Service Delivery

Implementation of job development practices.

Migliore et al. (2012) · Intellectual and developmental disabilities 2012
★ The Verdict

Employment consultants rarely use proven job-development steps, so adults with IDD miss out on quality supported employment.

✓ Read this if BCBAs who write employment goals or monitor adult day/employment services.
✗ Skip if BCBAs who only work with young children in home or school settings.

01Research in Context

01

What this study did

Migliore et al. (2012) asked employment consultants how they help adults with intellectual or developmental disabilities find jobs. They sent a survey to a national sample of these consultants. The survey listed key practices that research says work best, like involving families, customizing jobs, and studying what employers need.

02

What they found

The answers showed spotty use of those best practices. Some consultants involved families; most did not. Few tailored jobs to fit both the worker and the employer. Overall, the survey painted a picture of uneven, low-quality job development.

03

How this fits with other research

Davison et al. (1995) saw the same gap in adult residential homes. Staff there also skipped proven tactics like task analysis and functional assessment. The pattern is old and stubborn.

Lyons et al. (2022) flips the script. When a small group of providers actually used active, person-centered job development, more adults landed competitive jobs. The problem is not the method; it is the follow-through.

Butterworth et al. (2024) zooms out. Their 2024 review says employment rates for adults with IDD are still terrible after forty years of programs. Migliore et al. (2012) helps explain why: the people running the programs are not using the playbook.

04

Why it matters

If you write plans or supervise employment services, do not assume the job developer is using evidence-based steps. Ask for the data. Add a checklist to the ISP that requires family input, job carving, and employer needs analysis. One quick audit can tell you if your client is getting real supported employment or just a generic job search.

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Add a fidelity check to the next ISP review: ask the job developer to show written proof of family contact and job customization.

02At a glance

Intervention
not applicable
Design
survey
Sample size
59
Population
intellectual disability, developmental delay
Finding
negative

03Original abstract

We investigated the extent to which employment consultants implemented job development practices recommended in the literature when assisting job seekers with intellectual or developmental disabilities. We contacted 83 employment consultants from 25 employment programs in Minnesota and Connecticut. Fifty-nine participants were eligible and completed surveys. We found inconsistencies between the employment consultants' practices and the job development literature in areas such as involvement of family members and acquaintances, observation of job seekers in work and nonwork environments, analyses of employers' needs, development of customized jobs, and assistance with work incentives planning. We recommend a system-wide effort for supporting employment consultants in implementing promising job development practices. This effort needs to involve funding agencies, employment programs, accreditation agencies, training programs, and researchers.

Intellectual and developmental disabilities, 2012 · doi:10.1352/1934-9556-50.3.207