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Full-Text Articles in Social Statistics

Addressing Barriers To Primary Care Access For Latinos In The U.S.: An Agent-Based Model, Hyunsung Oh, Mai P. Trinh, Cindy Vang, David Becerra Jul 2020

Addressing Barriers To Primary Care Access For Latinos In The U.S.: An Agent-Based Model, Hyunsung Oh, Mai P. Trinh, Cindy Vang, David Becerra

Management Faculty Publications

Objective: Disparities in access to primary health care have led to health disadvantages among Latinos and other non-White racial groups. To better identify and understand which policies are most likely to improve health care for Latinos, we examined differences in access to primary care between Latinos with proficient English language skills and Latinos with limited English proficiency (LEP) and estimated the extent of access to primary care providers (PCPs) among Latinos in the U.S. Method: We used agent-based modeling techniques to estimate the effects of English proficiency, insurance coverage, Latinos with LEP seeking care from English-speaking PCPs, distance to PCP, …


Creating Comprehensive Wrap-Around Services For The Homeless Community: Exploring Network Activity Among Shelters And Service Organizations Within The South-Side Of Chicago, Gloria West Jun 2020

Creating Comprehensive Wrap-Around Services For The Homeless Community: Exploring Network Activity Among Shelters And Service Organizations Within The South-Side Of Chicago, Gloria West

Dissertations

We may not all agree that the homeless community is increasing and that their essential needs to survive such as food, healthcare and housing are quality of life rights for everyone. We must adopt the compassion of the medical industry and understand the importance of how community programs and services impact their survival. The sense of urgency to address the issues of homelessness does not appear to be moving as fast as other government agendas hindering families and individual’s ability to achieve self-sufficiency. It is expected that the priorities within this population are addressed immediately, it should be understood that …


Body Image Role On Non-Suicidal Self-Injury, Maria Ceja, Stephani Aguiar-Vasquez Jun 2020

Body Image Role On Non-Suicidal Self-Injury, Maria Ceja, Stephani Aguiar-Vasquez

Electronic Theses, Projects, and Dissertations

This study explores the association between adolescents body image concerns and self-injurious behaviors among students enrolled in kindergarten through 12th grade. The study is exploratory in nature and uses a quantitative design. The study collected archival data from counseling services provided through alocal school district’s counseling program. More specifically, the archival data was retrieved from initial assessments gathered from students participating in the local school district’s counseling program. Additionally, this research is a call for action that seeks to examine and support the further development of programs geared towards students. This study seeks to expand on the research that guides …


Student Wellbeing And Open Studio Process In The School Curriculum, Maria Kim May 2020

Student Wellbeing And Open Studio Process In The School Curriculum, Maria Kim

Expressive Therapies Dissertations

This study aimed to explore whether Open Studio Process (OSP) increased wellbeing of middle and high school students when facilitated by teachers as a part of the regular art curriculum. It was hypothesized that OSP might increase the sense of wellbeing among middle and high school students as well as facilitating teachers. The research was conducted as a mixed methods study in South Korea where students need preventative interventions for their wellbeing. The researcher trained eight teachers to facilitate OSP and five of them implemented it with their classes for seven sessions. Quantitative data (K-YSR; pre- and posttest) were collected …


Burnout Treatment And Prevention Using Multimodal Expressive Arts Therapy In Massachusetts Wellness Programs., Amanda Medas May 2020

Burnout Treatment And Prevention Using Multimodal Expressive Arts Therapy In Massachusetts Wellness Programs., Amanda Medas

Expressive Therapies Capstone Theses

Abstract

This capstone thesis will explore the issue of burnout in the field of mental health and the argument for the promotion of using expressive arts as a therapeutic component to decrease and prevent symptoms of burnout. The writer of this thesis will be sharing her personal experiences with burnout while working in the field of mental health. The researcher will review a multimodal expressive arts self-study that she engaged in over the course of one month and will be using the Maslach Burnout Inventory to track symptoms of burnout. Burnout and its prevalence in the field of mental health …


Art As Meditation: A Mindful Inquiry Into Educator Well-Being, Rachael Crowder, Jennifer Lock, Evelyn Hickey, Mairi Mcdermott, Marlon Simmons, Katrina Wilson, Rebecca Leong, Noeleen De Silva Apr 2020

