POLITICS AND REHABILITATION: SERVING THE CUSTOMER, SERVING THE AGENCY, SERVING THE PUBLIC
By Fredric K. Schroeder, PhD
July 5, 1999
I am concerned that consolidation of employment programs, with its corresponding de-emphasis of specialization, is responsible for an increase in the number of proposals in various states to eliminate separate agencies for the blind. These proposals are not based on data, not based on experience, but, rather, they are based on the assumption that consolidation automatically breeds efficiency.
Yet, national data support what we have known intuitively--blind people have unique needs that are best addressed by specialized services provided through separate agencies for the blind. A study concerning the efficacy of separate programs for the blind is about to be published by Cavanaugh, Giesen and Pierce at Mississippi State University. Based on an analysis of Rehabilitation Services Administration (RSA) national data, for fiscal year (FY) 1989 they found that when compared to the more generic combined state rehabilitation agencies, separate agencies for the blind served people who are more socially and economically disadvantaged, have more severe visual impairments, and, have more secondary disabilities. Of all visually impaired individuals, separate agencies for the blind accept a larger percentage of legally blind people, 52 percent versus 42 percent in combined agencies. Separate agencies for the blind provide more comprehensive services, that is, more services to people with the most severe visual impairments and, separate agencies for the blind invest, on average, 61 percent more money in training and other services, $3,597 versus $2,241 in combined agencies. With such a strikingly greater investment, it is not surprising that separate agencies for the blind have a higher "rehabilitation rate," that is, they are successful with a higher percentage of people who are accepted for and receive rehabilitation services. And, contrary to the commonly help belief, separate agencies close a lower percentage of legally blind people as homemakers, and perhaps most significant, people served by separate agencies for the blind are nearly twice as likely to be self-supporting at closure.
The finding of better wages is supported by a more recent analysis by Cavanaugh on FY 1996 data, which concluded that the competitive employment rate of legally blind clients was significantly higher in separate agencies for the blind. These findings and other studies argue for a policy of continued support; in fact, a policy of increased support for separate agencies for the blind. Yet, proposals to consolidate programs for the blind with generic services continue.
What then to do? In recent times, the word politics has become pejorative, at best, virtually synonymous with partisan bickering, posturing, and gridlock. Yet, politics is nothing more than the process by which people express their collective views and seek to create change according to those views. Of course, there has been a long history of blind people supporting separate agencies for the blind, and, when I speak of support, I am speaking of political support, and, of course, blind people are no strangers to political action. Political support is absolutely essential for agencies for the blind to withstand all manner of challenges--threats to funding, threats to staffing levels, and threats to the separate identity of the agency. But, how is political support gained and maintained? How do agencies for the blind win the confidence and trust and most important, the loyalty of blind people in the state? In my view, the answer is quite straightforward; it is by believing in blind people and by recognizing that the blind of the state must have a real voice in shaping the programs and services of the agency--a partnership resulting in good jobs with good wages and with good upward mobility potential--good jobs, not simply the most readily available jobs.
But, everyone believes in good jobs, so what are good jobs and how do blind people prepare for and obtain high quality employment? Blind people must receive good orientation training. Good orientation training is the foundation of effective rehabilitation. It gives blind people the skills and the confidence to pursue a particular occupation or field. Once a blind person has good orientation training, he or she is ready to plan for the future--a challenging job, an interesting job, a job with upward mobility potential. As you know, I strongly believe in the power of education as a way for blind people to lift themselves out of poverty. Of course, not all good jobs require a college education and not all blind people want or need college degrees, but, for those who have the interest and aptitude, a college education is a powerful way of improving their economic status. Karier (1998) in a study entitled "Welfare Graduates: College and Financial Independence" compared what happens to people with four year degrees, two year degrees, high school degrees, and no degree. There are three pieces of information for each of the four categories: 1) average annual wages, 2) percent in poverty, and 3) unemployment rate. Beginning with earnings, the data show that people with four-year degrees have average annual wages of $37,224. People with two-year degrees have average wages of $26,363. Those with high school diplomas have average wages of $20,248. And, finally, people who lack high school diplomas have average wages of $13,697. Look at the range. Those with no degree earn $13,697, and those with four-year degrees earn $37,224, nearly three times as much. Now look at poverty. One and one half percent of people with four-year degrees are in poverty. For people with two-year degrees, 3.3 percent are in poverty. For those with high school diplomas, 6.1 percent are in poverty. Finally, for people who lack high school diplomas, 17.2 percent are in poverty. Again, look at the range. No high school diploma, 17.2 percent in poverty compared to 1.5 percent of people with four- year degrees.
