides
◦ Client makes choices about how to use their talents
◦ Provider plans for support of the client
Client is responsible
for behavioral choices,
learning to make better
choices through
behavior program
Provider creates
program structure for
learning through
Client works on skill
sets through vocational
Provider finds ways to
match the skills and
job duties
Client learns more
about being a part of
the workforce through
exposure to different
types of paid activities
and career counseling
to understand what
types of work are
Provider assesses
long-term interests
and potential for
stability and outlines
short term outcomes
that support the long
term goal
Client learns how to
meet the standards
through practice, using
individualized supports
and assessment of the
quality of own work
Provider trains Job
Coaches to bridge the
gap between client’s
current ability and the
immediate needs of
the job by providing
communication and
feedback on quality of
Client contributes to
the workforce through
filling non-traditional
employer needs
Provider uses available
resources to provide
employers with
incentives to hire (job
coaches, support
system, transportation)
Client adopts positive
attitudes (optimism
and perseverance) by
looking to role models
and encouragers in his
or her work and social
Provider helps client to
re-frame negative
thinking to find the
positives in daily work
situations and
encourage effort and
development of skills
Instrument based on aspects of 6 factors
◦ A useful tool in discussions with other people who
support the individual about planning for
employment success
◦ Offers an “at a glance” picture of readiness, and a
final score that can be used to identify those who
are most ready
See Handout
Contact info: [email protected]
Chrestomathy Website:
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