Evaluation of the Ticket to Work Program, Implementation ...

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C-8beneficiary may have had with ENs or other employment agencies, and how those problemswere handled or resolved.Section G - Employment-Related Services and Supports Used in 2003. Questionsin this section ask beneficiaries about their use of employment-related services in calendaryear 2003, including: the types of services received, the types of providers used, how longthey received services, how the services were paid for, and reasons for and satisfaction withservice utilization. Other questions ask about sources of information about services and thenature of any services that were needed but not received.Section H - Ticket Participants in 2003. This section asks 2003 TTW participantsabout their experiences with the program, including information related to: how theydecided to participate in the Ticket program; the kinds of information they used to pick theircurrent service providers; development of the individual work plan (IWP); and any problemsexperienced with services provided by an EN. The section also includes a series ofquestions about how problems with ENs were resolved and overall satisfaction with theTicket to Work program.Section I - Health and Functional Status. This section includes questions about thebeneficiary’s health status and everyday functioning, including the need for specialequipment or assistive devices. Information is solicited regarding: general health status (viathe SF-8 TM scale 5 ); difficulties with activities of daily living (ADLs) and instrumental activitiesof daily living (IADLs); a variety of functional limitations; substance abuse/dependence; andtreatment for mental health conditions.Section J - Health Insurance. Questions in this section collect information about thesources of health insurance coverage the beneficiary has, both at interview and duringcalendar year 2003.Section K - Income and Other Assistance. Questions in this section ask aboutsources of income, including income received from earnings, Social Security, workers’compensation, and other government programs and sources.Section L - Sociodemographic Information. This section collects basic demographicinformation about the beneficiary, such as race, ethnicity, education, parental education,marital status, living arrangements, and household income.Section M – Closing Information and Observations. In this section, addressinformation is collected for the sample person, and telephone information for up to twocontact people is collected for participants who may be selected for future survey rounds.The interviewer also records reasons a proxy or assistance was required, if appropriate, anddocuments special circumstances.The Round 1 NBS took, on average, 60 minutes to administer. Interviews with TicketParticipant Sample members ranged from 60 to 70 minutes, while nonparticipant interviews5 SF-8 TM is a trademark of QualityMetric, Inc.Appendix C: National Beneficiary Survey Methodology
anged from 45 to 55 minutes. To promote response among Hispanic populations, thequestionnaire was available in Spanish. Interpreters were used to conduct interviews inlanguages other than Spanish.2. Respondent Types and Main PathsSample persons in the Representative Beneficiary Sample and the Ticket ParticipantSample both receive the same version of the NBS questionnaire. All respondents are askedquestions from sections A, B, E, G, I, J, K, L, and M. Only respondents who report thatthey are currently working are asked questions from section C. Similarly, only respondentswho report working in 2003 are asked questions in section D. Section F is asked ofrespondents who report that they have either never tried to get a Ticket from SSA, havenever tried to use a Ticket to sign up with a provider, or who were not signed up with aprovider in 2003. Only respondents who report using their Tickets to sign up with aprovider in 2003 are asked questions from section H. See Table C.2 for a summarydescription of the main questionnaire pathing.D. DATA COLLECTIONThe National Beneficiary Survey was executed as a dual-mode survey—initial interviewattempts were made using CATI followed by CAPI. CATI data collection began in February2004. CAPI interviewing of telephone nonrespondents and beneficiaries who requested anin-person interview began in May 2004 and continued, concurrent with CATI interviewing,through October 2004. 6 In total 7,603 cases were completed (including 23 partialcompletes)—6,520 from the Representative Beneficiary Sample and 1,083 from the TicketParticipant Sample.1. PretestA CATI pretest was conducted in December 2003 to test the programmed instrumentprior to fielding. The pretest sample was selected from beneficiaries and participants whowere not living in the sampled PSUs. Cases selected for the pretest were not included in themain survey sample. Given their rarity, outcomes-only cases were excluded from the pretest.Hearing-impaired respondents were oversampled so that we could test procedures forinterviewing via teletypewriter (TTY). Ticket participants were also oversampled to ensurean adequate test of the participant query paths.Overall, 74 pretest interviews were completed. Thirty-two interviews were completedwith participants and 42 with nonparticipants. Of these, eight cases were completed withproxy respondents. As a result of the pretest, minor instrument changes were identified andprogramming problems corrected for full-scale CATI interviewing.C-96 Note that interviewing began approximately eight months after the sample was selected.Appendix C: National Beneficiary Survey Methodology
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A CKNOWLEDGMENTSThe Ticket To Work
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viiiChapterVI(CONTINUED)PageF. SUMM
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xChapterPageAPPENDIX A: TICKET TO W
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xiiTableVIII.3IX.1IX.2IX.3IX.4IX.5I
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xivFigureIII.5III.6III.7III.8III.9P
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xviIX.3EARNINGS OF BENEFICIARIES WI
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xviiiMIENBSNPRMOAGPABSSPSUSGASSASSI
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xxIn Phase 3, which began in Novemb
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xxiigroups of beneficiaries that Co
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xxivimprove TTW, therefore, is to f
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2of disability beneficiaries, and i
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4country. Phase 2 began in November
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Page Is Intentionally Left Blank to
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8Only a few beneficiary characteris
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10Figure II.2.Participation Rate, b
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12Figure II.4.First Assignments at
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14before Ticket, it is perhaps surp
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16was selected for Phase 3. This ma
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18All of the statistics in this sec
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Table II.2. Beneficiary Groups with
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22In all Phase 1 and Phase 2 states
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24Figure II.8. Ticket Participation
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26Adjustments for all other charact
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28In general, provider and payment
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30next report, we will conduct more
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32Figure III.2.Living Arrangements
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34• Less likely to have reported
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36Figure III.7.Prevalence of Diffic
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38are more likely than all benefici
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40Table III.1.Income and Program Pa
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42coverage through their own employ
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44sizable percentage of TTW partici
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46Overall, 9 percent of working-age
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48leave the rolls in the next year,
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50next year and in the next five ye
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52in their characteristics, levels
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54percentage points to 3.7 percent.
