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1.
Intellect Dev Disabil ; 58(6): 458-471, 2020 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-33290531

RESUMO

This study reports on state-level data in Rhode Island on employment and non-work activities of adults with intellectual and developmental disabilities receiving services between 2011 and 2017. The goal was to examine the complex patterns of change over time in individual-level employment outcomes and the potential short-term impacts of a consent decree entered into by the state of Rhode Island to address integrated employment outcomes. Findings suggest that policy initiatives such as the consent decree can lead to reductions in reliance on facility-based work, but also highlight the importance of planning for the transition to competitive, integrated employment and not simply a shift toward non-work activities. Further, the data support the notion that the best predictor of integrated employment over time is previous experiences in integrated employment (not facility-based or other work or non-work activities), suggesting the role of ongoing supported employment and transition services that create and support the maintenance of integrated employment.


Assuntos
Serviços Comunitários de Saúde Mental/tendências , Deficiências do Desenvolvimento/reabilitação , Readaptação ao Emprego/tendências , Deficiência Intelectual/reabilitação , Reabilitação Vocacional/tendências , Adulto , Inquéritos Epidemiológicos , Humanos , Análise de Regressão , Rhode Island
2.
Am J Intellect Dev Disabil ; 125(3): 217-229, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32357107

RESUMO

The purpose of this study was to examine self-determination outcome data in the year following a one-year cluster randomized controlled trial (C-RCT) comparing the impacts of a Self-Determined Learning Model of Instruction (SDLMI) only condition to a SDLMI + Whose Future Is It? (SDLMI + WF) condition. Using multilevel B-spline model analysis with Bayesian estimation, we examined ongoing patterns of growth after the trial ended and all students were exposed to SDLMI + WF. The findings suggest that the inclusion of an additional year of outcome data provided additional insight into the impact of more intensive intervention conditions over time. Specifically, after the initial year of implementation, the SDLMI + WF condition predicted greater annual gains than the SDLMI only condition, unlike findings in the first year which reflected the opposite pattern. This evidence suggests a nonlinear growth pattern over multiple years of intervention with more intensive interventions. Implications for future research and practice are discussed.


Assuntos
Educação Inclusiva/métodos , Deficiência Intelectual/reabilitação , Aprendizagem , Avaliação de Processos e Resultados em Cuidados de Saúde , Autonomia Pessoal , Criança , Feminino , Humanos , Aprendizagem/fisiologia , Masculino , Modelos Psicológicos , Estudantes
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