Squeezing Long-Term Supports Out of a Short-Term Program: Independence Issues and Supported Employment

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Abstract
The current dilemmas associated with the philosophy behind independence and supported employment are presented. In particular the authors define the concept of independence in rehabilitation in several ways: independence as productivity, Independence as the absence of barriers, independence as autonomy, and independence as the absence of support. These various definitions are consistent with many supported employment practices but have been narrowly defined for the purposes of funding and regulations. Additionally, the authors present one state's implementation of supported employment, as an example of the competing goals of state funding formulas and the need for long-term supports. A need for new funding formulas and regulations directed at ongoing and natural support is explained.

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