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56Figure IV.2. Phase 1 Ticket Recip
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58situation described in the preced
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60the end of the follow-up period w
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62Figure IV.6. Average Monthly Bene
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66ENs were reluctant to expand serv
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68As of July 2004, there were about
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70But most EN representatives saw T
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72Figure V.2. Number of EN Terminat
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74received a total of just about $2
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76Relatively few ENs have received
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78According to their representative
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80Five EN officials recognized that
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82This was particularly true for so
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84• Another EN representative fou
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86• A third EN received 50 calls
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88resolve administrative issues suc
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90• Raise payments for SSI benefi
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92Finally, the real and perceived w
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94efforts to obtain Ticket assignme
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96SSA payments to SVRAs under the T
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98Figure VI.3. Total SSA Payments t
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100assigning their Tickets to ENs (
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102Table VI.1. SVRA Ticket Assignme
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104case, the counselor selects the
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106• Most of the agreements requi
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108needs of SSA beneficiaries and,
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110to the SVRA under the traditiona
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112Tickets each month from November
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114about submitting virtually ident
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116To make EN recruiting efforts mo
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118E. EN ENROLLMENTThe Program Mana
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120beneficiaries who have achieved
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122quarterly basis if they have rec
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124SSA’s approval of systems spec
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128have accepted. But even at that
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130For beneficiaries who express an
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132rehabilitation counselors (Burea
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134generated a payment to an EN gen
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136the milestone-outcome payment ge
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138system is used so infrequently t
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140One option is for ENs to try to
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142approximations. Our planned anal
Page 168 and 169: 144Figure IX.1. Ticket-Eligible Ben
Page 170 and 171: 146Table IX.2.TTW Participation Rat
Page 172 and 173: 148Figure IX.3. Earnings of Benefic
Page 174 and 175: 150Compared with other beneficiarie
Page 176 and 177: 152Like all other beneficiaries who
Page 178 and 179: This kind of mixed success in the e
Page 180 and 181: C. SVRA PARTICIPATION REMAINS STRON
Page 182 and 183: serving beneficiaries who are simil
Page 184 and 185: observe changes in their employment
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Page 188 and 189: Mashaw, Jerry L., and Virginia P. R
Page 190 and 191: A-2Table A.1 (continued)Time Period
Page 194 and 195: Table B.1. DefinitionsB-2Variable D
Page 196 and 197: Table B.1 (continued)B-4Variable De
Page 198 and 199: Table B.1 (continued)Variable Defin
Page 200 and 201: B-8Table B.3. Participation Rate by
Page 202 and 203: B-10C. PARTICIPATION RATES BY BENEF
Page 204 and 205: Table B.6. Participation Rates by C
Page 206 and 207: Table B.6 (continued)Group Definiti
Page 208 and 209: Table B.6 (continued)B-16Group Defi
Page 212 and 213: C-2survey. Whenever possible, the i
Page 214 and 215: C-4given the large number of benefi
Page 216 and 217: C-6• Young SSI recipients who are
Page 220 and 221: C-10Table C.2. Overview of the Nati
Page 222 and 223: C-12Sample completes (n=1,178) and
Page 224 and 225: C.14Table C.3 (continued)AllIntervi
Page 226 and 227: C.16Table C.5. Final Weighted and U
Page 228 and 229: C.18Table C.7. Sociodemographic Cha
Page 230 and 231: C.20Table C.9. Health Status (Figur
Page 232 and 233: C.22Table C.11. Program Participati
Page 234 and 235: C.24Table C.14. Awareness of TTW (F
Page 236 and 237: C.26Table C.16. Employment Expectat
Page 238 and 239: D-2Table D.1. Selected Characterist
Page 240: D-4information from two pretest int
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