Document Type

Occasional Paper

Publication Date

Fall 10-2018


Integrated Employment, Employment First, Systems Change, IDD, Intellectual and Developmental Disabilities, Employment, ThinkWork


Disability Law | Psychology | Rehabilitation and Therapy | Sociology


This brief summarizes data collected from key informants in Maryland about the state’s efforts to support integrated employment for people with intellectual and developmental disabilities (IDD). It highlights features that contribute to the effectiveness of Maryland’s collaborative structures that have resulted in the state’s success in achieving integrated employment outcomes for individuals with IDD across three state systems: IDD, vocational rehabilitation (VR), and education. Presentation of these features is organized by the seven elements of the Higher-Performing States Employment Framework. These elements have been found to be important in achieving higher rates of competitive integrated employment outcomes for people with IDD.


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