Americans With Disabilities Act

There are many barriers for people with disabilities in finding and keeping jobs, getting promotions, obtaining reasonable accommodations, and in other aspects of the employment process. Qualified individuals with disabilities are entitled to the same employment opportunities available to people without disabilities.

Title I of the Americans with Disabilities Act of 1990 prohibits private employers, state and local governments, employment agencies and labor unions from discriminating against qualified individuals with disabilities in job application procedures, hiring, firing, advancement, compensation, job training, and other terms, conditions, and privileges of employment. The ADA applies to employers with 15 or more employees, including state and local governments. It also applies to employment agencies and to labor organizations.

An employer is required to make a reasonable accommodation to the known disability of a qualified applicant or employee if it would not impose an "undue hardship" on the operation of the employer's business. Undue hardship is an action requiring significant difficulty or expense when considered in light of factors such as an employer's size, financial resources, and the nature and structure of its operation.   An employer is not required to lower quality or production standards to make an accommodation; nor is an employer obligated to provide personal use items such as glasses or hearing aids.

AHEDD is sensitive to the needs of business partners as well as consumers with disabilities in response to the spirit and recommended practices within the ADA.   Businesses may sometimes need guidance in proper recruitment procedures, addressing requests for accommodations, proper and effective responses.  AHEDD recognizes that its service package, while a potential accommodation in some cases, does not represent the full extent of accommodations which might be feasible.  Likewise, some consumers with disabilities may not be clear on the employment elements of the law.  The ADA does not represent an entitlement to employment or continued employment, but rather a reasonable accommodation surrounding the performance of essential duties.   AHEDD’s role is not to enforce the ADA, nor to judge behaviors of either party. AHEDD does provide technical assistance and objective guidance to both of these customers.  

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Agency Affiliations & Memberships

PA Department of Public Welfare

  • Advisory Committee for Employment

  • Office of Mental Retardation Advisory Board

PA Association for Rehabilitation Facilities (PARF)

DE Association for Rehabilitation Facilities (DELARF)

Governor’s Committee Employment of People with Disabilities (GCEPD) – PA & DE

Philadelphia Committee For Employment of Persons with Disabilities  

Philadelphia Mayor’s Commission on Disability

Schuylkill Transition Council

Schuylkill Chamber of Commerce

Schuylkill Community Action Council

Schuylkill Women in Crisis (Board of Directors)

First Impressions Board of Directors

Anthracite Center for Independent Living

Schuylkill Youth Council

STS (Schuylkill Transportation System) Advisory Council

Society for Human Resource Management – Cumberland Valley Chapter

Franklin County Forum

Ticket to Work Evaluation – Mathematica Policy Research

Job Placement Partners  - Delaware County

Montgomery County Job Developers Connection

Bucks County IU Transition Council

Chester County IU Transition Council 

Delaware County IU Transition Council

Lehigh County IU Transition Council 

Montgomery County IU Transition Council

Northampton County IU Transition Council

Berks County Transition Coordinating Council

Berks County Chamber of Commerce

Service Access and Management Providers' Group

West Shore Chamber of Commerce

Lebanon Valley Chamber of Commerce

Dauphin County Steering Committee

Lebanon County Human Services Council

Capital Area Regional Transition Council

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Pennsylvania Business Leadership Network

The Pennsylvania Business Leadership Network (BLN) is a statewide, employer-driven program designed for business leaders to promote hiring practices that enable qualified people with disabilities to enter and succeed in the workplace. The Pennsylvania Business Leadership Network offers employers:

  • access to pertinent disability hiring information
  • a network of employers who share information on common disability employment issues
  • exposure to qualified job applicants with disabilities
  • opportunities to provide training and work experience for job seekers with disabilities
  • improved access to customers with disabilities

Business Leadership Networks have been established in many states as part of a national initiative started by the Office of Disability Employment Policy (ODEP).  The Pennsylvania Business Leadership Network is an employer-driven program designed to engage employers in a leadership role to communicate their human resources needs and to actively participate in the community to ensure that providers serving individuals with disabilities are able to meet those needs.

In Pennsylvania, the Developmental Disabilities Council (PDDC) made funds available for the development of a BLN starting January 2000. The PDDC selected AHEDD, a private non-profit specialized human resource organization, to coordinate the BLN in Pennsylvania. AHEDD works with the business community within Pennsylvania to promote the ongoing implementation of the Business Leadership Network.

