Employment Services

Employment Services

Meet the Staff


Melissa Culley
Melissa Culley

Assistant Director of Community Supports

(1)   Population(s) served: MDS provides employment services to individuals developmental disabilities ages 16+.

(2)   Settings: These services are facility-based, as well as in their place of employment.

(3)   Hours of services: Employment services typically take place during regular business hours Monday through Friday, however based on the clients' needs, staff may work outside of these hours. Services may also be provided on the weekends.

(4)   Days of services: Employment services typically take place Monday through Friday; however, services may also be available on the weekends.

(5)   Frequency of services: Frequency of services is determined by the individual and their team. It is based on the individual's needs, goals and budget. It is recommended, for consistency and progress, that client’s receive services at least 1 time per week.

(6)   Payers and funding sources: Employment services are typically funded through the Medicaid Waiver, however private pay options are also available.

(7)   Fees: The service rates are based on the funding source. Private pay rates are available as well.

(8)   Referral sources: Most referrals come through word of mouth, current clients and families, and case managers. The Medicaid Waiver utilizes a "pick list" which identifies providers within a geographic area.

(9)   The specific services offered, including whether the services are provided directly, by contract, or by referral.

  1. Areas of skill development?
     i.     Learn how to complete an application
     ii.     Job interview skills
     iii.     Dressing appropriately for job interviews
     iv.     Effective communication skills
     v.     How to build/create resume
     vi.     Job-specific skills
  2. How will client benefit from services?
  3. Ticket to Work Program: Ticket to Work is a free and voluntary program available to people ages 18 through 64 who are blind or have a disability and who receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits. 
  4. Extended Services
  5. Work Place Assistance
  6. Prevocational Services

Prevocational outline: These services prepare a participant for paid or unpaid employment. Prevocational services include teaching concepts such as compliance, attendance, task completion, problem solving, and safety. Services are not task oriented, but instead aimed at generalized results. Services are habilitative in nature and not explicit employment objectives.

  1. Available under the FSW and CIH waiver
  2. All prevocational services will be reflected in the client’s plan of care as directed to habilitative rather than explicit employment objectives
  3. The participant is not expected to be able to join the general workforce or participate in sheltered employment within 1 year.
  4. This service is available at a 4:1 client to staff ratio

Extended Services outline: These services are ongoing employment support services that enable an individual to maintain integrated competitive employment in a community setting. Individuals must be employed in a community based, competitive job that pays at or above min. wage in order to access this service. The initial job placement, training, stabilization may be provided by OVR. Extended services provide the additional work-related supports needed by the individual to continue to be as independent as possible in community employment. If an individual has obtained this job without the help of OVR, they are still eligible for this service, as long as they meet the qualifications.

  1. Ongoing employment support services are identified in the client’s PCISP and must be related to the client’s limitations in functional areas (for example: self-care, understanding and use of language, learning, mobility, self-direction, capacity for independent living, economic self-sufficiency) as necessary to maintain employment.
  2. Available under the FSW and CIH waiver.
  3. Extended services are provided in integrated community settings where persons without disabilities are also employed. This does not include sheltered work or other similar types of vocational services.
  4. An individual’s PCISP should be constructed in a manner that reflects the individuals informed choice and goals relating to employment and ensures provision of services in the most integrated setting possible. Goals should be designed to support employment outcomes that lead to further independence and are consistent with the individual’s goals.
  5. This service is provided 1:1

Work Place Assistance outline: provides a range of personal care services and or support during paid competitive employment hours and in a competitive community employment setting to enable participants to accomplish tasks that they would normally do for themselves if they did not have a disability.

  1. Assistance could take form of hands on assistance, or promoting the participant to perform a personal care task.
  2. This service may be provided on an episodic or on a continuous basis.
  3. This service is designed to ensure health, safety and welfare of the client, which will in turn assist in the retention of paid employment for the participant who is paid at or above the federal wage.
  4. Available under the FSW and CIH waiver
  5. This service is provided 1:1

Ticket to Work Program: Ticket to Work is a free and voluntary program available to people ages 18 through 64 who are blind or have a disability and who receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits. This helps to smooth the transition from student to adult employment life. Job coaches assist the individual with the resume writing, job searching and interviewing skills. After successful employment has been accomplished, the job coaches follow the individual to help the employer with training or any other employment challenges that arise to ensure a positive and successful employment experience. MDS will partner with local businesses in the community that will be able to work with and assist in employing our clients. Our community and the individuals served benefit from a strong and lasting employment relationship.

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