BACKGROUND: Customized employment has generated support at the national, state, and individual participant levels to expand employment for people with significant disabilities. The next step is movement from practitioner-based descriptions to evidenced-based practices that can be consistently replicated. OBJECTIVE: The objective of this qualitative research study was to begin the development of a research-based description that agencies can use to replicate customized employment when supporting individuals with significant disabilities. METHODS: Twenty-eight professionals representing national experts and implementers of customized employment participated in five phone-administered focus groups. The calls were recorded, transcribed, and analyzed to identify themes associated with customized employment implementation. RESULTS: Twelve key components or practices emerged as comprising customized employment. CONCLUSION: This research provides insight into the practices that are associated with customized employment that facilitate integrated employment outcomes for individuals with disabilities. Additional research is needed including random control trial studies to further the development of a replicable set of evidence-based practices.

Customized employment (CE) is designed to meet the specific needs and interests of individuals with disabilities as well as the needs of the employer by using flexible strategies at every stage of employment. The objective of this study was to ask rehabilitation providers who implement these services to describe the current status of CE service delivery. An online survey was administered to employment professionals from agencies within the United States. Participants responded to questions on the unique characteristics of Discovery and job development, current use of CE services, and information on their personal and agency demographics. Results indicate that there is agreement among CE providers on critical Discovery and job development activities, which suggests that providers are regularly accessing information to inform their practice. There appears to be a gap between what respondents identify as critical activities and how well they are being implemented. Recommendations for providing CE training for providers and provisions for individuals with disabilities are explored.