Long-term supports and services: Toward definition,clarification,and implications for the future

This article provides an introduction to the issues surrounding the provision of long-term services and supports. The provision of supports beyond vocational rehabilitation case closure has played an important role in the success of supported employment. The attention that we focus on the up-front services involved in creating a successful supported employment placement has left us little time or energy to focus on the parameters and issues surrounding long-term services and supports. This article attempts to define the parameters of long-term services and supports. Additionally, issues such as increasing long-term support caseloads, training and staff development, interagency cooperation, and funding mechanisms are reviewed. Finally, this article discusses changes and innovations that this field will need to consider in order to improve long-term services and supports.