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Full-Text Articles in Social and Behavioral Sciences

Counting On Care Work: Human Infrastructure In Massachusetts, Randy Albelda, Mignon Duffy, Nancy Folbre Sep 2009

Counting On Care Work: Human Infrastructure In Massachusetts, Randy Albelda, Mignon Duffy, Nancy Folbre

Center for Social Policy Publications

In Massachusetts, as in every other place in the world, all children need to be cared for and educated, everybody has physical and mental health needs that require attention, and some individuals need assistance with the daily tasks of life because of illness, age, or disability. The labor of meeting these needs – which we call care work – is a complex activity that has profound implications for personal, social and economic well-being. Care work is not just a cornerstone of our economy – it is a rock-bottom foundation. Care work provides the basis for our human infrastructure, and we …


Assessing Stakeholder Opinions Of Medical Review Of Impaired Drivers And Fitness To Drive: Recommendations For Massachusetts, Nina M. Silverstein, Kelli Barton Aug 2009

Assessing Stakeholder Opinions Of Medical Review Of Impaired Drivers And Fitness To Drive: Recommendations For Massachusetts, Nina M. Silverstein, Kelli Barton

Gerontology Institute Publications

Driving is the main mode of travel for Americans age 65 and older, and although older adults are generally found to be safe drivers, aging often brings about functional limitations and an increase in medications that can impede safe driving and fitness to drive (Rosenbloom, 2003; Kissinger, 2008; Adler & Silverstein, 2008). Effective licensing policies and Medical Advisory Board practices are critical components in identifying medically at-risk drivers and may even have a role in the transition to alternative transportation options; yet, states vary greatly in their approach to licensing and renewal practices and in the utilization, composition, and function …


Using Internet‐Based Vignette Methods To Understand Elder Residential Choices, Francis G. Caro, Teck Ho, Daniel Mcfadden, Alison Gottlieb, Christine Yee, Taizan Chan, Joachim Winter Apr 2009

Using Internet‐Based Vignette Methods To Understand Elder Residential Choices, Francis G. Caro, Teck Ho, Daniel Mcfadden, Alison Gottlieb, Christine Yee, Taizan Chan, Joachim Winter

Gerontology Institute Publications

This paper illustrates an innovative method of administering fractional factorial surveys (vignettes) using the internet. The approach makes it possible to use video clips to deliver information. The method also provides subjects with interactive options before making judgments. A study to determine the views of older people regarding residential options is used to illustrate the method. The study found that the following characteristics of vignette persons affected subject recommendations: personal introduction, functional status, social network, and current housing characteristics. However, characteristics of retirement community features and personal financial status did not affect recommendations.


Advancing The Fiscal Health Of Low-Income Families: A Public And Community Health Approach, Doreen Treacy Mar 2009

Advancing The Fiscal Health Of Low-Income Families: A Public And Community Health Approach, Doreen Treacy

Center for Social Policy Publications

For decades, health researchers have documented the links between individual and household income/wealth and clinical health outcomes. The research and literature consistently point to both income inequality (i.e. individual household income/wealth as compared to other households in the same state) and individual household income as predictors of diminished health and morbidity. And yet the current framework for providing financial education, disseminating asset building information, and overall responding to the financial health of individuals and households takes no cues from public health and community health best practices. Further, the documented links between financial stress and compromised physical health are compelling enough …


State Agency Promising Practice: Delaware’S Early Start To Supported Employment Pilot Project, Suzzanne Freeze, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2009

State Agency Promising Practice: Delaware’S Early Start To Supported Employment Pilot Project, Suzzanne Freeze, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The Early Start to Supported Employment (ESSE) pilot started in 2005 with the goal of providing a more seamless transition for students who would benefit from supported employment services when leaving school and entering the adult workforce. An interagency project team was established to guide the pilot work and ensure all required parties knew their role and shared information and equal responsibility within the project.


State Agency Promising Practice: Connecticut Showcases Creative Jobs With “Employment Idol”, Monica Cox, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2009

State Agency Promising Practice: Connecticut Showcases Creative Jobs With “Employment Idol”, Monica Cox, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

In 2007, the State of Connecticut’s Department of Developmental Services (DDS) partnered with the self-advocacy group People First of Connecticut to develop Employment Idol, an innovative project for promoting employment as the preferred outcome for individuals with intellectual/developmental disabilities (ID/DD) in the state. Spinning off the concept of the popular television show American Idol, Connecticut’s Employment Idol showcases the employment success stories of a select group of individuals with ID/DD.