The business community needs qualified workers to fill its changing job requirements. Many employers today are unable to find qualified job applicants through their normal channels of recruitment. Employers participating in the Business Leadership Network are responding to this need by exploring methods to more effectively recruit, market and hire the talents of job applicants with disabilities.

Employers are encouraged to talk with members of the business community that have already been successful in hiring employees with disabilities. This peer-to-peer interaction will assist employers in learning more about where they can recruit job seekers with a disability and more about the community resources that are available to provide support.

Employer participation in the Pennsylvania BLN makes good business sense. Participation will enhance your ability to fill job openings with qualified employees and create a diverse workforce.   For more information, contact Ms. Stacy Kyle, Project Director at (717) 763-0968, ext. 115 or via email stacy.kyle@blnofpa.org .

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Benefits Planning Assistance & Outreach Program (BPAO)

Persons with disabilities continue to experience underemployment and unemployment at an unacceptable rate.  Beneath the surface of this issue there are complex federal-welfare and long-term disability programs administered by the Social Security Administration (SSA).  While intended to provide basic income and health care for persons with disabilities, they have evolved as a major obstacle to employment and subsequent economic progress.   Many beneficiaries do not understand the interactions of earned income through employment and its impact on SSA cash benefits and health care.   As a result, beneficiaries may avoid work, or be discouraged from pursuing their maximum earning potential.

The Ticket to Work and Work Incentives Improvement Act (TWWIIA) represents the culmination of efforts by and on behalf of SSA to improve the employment of persons with disabilities through coordinated networks of private and public providers which promote confidentiality, choice, and outcomes.  This initiative includes the development and delivery of local benefits counseling programs known as Benefits Planning Assistance & Outreach (BPAO).  The BPAO Providers operate under cooperative agreements with SSA, and are provided certification training and ongoing technical assistance to ensure quality service to beneficiaries and related parties.  For further information: http://www.ssa.gov/work/Beneficiaries/activity.html#Pennsylvania

AHEDD is a private, non-profit agency specializing in the employment of persons with disabilities.  Established in 1977 with a mission is to serve the community as a catalyst in the employment and development of persons with a disability, AHEDD provides community employment services through a network throughout Pennsylvania and Delaware.   As a BPAO Provider, AHEDD conducts outreach throughout designated communities (i.e. western PA) and provide benefits planning and counseling to SSI and/or SSDI beneficiaries ages 14-64.  Using a regional network of Benefits Specialists, AHEDD collaborates with public and private organizations, including the PA Department of Welfare, Office of Vocational Rehabilitation and other Employment Networks, SSA, and schools to promote and facilitate benefits planning and counseling for beneficiaries.

The service model is accessible, individualized, and user-friendly, featuring a variety of community locations to maximize access by beneficiaries.  At the completion of the counseling session, beneficiaries receive an individualized report highlighting key elements, earnings scenarios, applicable work incentives, and potential areas for concern.    It is our contention that this delivery of SSA benefits counseling will provide a foundation by which beneficiaries will develop a proactive relationship with SSA, and be encouraged to seek and maintain greater levels of earned income towards increased economic self-sufficiency.

For further information, contact John Miller, Project Director, at (717) 763-0968, ext 118, or john.miller@ahedd.org.

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Economic Development For Employment of Persons with Disabilities

Employment Incentives Project

The Ticket to Work and Work Incentives Improvement Act (TTWWIIA) features an ambitious array of programs and strategies to address the unemployment of persons with disabilities.  Under TTWWIIA, Congress mandated a GAO Report (Incentives to Employ Workers With Disabilities Receive Limited Use and Have an Uncertain Impact, GAO-03-39) to study the utilization of financial incentives used by business in hiring persons with disabilities.  According to the report, information on the effectiveness of these incentives is limited and inconclusive.  Data provided by the PA Department of Labor (March 2004) indicates that among businesses using the Work Opportunities Tax Credit (WOTC), less than 12% are for hiring persons with disabilities

AHEDD’s Project entitled the “Economic Development for Employment of Persons with Disabilities” is designed to incorporate the perspectives and values of the national agenda as reflected within the TTWWIIA as well as Pennsylvania’s interests as expressed by the Pennsylvania Developmental Disabilities Council.   Through its strategic initiatives, the Council serves as the prime sponsor for the Employment Incentives Project, specifically “to increase awareness and use of both federal and state work incentive programs through Pennsylvania Chambers of Commerce."

