Staff Technical Expertise

John Butterworth, PhD

Senior Research Fellow
Director for Employment Systems Change and Evaluation
Institute for Community Inclusion

John has over 35 years of experience as a researcher, consultant, trainer, and manager of community- based day and employment services, and directs research and technical assistance initiatives focused on employment and transition from school to employment.

John is the Principal Investigator of Access to Integrated Employment, a 30 year national data collection project on day and employment services and outcomes funded by the Administration on Intellectual and Developmental Disabilities, and is ICI’s Director of the State Employment Leadership Network, a membership network of 30 state developmental disability agencies committed to improving employment outcomes. He is Principal Investigator of the Partnerships in Employment Systems Change Project Technical Assistance Center, a project that is supporting 8 states to strengthen policy and strategy that support young adults to transition from school to employment, and conducts research on the effectiveness of direct support professionals in employment. John has published in the areas of employment policy, organizational change, employment outcomes, natural supports, person-centered planning, and program management.

Development and management of employment outcome data collection and web-based reporting

Areas of experience include:

  • Managing employment and related day supports for a community provider
  •  Consulting to community rehabilitation providers to assess organizational performance, develop capacity for employment supports, and rebalance resources.
  • Supporting individuals with significant behavior challenges
  • Conducting pre-service training on transition and supported employment for special educators and rehabilitation counselors
  • Conducting in-service training in employment support, natural supports, work incentives, and person- centered planning
  • Providing consultation to state agencies to improve employment outcomes including comprehensive state assessment using the High Performing States Model, funding and rate redesign, employment data system development, Medicaid waiver service design, capacity building, and interagency collaboration.
  • Developing and hosting of employment outcome data collection and reporting systems for Massachusetts, Maryland, and Washington states.
  • Conducting quantitative and qualitative research on employment supports and policy including job development practices, natural supports, person-centered planning, employment outcome and service trends, transition, organizational change, personal networking in diverse communities, use of work incentives by young adults, employer and coworker perspectives, and interagency collaboration.
  • Explaining use of data to describe state and national employment performance including the ICI National Survey of State IDD Agency Employment and Day Services, Rehabilitation Services Administration 911, American Community Survey, National Longitudinal Transition Survey 2, and National Core Indicators.

Karen Flippo, MRA

Program Director
Institute for Community Inclusion

Karen has been with ICI since 2009. Her current work focuses on state systems and integrated employment, organizational development, and training and technical assistance.

Her experience spans over 30 years in the disability field. She has conducted training and technical assistance on organizational transformation, management and leadership, and job development and job coaching, nationally and internationally. She is the author of numerous publications in the areas of leadership and management, assistive technology policy and service delivery, and providing employment services and supports to individuals with disabilities.

Currently she is the:

  • Program Manager, DirectCourse College of Employment Services. Manages the authoring and editorial process for a self-directed on-line training curriculum on delivering employment services and supports to individuals with disabilities.
  • Program Manager, Partnerships in Employment National Systems Change Technical Assistance Center. Coordinates activities associated with delivering technical assistance and resources to 8 states responsible for systems change to improve transition and employment for youth and young adults with intellectual disabilities.
  • Program Manager, Reaching the Summit of Success, North Carolina Council on Developmental Disabilities. Assists in coordinating project that will recommend policies and practices to improve transition, post secondary and employment practices for youth and adults with intellectual disabilities.
  • Staff Member, Employment Learning Community. Provides technical assistance to 2 states involved in employment systems change activities.
  • Technical Assistance Specialist for the Massachusetts Developmental Disabilities Transformation Project. Provides technical assistance to 2 community rehabilitation programs on transforming their organizations from center-based programs to competitive employment and community based day supports.

Karen’s previous positions included:

  • Providing job development to individuals with a variety of disabilities (Community Rehabilitation Workshop, San Francisco)
  • Providing technical assistance and training on organizational conversion (University of San Francisco Rehabilitation Administration)
  • Developing and conducting the first U.S. certificate program for employment specialists (University of San Francisco Rehabilitation Administration Department)
  • Serving as Adjunct Faculty member in Masters of Rehabilitation Administration program (University of San Francisco Rehabilitation Administration Department)
  • Developing and delivering assistive technology training and technical assistance for the Virginia Assistive Technology Act program (Rehabilitation Research and Training Center on Supported Employment at Virginia Commonwealth University). » Developing a computer assistive training program for employment specialists (Research and Training Center on Supported Employment at Virginia Commonwealth University,
  • Conducting program evaluation on vocational assessments and traumatic brain injury services provided by state vocational rehabilitation agencies at InfoUse.
  • Serving as Director of Special Projects at United Cerebral Palsy National Association, having supervisory responsibility for federally funded grants in the areas of national community service, employment, assistive technology, inclusive education and the ADA
  • Serving as Vice President of the Brain Injury Association of America, managing program staff members responsible for public policy, brain injury specialist certification, information and resources, affiliate relations, and marketing and communications
  • Serving as Chief Executive Officer of the National Association of Councils on Developmental Disabilities, supervising staff, responsible for financial management and membership services for 50 state councils on Developmental Disabilities
  • Serving as State Team Liaison for the Alliance for Full Participation assisting states in forming coalitions, setting employment goals, and advocating for policies and practices to increase employment outcomes for youth and adults with intellectual disabilities
  • Serving as an organizing board member of the Association for People Supporting Employment First (APSE)
  • Serving as an organizing Board Member (Employment Support Professional Certification Council (APSE)
  • Serving as President of the Board of the Council on Quality and Leadership)
  • Serving as Board Member of the APSE Rhode Island chapter.

