Robland’s Home Health Care Employment Support Service

Robland Home Health Care Services provides Employment Support Services in-home care for people approved for BI, CAC, CADI, and DD waiver plan and assessed need in coordinated services and supports plan (CSSP) for employment support service. Employment Support Services help people maintain paid employment in integrated community businesses/settings.

People with disabilities or older Minnesotans who need certain levels of care may qualify for waiver/AC programs. These programs are available to people who choose to reside in the community and meet the eligibility criteria:
Alternative Care (AC): For older Minnesotans who require the level of care provided in a nursing facility and who are not yet eligible for Medical Assistance.

Brain Injury (BI) Waiver: For people with a traumatic, acquired or degenerative brain injury who require the level of care provided in a nursing facility that provides specialized services for people with BI, or who require the level of care provided in a neurobehavioral hospital.

Community Alternative Care (CAC) Waiver: For people who are chronically ill or medically fragile and require the level of care provided in a hospital.

Community Access for Disability Inclusion (CADI) Waiver: For people with disabilities who require the level of care provided in a nursing facility.

Developmental Disabilities (DD) Waiver: For people with developmental disabilities or related conditions who require the level of care provided in an intermediate care facility for persons with developmental disabilities (ICF/DD).

Elderly Waiver (EW): For older Minnesotans who require the level of care provided in a nursing facility.

Supported employment is an evidence-based practice in which direct support professionals (DSPs) help individuals with intellectual and developmental disabilities (IDD) find, secure, and maintain competitive jobs alongside other members of their community. With this support, those individuals with IDD who are willing and ready to work can quickly find jobs that might otherwise be difficult to attain.
Supported employment is not a new practice. In fact, the number of individuals receiving supported employment has climbed significantly over the years. An early study of supported employment found an increase in persons using supported employment rising from less than 10,000 in 1986 to more than the popularity of supported employment has only continued to climb since then, providing even more employers with talented, eager employees.
While there are many benefits of supported employment for persons with disabilities, perhaps the biggest benefit is that it is often the first step toward a better quality of life.

Why is Supported Employment Important?

There are many benefits of supported employment for individuals with IDD and for the health and human services organizations that support them. These benefits include:

Expanded Service Offerings

Supported employment is a great way for health and human services organizations to expand the services they provide to individuals with IDD. Individuals with IDD frequently report a desire to work in their communities as a way to increase their earnings, gain respect, and improve the quality of their social relationships. By offering supported employment services, health and human services organizations help these individuals find meaningful employment and thrive in a professional setting.

Improved Employment Outcomes
Supported employment leads to more competitive, higher-paying employment opportunities for individuals with IDD compared to other job-readiness training programs. One study published in the National Library of Medicine found that between 40% and 60% of individuals enrolled in supported employment successfully obtain competitive employment, compared to less than 20% of similar individuals not enrolled in a supported employment program.

Economic Independence
Individuals with disabilities live in poverty at almost twice the rate of those without disabilities. In fact, individuals with disabilities make up only 12% of the U.S. working-age population and account for more than half of those living in long-term poverty. These numbers are supported by the fact that only 32% of working-age people with disabilities are employed compared to 73% of those without disabilities. As a result, more than 65% of the 17.9 million working-age adults with disabilities participate in at least one safety net or income support program. Supported employment helps bring individuals with IDD out of poverty, reducing or eliminating their need to rely on social services. It also helps health and human services organizations alleviate the strain on their other program offerings while helping individuals with IDD create more fulfilling lives for themselves.

Confidence and Sense of Self-Worth
With the right guidance and support, anything is possible for individuals with IDD. Supported employment helps individuals with IDD prepare for and attend an interview, connect with their employers, and perform their duties with attention and care, boosting their confidence in their abilities. It also focuses on finding jobs where individuals with IDD are working alongside peers without disabilities, further increasing their sense of self-worth.

Make the Most of Supported Employment
Supported employment is an effective method for helping individuals with IDD improves their quality of life through competitive employment opportunities. It also empowers health and human services organizations to expand their programs and increase client satisfaction.

Employment Support Services is provided in direct contact and not direct contact. Employment Support Services direct contact:

1. Job analysis
2. Job re-design
3. Coaching and supporting acceptable workplace self-care, proper dress, personal hygiene and grooming.
4. Job training and coaching to strengthen and maintain necessary work skills, behaviors and coworker relationships.
5. Job-related counseling and support, including help understanding earned wages and impact on benefits.
6. Training and coaching the person on job-related transportation
7. Progress review and reporting meetings
8. In-service transportation

Employment Support Service non-direct contact:

1. Arrangement for adaptive accommodations (e.g., modified work tasks or responsibilities, flexible schedules, telecommuting, etc.)
2. Arrangement for assistive technology (e.g., ergonomic workstations, magnifiers, speech-to-text or text-to-speech software, captioning, audio or visual cueing, etc.)
3. Advocacy, negotiation and liaison communication with the employer.
4. Development and strengthening natural work supports
5. Research and coordination for job-related transportation.
6. Working with the employer to design and implement set schedules for ongoing follow-up support, job coach sharing, fading out and monitoring.
7. Formation of skilled, job-specific, work crews and job enclaves for group employment support service arrangements
8. Data collection, documentation and progress reports on a person’s work performance
9. Benefits(s) fact gathering, review and analysis to determine how a change in circumstances will affect benefits.

Self-employment and microenterprise business support services that require direct contact with the person include:
1. Training, coaching and support services for helping with effective day-to-day operations of all aspects of the business (i.e., marketing, sales, production, order fulfillment, customer service, business technology, bookkeeping, file record maintenance, purchasing, inventory control, financial management, accounting, timely tax reporting and legal compliance)
2. Help with identifying other needed external business resources and services to assist with the continued development and support of the business enterprise
3. Ongoing analysis and consultation to identify needed supports
4. Design and implementation of set schedules for ongoing, follow-up support
5. Business-related counseling and support, including help understanding earned wages and impact on benefits

Robland Service Offerings

Robland Home Health Care provides services through Medical Assistance and Waiver Programs as well as private pay for the services listed below.

  • Personal Care Assistance
  • Home Making
  • Individual Community Living Supports (ICLS)
  • Adult Companion Care (ACC)
  • Personal Support
  • Respite Care
  • 24-Hour Emergency Assistance
  • Night Supervision
  • Independent Living Skills (ILS)
  • Semi-independent Living Services (SILS)
  • Individualizes Home Supports