AHEDD is a private, non-profit organization with a mission to serve the community as a catalyst in the employment and development of persons with disabilities.  In the addition to the delivery of employment services and benefits counseling under agreements with federal, state, county agencies and schools, AHEDD is an integral participant and/or coordinator of a number of statewide initiatives including the Business Leadership Network, the Advisory Committee on Employment (PA Department of Public Welfare), and the Governor’s Committee on Employment of Persons with Disabilities (PA Department of Labor & Industry- Office of Vocational Rehabilitation).

AHEDD will work with representatives from business in order to promote, educate, and assess the utilization or financial work incentives as elements of economic development to promote the employment and retention of persons with disabilities.  For further information, contact John J. Miller, Project Director at (717) 763-0968, ext. 118 john.miller@ahedd.org. or Penni Baker, Project Coordinator ( 717) 597-7665  penni.baker@ahedd.org

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Mission & History

The mission of AHEDD is to serve the community as a catalyst in the employment and development of persons with disabilities.  The agency was established in 1977 to serve as an alternative to segregated training programs for persons with developmental disabilities.   Prior to incorporation as an independent, non-profit organization, AHEDD was a demonstration project of the Pennsylvania Association for Retarded Citizens (PARC), a statewide advocacy organization.  PARC was instrumental in spearheading the Right to Education  that ensured access to education for every individual with a disability.

AHEDD’s initial employment approach in the 1970s was a “work station in industry,” resembling today’s enclaves.   By the early 1980s, AHEDD’s model evolved to the one on one job coaching approach.  During this time, AHEDD routinely placed individuals who had been deemed “not job ready.”  It was not until 1985-86 with the advent of Supported Employment that this employment model was officially accepted throughout the vocational rehabilitation system.   Since then, AHEDD has provided Job Coaching & Supported Employment through a field office network throughout PA and DE, including urban and rural areas, to adults with all types of physical and mental disabilities.   In 1994, AHEDD developed a School to Work program in collaboration with local schools in the transition of students with disabilities.  Initially sponsored by a federal grant, this effort has continued through support by schools and the state vocational rehabilitation.

In 1980, AHEDD established an independent for-profit company, Red Rose Services.   This custodial contracting firm based in Lancaster, PA later expanded to York, PA and Wilmington, DE.  The compelling aspect of the Red Rose story was that not only did it provide employment for persons with severe disabilities, but these employees were owners and acquired equity as the business evolved and expanded.

During 1985-1987 AHEDD was selected by the Social Security Administration (SSA) to serve in the Transitional Employment Training Demonstration (TETD) administered by Mathematica Policy Research.  This project provided the impetus leading to specific work incentives for persons receiving Supplemental Security Income.  In 2001, AHEDD was selected by SSA to serve in the Benefits Planning Assistance & Outreach Program, providing benefits counseling and education on work incentives to beneficiaries.  In addition, AHEDD has begun to serve as an Employment Network in the Ticket to Work.  AHEDD’s work with SSA reflects the agency’s values that employment is a means to increase financial independence and decreasing dependency on government subsidies.

At its core, AHEDD has maintained a positive relationship with the business community at its core.  Programs such as the Volunteer Interview Network of Employers (VINE) were developed to give Human Resource Personnel regular opportunity to interact with individuals with a disability.   In 2000, AHEDD was selected to coordinate the PA Business Leadership Network, a business to business program creating forums for business leaders to promote the employment of persons with disabilities.

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Consumer Services – Job Coaching

Job Coaching is a “work-first” strategy which has proven successful for many individuals with disabilities.  This is an emphasis on prompt and effective job matching, with the majority of support directed after job placement. The process typically includes: the development of a written plan of service; individual-specific pre-employment activities; job matching and placement; on-site training; and follow-along support for a defined period.  The service mix requires a collaborative approach among - at minimum - the service agency, job-seeker (consumer), and sponsoring organization.

Frequently individuals with disabilities who receive prior vocational training have difficulty transferring their skills to the workplace.  In addition, some individuals may continue to unsuccessful in the job search and in securing a job.   This may be attributable to any number of factors, not the least of which is the disabling condition, including transportation, poor resume, interpersonal and communication skills.  In addition, many individuals who receive government subsidies may pursue employment with reluctance, either unsure or unwilling to have existing benefits reduced or eliminated in exchange for gainful employment.   An effective written plan will identify key individual barriers and will attempt to establish corresponding strategies.

