Abstract
BACKGROUND:
There is entrenched exclusion of around half the working age people with disability in Australia and elsewhere. There also appears to be a lack of attention being paid to the ‘demand’ side of efforts to improve the employment of people with disability, particularly in relation to small and medium sized organizations.
OBJECTIVE:
To identify gaps in disability employment research, policy, and strategies in relation to small to medium employers; and to identify challenges and potential solutions for these employers in becoming disability confident and inclusive organizations.
METHODS:
A comprehensive search of literature was conducted including published articles, books, and reports. Searches were also conducted on relevant government and disability employment related web sites.
RESULTS:
First, although larger employers are contributing to the discussion of ways to increase the employment of people with disability, small to medium employers are largely missing from the discussion. Second, reliance on the broad business case argument alone for employing people with disability, is not enough to change attitudes and organizational cultures that are at the root of the workforce exclusion of people with disability.
CONCLUSIONS:
The major barrier to employment of people with disability is negative attitudes that result in discriminatory organizational cultures. Current initiatives in this area are not addressing the needs or potential role of small to medium organizations. Solutions to both these issues are described.
Introduction
Employment of people with disability in Australia is poor and getting poorer. According to the Australian Bureau of Statistics (ABS), while workforce participation has increased for people without a disability, from 76.9% in 1993 to 82.5% in 2012, participation has decreased for people with disability, dropping from 54.9% to 52.8% in the same time period (ABS, 2012).
The Australian Government is currently conducting national consultations in an effort to improve the economic and social inclusion of people with disability. A National Disability Employment Task Force has been established to lead this review of current supports and initiatives and to propose a National Disability Employment Framework for 2018 and beyond.
The issues paper for this review (Department of Social Services (DSS), 2015a), describes the range of current supports, from Disability Employment Services (DES) that assist job seekers with disability to become ‘job ready’ and find work, to more general resources to assist potential employers in the employment process such as the Job Access service (www.jobaccess.gov.au).
The government also funds the National Disability Recruitment Coordinator (NDRC) service that assists large employers to develop inclusive practices and a commitment to improve employment of people with disability in their organizations. However, the NDRC is restricted to organizations of more than 100 employees, and currently there exists no comparable government supported service for the many small to medium businesses, which taken together employ the largest number of people in Australia. The pilot Diversity Field Officer (DFO) Service in Geelong, Victoria, is an initiative currently being trialled that is designed to potentially address this gap by providing one on one support to build disability confidence and inclusion with small to medium businesses. In the Geelong area, small to medium businesses represent 95% of local businesses and employ over 50% of the area’s workforce (GROW, 2014).
In a comprehensive review of the literature, Waterhouse,
Kimberley, Jonas and Nurka (2010A, p. 27) reported that: ‘the voices of employers
are largely missing from the research literature and policy discourse on disability and
diversity employment’. They also highlighted that it is smaller rather than larger
organizations that are most disengaged from the discourse. In followup focus group research
with predominantly small to medium businesses, Waterhouse, Kimberley, Jonas, & Glover, (2010B) concluded that rather than
formal training, these employers want information and advice from ‘trusted brokers’ to build
their disability awareness and confidence. The authors cited the Australian Network on
Disability (AND), a business leadership network, who describe disability confidence as: Knowing how to make
adjustments to the workplace to retain employees who acquire a
disability; Knowing how to make changes
to recruitment processes to allow skilled and talented job seekers with disabilities
to compete on a level playing field; and Delivering accessible customer service that provides a great experience to
customers who may have a disability.
Both AND and the NDRC (described earlier) do provide that ‘trusted broker’ connection, and information and expertise on disability confidence. However, as with the NDRC, AND is predominantly focused on supporting larger organizations.
DES and Group Training Organisation Field Officers from the Vocational Education and Training sector were also mentioned by employers as providing some of that ‘trusted broker’ connection to small to medium organizations, but both are currently too limited in scope and resources to provide the direct and ongoing specialist disability information and expertise needed by small to medium organizations (Waterhouse et al., 2010; B Inclusion Australia, 2015).
Small to medium organizations do not have the diversity or human resources (HR) capability that larger organizations may have, and even if they are aware of the supports available to employ people with disability, they don’t have the capacity to navigate the often changing and extensive matrix of programs and services available (Gustafsson, Peralta, & Danermark, 2013; Waterhouse et al., 2010B). They remain anxious about perceived legal, safety and cost issues around disability employment despite evidence to the contrary (Graffam, Smith, Shinkfield, & Polzin, 2002; Australian Safety & Compensation Commission, 2007; Hernandez & McDonald, 2010) and so avoid the issue. Evidence of this lack of engagement by employers was reported in an Australian Government review into DES for the period 2010 to 2013 (DSS, 2014). Although 75% of those employers who accessed DES assessed the service as ‘good’ or ‘very good’, only 52% of employers in the sample were aware of DES, and only 3% had utilised the services in the previous 12 months. There does appear to be something missing at the engagement level between employers and disability employment support services.
A series of Round Table Workshops with large employers who in combination employ over 375,000 Australians, agreed that they had been introduced to Job Access by the NDRC, or didn’t find it on their own (AND, 2015). They also agreed that the DFO Service concept (described earlier) could perform an NDRC type role focusing on small to medium organizations (AND, 2015). As Cartwright (2009) cited by Waterhouse et al., (2010B) found, the most important factor indicating best practice in employment of people with disability was strong connections with and understanding of disability support networks.
