Advancing Customized Employment (ACE): Building Careers for People with Disabilities Via One-Stop Centers

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Advancing Customized Employment (ACE): Building Careers for People with Disabilities Via One-Stop Centers A Collaboration of: The Chicago Workforce Board, Chicago One-Stop Centers, Thresholds, Inc., & The University of Illinois at Chicago Center for Mental Health Services Research and Policy January, 2004 Funded under a grant supported by the Office of Disability Employment Policy of the U. S. Department of Labor, grant # E-9-4-3-0104. The opinions contained in this publication are those of the grantee/contractor and do not necessarily reflect those of the U. S. Department of Labor.

Advancing Customized Employment (Project ACE): Funded by the U.S. Department of Labor, Office of Disability Employment Policy (DOL ODEP) Designed to enrich the capacity of local One-Stops to provide customized employment (CE) services to people with psychiatric disabilities who are not regularly targeted for services by the One-Stop Center system A Collaboration of: The Chicago Workforce Board Chicago One-Stop Centers Thresholds, Inc. The Center for Mental Health Services Research & Policy, University of Illinois at Chicago

Principles Underlying the ACE Project People with psychiatric disabilities are a significant and untapped workforce resource for Chicago employers and businesses. Everyone in the community benefits when people with psychiatric disabilities are included in the workforce. Collaborative efforts bring together existing expertise where it is needed: Establishing outreach and partnerships Modifying policies and practices Providing training and education

Disability & Employment in the U.S. Approximately 53 million Americans of all ages have a disability; about 2/3 of these disabilities are severe (U.S. Census Bureau, 2003). Census Bureau data show that only about 30% of working age adults with severe disabilities are working. People with disabilities are much more likely to live in poverty than the general population.

Disability & Employment: Myths & Facts MYTH: Hiring employees with disabilities increases workers compensation insurance rates. FACT: Insurance rates are based solely on the relative hazards of the operation & the organization's accident history, not on whether workers have disabilities. MYTH: Employees with disabilities have a higher absentee rate than employees without disabilities. FACT: Studies by firms such as DuPont show no difference between the absentee rates of employees with & without disabilities. (Department of Labor Office of Disability Employment Policy)

Disability & Employment: Myths & Facts MYTH: People with disabilities cannot meet performance standards & are poor employment risks. FACT: A 1990 study by DuPont found that 90% of employees with disabilities were rated average or better then average in job performance. This is similar to results found in 1981 & 1973. MYTH: Considerable expense is necessary to accommodate workers with disabilities. FACT: Studies by the Department of Labor have shown that 15% of accommodations cost nothing, and over half (51%) cost between $1 and $500. These costs can be offset by business incentives including tax credits and deductions. (Department of Labor Office of Disability Employment Policy)

The Facts about Mental Illness and Work There are over 3 million working age adults with psychiatric disabilities of whom 70% to 90% are not employed Psychiatric disability is the largest single diagnostic category among working-age persons receiving Social Security Administration SSDI/SSI disability benefits (27%/36% as of 2001). Studies have shown that the great majority of people with serious mental illness want to work A diagnosis of serious mental illness is not a reliable indicator that someone cannot work Rehabilitation programs have shown that they are able to place more than 50% of clients with mental illness into paid employment

More Facts about Mental Illness and Work Work reduces the use of costly mental health services and hospitalizations On-the-job accommodations are relatively straightforward and inexpensive (flexible schedule, job sharing, job coach) People with mental illness work at all kinds of jobs in the labor market Employers who have hired persons with serious mental illness are generally very positive about their experiences Job loss is reduced with the provision of supports from rehabilitation agencies

Facts About People with Psychiatric Disabilities in the Chicago Community Almost 75,000 (~4% of Chicago population) have mental disabilities according to 2000 Census Chicago-area unemployment rate is 6.1%, but 77% of people with psychiatric disabilities are not working (2003) Numerous studies (e.g., Government Accounting Office) have shown that state vocational rehabilitation programs have difficulty meeting the unique needs of people with psychiatric disabilities State and local mental health agencies typically are unable to offer employment services to clients

