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Keller, J. (2003). Using PAS service in Vermont to support employment-Part One: Current programs, promising practices and next steps for study. Burlington, VT: Keller & Fuller, Inc.
Abstract
This report summarizes PAS programs and employment support services in Vermont relevant to people with psychiatric and cognitive disabilities. PAS programs administered by the state's Department of Aging and Disabilities, including PAS provided under the state's Medicaid plan, usually do not cover services provided in the workplace. Eligibility standards for these PAS programs may favor physical rather than cognitive disabilities, and covered services do not include cognitive supports such as cuing, prompting, and encouragement.
On the other hand, HCBS waiver programs targeted to people with serious mental illness, development disabilities, and traumatic brain injury cover employment-related services and cognitive supports, although these programs carry certain restrictions. Outcome studies show that participants in the waiver program for people with mental illness who received employment supports had better employment outcomes than those who did not.
The report describes promising practices in state Medicaid plans and waiver programs in West Virginia, Utah, and Oregon that cover employment-related PAS services, including workplace PAS, and that cover an expanded range of PAS services helpful to people with mental illness and cognitive disabilities.
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