Natural support has become a well-recognized concept to both practitioners and federal regulators. Although qualitative and descriptive information about natural supports is available, there is no commonly accepted definition and little quantitative documentation. Nonetheless, the notion of "natural supports" remains a potentially viable strategy toward improving supported employment outcomes. In this study the relation between employment features and outcomes for employees with disabilities in relation to natural support was investigated as was the extent to which the experiences of people with disabilities mirror typical employment conditions experienced by people without disabilities.

Supported employment began with a focus on those individuals deemed less likely to secure a job in the community: those with severe mental retardation, behavioral challenges, and multiple disabilities. The creation of supported employment resulted, in part, because of demonstrations of the competence and capabilities of these same people previously thought to be unemployable in any meaningful sense of the word. However, as supported employment has unfolded, those with the most severe disabilities appear to be underrepresented in the ranks of those benefitting from supported employment. Although the limited access to supported employment by individuals with such labels appears clear, little is known about how the employment of those with more severe disabilities compares with others in supported employment. This report provides analyses of the employment features, support patterns, and outcomes for persons with more severe disabilities in supported employment.

There is little question that the strategies used to improve supported employment outcomes, namely higher wages and higher levels of integration, have changed since the mid-1980s. Innovations of natural supports and employer leadership have helped increase the capacity of provider agencies and the business community to include people with disabilities in the workforce. This report is the sixth in a series that focuses on features of natural supports and its relationship to outcomes. Our purpose in this paper is to describe an analysis designed to investigate the features of employment, wage, and integration outcomes of jobs acquired by people with disabilities early in the development of supported employment compared to more recent years.

During the Covid-19 pandemic, many countries around the world are considering whether and how to provide liability protection to front-line healthcare staff. The guiding principle of liability protection for physicians and others is to ensure that, in a serious emergency situation, health professionals can devote themselves exclusively to their work and to patient care, without the fear of future claims for unforeseeable, but above all unavoidable, injury, loss and damage caused by their conduct. Great care is needed to balance the interests and rights of all those involved. Liability protection could have risky consequences with the final result that doctors will not be protected, but institutions such as health facilities will be even if they were in fact responsible for foreseeable and avoidable damage.

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