Art As Meditation: A Mindful Inquiry Into Educator Well-Being, Rachael Crowder, Jennifer Lock, Evelyn Hickey, Mairi Mcdermott, Marlon Simmons, Katrina Wilson, Rebecca Leong, Noeleen De Silva

The Qualitative Report

Being prepared for the intensity and complexities that educators face in their work means building strategies for managing well-being. This qualitative study explored educators’ conceptualizations about their well-being using an arts-based, community-based participatory research (AB-CBPR) methodology. After a brief mindfulness meditation and contemplation of prompting questions, educators were invited to participate in drawing and writing reflections. The artifacts were coded to determine themes. Themes suggested the importance of human connectedness and interconnection, self care and nurturance, the healing qualities of the natural word, and the recognition that institutions need to provide space and resources to support educator well-being. The mindfulness-based …


How To Be Unfaithful To Eurocentrism: A Spanglish Decolonial Critique To Knowledge Gentrification, Captivity And Storycide In Qualitative Research, Marcela Polanco, Nathan D. Hanson, Camila Hernandez, Tirzah Le Feber, Sonia Medina, Stephanie Old Bucher, Eva I. Rivera, Ione Rodriguez, Elizabeth Vela, Brandi Velasco, Jackolyn Le Feber Jan 2020

How To Be Unfaithful To Eurocentrism: A Spanglish Decolonial Critique To Knowledge Gentrification, Captivity And Storycide In Qualitative Research, Marcela Polanco, Nathan D. Hanson, Camila Hernandez, Tirzah Le Feber, Sonia Medina, Stephanie Old Bucher, Eva I. Rivera, Ione Rodriguez, Elizabeth Vela, Brandi Velasco, Jackolyn Le Feber

The Qualitative Report

From a position of academic activism, we critique the longstanding dominance del production of knowledge that solely implicates fidelity to Eurocentric methodological technologies en qualitative research. Influenced by an Andean decolonial perspective, en Spanglish we problematize métodos of analysis as the dominant research practice, whereby las stories o relatos result en su appropriation, captivity and gentrification, first by researchers’ authorship and later by the publishing industry copyrights. We highlight the racializing and capitalist colonial/modern Eurocentric agenda del current market of knowledge production that displaces to la periphery all knowledge o relatos that do not subscribe to Euro-US American methodological parameters …


Parental Practices And Maternal Warmth As Protective Factors For Problem Behaviors In Mexican Preadolescents, Jaime Fuentes-Balderrama, Cinthia Cruz Del Castillo, Jose Ruben Parra-Cardona, Bernardo Turnbull Plaza, Angélica Ojeda García, Rolando Díaz-Loving Jan 2020

Parental Practices And Maternal Warmth As Protective Factors For Problem Behaviors In Mexican Preadolescents, Jaime Fuentes-Balderrama, Cinthia Cruz Del Castillo, Jose Ruben Parra-Cardona, Bernardo Turnbull Plaza, Angélica Ojeda García, Rolando Díaz-Loving

The Journal of Sociology & Social Welfare

Epidemiological estimates indicate that approximately 12% of children and adolescents in Mexico are in clinical ranges for psychological disorders. Low-income families in need of psychological support generally encounter understaffed and sometimes inefficient public health services and thus, families frequently constitute the primary source of support for individuals affected by mental health disorders. Empirical studies in the Mexican context have demonstrated that positive parental practices are associated with positive developmental outcomes and low levels of problem behaviors for both children and adolescents. This study aims to identify if such practices act as protective factors for problem behaviors in 306 Mexican students …


Domestic Violence In Culturally And Linguistically Diverse (Cald) Communities: Perceptions, Therapeutic Approaches And Responses Of Frontline Workers In New South Wales (Nsw), Oluwatoyin A. Dedeigbo Jan 2020

Domestic Violence In Culturally And Linguistically Diverse (Cald) Communities: Perceptions, Therapeutic Approaches And Responses Of Frontline Workers In New South Wales (Nsw), Oluwatoyin A. Dedeigbo

Theses

Domestic violence is a universal public health concern (VicHealth, 2011; World Health Organisation [WHO], 2013). Domestic violence cuts across all countries, regardless of economic, social, cultural or religious differences (Ali et al., 2020; VicHealth, 2011; WHO 2013). Men are often responsible for perpetrating domestic violence against women (Australian Bureau of Statistics [ABS], 2019; Australia Institute of Health and Welfare [AIHW], 2018).