A good job match will account for the key needs and interests of the job-seeker. Understandably, there are frequently areas of negotiation in which the match may not hit all the target points.  It is AHEDD’s contention that there is no perfect job match, and that careers are built upon progressive work experience.   This is not to suggest that “any job will do” but rather that at times all individuals – including persons with disabilities – accept jobs which are transitional.   Another area in the job match involves the agency’s prior knowledge, such as impact of disability, unsuccessful work attempts, drug & alcohol abuse, and criminal background.  Ironically, industry personnel will sometimes contribute to stereotyping about how individuals with certain disabilities would or would not be successful in specific jobs.  It is highly recommended that Job Coaching staff conduct employment checks with each consumer’s written permission.   This information should be properly documented and shared with potential employers, again with permission from the consumer.  Agency knowledge of documented background represents a significant point of job targeting, as to how prior performance might impact on a potential job.   

Job coaching includes but is not limited to on-site training and intervention.  There is no one size fits all approach, as job coaching will involve the expectations of the consumer and the employer, as well as job and workplace dynamics.   The Job Coach is expected to complement not replace existing orientation, training, and supervision from the employer.   The Job Coach should operate with clear objectives, regarding skills, behaviors, or other accommodations needed.  Job Coaching should have an exit plan, as the job coach is not intended to become a regular resource to the workplace.  Ideally, the job coach is unobtrusive, as his/her presence is not a natural support.  Frequently job coaching includes off-site intervention, coordinating activities which contribute to job retention. 

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Consumer Services – Supported Employment

The Rehabilitation Act amendments of 1986 defines Supported Employment as “Competitive work in an integrated work setting for individuals with the most severe disabilities; for whom competitive employment has not traditionally occurred; or for whom competitive employment has been interrupted or intermittent as a result of a severe disability; and who, because of the nature and severity of their disability, need intensive supported employment services or extended services in order to perform such work.”  

“Competitive work” refers to employment for wages consistent with earnings to persons with no apparent disabilities with similar job duties.   “Integrated work” refers to a setting in which the Supported Employment consumer has routine opportunities to interact with employees and/or customers with no apparent disabilities, assuming that such interaction is inherent within the context of the job.  An individual with the “most severe disability” refers to a person who meets the order of selection criteria of the state vocational rehabilitation and/or Medicaid eligibility for supported employment.  “Extended services” refers to individualized follow-along up to the duration of employment.

Supported Employment is a “work-first” strategy which has proven successful for many individuals with severe disabilities.  This is an emphasis on prompt and effective job matching, with the majority of support directed after job placement.  The process typically includes: the development of a written plan of service; individual-specific pre-employment activities; job matching and placement; job coaching; and follow-along support for a defined or indefinite period.  The service mix requires a collaborative approach among - at minimum - the service agency, consumer, and sponsoring organization.

Typically supported employment involves intensive job coaching and could include 100% on-site intervention for an extended period of time.   Historically the sponsorship of supported employment has influenced this intervention.  For example, the transfer of financial responsibility from the state vocational rehabilitation to the state Medicaid administrator has often established 90 days on the job as the period of stabilization, and the beginning of reduced intervention.   It should be noted that some individuals may need indefinite intensive support.  These circumstances require proper authorization including - but not limited to - the sponsor and the employer.  The analysis for ongoing intensive support should include the feasibility, cost effectiveness and actual delivery process.   Once approved, this support might continue to be provided by the supported employment provider, but could likewise involve another third party or a designated employee of the consumer’s employer. 

Follow-along support is best provided as monthly proactive contacts with the consumer as well as the employer to ensure that the employment relationship continues to be successful.  In some cases, supported employment providers might not interact directly with employers if this on-site intervention would contribute to stigmatizing or otherwise attracting unnecessary attention to an individual’s disability.  Discretion is essential in all cases, as support should not detract from the consumer’s job success and community integration.

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Consumer Services – Employment Preparation & Work Assessments

AHEDD provides individualized employment services to persons with disabilities in order to obtain and maintain employment.  Service plans are developed in a cooperative and comprehensive manner in order to maximize input and accountability.  Service plans are typically developed on a short-term basis, i.e. within 12-18 months, unless other stipulated (e.g. supported employment) and are designed to assist consumers in maximizing independence through work within a model of decreasing dependence, and increasing use of natural supports.

  • Plan of Service   At the point of referral to AHEDD, staff will work with the individual to develop and implement a Plan of Service.   This Plan of Service is an individualized written rehabilitation plan developed with the active and informed participation of the individual.  It is intended to document relevant background data, such as education, previous vocational training, work experience and references.  It also includes the individual’s current income, family and other support systems, transportation, and disability as a barrier to employment.    AHEDD’s Plan of Service documents the employment goals of the consumer in reference to job description, hours per week, hourly wage, geographic area, and other elements, as well as delineates the strategy to achieve those goals.

