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Competitive Integrated Employment

Supported Employment and Job Coaching in Philadelphia

Job discovery, placement, and on-the-job coaching that helps adults with autism and intellectual disabilities find real jobs, at real wages, alongside coworkers without disabilities.

What Is Supported Employment?

Supported employment helps people with autism, intellectual disabilities, and other developmental disabilities obtain and keep competitive integrated employment β€” a regular job, in a regular workplace, earning at least minimum wage, working alongside coworkers who do not have disabilities.

This is a meaningful distinction. For decades, the default for adults with IDD was sheltered work: segregated settings, sub-minimum wages, and no path out. The field has moved decisively away from that model, and rightly so. The evidence is clear that people with significant disabilities can work successfully in the general labor market when the job is well-matched and the support is well-designed.

Our role is to make that match and provide the support. We help identify what work genuinely fits, connect with employers, and then coach on the job until the person is competent and integrated β€” and stay available afterward.

The strongest predictor of employment success is not the severity of a person's disability. It is the quality of the job match and the reliability of the support around it.

Who Employment Support Is For

Adults with IDD

Adults with intellectual or developmental disabilities seeking their first job or a better one.

Autistic Adults

Individuals on the spectrum, including those whose skills are strong but whose interview performance undersells them.

Transition-Age Youth

Students and recent graduates moving from school into the working world.

Workers Needing Support

People currently employed who are struggling and at risk of losing a job that could be saved.

Career Changers

Individuals in a poor-fit job who want work that matches their actual strengths.

Returning to Work

People re-entering employment after a gap due to health, life change, or a previous negative experience.

What Our Employment Services Include

Discovery of strengths, interests, and conditions for success
Situational assessment in real work environments
RΓ©sumΓ© development and application assistance
Interview preparation and practice
Employer outreach and job development
Negotiating job duties and customized roles
Disability disclosure guidance and decision support
Requesting and arranging reasonable accommodations
On-site job coaching and task training
Building natural supports among coworkers
Systematic fading of the job coach's presence
Transportation planning and travel training
Benefits awareness and coordination with counselors
Long-term follow-along support after placement
Problem-solving and support during workplace conflict

Our Approach

Discovery before placement

We do not start with a list of job openings. We start with the person β€” what they are good at, what they enjoy, what environments they can sustain, what conditions cause problems. Placing someone into whatever is available is the fastest route to a job that ends badly in six weeks.

Customized and carved roles

Many strong job matches are not off-the-shelf postings. They are roles built by identifying unmet needs in a business and shaping a position around what the person does well. This takes more employer relationship work, and it produces more durable placements.

The employer is a customer, not a charity

We approach employers on a business basis: here is a reliable worker who solves a real problem for you. Employment built on sympathy does not survive the first difficult quarter. Employment built on genuine value does.

Fading the coach deliberately

A job coach who never leaves marks the person as permanently different and blocks natural relationships with coworkers. We plan the fade from day one, transferring training and support to supervisors and colleagues wherever possible.

Follow-along that is real

Most job losses happen months in, when a supervisor changes, duties shift, or a conflict goes unaddressed. Ongoing follow-along support catches these early, when they are still fixable.

How the Process Works

1

Referral and Intake

We discuss employment goals, work history, funding, and any prior experiences β€” including ones that went badly.

2

Discovery

We spend real time learning strengths, interests, ideal conditions, and potential barriers, often including situational assessment in actual workplaces.

3

Employment Plan

We identify target industries and roles, and outline the supports likely needed for success.

4

Job Development

We approach employers, present the candidate on business terms, and pursue or negotiate a suitable role.

5

Hiring Support

We assist with applications, interview preparation, disclosure decisions, and accommodation requests.

6

On-Site Coaching

A job coach provides training and support at the worksite, learning the job thoroughly in order to teach it.

7

Fading and Follow-Along

Support is reduced systematically as competence and natural supports grow, with continued periodic check-ins.

Funding and Eligibility in Pennsylvania

Employment services for people with disabilities in Pennsylvania are funded through several routes. The Office of Vocational Rehabilitation (OVR) commonly funds job placement and initial coaching, while the Office of Developmental Programs funds ongoing supported employment for individuals enrolled in waiver services. Many people use both, sequentially.

The interaction between these systems is genuinely confusing, and a lot of people give up somewhere in the middle. If you tell us your situation, we will help you figure out which door applies to you.

A common worry is that earning wages will jeopardize benefits. There are established work incentive provisions designed specifically to address this, and the answer is rarely as bleak as people fear. We strongly recommend speaking with a benefits counselor before making decisions β€” and we can help you connect with one.

Why Employment Matters

The employment rate for adults with intellectual disabilities remains dramatically lower than for the general population, and far below what people are actually capable of. That gap is not primarily explained by ability. It is explained by low expectations, poor job matching, inadequate support, and employers who have never been approached properly.

Work provides income, but it also provides structure, identity, coworkers, a reason to leave the house, and a place where a person is valued for what they contribute. For many of the people we support, a job is the single largest improvement available to their quality of life.

We take that seriously, and we do not treat employment as an optional add-on for the most capable few.

Employment Support Questions

What does competitive integrated employment mean?

It means a regular job in the general labor market, paying at least minimum wage and the same wage as coworkers doing similar work, in a workplace where the person works alongside employees without disabilities. It is distinct from sheltered workshops or segregated enclave work.

Will working affect Social Security or Medicaid benefits?

Working can affect benefits, but there are established work incentive provisions specifically designed to let people work without abruptly losing coverage. The specifics depend on which benefits a person receives and how much they earn. We strongly recommend speaking with a certified benefits counselor before making decisions, and we can help you connect with one.

Does the person have to disclose their disability to an employer?

Not necessarily. Disclosure is a personal decision with real trade-offs. Disclosure is generally required to request formal accommodations, but there is no obligation to disclose otherwise. We help people think through the decision in their specific situation rather than applying a blanket rule.

How long does job coaching last?

Intensive on-site coaching is most concentrated in the early weeks and is faded systematically as the person becomes competent and natural supports develop. Follow-along support continues afterward at a lower intensity, because most job losses happen well after the initial training period.

What if the person has never worked before?

That is very common and not a barrier. Discovery and situational assessment are designed precisely for this β€” identifying strengths and preferences through real experience rather than a work history that does not exist yet.

What kinds of jobs do people get?

It depends entirely on the individual. Placements span retail, food service, warehousing, office and administrative support, animal care, groundskeeping, manufacturing, healthcare support, and many others. The right answer is whatever genuinely matches that person's strengths and interests β€” not whatever is stereotypically assigned.

What happens if the job does not work out?

It is not a failure, and it is not the end. Sometimes a match is wrong, a workplace changes, or circumstances shift. We work to identify problems early and resolve them, and if a job does end, we help the person regroup and pursue a better fit with what we learned.

Can you help someone who already has a job but is struggling?

Yes, and this is often the highest-value work we do. Job retention support β€” coaching, accommodation requests, mediating with a supervisor, adjusting routines β€” can save a job that would otherwise be lost, which is far easier than finding a new one.

Serving Philadelphia and the Surrounding Region

We provide services throughout Philadelphia and the surrounding southeastern Pennsylvania counties. If you are unsure whether your address falls within our service area, call us and we will confirm coverage and, where we cannot serve you directly, help point you toward a provider who can.

Philadelphia County Montgomery County Delaware County Bucks County Chester County

Ready to Start Working?

Let us talk about what kind of work fits, what supports are available, and how to get started.

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