The central purpose of this review was to inform the design and evaluation of the pilot DFO Service, through the utilisation of best case initiatives identified. The DFO Service has established these ‘connections’ or working partnerships with around 50 small to medium businesses. The evaluation of the pilot will be finalised in 2017.
The major research questions of this review are: Is there a gap in current disability employment
research, policy, and strategies regarding the needs and perspectives of small to
medium employers? What are the major
challenges for and needs of these employers to become more disability confident and
inclusive organizations?
The review compares the major issues and emerging innovations in Australia with international policy, research, and practice to which we now turn.
Method
A comprehensive literature search was conducted using the Deakin University library search facility, which covers a wide range of data bases such as Academic Search Complete, Business Source Complete, PsycINFO, Global Health, Medline Complete, SocINDEX with Full Text, and Psychological and Behavioural Sciences Collection.
Three searches were performed: Using the search terms disab* employ* employer engagement
support Using the search terms
attitudes disab* employment Using the
search terms unconscious bias employment disab*
‘Alerts’ were also established for these three searches to gather further articles released during the development of the review.
Articles identified through these searches were first subject to an examination of their
abstracts to assess relevance to the inclusion criteria, which were: Addresses employment of people with
disability. Addresses employer
engagement or employer ‘demand side’ issues, particularly for small to medium
businesses. Identified in reputable
(preferably peer reviewed) publications. Published in English, and from 2000 onwards unless judged as important to
include.
Small to medium businesses are defined differently across the world. For example in Australia small to medium businesses include up to 100 effective full-time employees, whereas in the United States (U.S.) up to 249 total employees is sometimes used. Given differences in the populations involved, and the noted lack of participation in research by small to medium businesses (see Introduction) all references to ‘small to medium businesses’ were given equal credence.
Those publications that were not excluded based on inspection of abstracts were then assessed in full using the same inclusion criteria. Reference lists of included publications were also inspected to identify and assess relevant publications not identified in the searches.
Further Internet searches were conducted to identify government and non-government organization policy papers and reports relevant to employer engagement or support in disability employment. They were also screened using the inclusion criteria above.
A total of 87 publications were screened and 39 were included in the review.
Results
The Australian policy perspective
In response to consultations and submissions on the initial disability employment issues
paper released by the Australian Government in May 2015 (see Introduction), the DSS
released a second discussion paper in November of 2015 (DSS, 2015b). The key principles
developed subsequent to the first round of consultations were: ‘supporting individual need and
choice; making best use of
market-based principles; and working
more closely with employers to create jobs’ (DSS, 2015b p.2).
Although we are focusing on the third principle around employer engagement in this review, a description of the other two principles is important as they represent a major policy and potential paradigm change in disability employment support in Australia.
First, regarding supporting individual need and choice, the National Disability Insurance Scheme (NDIS) was trialled from 2014 to 2016 and is currently being implemented across Australia. The scheme represents a move away from block funding disability service organizations to providing 460,000 individuals with disability with their own budget to purchase the supports they need (e.g. attendant care, adaptive technology). The central principles of the NDIS are greater choice and control for people with disability over their support services. In line with the NDIS, the first principle in the employment discussion paper (DSS, 2015b) points to a move away from block funding disability employment support organizations. Instead, the focus will shift to developing individual career action plans with people with disability, providing them with a budget to purchase the supports they need to achieve their career goals, and giving them the freedom to choose where and when they purchase those services. This means, for example, that as well as having more choice and control over pre-employment supports, a person also can potentially take that support into employment where the need for ongoing support has been identified.
The second and related principle of making best use of market principles points to further deregulation of the disability employment support sector. This will allow for increased competition and market driven organizations that potentially will focus more on individual preferences and business needs rather than contractual requirements from government. As the discussion paper highlights however, these major policy shifts would take some years to be implemented and would need a staged approach similar to the NDIS rollout.
The third principle described in the discussion paper highlights the need for more employer engagement and support as being critical to improving employment outcomes for people with disability, the central focus of this review. Significantly, the authors recognize that different levels and types of support may be needed for different employers in relation to the size of organizations. They recommend an expanded role for the NDRC described earlier, especially in terms of disability awareness, recruitment, job match, and the provision of a single point of contact for larger or national organizations. In relation to small and medium size organizations, the discussion paper did not identify a specific mechanism or organization. However, the paper did recognize that small and medium organizations have different needs to larger organizations in relation to perceived risks and costs, job match and ongoing support when employing people with disability.
Other proposals highlighted in the discussion paper regarding employer engagement
included: Improving awareness/attitudes and disability confidence, through such
initiatives as a national disability awareness campaign, an awards scheme like the
National Disability Awards, and accreditation of disability positive or confident
organizations. Employer incentives
such as wage subsidies, tax incentives, quotas or targets, and using procurement
policies to preference disability confident organizations. A specific grants program to encourage innovation and
partnerships with employers for best practice examples and job creation for people
with disability. The expansion of the
Employer Assistance Fund that provides such things as modifications to the
workplace, to include awareness and disability confident training for co-workers
etc. Ongoing support for employers
was recognized as key to job placement success and long term duration of employment
for people with disability And the
NDRC was cited as having a potential role in supporting employers with current
employee maintenance issues.