  • Job Search Assistance   AHEDD’s experience in providing Job Search Assistance lends itself to meeting the individual needs of persons from a variety of social and economic backgrounds and developmental needs and adapt their training materials and styles to the needs of each individual.    Job Search Assistance training includes instruction on and assistance with: targeting employers; application completion; creation of resumes; appropriate appearance; follow-up contacts to employers; interviews; and proper workplace behaviors.

  • Community Based Work Assessment (CBWA).  Some participants have little to no job experience to draw upon when considering their employment options.   A CBWA can provide the consumer with an opportunity to identify his/her skills and interests within the context of a setting in the community.   These settings are coordinated by AHEDD, and while hosted within business, do not constitute paid employment.  Assessments are generally sponsored by third parties other than the employer, therefore the actual results of the assessment, e.g. reports, are the property of these sponsors. 

By their nature, assessments are brief with a defined time frame and purpose. AHEDD abides by the regulations of the U.S. Department of Labor for Non-Paid Vocational Training Sites AHEDD carries Special Risk Accident Policy, which covers a participant who is participating in, attending or preparing for vocational activities while on the premises of, designated by AHEDD. This policy is intended to provide insurance coverage to individuals who are participating in non-paid Community Based Work Assessments. A copy of this policy can be made available by contacting AHEDD's Central Office.

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School to Work 

The successful transition of students with disabilities from school to work and full community participation is a major policy initiative within several federal agencies including the U.S. Department of Education and the U.S. Department of Labor.  In recent years, school to work transition has also become a growing emphasis for the Social Security Administration (SSA).  Nationwide, there are over 6 million youth served under the Individuals With Disabilities Education Act (IDEA), 13% of the student population.  During the 1980’s, only 10% of the school population was identified as such, and the increase has been attributed to an increasing proportion of children identified as learning disabled.  In Pennsylvania, (1996-1997), there were over 222,000 students with disabilities, slightly more than 12% of the school population.

The inclusion of students with disabilities in employment-related transition programs reflects an understanding of the difficult time which many have in finding a place in the workforce after high school.  A follow-up conducted on behalf of the U.S. Department of Education (National Longitudinal Transition Study, 1995) indicates that after three years of exiting school, only 55% of students with disabilities are employed.  These individuals have an average annual compensation of $5,524.  Nearly 17% of students with disabilities were pursuing academic postsecondary education, and 15% involved in vocational training.

Community-based learning is an essential component of career education for many students in special education.  Through job shadowing, and skill enhancement and identifying activities planned and implemented by AHEDD, students learn about themselves, employer expectations, and career opportunities.  Work experiences for youth with disabilities during high school helps them acquire jobs at higher wages after they graduate. Also, students who participate in occupational education and special education in integrated settings are more likely to be competitively employed than students who have not participated in such activities. (Blackorby & Wagner, 1996; Colley & Jamison, 1998; Luecking & Fabian, 2000; Rogan, 1997)

AHEDD values individualized services and goals to promote a successful transition from high school to adult life as identified in each student’s Individual Education Plan (IEP).  AHEDD works with the IEP team to develop a comprehensive plan and develops an individual program to assist students with overcoming employment barriers, and to determine services needed to best support the student’s IEP goals.  In addition, AHEDD has implemented programs for groups of students concentrating on employability and task related skills, exposure to various vocations, through job-shadowing and presentations by local employers.  We are committed to assisting students achieve their goals of greater independence and self-sufficiency in their community.

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Ticket to Work – Employment Network

Despite successful progress in a variety of areas of community life, persons with disabilities continue to experience underemployment and unemployment at far greater rates than their non-disabled peers.   Advocates and policy makers continue to debate traditional barriers: transportation, discrimination, and training.  Beneath the surface of the employment issue, there are complex federal-welfare and long-term disability insurance programs that are administered by the Social Security Administration (SSA).  While intended to provide basic income and health care for persons with disabilities, they have evolved as a formidable obstacle to work and financial independence. 

The Ticket to Work and Work Incentives Improvement Act is federal legislation which addresses the fundamental barriers to employment encountered by persons with disabilities who receive Supplemental Security Income (SSI) and/or Social Security Disability Insurance (SSDI).   While it is common knowledge that many individuals receiving either or both of these benefits will require this support into retirement age, it is recognized that some individuals can successfully return to work with proper information, guidance, and individualized support.

