Service Delivery

An analysis of the procedural components of supported employment programs associated with employment outcomes.

McDonnell et al. (1989) · Journal of applied behavior analysis 1989
★ The Verdict

Supported employment works best when you stack job search, placement, and on-site coaching, then let the worker choose preferred tasks.

✓ Read this if BCBAs helping adults with developmental disabilities find and keep competitive jobs.
✗ Skip if Clinicians who serve only early-childhood or non-vocational goals.

01Research in Context

01

What this study did

Hansen et al. (1989) watched 120 adults with mixed disabilities after they joined supported-employment programs.

The team listed every step the programs used: job finding, on-site coaching, ride help, and boss talks.

They tracked who kept the job, pay level, and how often workers ate lunch with coworkers.

02

What they found

Most workers stayed hired, earned more than workshop wages, and joined the social life of the site.

Programs that blended quick placement with steady coaching got the best mix of hours, pay, and friends.

03

How this fits with other research

Nord (2016) later counted the services and found stacking three—search, placement, coaching—made employment 16 times more likely, sharpening the 1989 picture with hard numbers.

Howlin et al. (2005) narrowed the model to high-ability adults with autism and still saw two-thirds stay hired for eight years, showing the same parts work across diagnoses.

Walsh et al. (2020) added a tech twist: letting workers pick favorite tasks before placement lifted performance even when skills did not match, extending rather than replacing the 1989 recipe.

04

Why it matters

You already run job coaching. Make sure intake includes the full trio—search, placement, and follow-along support—because later studies prove that bundle drives success. Add a quick preference scan so the client likes the task; enjoyment can trump skill gaps and cut your coaching minutes.

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During intake, list the three services you will deliver and ask the client to rank five job features; start with the top pick.

02At a glance

Intervention
other
Design
pre post no control
Sample size
120
Population
mixed clinical
Finding
positive

03Original abstract

This study examined the relation between the procedural components of supported employment programs and employment outcomes for 120 individuals with disabilities. These individuals were involved in supported employment programs established through the Utah Supported Employment Project. The results suggest that successful implementation of supported employment services led to ongoing employment of study participants in community work sites, increased wages, and ongoing opportunities for workers to interact with nondisabled peers. In addition, several procedural components were found to be strongly associated with successful employment outcomes for workers. Results of the study are discussed in terms of the training needs of supported employment program staff and future research for the dissemination of a cohesive technology of supported employment.

Journal of applied behavior analysis, 1989 · doi:10.1901/jaba.1989.22-417