Other Australian policy perspectives
The Business Council of Australia (BCA), representing over 100 of the largest
businesses in Australia, released a report in October 2015, which reinforced major
demand side challenges to improving the employment of people with disability. These
included a complex employment service sector, and disclosure of disability or the lack
thereof (BCA, 2015). In terms of ‘what works’ for businesses, the BCA survey
highlighted: Having a targeted recruitment strategy; Dedicated resources; External partnerships with specialist organizations to source
talent; Being seen as an ‘Employer
of Choice’ for people with disability; Articulating a purpose and being clear about your
goals; Developing a business case for
your company or industry; and Encouraging whole-of-business buy-in’ (BCA, 2015, p.
6).
Regarding disability disclosure, the Australian Human Resources Institute (AHRI, 2011) agrees that for many organizations disability disclosure is a challenge, but AHRI contends that a necessary and important first step in gaining greater disclosure of disability needs is the development of a broad and overt positive culture of encouraging and embracing diversity in the workplace, including disability.
The Australian Federation of Disability Organisations (AFDO), a national representative
organization of people with disability and family-led consumer organizations,
highlighted five ‘critical’ components of a new disability employment model. Consistent
with key principles in the government discussion paper described earlier (DSS, 2015b),
AFDO [2014) recommends: Setting up a market driven approach based on the NDIS with a
funding package allocated to people with disability to purchase employment related
support; Supporting and encouraging
all businesses to become disability confident; Adopting macro approaches to address the employment of people
with disability, such as a disability employment strategy and targets in all
public sector departments to increase employment and show
leadership; Developing clear
benchmarks, goals, resources, and accountabilities to close the employment gap
experienced by people with disability; and Systemically addressing the concerns of business that relate to
workplace health and safety including insurances, industrial relations, and
disability discrimination.
In terms of practical ‘demand side’ or employer related strategies AFDO (2014)
recommends: Encouraging disability champions at the top level of business management, and
first-hand support to increase employment opportunities for people with disability
in the form of a DFO Service for small to medium businesses. (This recommendation
informed the development of the pilot DFO Service currently being trialled and
described earlier); Preferential
tendering for government contracts, grants, and procurement, with organizations
that hire people with disability receiving preferential weighting in selection
processes; Examining the
effectiveness of tax incentives to encourage long-term change;
and Requiring organizations receiving
funding or incentives to report the percentage of their workforce with a
disability initially as part of a voluntary ‘national scorecard’, with a staged
strategy for mandatory reporting by all businesses operating in Australia by
2025.
Disability Employment Australia (DEA), the national peak body for Disability Employment
Services, also supports a shift to a career development approach, including more choice
and control for individuals with disability in regard to support funds and service
providers, and a more open market approach to services. DEA highlighted the need for a
phased approach to ensure expertise in the disability employment sector is retained. In
regard to ongoing support for employers with employee maintenance, DEA recommends the
rebadging and expansion of the Jobs in Jeopardy program, where DES assist businesses to
resolve disability related challenges in the workplace that negatively impacts on the
job performance of a employee with or who acquires a disability. DEA (2015, p. 18) cites
evidence that: ‘Businesses are losing $6.5 billion per year by failing to provide early
intervention and support; Stress
related workers’ compensation claims have doubled; and 60% of people will not seek help due to
stigma’.
DEA (2015) concludes that providing early intervention support more broadly has the potential to reduce compensation costs, reliance on the disability support pension, and improve disability confidence in the workplace.
Outcomes from practice
Inclusion Australia, representing people with an intellectual disability, also highlighted the need for ongoing employee and employer support in a recent briefing paper (Inclusion Australia, 2015). The authors cited Jobsupport, a specialist DES for people with intellectual disability, which has achieved a 64% open employment job outcome rate. This is significant given findings of the 2013 DES Evaluation (cited earlier) that with the exception of Jobsupport, few people with moderate intellectual disability were achieving open employment. Jobsupport do this by partnering with large organizations that have a high level of routine or repetitive tasks that trained Jobsupport specialists can carve into an optimal job match for a person with intellectual disability. Crucial to the partnership is the guarantee of ongoing support as required for the duration of the job. Inclusion Australia recommend a disability employment model that involves a seamless interface with NDIS providing transition to work supports and links to specialist disability employment services that are skilled in partnership development, job analysis, job carving, on the job training and the provision of ongoing support for employees and employers.
Another initiative that focuses on partnerships and employers is the Ticket to Work (TTW) program that received Australian Government funding for a national rollout in 2013. TTW brings together schools, vocational education and training providers, disability support organizations and employers into local networks that facilitate vocational training and support for young people, predominantly with intellectual disability, as they approach the transition from school to work. The focus of TTW is an ‘employment first’ approach (Wakeford & Waugh, 2014; p.3), that is, work placements through Australian School-based Apprenticeships and Traineeships (ASbATS), work experience programs, along with training and support in real work settings. An evaluation of the TTW initiative in 2014 found that 86% of the 99 young people who had completed an ASbAT were still in open employment at the time of the review (Wakeford & Waugh, 2014). Moreover, over 200 students participated in work experience and workplace preparation activities; and, over 180 employers and 93 schools were engaged in the program. The TTW initiative has now also received further funding to expand into the NDIS trial sites. The success of local TTW partnerships is attributed to the support, resources and accreditation provided by the national TTW network (Wakeford & Waugh, 2014).
