Service Delivery

National cost efficiency of supported employees with intellectual disabilities: 2002 to 2007.

Cimera (2010) · American journal on intellectual and developmental disabilities 2010
★ The Verdict

Supported employment for adults with ID covers its public cost, just as older state studies hinted.

✓ Read this if BCBAs writing funding requests or state policy for adult employment programs.
✗ Skip if Clinicians focused only on early-intervention or clinic-based skill building.

01Research in Context

01

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?

02

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.

03

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.

04

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.

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Add a one-page cost sheet to your next employer packet: show local taxpayer savings per worker placed.

02At a glance

Intervention
not applicable
Design
other
Population
intellectual disability
Finding
positive

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