The effects of domestic violence on victims can be serious and long-term; affecting their physical and mental wellbeing, and lingering even after the exposure to violence has ended (Mitchell, 2011). That is, the effect on victims’ mental health is …


Childhood Abuse, Religiosity, And Opioid Use: Findings From The National Epidemiologic Survey On Alcohol And Related Conditions Data, James E. Lewis Dec 2019

Childhood Abuse, Religiosity, And Opioid Use: Findings From The National Epidemiologic Survey On Alcohol And Related Conditions Data, James E. Lewis

Electronic Theses and Dissertations

Religiosity is adopting a belief system surrounding concepts of purpose, meaning, and value through an institution that has already defined these concepts prior to the individual member attending and that member’s degree of participation. Religiosity does have protective factors against negative health outcomes. This protective influence was evaluated in this study. Data from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions were examined to learn about the relationship between protective effects of religious participation on substance abuse, and whether this association weakened for individuals who have experienced higher levels of childhood abuse. A binary logistic regression …


Hope, Courage, And Resilience In The Lives Of Transgender Women Of Color, Nadine Ruff, Amy B. Smoyer, Jean Breny Aug 2019

Hope, Courage, And Resilience In The Lives Of Transgender Women Of Color, Nadine Ruff, Amy B. Smoyer, Jean Breny

The Qualitative Report

There is a lack of qualitative and strengths-based knowledge about the lived experience of transgender women of color in the US. To address this research gap, a Photovoice project was undertaken with five transgender women living in a small urban area. Thematic analysis of the participants’ discussion of their photographs identified three major themes: hope, courage, and resilience. Analysis suggests a framework for understanding these women’s lived experiences and the psychosocial tools that they use to negotiate their daily lives and persevere in the face of interpersonal and structural oppression.


Comparative Spending Of Medicaid Dollars On Child Participants Of Kentucky’S Sobriety Treatment And Recovery Teams Program Versus A Matched Comparison Group., Matthew Thomas Walton Aug 2019

Comparative Spending Of Medicaid Dollars On Child Participants Of Kentucky’S Sobriety Treatment And Recovery Teams Program Versus A Matched Comparison Group., Matthew Thomas Walton

Electronic Theses and Dissertations

Child protective services agencies have long observed the complicating role that parental substance use and addiction plays in cases of child maltreatment. Families who struggle with these problems present unique challenges for child welfare professionals. These families are typically more difficult to engage, more likely to have children removed from the home, and have poorer outcomes when compared to other families. These poorer outcomes often include health problems. Addiction has well-known effects on health, and the specific manifestations of these problems for parents have been documented for years in child protection casework. However, what has been less investigated are the …


Dmt And “The Man Box:” Provoking Change And Encouraging Authentic Living, An Arts-Based Project, Steven Reynolds May 2019

Dmt And “The Man Box:” Provoking Change And Encouraging Authentic Living, An Arts-Based Project, Steven Reynolds

Expressive Therapies Capstone Theses

This thesis explores the mind-body experience through an arts-based research approach to examine, and redefine the emotional capacity and usefulness of males through societal determinants that limits and hinders men from living their authentic selves. Through the lens of a metaphoric “Man Box” 112 men participated in a workshop recreating their personal narratives of socialization through, style of dress, coping mechanisms, belief systems and who they should be as men through society's standards. In the “Man Box,” male bonding, and emotional feelings are discouraged, while the objectification of women, material property and physical/emotional strength are encouraged. This research investigates the …


Outcomes Of Mental Health Crises When Mental Health Professionals Partner With Mental Health Deputies, Melissa Kay Murray May 2019

Outcomes Of Mental Health Crises When Mental Health Professionals Partner With Mental Health Deputies, Melissa Kay Murray