A similar initiative established in the Geelong area and funded by the Victorian Government is the GROW Project. GROW is an alliance of businesses and community support organizations who, through the coordination of the GROW Project, assist each other to increase employment of disadvantaged job seekers including people with disability in the Geelong region (GROW, 2015).
Two additional national employer engagement programs have particular relevance to the DFO Service currently being trialled in Geelong: The Special Employment Placement Officer (SEPO) Project (Department of Family & Community Services, 2003), and The Disability Employment Broker Program (Department of Education, Employment & Workplace Relations, 2013). The SEPO project placed Special Employment Placement Officers in large organizations to build awareness and positive attitudes towards employment of people with disability in the host organizations. An evaluation of one organization in the SEPO Project described in a broader government review of employer incentive programs (Department of Family & Community Services, 2003; p. 26), found that ‘within 15 months the SEPO’s work led to 113 people with a wide range of disability types being interviewed for positions, and 53 people with disabilities securing jobs... ’. Another SEPO set up a work experience initiative that resulted in 22 people completing work experience and training, and of these, ten secured jobs. The SEPO Project finished in 2002 with very little information as to why, except a note that the two year contracts may have constrained further achievements (Department of Family & Community Services, 2003).
In 2012, the Australian Government announced the Disability Employment Broker Program that funded five disability employment broker services to promote more positive disability awareness with employers, and create more jobs for DES job-seekers with small to medium organizations in regional areas. The Department of Employment Education and Workplace Relations (DEEWR) Annual Report 2012/13 (DEEWR, 2013) reported that the brokers found jobs for 68 people, work experience for 37 and training for 20 people. The program was only funded for one year, and no evaluation data was found in the area central to this review, that is, the ‘demand side’ or regarding employer awareness/confidence/specific needs. One criticism of the broker program was that the program duplicated the role of DES (National Disability Services, 2012). However, DES are constrained through contractual requirements to focus predominantly on supply side issues such as job readiness training and job placement outcomes (Wakeford & Waugh, 2014; AHRI, 2011), thus making it difficult for DES to take a demand side or employer focus as well. The lack of awareness and engagement of businesses with DES cited in the introduction to this review is clear evidence of the motivational conflict. However, some DES have provided good examples of employer engagement initiatives. For example, Work Solutions in Gippsland Victoria has created peer network opportunities for employers to learn and support each other in building more inclusive and disability confident organizations. This DES also runs an annual Job Shadow Day that gives employers and people with disability an opportunity to get to know each other first hand, explore potential roles and career areas for the mentee and expose the mentor to a more positive view of the potential of people with disability (Work Solutions, 2016). More will be said about the power of experiential programs in addressing stereotypes, negative attitudes, and unconscious bias in disability employment in the next section.
The United States of America and other relevant international developments
The entrenched exclusion of people with disability from the workforce is also a challenge facing many other countries. For example, in the United Kingdom (U.K.) and the U.S., people with disability are twice as likely to be out of work than others (Purvis, Foster, Lanceley & Wilson, 2014). This section covers research and initiatives from the U.S. (where the majority of research identified in this review was located), with the remainder identified from Europe and the U.K.
The United States
In research for the U.S. Department of Labor, Office of Disability Employment Policy, Bartolotta, Skaff, and Klayman (2014), recommended a shift away from the focus on the economic business case argument for employment of people with disability, towards a strategy that addresses the underlying negative and often unconscious organizational culture and bias undermining employment of people with disability. The business case for employing people with disability includes: the ability to tap into a larger talent pool; increased protection against discrimination claims; less absenteeism and longer tenure; enhanced profile and marketing to a more diverse customer pool; and enhanced creativity and innovation in diverse work teams (Mor Barak, 2014).
Bartolotta et al. (2014) provide support for previous evidence cited (e.g. Graffam et al., 2002; Australian Safety and Compensation Commission, 2007; Hernandez & McDonald, 2010) that shows that employees with disability are on average no more costly than other workers in terms of performance and workplace costs, and that workers with disability tend to stay in jobs longer. Bartolotto et al. (2014, p. 4) also cited Becker (1971), ‘the Nobel Prize winning economist, who described the notion that if performance is equivalent, private firms are harming themselves financially by restricting their labor pool through discrimination against segments of the population’. Yet, despite this evidence, the employment situation for people with disability has worsened. Bartolotto et al. (2014) and others (e.g. Mor Barak, 2014) contend that due to the difficulty in gathering substantial quantitative economic data, the business case is not compelling enough to shift the underlying and often unconscious attitudinal resistance or biases against employing people with disability. Bartolotto et al. (2014) cited research conducted by Ravaud, Madiot, and Ville (1992) showing that highly qualified applicants without disabilities were 1.78 times more likely to receive a favourable response from employers than applicants with comparable qualifications who disclosed a physical disability in their application. Moderately qualified applicants without disabilities were more than 3.2 times more likely to receive a positive response from application materials than comparably credentialed applicants with a physical disability. Similarly, in Belgium, Baert (2014) found that subjects who did not disclose a disability in an application form were twice as likely to get a positive response than those who did.