As part of this federal initiative, SSA is reinventing its return to work strategy by recruiting organizations to serve as “Employment Networks (EN).”   Under this arrangement ENs are invited to provide employment services to any beneficiary whom it believes can achieve the goal of full employment.   An EN is not paid by SSA until the ticket user earns enough income to terminate federal cash benefits.   In order to increase retention, SSA will make this payment available to the EN for up to 60 months.   SSA uses a Program Manager as an intermediary to facilitate the relationships between beneficiaries and EN.  As an economic policy, this strategy is budget neutral.   Among the operational concerns are: the complexity of the SSA programs for both providers and beneficiaries; the high degree of financial risk given the goal and elongated payment structure; lack of providers; and need for education of beneficiaries about the program.

AHEDD is a specialized human resource organization with a mission to serve the community as a catalyst in the employment and development of persons with disabilities.  The non-profit organization based in Camp Hill, PA operates through a network of field office throughout PA and DE.   Using a core group of Employment Network Coordinators, AHEDD will demonstrate an effective and financially self-sustaining program.    For further information, contact John Miller, Project Director at (717) 763-0968, ext. 118 john.miller@ahedd.org  or Alyssa Brenneman, Employment Coordinator at (412) 381-3313 alyssa.brenneman@ahedd.org

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Systems Change – Personnel & Leadership

The employment industry for persons with disabilities contains a myriad of public and private organizations striving to maximize the independence of its customers by facilitating effective and long-lasting employment.

As an organization operating within this industry, AHEDD recognizes that its own workforce is the single greatest asset which is used to achieve its mission.  There are challenges to recruiting and maintaining a quality workforce.   As a decentralized regional organization, AHEDD is relatively thin within each community where it operates.  This places a great emphasis on maintaining staff complements to ensure case load management and continuity when experiencing turnover.    The agency tracks turnover and associated variables on a quarterly basis, reporting through a Personnel Committee to the Board, which continues to maintain a high degree of interest in this matter.   The most prevalent position for the agency is Employment Specialist, and at the start of the FY 04-05, 40% of these staff had 4 or more years experience with AHEDD.

By participating in a number of unique projects throughout its areas of operations, AHEDD has been able to develop career enhancing opportunities for selected staff.   Most recently, AHEDD has begun an executive development program in order to identify and develop staff for continuing leadership roles and agency succession planning.

During the last few years, AHEDD has expanded from mostly large urban and cities to deliver services in smaller communities and rural areas.   A basic strategy has been to operate without offices, but rather with staff working from home offices or community locations.  Customer data, service notes, as well as personnel information, such as time records are facilitated electronically through a web-based data system, AHEDD Information Management System (AIMS).

For nearly ten years, AHEDD has featured a quarterly commission program to provide a significant portion of compensation through a team based “pay for performance.”   Each year this program is adjusted for goals and priorities of the agency as well as key sponsors.  Currently this program represents approximately 12% of program staff compensation.   AHEDD continues to enhance this program which is expected to continue become a greater component of the compensation. 

AHEDD has begun FY 04-05 with 75 employees including 58 fulltime and 17 part-time.   This is a 15% increase over 2 years, and 34% over a 4 year period.     Regionally, 44% of AHEDD’s workforce in based in Central PA; 25% in the Philadelphia area, 15% in Western PA; 13% in Northeast PA; and 3% in DE.   Over 15% of AHEDD’s workforce are minorities, and in addition, over 15% are persons with disabilities. 

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The Ticket to Work and Work Incentives Improvement Act

 The Ticket to Work and Work Incentives Improvement Act (TTWWIIA) of 1999 represents a profound shift in public policy in which individuals historically had been determined “unable to work” by virtue of their disability.  It is targeted to working aged persons with disabilities who receive or qualify for Supplemental Security Income (SSI) and/or Social Security Disability Insurance (SSDI).   While these programs provide essential income and health care supports, they have ironically emerged as significant barriers to employment and economic development. 

Lack of information, fear, and misconceptions are common among beneficiaries.  Most beneficiaries do not know the real impact of earned income on their SSA benefits.  In response, SSA has developed agreements under the Benefits Planning Assistance & Outreach (BPAO) Program.  BPAO Staff have been trained and certified as benefits specialists and provide individualized counseling to any individual 14-64 who is receiving SSA benefits and has interest in employment.   There are diverse work incentives readily available which go unused.   Furthermore, by having limited understanding of their responsibilities rules, many beneficiaries subject themselves to overpayments when making efforts to return to work.  The BPAO Program represents a bold step by SSA to collaborate with local organizations. 