State Agency Promising Practice: Oklahoma’S Outcomes-Based Rate Setting System, Susanne Freeze, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2009

State Agency Promising Practice: Oklahoma’S Outcomes-Based Rate Setting System, Susanne Freeze, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Oklahoma’s Developmental Disabilities Services Division (DDSD) realized the need for increased attention towards the goal of community-based employment for individuals they served. Initially, rates were based on a vendor’s costs of providing direct services such as job development and job coaching. It became increasingly apparent that claims for vocational services oftentimes reflected staff activities (e.g., job development, client assessment, and service delivery documentation), which may have been occurring without the direct involvement of the service recipient. In some situations, this resulted in long-term job development with little success in actually acquiring a job. In 1995, DDSD elected to focus on …


State Agency Promising Practices: Using Employment Data To Create Area-Specific Employment Goals In Massachusetts, Allison C. Hall, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2009

State Agency Promising Practices: Using Employment Data To Create Area-Specific Employment Goals In Massachusetts, Allison C. Hall, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

In 2002, the Massachusetts Department of Developmental Services (DDS) developed a contractual requirement that employment service provider performance be tracked through outcome measures. As a result, DDS shaped its employment data collection system to focus on what it viewed as key outcomes for measuring success around employment. A confluence of factors including participation in the National Core Indicator project, a new Request for Responses (RFR) for Employment Support Services that emphasized performance measurement, and DDS’s intrinsic commitment to greater community employment supported the development of an employment data system that focused on individual outcomes. Data from this effort is now …


State Agency Promising Practice: Mandatory Situational Assessments In Tennessee, Allison C. Hall, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2009

State Agency Promising Practice: Mandatory Situational Assessments In Tennessee, Allison C. Hall, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Tennessee implemented its Employment First initiative in 2002 with a goal of making employment the first day service option for adults receiving supports from the Department of Mental Retardation Services. As part of the Employment First initiative, the state requires a periodic community-based work assessment for all individuals not currently employed in the community. State-contracted and independent individualized support coordinators ensure that individuals who are not in integrated employment participate in a community-based work assessment at least every three years. Since December 2005, employment providers can be trained in conducting situational job assessments and the importance of providing these opportunities.


State Agency Promising Practices: Reaching Target Employment Goals - The Five-Year Initiative From Florida’S Agency For Persons With Disabilities (Apd), Jennifer Bose, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2009

State Agency Promising Practices: Reaching Target Employment Goals - The Five-Year Initiative From Florida’S Agency For Persons With Disabilities (Apd), Jennifer Bose, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The state of Florida has implemented a five-year employment initiative for people with ID/DD. The goal is to enable at least 50% of adults (ages 18 to 55) receiving APD-funded day services as of July 1, 2004, to achieve community employment by July 1, 2009. APD-funded services include adult day training, supported employment, and non-residential supports and services. Florida is specifically targeting a total of 25% of individuals who were in Adult Day Training (ADT) on July 1, 2004, to be employed by July 1, 2009. The impetus for this five-year initiative was multifold. Governor Jeb Bush created a Blue …


State Agency Promising Practices: The Maine Employment Curriculum - Delivering Best Practices For Employment Support Professionals, John Butterworth, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2009

State Agency Promising Practices: The Maine Employment Curriculum - Delivering Best Practices For Employment Support Professionals, John Butterworth, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The University of Maine’s Center for Community Inclusion and Disability Studies (CCIDS), along with the Maine Department of Behavioral and Developmental Services (BDS) and the Bureau of Rehabilitation Services, developed the Maine Employment Curriculum (MEC). The comprehensive curriculum fosters best practices in employment supports for people with disabilities statewide by using a cadre of trainers who are supported by the Maine Employment Curriculum project staff. The Maine Employment Curriculum ultimately seeks an increase in the number of integrated, communitybased supports available and builds the capacity of the employment support provider community to achieve this goal.


State Agency Promising Practice: Maine’S Peer- Support Training - Helping People With Id/Dd Transition Out Of Sheltered Workshops, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2009

State Agency Promising Practice: Maine’S Peer- Support Training - Helping People With Id/Dd Transition Out Of Sheltered Workshops, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

In 2006, a new Maine law mandated the creation of a waiver program that promotes the expansion of supported employment programs for people with intellectual and developmental disabilities (ID/DD). As a result, state funding for sheltered workshops was reduced for seven workshops and approximately 220 individuals throughout Maine. These individuals received funding under the new waiver program for community supports and supported employment services. As a result, Maine’s Department of Health and Human Service’s (DHHS) Office of Adults with Cognitive and Physical Disabilities (OACPD) developed a comprehensive work plan. A pilot project, which was included in this plan, focused on …


State Agency Promising Practice: Working Together - Collaboration Between Colorado’S Developmental Disabilities Division And Division Of Vocational Rehabilitation, Allison C. Hall, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2009

State Agency Promising Practice: Working Together - Collaboration Between Colorado’S Developmental Disabilities Division And Division Of Vocational Rehabilitation, Allison C. Hall, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

In Colorado, counselors from the Division of Vocational Rehabilitation are housed on-site in Community Centered Board1 offices so they can provide direct services to individuals with intellectual and developmental disabilities (ID/DD). The goal of the project was to serve 240 customers with ID/DD and provide 134 successful employment outcomes over a two-year period2. Streamlined services and enhanced communication emerged through a unique collaborative effort between the two entities.