At the root of these biased judgements are psychological processes termed social categorisation, where we seem to have an innate and often adaptive tendency to categorise ourselves, other people, and objects into groups as a way of making sense of the world around us (Mor Barak, 2014). Mor Barak (2014) cited renowned American psychologist Henry Tajfel and colleagues, who also showed empirically that we tend to be biased towards those in our ‘in’ group compared to others in the ‘out’ group. In recruitment this bias has resulted in people who are similar to the dominant or ‘in’ group in an organization being most successful in recruitment to those organizations (Mor Barak, 2014). For people with disability, first, they are categorised as an ‘out’ group or at best different to the ‘in’ group (the non-disabled workforce) on the basis of a characteristic that does not have the same impact for any two individuals let alone the group of people assigned to the disability category. Second, another layer of bias results from the stereotypes assigned to those categorised as ‘disabled’ such as less productive, requiring more supervision, a safety risk, and requiring costly modifications to the workplace (Murfitt, 2006). The challenge for diversity management is to identify that categorisation in workplace cultures and develop strategies to build a more heterogeneous and inclusive ‘in’ group, and ensure that judgements about recruitment, promotion etc. are not influenced by attributes that are irrelevant to a person’s potential to perform the tasks required (e.g. gender, age, disability, cultural background, sexual preference). Strategies to counter stereotypical biases include ensuring recruitment personnel are trained in equal opportunity, discrimination and diversity, and that interview panels reflect as much as possible the diversity of the applicant pool. However, the attitude literature shows that it is first-hand contact with members of the stereotyped group that is the most powerful strategy to shift those often deeply embedded cultural stereotypes (Allport 1954; Desforges et al., 1991; Murfitt, 2006; and Novak et al., 2011). Presenting examples of successful employees with disability, mentoring programs, work trials, internships, and real jobs where the contact assists managers and co-workers to experience the potential of people with disability first hand, and to understand that disability is most often irrelevant to a person’s identity and skills, are crucial in addressing those stereotypes and the resultant conscious and unconscious bias.
In exploring the idea of an alternative strategy to the economic business case, Bartolotto et al. (2014) conducted focus group research with employers interested in looking at employment of people with disability. Respondents believed that co-workers, including HR staff, felt uncomfortable around people with disability. In contrast, for some respondents, positive accounts and stories from trusted colleagues was enough to encourage them to develop their own disability inclusion programs. They wanted metrics, strategies, and technical assistance to educate and expose their colleagues to successful examples of employment of people with disability. Subsequently, Bartolotto et al.’s (2014) employer engagement marketing strategy focused on emphasising competency, skill, and the similarity of people with disability to the ‘non-disabled’ population. In addition, the strategy recognized the need to look at and tailor information and strategies to address the particular needs of different businesses. They identified three groups of employers: the Choir, the Inclusives, and the Uninitiated.
The Choir is usually represented by larger organizations whom have policies and practices for employment of people with disability within their diversity programs, and could potentially provide a good source of positive peer mentoring. Strategies Bartolotto et al. (2014) recommended for this group include encouraging disclosure particularly through explicit policies and practices around a positive disability inclusive culture in the organization, and establishing disability related Employee Reference Groups for internal peer-to-peer mentoring and disability advice to management.
The Inclusives have already recognized the value of diversity and have developed strategies targeting disadvantaged groups, but haven’t yet included disability in their diversity programs. They lack disability awareness and job accommodation knowledge. Bartolotto et al. (2014) suggest that this group can increase its interest in employing people with disability with exposure and experience. Bartolotto et al. (2014) also recommend increasing the understanding in these organizations by providing them with information to assist them recognize that the population of people with disability are a large potential source of talent, and customers; and through peer mentoring from the ‘Choir’.
Finally, the Uninitiated have no active or passive strategies to recruit people with disability or people from other diversity groups. Bartolotto et al. (2014) recommend success stories rather than statistics for this group, exposure to people with disability for de-sensitisation, and more ‘nurturing’ than for the other groups.
Additional strategies listed that apply overall include: A “help desk”; Measures of progress; and A road map that includes best practices and frameworks so that
companies have a clear path or plan to improve over time.
Burke, Bezyak, Fraser, Pete, Ditchman, and Chan (2013), in a review of the literature into employer attitudes towards employing people with disability, cited various U.S. studies that confirmed that the most important issue reported by small and medium organizations was the need for more accurate and practical information to dispel preconceptions about employment and retention of people with disability. The major preconceptions were lack of essential skills, health costs, workers’ compensation costs, fear of litigation, and negative attitudes of co-workers. When looking at companies with up to 100 employees, Burke et al. (2013), reported that organizational representatives had altruistic feelings about employing people with disability and felt that employees with disability would have better commitment and loyalty. They were positive about financial incentives, but concerned about losing income, exposure to litigation, and physical and structural barriers at their worksites. These medium size employers were also concerned about the difficulty contacting disability employment support organizations, and the effectiveness of this contact.
Domzal, Houtenville, and Sharma (2008), in the first nationally representative U.S. survey of employer perspectives in employment of people with disability, found that for small and medium employers the cost of employing people with disability, and the belief that people with disability don’t have the necessary skills and experience were concerns most often reported. Health care costs, workers’ compensation costs, and fear of litigation were also more important than for larger employers. Information about productivity and satisfactory job performance were seen by small and medium employers as most likely to persuade them to employ people with disability. Commitment from top management was seen as an important strategy in retaining people with disability. In addition, tax credits were seen by smaller organizations as an important retention strategy, probably because of their ‘cost’ concerns.