Electronic Theses and Dissertations

Law enforcement has historically been on the frontlines of the mental health crisis. This expected role is difficult as police officers are not trained as mental health professionals. Collaboration between police officers, mental health professionals, and mental health authorities have produced integral models to assist with the mental health crisis. Crisis intervention teams (CIT), mobile crisis units, and street triage models are highlighted to gain understanding of the components of these models. This study desires to examine a collaborative, recently implemented mental health deputy grant program aimed at diverting mentally ill individuals in crisis from contact with the criminal justice …


An Exploration Of Managers’ Perspectives On Their Role In Managing Community Early Years Services : Influences And Insights, Jessica Lee Jan 2019

An Exploration Of Managers’ Perspectives On Their Role In Managing Community Early Years Services : Influences And Insights, Jessica Lee

Dissertations

This exploration into theperspectives of managers of community Early Years services stems from the absence of a requirement of a qualification for supernumerary managers in Early Years services in Ireland and the resulting ambiguity of definedfunctions of such managers and contextually specific requirements. The aim of the study is to gain a deep insight into the perspectives ofthe participants on their roles in leading and managing their services. The objectives are to understand what internal and external factors have shaped their roles, to locate the dichotomies and harmonies between what iscontextuallyrequired of managersand what the true reality of a manager’s …


Separating Fact From Fiction, Alanna Angulo Jan 2019

Separating Fact From Fiction, Alanna Angulo

Petersheim Academic Exposition

No abstract provided.


Data Note: Social Security Administration Data Show A Record Low Level Of Pass Usage Among Ssi Recipients, Daria Domin, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2019

Data Note: Social Security Administration Data Show A Record Low Level Of Pass Usage Among Ssi Recipients, Daria Domin, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The Social Security Administration (SSA) offers a set of work incentives for Supplemental Security income (SSI) beneficiaries. Work incentive employment supports help SSI recipients go to work by minimizing the risk of losing their SSI or Medicaid benefits (Social Security Administration, 2018). One such incentive, the Plan to Achieve Self-Support (PASS), allows approved individuals to set aside earned or unearned income and resources to achieve an employment goal. The money or resources set aside are excluded from SSI income and resource tests and can be used to pay for goods or services needed to reach the goal, such as education, …


The Evolution Of A Collaborative Network: Understanding Partnerships In A Policy Mandated Collaboration Through Social Network Analysis, Pallavi Singh Nov 2018

The Evolution Of A Collaborative Network: Understanding Partnerships In A Policy Mandated Collaboration Through Social Network Analysis, Pallavi Singh

LSU Doctoral Dissertations

Federal funding agencies that administer financial support in the form of program grants to non-profit organizations (NPOs) that provide child and family services increasingly require NPOs to formalize inter-organizational partnerships in order to receive this vital source of funding. That is, by mandate NPOs must participate in inter-organizational collaboration networks to receive these essential federal funds. Therefore, there is a need to understand the collaboration behavior of NPOs in a policy-mandated environment. This study considers collaboration behavior as information sharing and advice-seeking between the organizations who are part of a collaboration network as a result of a policy mandate.

Drawing …


Exploring Intersecting Program Elements In Longer-Term Concurrent Disorder Services For Adults: A Qualitative Evaluation, Aaron Turpin, Micheal L. Shier Oct 2018

Exploring Intersecting Program Elements In Longer-Term Concurrent Disorder Services For Adults: A Qualitative Evaluation, Aaron Turpin, Micheal L. Shier

The Qualitative Report

Previous research highlights multiple factors that impact the attainment of client-identified recovery goals in substance misuse treatment programs. However, fewer studies examine how programs meet the broad range of needs expressed by clients through their intersecting elements of service delivery. This study seeks to develop an understanding of intersecting program and recovery elements in relation to an overall framework for programming, focusing on how overlapping elements of treatment ventured to support clients in multiple areas of their recovery. Qualitative interviews were conducted with clients (n=41) in three longer term substance use treatment programs, and data from interviews were analysed using …


Statedata: The National Report On Employment Services And Outcomes Through 2016, Jean Winsor, Jaimie Ciulla Timmons, John Butterworth, Alberto Migliore, Daria Domin, Agnes Zalewska, John Shepard, Thinkwork! At The Institute For Community Inclusion At Umass Boston Oct 2018