Some individuals who could work to significant income levels are concerned that their disability may later force them to reduce work or stop working completely.  As a result, a new incentive “Expedited Reinstatement” enables a person who terminates from SSA due to work to have a five year window of automatic reinstatement if his/her disability of record prevents or limits their employment.  This incentive is so new that there is little data on its utilization.  It represents a major safety net for beneficiaries considering return to work.   Loss of Health Care has been an obstacle for many beneficiaries.  As a result, SSA has extended Medicare eligibility for SSDI beneficiaries.  In partnership with CMS (Center for Medicare & Medicaid Services), the PA Department of Public Welfare has implemented the Medical Assistance for Workers With Disabilities (MAWD), which expands Medicaid eligibility for persons who work.

Finally, many beneficiaries, advocates, and SSA have felt that there are not sufficient programs or agencies which will deliberately focus on facilitating employment for SSA beneficiaries.   As a result, SSA has initiated the Ticket to Work – Employment Network Program.   This program is still in its infancy, having just begun in PA in November 2003.  SSA beneficiaries receive a “ticket to work.”   Like other work incentives, the “ticket to work” is a voluntary option for an SSA beneficiary.   By choosing to use the ticket, one is expected to return to work in the near future, earning substantial gainful activity and/or to terminate from federal cash benefits.   If one chooses to use his/her ticket, one seeks an Employment Network (EN) and jointly develops a plan.   If a beneficiary is not satisfied with the services of the Employment Network selected, one simply informs the SSA Program Manager (Maximus) and ends the relationship.   This is a new work incentive – one among an array available to beneficiaries.

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Facility Based Training for Persons with Disabilities 

Throughout its history AHEDD has advocated that facility based training, i.e. sheltered workshops, should not be the preferred nor primary community option in lieu of gainful employment.   In short, vocational training is a process which should result in competitive employment.  “Competitive work” refers to employment for wages at or above the minimum wage consistent with earnings to persons with no apparent disabilities with similar job duties.   Generally competitive employment occurs in an integrated work setting, one which includes routine opportunities to interact with employees and/or customers with no apparent disabilities, assuming that such interaction is inherent within the context of the job. 

The General Accounting Office (GAO) has reported that the U.S. Labor Department (DOL) continues to ineffectively manage the special minimum wage program for persons with disabilities.   A September 2001 report of special minimum wage certificates issued by the department's Wage and Hour Division (WHD) estimates that 5,600 employers, nationwide, paid special minimum wages to about 424,000 workers with disabilities. Section 14(c) of the Fair Labor Standards Act (FLSA) authorizes DOL/WHD to issue special minimum wages certificates to employers of persons with physical or mental disabilities.

GAO estimates that 74% of workers who are paid special minimum wages by work centers have mental retardation or another developmental disability as their primary disabling condition; 46% have multiple disabilities. More than half of the workers employed under Section 14(c) certificates earn $2.50 an hour or less.  In addition, 86% of 14(c) workers are employed on a part-time basis.  Although the goal of work centers is to prepare workers for employment in non-sheltered setting, there is relatively little movement from these programs. According to the GAO, only 5% of 14(c) workers left work centers to take jobs in the community earning either at or above the minimum wage or at a special sub-minimum wage.  More than half of 14(c) workers have been employed by a work center for five years or more; and some individuals have been in such centers for over twenty years.

With the advent of Supported Employment in 1985, public policy reflected the realization that vocational rehabilitation for many persons with severe disabilities did not need to begin with, nor even include segregated vocational training.  A 1996 amendment to the Rehabilitation Act has prevented state vocational rehabilitation agencies from claiming a successful closure within a sheltered workshop.   The 1999 Olmstead decision interpreted Title II of the Americans with Disabilities Act (ADA) and its implementing regulation, requiring States to administer services, programs, and activities "in the most integrated setting appropriate to the needs of qualified individuals with disabilities."  Many have suggested that this decision will have future bearing on sheltered workshop programs.   

Understandably many individuals remain in these programs for a number of reasons, including: a sense of safety; predicable and convenient work schedule and transportation; bonding with staff and fellow trainees; and a sense of accomplishment in available assignments.  Nevertheless, the New Freedom Initiative seeks integration, equality of opportunity and economic self-sufficiency for people with disabilities.