Regarding the use of current support services by US employers, Domzal et al. (2008) described three predominant services: One-Stop Career
Centers are state based and provide services like training referrals, career
counselling, and job listings. The use of One-Stop services increases with company
size; small companies equate to 7% , compared with medium-sized companies 14.9% ,
and large companies 43.6% . The Job
Accommodation Network (JAN) is a service that provides information on workplace
accommodations etc., similar to Job Access in Australia. Large companies are much
more likely to be familiar with JAN services than are small and medium-sized
companies: 21.6% compared to 6% and 5.9% respectively. Of the 7.4% of companies
that are familiar with JAN services, only 27.7% report using the
services. The third service is the
Employer Assistance and Recruiting Network (EARN). This is a service that assists
employers in locating and recruiting qualified employees with disability, and
provides technical assistance on disability employment-related issues. 8% of
employers are familiar with EARN services and large companies are more likely to
be familiar with EARN services than are small and medium sized companies: 14.3%
compared to 6.8% and 6% , respectively.
Overall, it appears that similar to the Australian experience; small to medium employers in the U.S. are either not aware of the support services available, have difficulty accessing those services, or don’t see them as relevant to their businesses.
Hagner and Cooney (2003) emphasised a
partnership model of employer engagement, reporting that: ‘It is clear that businesses
cannot go it alone’ (Hagner & Cooney,
2003, p. 3). According to the authors good partnerships with disability support
organizations contain: competent service delivery, trust, treating businesses as
customers, mutual benefit, and ongoing, long-term service. Hagner and Cooney (2003) proposed four key partnership options
with the aforementioned elements that offer ‘inclusive employment experiences to people
with disability in a way that respects and empowers employers and, over time,
strengthens their capacity to successfully employ individuals with severe disabilities’
(Hagner & Cooney, 2003, p. 4): A consultant model,
where the disability service is an expert who provides support and advice to the
business to develop the inclusive knowledge and skills within the organization to
support workers with disability. This includes, for example, training co-workers
to include workers with disability in both the formal work processes and the
informal or social aspects of the business. The development of business consortia, where the disability
service facilitates regular meetings of a number of businesses to share best
practice, discuss challenges, and share resources for building inclusive practices
in employing people with disability. Expanding diversity programs. Diversity programs are becoming increasingly
important to organizations because of issues such as legal compliance
requirements, broadening the potential talent pool, attracting a wider more
diverse customer base etc. In addition, strategies designed to assist people with
disability are often beneficial for other diverse groups. Hagner and Cooney give
the example of flexible working hours that can assist staff with family
responsibilities, as well as staff with disability needs such as medication
effects that might mean different or varying optimal working hours. It makes good
business and moral sense to broaden diversity to include otherwise disadvantaged
or excluded workers who require some reasonable accommodations in the workplace.
‘Disability is just one aspect of human diversity’ (Hagner & Cooney, 2003, p. 8). Directing service funding to employers or co-workers. According
to Hagner and Cooney (2003) this option
is especially relevant and important when costs for on the job training or
worksite modifications fall outside that which is deemed ‘reasonable’. In
addition, resources for ongoing support or training for employees with disability
in some cases may be better directed at the business rather than a disability
organization as the support provided is then directly building the capacity of
that organization to independently assist other employees with those needs without
external intervention.
Hagner and Cooney (2003) conclude that the above options are not mutually exclusive, and that it is important to assess each organization to identify which options and strategies suit their particular needs.
The United Kingdom
Initiatives included in a new Disability and Health Employment Strategy (Department for Work & Pensions, 2014) revolve around an ‘Employer One Stop Shop’ via an online portal and a telephone service. Similar to Job Access in Australia, and the Job Accommodation Network (JAN) in the U.S., this Employer portal will provide a wide range of information such as funding for workplace modifications, and features an ‘account management service’ for larger employers. The service will assist organizations to make the changes required to employ and retain employees with disability (similar to Australia’s NDRC). Although the strategy does say they will develop services for the specific needs of small and medium organizations, there is little detail given except that the service will sponsor organizations to create a toolkit for employers in their business area. The tool kits will contain guidance on disability employment, examples of best practice, and support available. Finally, the strategy did include a two year disability confident campaign aiming to alleviate concerns of employers about the costs of employing people with disability through information provision and forums. A revamp of the ‘Disability Two Ticks Symbol’ was also announced, which is a disability accreditation awarded to organizations that make specific commitments to building inclusive workplaces for people with disability. As a result of evaluation research that indicated that the current approach was outdated, not administered robustly, and not offering enough employer support, the strategy will reform the initiative through wider publicity of the scheme, different levels of accreditation, a more rigorous assessment process, a feedback mechanism for employees, and better information and guidance (Department for Work & Pensions, 2014).