Statedata: The National Report On Employment Services And Outcomes Through 2016, Jean Winsor, Jaimie Ciulla Timmons, John Butterworth, Alberto Migliore, Daria Domin, Agnes Zalewska, John Shepard, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Recent legislation and regulation governing Medicaid Home and Community-Based Services (HCBS), the Workforce Innovation and Opportunity Act of 2014 (WIOA), and settlement agreements between states and the U.S. Department of Justice are clarifying federal intent and paving the way to supporting opportunities for people with disabilities to have meaningful jobs in their communities. With an increasing emphasis on integrated employment and an Employment First philosophy, the nation is poised for transformation that could put Americans with disabilities on a path out of poverty and towards self-sufficiency. However, there remains a significant gap in employment rates between people with and without …


Using Data To Ignite And Sustain Employment Systems Change, Jean Winsor, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jun 2018

Using Data To Ignite And Sustain Employment Systems Change, Jean Winsor, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

No abstract provided.


Effects Of Immigration On Interpersonal Relationships With Others Amongst Native And Mexican-Born Mexican Americans, Juan Zaragoza Jun 2018

Effects Of Immigration On Interpersonal Relationships With Others Amongst Native And Mexican-Born Mexican Americans, Juan Zaragoza

Electronic Theses, Projects, and Dissertations

This study presents the findings of how and to what extent immigration effects Native and Mexican-born Mexican American’s relationships with others. This study was quantitative and measured participant’s levels and qualities of interactions with others. The participants in this study were students from California State University, San Bernardino’s School of Social Work. The student population that was targeted was Native and Mexican-born Mexican Americans. The participants were contacted via email and provided with a questionnaire that measured the quality and quantity of interpersonal relationships they held with others. The original sample size consisted of 53 participants but reduced to a …


Data Make A Difference! (Sometimes), David Sedlacek, Rene Drumm, Alina M. Baltazar, Duane C. Mcbride May 2018

Data Make A Difference! (Sometimes), David Sedlacek, Rene Drumm, Alina M. Baltazar, Duane C. Mcbride

Adventist Human-Subject Researchers Association

This presentation offers an overview of three studies dealing with pastor family stress in the North American Division. Using these large-scale endeavors as a case study, the research team delineates the study outcomes, the known ways that these data have driven system change, and enumerates barriers that prevent data from having greater impacts in the SDA Church.


Segregation Of Student Financial Aid In Higher Education: The Effects On Low-Income Students When Ebt Is Not Accepted At University Campuses In San Diego, Ca., Tanisha-Jean Martin Apr 2018

Segregation Of Student Financial Aid In Higher Education: The Effects On Low-Income Students When Ebt Is Not Accepted At University Campuses In San Diego, Ca., Tanisha-Jean Martin

M.A. in Leadership Studies: Capstone Project Papers

The student bodies of universities are made up of a diverse financial class of students which utilize various methods to cover financial obligations on campus, even with the use of welfare governmental assistance. Low-income students that are involved in government welfare programs are given an Electronic Benefit Transfer (EBT) card to support them while they are pursuing an education; however, every university in San Diego, CA (and nearly the entire United States), segregate EBT into an unacceptable category and refuse to accept the card at any venues on campus. The EBT card is a plastic card that can be used …


Rrtc On Advancing Employment Composite Indicator Research, Frank A. Smith, Thinkwork! At The Institute For Community Inclusion At Umass Boston Apr 2018

Rrtc On Advancing Employment Composite Indicator Research, Frank A. Smith, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

What?
Analysis to describe the relationship between state employment system characteristics and employment outcomes for individuals with intellectual and developmental disabilities (IDD).

Why?
To better understand higher-performing state employment systems.

How?
Researchers included individual indicators from 2013 for each state from its IDD and vocational rehabilitation (VR) agencies. We also used American Community Survey data that looked at employment outcomes and education for individuals with cognitive disability between the ages of 22 to 30, i.e. individuals who recently aged out of eligibility for services under IDEA. The resulting composite indicator (CI) represents overall state employment system performance.