Unemployment also tracks with education. The unemployment rate is 2.8 percent for people with four-year degrees, 3.8 percent for people with two-year degrees, and 6.1 percent for people with high school diplomas. And, for people with no degree, the unemployment rate is 11.6 percent. What a striking difference. Those with no degree have an 11.6 percent unemployment rate while those with four-year degrees only have an unemployment rate of 2.8 per cent. But, these data are for the general population, what about blind people? As is often the case, data do not exist specific to blind people, but there are data for people with disabilities which give, at least some idea about the relationship between education and employment for the blind. For people with disabilities, labor force participation is nearly three times greater for college graduates than for people without high school diplomas. The 1997 Current Population Survey (CPS) published by the U.S. Bureau of the Census indicates that 18 percent of people with work disabilities, with less than a high school education, are in the labor force compared with 53 percent of people with work disabilities who are college graduates. Yet, RSA data from FY 1997 indicate that for people who were successful in finding employment, just 15 percent received college or university training. With this meager investment in higher education, it is not surprising that only 17 percent were employed in professional occupations.
These findings are consistent with the findings of a Longitudinal Study of the Vocational Rehabilitation Services Program. As I discussed with you last year, the Third Interim Report found that people with less than a high school diploma who were successfully placed in employment earned $6.30 per hour, compared with $9.07 for those with any degree beyond a high school diploma.
The Office of Special Education Programs (OSEP) within the U.S. Department of Education has also conducted a longitudinal study (Wagoner, 1992). Findings indicate that a majority of youth with disabilities do not enter the labor market, nor do they enter four-year college programs. The OSEP study found that three to five years after high school, 57 percent of youth with disabilities were employed, but only 43 percent full time and only 40 percent earned more than $6 per hour. Of those employed, the largest single occupational group (26 percent) was employed as laborers while the second smallest occupational group (7 percent) was employed in professional/managerial/sales occupations. And, for youth with disabilities, only 6 percent attended four-year college programs.
The June 1999 Postsecondary Education Descriptive Analysis Reports (PEDAR) indicate that students with disabilities, despite being qualified, are less likely than students without disabilities to enroll in four year programs. But, here is the important finding, PEDAR data also show that students with disabilities who finish a four year program have similar employment outcomes and graduate school enrollments as students without disabilities.
The importance of a college education is particularly evident in light of trends in future employment opportunities. The Bureau of Labor Statistics (BLS) projects that through 2006, most of the occupations with the highest expected number of new jobs will require higher education.
We know that undergraduate and graduate degrees lead to better jobs with better wages and the opportunity to become self-supporting. We also know that good jobs lead to political support by blind people in the state. The challenges facing separate agencies for the blind are significant, but the support of a dedicated and loyal constituency is also significant. Unfortunately, some rehabilitation agencies view their responsibility to be accountable solely in terms of dollars, rather than in terms of high quality employment. Rehabilitation agencies need to economize, but they must not compromise quality for the sake of saving money. It takes money, and a good bit of it, to prepare blind people for good jobs, but good jobs have always been, and will always be the cornerstone of successful, well-run, rehabilitation programs. Not all good jobs require a college degree, but college training is a powerful example of the cost-benefit relationship between training and high quality employment. Pursuing a four-year degree is expensive, but there are few, if any other types of training that can demonstrate such a dramatic and consistent impact on earnings. We want people to go to work, but we want people to have jobs that afford them opportunities for a good standard of living, an opportunity to pursue a career with the chance to advance.
I am very concerned about the move toward generic services. Loss of specialization inevitably leads to shortsighted policies with shortsighted measures of success. The measure of success in the rehabilitation program, is not simply the number of people who go to work, but rather, it is the quality of that work and the degree to which it affords the individual an opportunity to use fully his or her own talents and abilities. The true measure of success is the degree to which blind people and others are fully integrated into the social and economic mainstream--the degree to which blind people work in all types of jobs, from lawyers to factory workers, from teachers to carpenters, from laborers to stock brokers. Not all good jobs require a college education, and not all blind people want or need college degrees, but all blind people deserve the opportunity to live with dignity. All blind people deserve the opportunity to receive good orientation center training as the foundation to effective rehabilitation. All blind people deserve the opportunity to seek services from an agency that believes in the capacity of blind people and demonstrates that belief through its willingness to invest in the training and assistance blind people need to obtain good jobs. And, all blind people deserve the opportunity to have a good job and a good standard of living, according to their own interests and abilities.
Dr. Maurer recently spoke before the annual meeting of the National Council of State Agencies for the Blind. He told the group that strong programs for the blind cannot exist without strong organizations of the blind. There is both truth and wisdom in Dr. Maurer's words. For agencies for the blind to withstand threats to their funding, to withstand threats to their staffing levels, and to withstand threats to their separate status, they need the support, yes, the political support, of well organized, committed blind people in the state. Political support is born of trust and mutual respect. This fact has always been true, but its importance has never been greater or more immediate. Dr. Jernigan demonstrated the power of political support, the power of partnership when he built the finest and most successful program for the blind that has ever been. As Dr. Maurer told us earlier this week, programs for the blind need true partnership with blind people and blind people need true partnership with programs for the blind. The future for separate agencies for the blind lies in a strong and well organized constituency, and the opportunity for blind people to receive good training, and good jobs lies in strong programs for the blind. Our futures are inseparably intertwined. The future for us all, the future for blind people and the future for agencies for the blind lies in our ability to forge out a real and true partnership.