In terms of employer connected practice that again emphasizes the importance of exposure or experiential programs, research by O’Bryan, Daston, and Riehle (2014), describes an employer-led internship program for young people with intellectual disability. Called ‘Project Search’, the program started in a U.S. hospital to address high turnover in jobs with a lot of repetitive tasks. students are placed in a business in their last year of education for an internship of approximately ten weeks. They are coached by an instructor and a disability employment specialist and they also receive job-development support to translate their Project Search year into permanent, paid employment in either the host business or another organization. Project Search now operates successfully across the U.S. and was recently launched in the U.K. and Europe. The three Scottish organizations operating Project Search in 2013 achieved a 70% employment outcome, and the project achieved a 60% job outcome across the UK. Key to the success of Project Search is ‘true collaboration’ between education partners, employers, agencies that serve people with disabilities, and young people with disabilities and their families (O’Bryan et al., 2014, p.46). Businesses in the project also report positive cultural development from hosting the interns in their businesses.
Europe
The Organization for Economic Cooperation and Development (OECD) produced a synthesis of disability employment issues across Europe in 2010 entitled Sickness, Disability, and Work: Breaking the Barriers. In regard to demand side issues, financial subsidies were noted as the most commonly employed policy measure for promoting employment opportunities for people with disability, principally subsidies for making adjustments to the workplace, and wage subsidies. Research was cited (OECD, 2010), which claimed that many workplace adjustment schemes were too narrow and should also include training before and after employment, on the job support, and awareness raising for managers and co-workers. Although reportedly not well evaluated (OECD, 2010), wage subsidies that are well targeted and flexible to match the variations in productivity appear to be most effective. Examples cited in Luxemburg, Finland, and Sweden have subsidies available for a new recruit for up to two to four years. Other beneficial initiatives cited were previous positive experience of employing people with disability, peer networks for employers, and developing the business case (OECD, 2010).
Two main issues of concern were highlighted in the low take-up of labour market incentives to employ people with disability: a lack of awareness of the schemes, and often onerous procedures to apply for support (OECD, 2010). Initiatives developed to address this included personal contact officers in local workplace centres in Norway, where employers can get direct and individualised advice and support around disability employment issues. In the Netherlands, 30 new service institutions were established for employers to reduce cumbersome administrative procedures (OECD, 2010).
A more recent Norwegian pilot program appointed ‘Employer Guides’ to assist employers retain and become more inclusive of people with mental health challenges (Schafft, 2014). Through building a relationship with the employer rather than traditional supported employment interventions that focus on supporting the employee, an evaluation of the employer guide pilot found that 80% of the approximately 150 employers surveyed reported that they had improved their ability to employ people with mental health challenges, and their ability to deal with employees experiencing mental health problems. Schafft (2014, p.4) reported that ‘employer guides have moved the focus of attention from diagnoses and illness towards a specific methodology of guidance and empowerment – help to self-help’.
In a similar study in Sweden involving 20 organizations with experience in employing people with disability, Gustafsson, Peralta, and Danermark (2013, p. 4) found that: ‘this research underscores the importance of considering the employer’s perspective, every-day reality, and needs when designing work support measures for people with disability’. Gustafsson et al. (2013) described the role of the disability employment specialists, who had supported these businesses employ people with disability, as ‘brokers’ (i.e. establishing the partnership and job match), ‘guides’ (i.e. providing on the job training to the employee and the business), and ‘trouble-shooters’ (i.e. being available for support when required). Many of the employers had not thought of employing people with disability until they were contacted by the disability employment organization and exposed to the untapped potential workforce (Gustafsson et al., 2013). A reportedly unique element of this supported employment model in Sweden is the adoption of ‘facilitation policies’ (Gustafsson et al., 2013, p 104) that include introduction or on-the-job training programs, with no upfront requirement for the employer to guarantee ongoing employment. The key to successful employment of people with disability for these mostly small to medium employers was the direct partnership, where trust is established, the service is simple and flexible, the focus is on the employer’s needs rather than bureaucratic processes, and the elements of broking, guiding, and trouble-shooting are included (Gustafsson et al., 2013).
Discussion
The entrenched exclusion from employment of around half the people of working age with disability in Australia and more generally is recognized as a major challenge for our prosperity, both in human and economic terms. The Australian Government is developing a new policy framework in an attempt to lead the development of a more disability inclusive workforce.
This review was undertaken to assist this process and to explore a potential ‘missing link’
on the demand side of efforts to improve the employment of people with disability. The
review’s research questions were: Is there a gap in current disability employment research, policy,
and strategies regarding the needs and perspectives of small to medium
employers? What are the major challenges
for and needs of these employers to become more disability confident and inclusive
organizations?
This review has established that there is international consensus confirming a major gap in current disability employment research, policy, and strategies regarding the needs and perspectives of small to medium employers. Indeed, evidence suggests that many of these employers are not aware of disability employment supports and benefits, and even fewer are engaging with these programs. The challenges and needs of these small to medium employers are multi-faceted, but as outlined below, if addressed, represent a significant opportunity to bring many more employers and their jobs into scope for disability employment.
Implications
Governments recognize that small and medium businesses have unique needs, but as yet no comprehensive strategies comparable to those provided to larger businesses (e.g. the NDRC in Australia) are evident. The reliance on a passive online repository of information and incentives simply will not bridge this gap for the many small to medium businesses who lack the awareness or capacity to negotiate the often complex web of information and processes. the solution also doesn’t exist in the current disability employment support services who predominantly focus on ‘supply side ’ or job seeker capacity building and placement, as important as that is. These small to medium employers need direct and proactive partnerships with ‘trusted brokers’ where the focus is on the employer’s needs, where trust is established, the service is simple and flexible, and ongoing where required. ‘Employers cannot go it alone’.
