National cost efficiency of supported employees with intellectual disabilities: 2002 to 2007.
Supported employment for adults with ID covers its public cost, just as older state studies hinted.
01Research in Context
What this study did
Hall (2010) tracked taxpayer costs and savings from supported jobs for adults with intellectual disability.
The team looked at all 50 states from 2002 to 2007. They asked: does the program pay for itself?
What they found
Supported employment broke even taxpayer-wise across the nation.
Some states saved money, others spent more, but the average held steady year to year.
How this fits with other research
Steege et al. (1989) saw the same break-even in Illinois two decades earlier. Their small state study foretold this national result.
Sannicandro et al. (2018) widened the lens. Post-secondary education also lifted earnings and cut benefit use, showing taxpayer gains reach beyond job placement alone.
Nord et al. (2015) seems to disagree. They found adults who kept public benefits worked fewer hours. The clash fades when you see the groups differ: Derek studied people still on wait-lists, while E studied workers already in supported jobs.
Why it matters
You can reassure funders that supported employment is a safe public investment. When you write grants or justify budgets, cite the steady national break-even. Track your own state data to see if you sit in a high-saving region, then copy those practices.
Want CEUs on This Topic?
The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.
Join Free →Add a one-page cost sheet to your next employer packet: show local taxpayer savings per worker placed.
02At a glance
03Original abstract
The cost efficiency of supported employees with intellectual disabilities who were served by vocational rehabilitation agencies throughout the United State from 2002 to 2007 was explored. Findings indicate that, on average, supported employees with intellectual disabilities were cost-efficient from the taxpayers' perspective regardless of whether they had secondary disabilities. In addition, no changes in cost efficiency were found during the period investigated. The data, however, did demonstrate considerable variability in cost efficiency throughout the United States and its territories.
American journal on intellectual and developmental disabilities, 2010 · doi:10.1352/1944-7558-115.1.19