State Agency Promising Practice: Washington - Promoting Public Sector Jobs For People With Intellectual And Developmental Disabilities, Jean Winsor, Allison C. Hall, John Butterworth, Dana Scott Gilmore, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2009

State Agency Promising Practice: Washington - Promoting Public Sector Jobs For People With Intellectual And Developmental Disabilities, Jean Winsor, Allison C. Hall, John Butterworth, Dana Scott Gilmore, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

King County’s program to employ people with disabilities in county jobs is an example of Washington’s commitment to the use of innovative approaches to increase integrated employment. In 1989, a training resource funded by Washington State and the county Division of Developmental Disabilities, O’Neill and Associates, submitted a grant application to the Rehabilitation Services Administration to develop public sector jobs for people with developmental disabilities within the state. These jobs were to be concentrated in King County (Seattle area) government because of the availability of high-paying jobs with benefits. With the political assistance of a King County councilor, the County …


State Agency Promising Practice: Community Employment Training By And For Individuals With Intellectual And Developmental Disabilities In Tennessee, Jean Winsor, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2009

State Agency Promising Practice: Community Employment Training By And For Individuals With Intellectual And Developmental Disabilities In Tennessee, Jean Winsor, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Project Income was a joint venture between the Tennessee Microboards Association (statewide organization that supports individual microboards, which procure and oversee supports and services) and People First of Tennessee (a statewide selfadvocacy organization for people with intellectual and developmental disabilities). The focus of the project was to educate people with intellectual and developmental disabilities (ID/DD) and their families about the benefits of and opportunities for community employment.


Lao Health And Adjustment In Southern New England Three Decades After The Secret War, Patrick F. Clarkin Jan 2009

Lao Health And Adjustment In Southern New England Three Decades After The Secret War, Patrick F. Clarkin

Institute for Asian American Studies Publications

This study explored Lao life histories, health, and social adjustment in the southern New England states of Rhode Island and Connecticut. In addition, it sought to examine whether there was a correlation between war experiences early in life and health in adulthood, a finding reported in previous research on the Hmong, another ethnic group from Laos. Overall, 99 Lao adults born in Laos or Thailand (mean age 43.5 +/- 10.8 years) completed orally administered questionnaires and were measured for blood pressure and various anthropometric markers. Lao in this sample appeared to have higher than average educational back grounds in Laos, …


State Agency Promising Practice: Pennsylvania’S Employment Newsletter - A Communication Strategy To Promote Employment, Jennifer Bose, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2009

State Agency Promising Practice: Pennsylvania’S Employment Newsletter - A Communication Strategy To Promote Employment, Jennifer Bose, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The State of Pennsylvania’s Office of Developmental Programs (ODP) created a monthly newsletter called The Employment Update, which covers state- and nationwide news about the employment of people with disabilities, including intellectual/developmental disabilities. The Employment Update is sent via email to state agency contacts and a large stakeholder community, including individuals with disabilities, service providers, state associations, employers, advocacy groups, family members, representatives from academia and others. The Employment Update contains information about employment trends, employment policy, trainings and conferences throughout Pennsylvania and nationwide. The newsletter also contains information about employment grants and project activities, including links to articles covering …


State Agency Promising Practices: North Carolina - Using An Outcomes-Based Long-Term Vocational Services Funding Model, Allison C. Hall, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2009

State Agency Promising Practices: North Carolina - Using An Outcomes-Based Long-Term Vocational Services Funding Model, Allison C. Hall, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

In North Carolina, counties have been consolidated into Local Management Entities (LMEs). These entities contract for services with community providers and provide oversight on access, utilization, best practices, and community collaborations. The Mecklenberg County LME established the Best Practices Community Committee, comprising service providers, individuals and family members, advocacy agencies, community partners, interested community volunteers, and LME staff. Sub-committees addressed several areas, including employment. Based on their recommendations, a pilot project that uses an outcome-based funding model for follow-along employment services was developed. Follow-along employment supports are ongoing supports that are necessary to assist a person with an intellectual/developmental disability …


State Agency Promising Practice: Delaware’S Early Start To Supported Employment Pilot Project, Susanne Freeze, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2009

State Agency Promising Practice: Delaware’S Early Start To Supported Employment Pilot Project, Susanne Freeze, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The Early Start to Supported Employment (ESSE) pilot started in 2005 with the goal of providing a more seamless transition for students who would benefit from supported employment services when leaving school and entering the adult workforce. An interagency project team was established to guide the pilot work and ensure all required parties knew their role and shared information and equal responsibility within the project.


State Agency Promising Practice: Oklahoma - Contracting With Industry For The Provision Of Job Coaching Supports, Monica Cox, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2009

State Agency Promising Practice: Oklahoma - Contracting With Industry For The Provision Of Job Coaching Supports, Monica Cox, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Contracts with Industry, implemented in the 1990s as the Natural Supports Initiative, is a program option that allows the Oklahoma Department of Human Services (OKDHS) Developmental Disabilities Services Division (DDSD) to contract directly with businesses to provide job coaching supports that become a part of the natural workplace. Individuals participating in this program are employed by a business and are paid minimum wage or better. The name change to Contracts with Industry was an effort to distinguish the program from other DDSD employment options that involve employment service providers and paid job coaches.