Right Of Adoption For Same-Sex Parents, Youjia Chen Mar 2018

Right Of Adoption For Same-Sex Parents, Youjia Chen

Lesley University Community of Scholars Day

The gay right has been one of the hot topics in the world, especially when the same-sex marriage legalized, there are few controversial topics still cannot be solved. I mainly discussed do same-sex parents have the right to have children or to be the adoptive parents. I have read several articles and research about how the same-sex parents affect their children, would their sexual orientation will affect the children etc. the result was the influence for children who grow in a homosexual family is same as heterosexual family, in conclusion, the same-sex parents definitely have the right to have children. …


Family Impact Seminar 2018: The Kids Are Not All Right: Policy Options To Address Youth Trauma In Massachusetts, Denise Hines, Laurie Ross Ph.D, Marianne Sarkis Ph.D Mar 2018

Family Impact Seminar 2018: The Kids Are Not All Right: Policy Options To Address Youth Trauma In Massachusetts, Denise Hines, Laurie Ross Ph.D, Marianne Sarkis Ph.D

Mosakowski Institute for Public Enterprise

Family Impact Seminars are a series of annual seminars, briefing reports, and discussion sessions that provide up-to-date, solution-oriented research on current issues for state legislators and their aides. The seminars provide objective, nonpartisan research on current issues and do not lobby for particular policies. Seminar participants discuss policy options and identify common ground where it exists.

The Kids are NOT All Right: Policy Options to Address Youth Trauma in Massachusetts is the ninth Massachusetts Family Impact Seminar. Today’s seminar is designed to emphasize a family perspective in policymaking on issues related to early intervention in childhood trauma, sex trafficking and …


Inductive And Deductive: Ambiguous Labels In Qualitative Content Analysis, Mohammad Reza Armat, Abdolghader Assarroudi, Mostafa Rad, Hassan Sharifi, Abbas Heydari Jan 2018

Inductive And Deductive: Ambiguous Labels In Qualitative Content Analysis, Mohammad Reza Armat, Abdolghader Assarroudi, Mostafa Rad, Hassan Sharifi, Abbas Heydari

The Qualitative Report

The propounded dualism in Content Analysis as quantitative and qualitative approaches is widely supported and justified in nursing literature. Nevertheless, another sort of dualism is proposed for Qualitative Content Analysis, suggesting the adoption of "inductive" and/or "deductive" approaches in the process of qualitative data analysis. These approaches have been referred and labelled as "inductive" or "conventional"; and "deductive" or "directed" content analysis in the literature. Authors argue that these labels could be fallacious, and may lead to ambiguity; as in effect, both approaches are employed with different dominancy during the process of any Qualitative Content Analysis. Thus, authors suggest more …


Elecciones 2018 De Colombia En Twitter, Yadira Lizama Mué, Juan Luis Suárez Jan 2018

Elecciones 2018 De Colombia En Twitter, Yadira Lizama Mué, Juan Luis Suárez

CulturePlex Lab DataPoints

l análisis de los tuits de diciembre muestra una campaña que recién empieza en la plata-forma. El lenguaje usado por los diferentes actores políticos apunta a algunas de las ban-deras con las que intentarán atraer a los votantes, así como da cuenta de sus reacciones a los acontecimientos políticos del día. A diferencia de los candidatos, Santos y Uribe siguen siendo muy activos en Twitter, generan reacciones y atraen mucha atención. Si los candidatos quieren distanciarse de la historia política reciente y ganar credibilidad como presidentes potenciales, deberán establecer perfiles más audaces, generar reacciones más fuertes y desarrollar un lenguaje …


Data Note: State Intellectual And Developmental Disability Agencies’ Service Trends, Agnes Zalewska, Jean Winsor, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2018

Data Note: State Intellectual And Developmental Disability Agencies’ Service Trends, Agnes Zalewska, Jean Winsor, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

In FY2016, an estimated 638,568 individuals received day or employment supports from state IDD program agencies. This number grew from 455,824 in FY1999. The estimated number of individuals in integrated employment services increased from 108,227 in FY1999 to 120,244 in FY2016. Despite the trend to terminate facility-based services in some states, the overall state investment continues to emphasize non-work services, rather than integrated employment services. Figure 1 shows the trends in the percentage of people served in integrated employment and facility-based and non-work settings between FY2008 and FY2016.