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Medicaid Buy-In & Medicaid Infrastructure Grant

Many Americans with disabilities want to work but are discouraged from doing so by barriers in the current system of benefits and supports.  The Ticket to Work and Work Incentives Improvement Act of 1999 seeks to address many of these barriers.  This Act expands Medicare and Medicaid coverage for certain categories of employed individuals with disabilities because people with disabilities have continually identified the loss of health care coverage as one of the major obstacles that they face as they return to work.  The Act also provides improvements in employment supports from other federal agencies.  Most importantly, the Act is a commitment to people with disabilities that they can and should be productive members of the country’s workforce. 

The Act provides states the option to offer Medicaid buy-ins to employed people with disabilities through two optional eligibility groups.  The first optional group is for individuals from age 16 through 64 who would meet the eligibility requirements for the Supplemental Security Income program but for higher earnings or resources.  The second optional group, referred to as the Medical Improvement Group, is for people who, at one time, were eligible under the first optional group but who are determined to have medically improved at a regularly scheduled continuing disability review (CDR).

Medicaid Infrastructure Grants (MIG) were created to provide financial assistance to states to facilitate the competitive employment of people with disabilities through (a) Medicaid buy-in opportunities under the Medicaid state plan, (b) significant improvements to Medicaid services that support people with disabilities in their competitive employment efforts, and (c) providing comprehensive coordinated approaches across programs to removing barriers to employment for individuals with a disability.

Key elements of the MIG in PA include:

  • Coordination of the Advisory Committee for Employment (ACE);
  • Demonstrations projects for a one-stop model through the Career Link System in Pittsburgh and Schuylkill County;
  • Major marketing campaign for the Medical Assistance for Workers with Disabilities (MAWD);
  • Administered mini-grants to local grass roots organizations as a means of promoting MAWD;
  • Study on a backup model for personal attendant services;
  • Coordinate direct mailings of the “Customer Guide to the Ticket to Work” and MAWD information kits to working-aged Social Security beneficiaries with disabilities in PA.

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Business Development – Job Development

As a component of Community Employment Services (e.g. Job Coaching and Supported Employment), AHEDD regularly canvasses the business community to identify employment for program participants.

AHEDD strives to develop a partnership with business by eliciting needs and interests from business representatives.  As a Specialized Human Resource Organization, AHEDD provides Employment Services to individuals with a disability.  All individuals are prescreened and in many cases are assessed to predetermine ability to perform or succeed in skilled positions.   AHEDD provides assistance to ensure a smooth transition by providing on site training (job coaching), assistance with the completion of paperwork and follow up with the employer, and with the individual, the employee.  Follow up allows AHEDD to continue to assess the situation and offer assistance, where and when needed, to aid in the success.   AHEDD is performance based and focuses on retention

Tax Credits are available and AHEDD can assist in obtaining  necessary paperwork. 

Job Development is a method of securing employment and should be tailored to meet the needs employer, as well as the abilities of the individual.  Once a determination of an individual’s interests and abilities, taking into consideration transportation needs, has been made, job development should be conducted at such companies that may fit the individual.  Discussion of the employer’s need for employees and the types of positions available is important in the initial contact with a company.  Creating positions may come later or may be discussed with examples of various local businesses’ experience.  

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Performance, Accountability & Quality

Organizational goals are set, as well as goals for individual offices, that are designed to set standards of performance for the organization.  With many providers contracting services based on performance, it is necessary for activity to be achieved in order to satisfy the funding source.

Through the Plan of Service, individual goals and objectives are established for participants.  These goals and objectives are designed to assist AHEDD in achieving quality activity within the realm of the contract and needs of the participant. 

AHEDD establishes and monitors organizational objectives including:

Employment Services:

  • New Persons Served 

    FY 03-04 Goal- 674

    FY 03-04 YTD- 763

    FY 04-05 Goal- 709

     

  • New Persons Placed 

    FY 03-04 Goal- 491

    FY 03-04 YTD- 404

    FY 04-05 Goal- 523

     

  • Avg. Monthly Earnings

    FY 03-04 Goal- $664

    FY 03-04 YTD- $752.90

    FY 04-05 Goal- $692

     

  • % Retention for 90 days

    FY 03-04 Goal- 80%

    FY 03-04 YTD- 73.85%

    FY 04-05 Goal- 80%

Benefits Counseling:

  • Number of New Persons Provided Benefits Counseling 

FY 03-04 Goal- 500

FY 03-04 YTD- 521

FY 04-05 Goal- 500

Personnel:

  • Reduce Turnover to 20% or Less

FY 03-04 Goal- 20%

FY 03-04 YTD- 20%

FY 04-05 Goal- 18%

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