Provider strategies on ten elements of organizational transformation

BACKGROUND: Recent national and state-level policy changes have created an imperative for providers to change their organizational structures and service delivery models from providing primarily sheltered work to integrated employment. As a result, many providers have been challenged with how to transform their services in order to make this shift. Findings from a Delphi panel of experts in the field of organizational transformation revealed ten elements necessary for successful change away from segregated work options (Lyons, Timmons, Hall & Leblois, 2018). OBJECTIVE: The current manuscript extends the Delphi results through the implementation of four case studies conducted with providers serving primarily individuals with intellectual and developmental disabilities (IDD) that successfully transformed away from sheltered employment in the last ten years. CONCLUSION: Findings showed a plethora of implementation strategies. This manuscript shares provider transformation approaches according to each of the ten Delphi panel elements. Considerations are offered for others seeking to evolve towards integrated employment supports for individuals with IDD.