Employers of People with Psychiatric Disabilities Report: equal levels of productivity high levels of commitment to working strong desire to prove they can do the job ability to interact well with co-workers loyal, dependable employees positive, supportive reactions from coworkers ease of accommodating mental health disabilities (Cook et al., 1993)

Research Tells Us That: The most negative attitudes toward workers with mental health problems occur among those employers with NO EXPERIENCE or EXPOSURE to employees with these challenges. In studies comparing employers who have hired and supervised workers with mental health problems and those who have not, the former are significantly more positive about the capabilities of these workers. This shows how Familiarity breeds respect

So, what s the problem? we need to get more people with mental health disabilities into the labor force we need to make more employers aware of this group as an untapped labor supply How do we do these two things? bring the labor supply to the employers prepare and support employers who are seeking a high-quality workforce that includes people with psychiatric disabilities

What are some solutions? Workers need... jobs that fit their interests and abilities a chance to complete their education and training in order to acquire higher level job skills jobs that replace the financial and medical benefits that are lost as they move up the career ladder occasional supports and accommodations (like all workers) that are often low-impact and low-cost

Other solutions? Employers need... Direct exposure to workers coping with mental health problems employers report positive reactions from direct contact through internships, job try-outs, etc. Direct support from service providers who work with those who have mental health disabilities someone to call with questions or concerns problem-solving support Opportunities to interact and network with other employers opportunities to convince new employers to hire, and to provide existing employers with support and positive reinforcement

Why Customized Employment (CE)? CE promotes employment of people with significant disabilities in full time employment that: pays greater than minimum wage, provides benefits, & offers opportunities for skill development & career growth. CE places people with significant disabilities into nonstereotypical jobs in integrated, inclusive work settings. CE applies individualized, person-centered job development strategies CE facilitates natural supports for workers on the job CE provides employers with assistance and advice CE builds strong, enduring business partnerships CE offers consumer choice re: job opportunities and ensures consumer satisfaction

ACE Project Goals Develop strategic planning and implementation activities to make customized employment (CE) services widely available at One-Stop Centers Develop CE job opportunities for One-Stop Center customers with psychiatric disabilities Develop capacity of One-Stop Centers to serve people with psychiatric disabilities Develop local and state-level interagency collaboration to increase employment of people with psychiatric disabilities Enhance involvement of employers, trade and community-based organizations to increase employment of people with psychiatric disabilities

ACE Project Partners The Chicago Workforce Board and One-Stop Center Partners are already providing employment services in the community UIC Center for Mental Health Services Research and Policy has extensive, nationally-recognized experience with the research and practice of employing people with psychiatric disabilities Thresholds, Inc. is the largest and longestrunning employment service provider for people with psychiatric disabilities in Chicago

ACE: Year One Activities Form 3 Advisory Councils Review current policies and procedures Conduct 6 focus groups with staff, clients, employers and others Assess One-Stop staff training and service needs Deliver on-site training to One-Stop staff Begin CE services at 2 One-Stop Centers Develop client and employer outreach and marketing plans Develop strategic plans Begin sustainability planning Apply for Employment Network status Evaluate 1st year activities

ACE Advisory Councils Council One: Policy Review and Sustainability Strategic Planning Council Council Two: Customized Employment Outreach and Advocacy Council Council Three: Customized Employment Curriculum and Education Council

Summary This is a project whose time has come (especially given the recently published President s New Freedom Commission on Mental Health Report and federal emphasis on work & psychiatric disability) The project partners have have national reputations in their respective areas of expertise This project provides the CWFB with an opportunity to become a leader in this area Project activities have the potential to create a more diverse, skilled, & productive workforce in the City of Chicago and throughout the state of Illinois