Service Delivery

How employment support and social integration programmes are viewed by the intellectually disabled.

Cramm et al. (2009) · Journal of intellectual disability research : JIDR 2009
★ The Verdict

Adults with mild ID value supported employment, but some want friends at work while others want clear rules—ask first, then place.

✓ Read this if BCBAs writing employment plans for adults with ID in vocational or day programs.
✗ Skip if Clinicians who only serve early-childhood or strictly clinical settings.

01Research in Context

01

What this study did

Researchers asked adults with mild intellectual disability how they feel about supported employment.

The team used a qualitative design. They wanted to hear personal views, not count behaviors.

People shared what helped them grow and feel good at work.

02

What they found

Most adults said supported employment boosts self-development and well-being.

Some workers loved joining coworkers and being part of the group.

Others liked clear rules and steady tasks more than social time.

03

How this fits with other research

Cadette et al. (2016) later used numbers to show the same thing. Their quasi-experiment found that community jobs give adults with ID more community integration and money than sheltered workshops.

Ghaziuddin et al. (1996) already saw higher task engagement and more natural talk with coworkers in supported jobs. The 2009 study adds the personal voice behind those numbers.

Schall et al. (2024) asked stakeholders and confirmed that supported employment is still seen as a valid path today.

04

Why it matters

Ask each client what matters most: social ties or clear structure. Then match job type, training style, and support plan to that preference. One size will not fit all.

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Add one question to your intake: “Do you prefer working with others or working alone with clear steps?” Use the answer to guide job matching.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
18
Population
intellectual disability
Finding
positive

03Original abstract

BACKGROUND: Supported employment is intended to facilitate and promote participation and integration of intellectually disabled citizens in society. This study investigated their view of the programme. METHODS: Q-methodology was used. Eighteen respondents with a mild intellectual disability rank-ordered 22 statements representing five main aspects of supported employment. The data were factor-analysed to group respondents according to their views. Q-methodology was a feasible approach that facilitated in-depth conversations with respondents with a mild intellectual disability in a playful manner. RESULTS: Two views on the impact of supported employment on social integration were observed: 'work as participation' and 'work as structure'. The first placed greater value on participation, task variety, belonging, and feeling appreciated; the second placed greater value on working independently, clear working agreements, and friendly co-workers. The views indicate two distinct approaches to effecting a positive relationship between supported employment and social integration. CONCLUSION: From the perspective of people with an intellectual disability supported employment contributes to self-development and has a positive effect on well-being, albeit in different ways for the individual groups.

Journal of intellectual disability research : JIDR, 2009 · doi:10.1111/j.1365-2788.2009.01168.x