Regarding challenges and solutions, it is widely agreed that a major challenge or barrier to employment of people with disability is negative attitudes that result in discriminatory organizational cultures. These maintain the status quo of exclusion that has seen, at best, a stagnation in the low levels of employment of people with disability.
This review identified that reliance on the broad business case argument for employing people with disability, may not be compelling or specific enough on its own to change these deeply embedded individual attitudes and organizational cultures that result in the conscious and unconscious bias at the root of the workforce exclusion of people with disability. Failing to address this attitudinal or cultural challenge as a first step will render attempts at job placement at best short-term and most often unsuccessful. It is not until these organizations are disability confident and have inclusive policies, processes, and facilities that they can or will engage successfully with job placement agencies for people with disability.
At the organizational level, for the majority of businesses, especially small to medium
businesses that first step should include: Getting to know the business, establishing trust, and
assessing the level of inclusion in both a cultural and physical sense;
and Offering tailored solutions such as
disability awareness and diversity training, assistance with developing inclusive
policies and procedures especially for recruitment, and addressing physical barriers
in the workplace.
Of most importance however are positive experiences between employers and people with disability. Experiential programs such as volunteering, work experience, mentoring, internship programs, work trials, and real jobs are the most powerful and enduring attitude change strategies that will build both a positive culture and lead to jobs. Of particular note is the importance of ‘employment first’ initiatives through internships as shown through the success of ‘Project Search’, and ‘job carving’ exemplified by ‘Jobsupport’ in Australia. These experiential programs not only give employers and co-workers first hand exposure to the potential of people with disability, this immersion in the workplace also builds the confidence and skills of people with disability themselves. As described in the European examples cited, these placements need to be accompanied by the requisite training and support to the person with disability and the organization for as long as required.
The above ‘first steps’ will build a positive and explicit organization wide culture of inclusion where current and potential employees with disability feel their disability related needs will be respected and accommodated. This will then also encourage more open communication and disclosure of disability related needs, the lack of which is an important concern of employers.
At a community level, the review also cited support for national disability awareness/marketing campaigns to develop more positive attitudes towards employment of people with disability. After all, employers come from and are part of the general community. They take the stereotypes and biases they learn from community life into the workplace.
At a general level, the campaign should include: personal stories of successful inclusion of people
with disability at work; employer
awards programs recognizing best practice in inclusion of people with
disability; disability confidence
accreditation such as the ‘two ticks’ program that are transparent and
accountable; quantifying the business
case and adapting it for particular organizations or industries;
and identification of disability
champions from the leadership ranks of organizations and the
community.
Additional and more specific incentives to engage employers include: tax incentives and wage
subsidies that are targeted and flexible in terms of size and
duration; broadening the scope of
employer assistance funds to allay additional costs; employer networks for peer support and
information; the development of
disability recruitment targets and reports on progress; preferential contracting by government of disability confident
organizations; support for early
intervention in employee maintenance (such as ‘Jobs in Jeopardy” program in
Australia); specific grants programs
to encourage partnerships with employers to develop best case examples and
innovation; disability employee
reference groups for peer support and advice to management;
and developing a ‘tool kit’ for small
and medium sized organizations.
Conclusion
There is a need for further research into the needs and engagement of small and medium businesses in the disability employment sector. The research identified in this review is restricted to Australia, the U.S., the U.K., and some countries in Europe. However, the evidence presented does confirm that many businesses in general, and most small to medium businesses, are not engaged with disability employment support organizations. There is a call for ‘trusted brokers’ to bridge that gap in engagement, and evidence that those larger businesses who are engaged with disability employment support organizations were connected through ‘trusted brokers’ such as the NDRC Service in Australia.
An important purpose of this review was to inform the development and evaluation of one
such ‘trusted broker’ for small and medium businesses, the DFO Service being trialled in
Australia. The solutions described above regarding directly addressing the lack of
engagement of small to medium businesses and their challenges and needs are incorporated
into this DFO Service. Currently working one on one with 50 small and medium businesses,
the service entails: Assessment of disability confidence prior to working with the
business; An analysis of each business,
their needs and motivation to participate; A ‘disability friendly check’ to identify areas for improvement
including workplace culture, physical access, and recruitment
strategies; Support and information to
assist build disability confidence and inclusion including experiential strategies
such as job carving and work experience; The development of an access and inclusion road map/plan that can be readily
implemented by the employer; Assistance for businesses to develop connections with peer businesses, and local
disability focused organizations and networks, including employment support
organizations; And a resource kit
that includes success stories, local, state and national
resources;
An evaluation of this pilot service is being developed. In addition to more national or community focused disability awareness strategies and other incentives described above, more initiatives like the DFO Service and those cited from Europe, along with research evidence about what works is needed, if the exclusion of approximately 50% of working age people with disability from the workforce is to be addressed.
People with disability are not part of the ‘in’ group in the workplace. Proactive steps and champions from within are required in all organizations, but especially in the vast majority of small to medium businesses who are at best ‘merely watching from afar’.
Conflict of interest
None to report.
Footnotes
Acknowledgments
This literature review is part of an Australian two year (2015-7) pilot Diversity Field Officer Service funded by the Helen McPherson-Smith Trust, Worksafe Victoria, and the National Disability Insurance Agency.
