Transformation of Services

Community provider organizations in Iowa are facing tremendous change. There is a shift in expectation that the first and preferred outcome in the provision of publicly funded employment services for Iowans, regardless of the level of disability, is employment in the general workforce at/or above minimum wage. Changes happening in the service system are accelerating organizational transformation from sheltered workshops to community-based supports, creating both opportunities and challenges for Iowa’s service providers. So, now more than ever, it is crucial for provider agencies to have quality information, resources, and support to assist them with successfully navigating this transformation of service. This page is your go-to-resource to learn more and access resources related to employment service transformation and strengthening community employment programs.

Employment First State Leadership Mentoring Program (EFSLMP) Provider Transformation Manual and supporting materials from their Provider Transformation Manual Virtual TA Series occurring right now. You will find an archive of the series below, which is lead by national subject matter experts, along with their presentation materials, and additional resources outlined in the manual. The manual contains modules based on ODEP's developed set of Criteria for Performance Excellence in Employment First Provider Transformation which includes seven key elements: Leadership; Strategic Planning; Customer Focus; Workforce Focus; Operations Focus; Results; and Ongoing Measurement, Analysis, and Knowledge.

Webinar #1:  Leadership and Setting the Tone for Change

Webinar #2:  Strategic Planning

Webinar #3:  Making It Happen (Operations Focus) & Funding

Webinar #4: Individualized Planning & Services

Webinar #5: Reorganizing Staff for Transformative Change

Webinar #6: Measuring Results & Beyond Transformation 

Provider Transformation from a Rural Perspective: This January 2017 webinar, hosted by Employment First State Leadership Mentoring Program (EFSLMP), featuring Dwayne Webb, Director for Employment and Day Services St. John’s Community Services-Tennessee. Dwayne is the current Tennessee APSE President and serves on the Employment 1st Task Force created by Governor Bill Haslam. Dwayne transformed his former agency’s segregated sheltered workshop and day habilitation programs to 100% fully integrated service models focused on employment and community participation. Dewayne shares a framework and a three-phase timeline for transformation of services, and St. John’s success stories.

ThinkWork!RRTC on Advancing EmploymentThis project is home to research, training, and outreach activities that promote employment for individuals with intellectual and developmental disabilities (IDD). RRTC is a project of the Institute for Community Inclusion at the University of Massachusetts Boston. Research and activities supported by RRTC include increasing the effectiveness of employment consultants and building capacity and supporting organizational transformation for CRPs.

RRTC Brief - Essential Elements in Organizational Transformation: Findings from a Delphi Panel of Experts: The findings from Institute for Community Inclusion’s (ICI’s) Delphi Process on Organizational Transformation can guide providers as they work to transform their services. These findings support the prioritization of goals and the development of key action areas that have proven successful. In this brief, they will: 1. Share ten essential elements in organizational transformation ranked in their order of importance according to ICI’s Delphi process, and 2. Offer a set of considerations to providers as they move their organizational transformation efforts forward.

Guide for Provider Transformation to an Employment First Service Model: This Guide, authored by TennesseeWorks and in partnership with their state and federal partners, was developed to provide a transformation model for other provider agencies to learn from and utilize. This guide provides framework questions and five transformational change strategies, selected from the literature, and reviewed with examples of transformation from two Tennessee providers. These examples help to illustrate how structure, strategy, and systems change can come together and highlights the process of successful transition.

Community Rehabilitation Programs & Organizational Change: A Mentor Guide to Increase Customized Employment Outcomes: Virginia Commonwealth University (VCU), in partnership with the Institute for Community Inclusion (ICI) developed this T-TAP Mentor Guide to provide information to CRPs on how to approach organizational change designed to improve employment outcomes. This guide was developed based on the experiences of providers, mentors and project staff as they provided technical assistance and training in organizational change. Topic areas include mentorship as an approach, lessons learned on organization change, supporting organizational restructuring, and elements of employment services change. You will find in Appendix 6 (pg. 81) of the guide eighteen different T-TAP Fact Sheets on Customized Employment, Employment Negotiations, Organizational Change, Changing Staff Roles and Development, Funding, etc.  

Ensuring Excellence in Community-Based Day Supports: A Guide for Service Providers & Staff: Written by David Hoff, Cori Di Biase, and Genni Sasnett, this publication is a guide for service providers in developing and operating community-based day support (CBDS) services in a way that will ensure a consistent high quality of services that fully supports and embraces the vision for CBDS, resulting in a richer and fuller life that maximizes community integration and employment for individuals with IDD.

Transformation of Center-based Work into Integrated Opportunities for People with Disability in New York: Analysis and Recommendations for Center-based Employers: This paper from New York Makes Work Pay (make a link, provides the historical context of the development of work centers and other segregated employment for persons with disabilities, an overview of the research that supports work center transformation, and attitudinal factors challenging transformation. User-friendly charts describe the primary transformational challenges to be considered at the individual, agency and systems levels, and also include practical recommendations and service strategies that can be explored and adopted to address each identified barrier and their implications. This section concludes with a chart providing brief descriptions of many of the integrated employment options that might be considered as alternatives to segregated work.

Some Lessons Concerning Agency Transformation Towards Personalized ServicesThis article, from the International Initiative for Mental Health Leadership (IIMHL), featured in The International Journal of Leadership in Public Services, describes the key learning outcomes that came from the examination of the experience of eight American community-based agencies that altered their service practices from an exclusive reliance on group and fixed models of service, to models of service that were exclusively individualized for the entirety of the people they served. It examines the key lessons learned as to what drove this process and what did not, as well as what some of the critical comparative outcomes were. A significant core factor cited repeatedly was values-based leadership from within the agency concerned and a key result was that individualized services for every person served were very cost competitive in the systems they were in.

Transformation & SE Program Development Webinar Training Archive: Follow this link to a series of webinars offering discussions and training around the transformation of services and Supported Employment program and team development from a variety of subject matter experts from across the country including Michael Callahan, Lisa Mills, and Abby Cooper.

Meeting Note Archive: Connect, Converse, Conspire