Barbara Brent

Director of State Policy
National Association of State Directors of Developmental Disabilities Services (NASDDDS)

Barbara has over 34 years of experience in supporting children and adults with disabilities and their families through managing provider services, support coordination, community based services, training, and consulting to holding senior public leadership positions, including serving as the state executive branch agency developmental disabilities director of two states. She is currently responsible for state policy for the National Association of State Directors of Developmental Disabilities Services.

Barbara is the State Director for the National Association of State Directors of Developmental Disabilities Services, an association representing the nation’s public agencies in 50 states and the District of Columbia providing services to children and adults with intellectual and developmental disabilities and their families.

In this role, Barbara researches national and state policy on employment, residential support, funding and waiver and other Medicaid strategies, positive behavior support, supporting families and provides technical assistance to states in these and related topics. She develops publications and coordinates training for members. She is a member of the Partnerships in Employment Systems Change Project and the Supported Employment Leadership Network. She is also a member of the National Public Policy Board for the National Association for the Dually Diagnosed.

Areas of experience include:

  • Leading publicly funded state I/DD systems
  • Leading managed care systems including integrated acute/health, behavioral health and long term services and supports
  • Waiver development, amendments, service definitions, specifications, and measuring for accountability
  • National policies and implication for state strategies » National trends and leveraging trends for local state action
  • Supported employment technical assistance in changing environments
  • State policy and practice change, development and implementation
  • Supporting people with significant health or behavior support needs
  • Supporting families and self advocates
  • Interagency collaboration and coordination
  • Cultural considerations
  • Person centered planning, PATH, Personal Futures Planning, Person Centered Thinking
  • Providing consultation to state agencies to improve employment outcomes including comprehensive state assessment using the High Performing States Model, Medicaid waiver and Medicaid authorities service design, capacity building, and interagency collaboration.
  • Providing consultation to states in the bulleted areas listed above
  • Consultation in state systems reform to increase cost effective, person centered, community based outcomes

Rie Kennedy-Lizotte, MBA

Director for State Employment Leadership Network
National Association of State Directors of Developmental Disabilities Services (NASDDDS)

Rie’s experience in the disability field spans over forth (40) years. She has worked in the public and private sectors in multiple capacities at the direct support, provider administration, local, state and national levels.

Since the fall of 2007, Rie has worked with NASDDDS managing and implementing the expansion of the State Employment Leadership Network (SELN) as well as acting as lead on several other initiatives to promote person centered practices and systems collaboration to improve employment opportunities and outcomes for people with intellectual and developmental disabilities.

Rie began her career in physical therapy as one of the first recognized physical therapy assistants working in state institutional and nursing home environments. Beyond her educational background in physical therapy she has achieved degrees in social work and business administration.

Areas of experience include:

Management / Organizational Development

  • Coordinated complex logistics of multifaceted programs; Initiated and Implemented new program design; performed internal organizational audits, assured all regulatory compliance; monitored leases; coordinated review and reporting for Federal, State and Local compliance.
  • Managed daily operations for a county case management system serving 1200 individuals with intellectual and developmental disabilities and approximately 300 children ages 0-3 at risk for or with developmental delays.
  • Budget and Financial management
  • Contract Negotiations, Development and Monitoring.
  • Quality Assurance and Quality Control.
  • Gathered and analyzed data on operational and organizational systems and made recommendations of system improvements.
  • Wrote Proposals and secured new funding.
  • Project management for pilot projects on Self-Determination.
  • Responsibility to and oversight of 230 program staff.
  • Strategic planning and consensus building
  • Designed systems to provide inclusive services
  • Develop and implemented after school inclusive child care program

Staff Development / Supervision

  • Recruited, trained and supervised management staff, field staff, and community organization staff; evaluated performance; recommended and approved appropriate salary increases.
  • Developed personnel policies and procedures that included affirmative action plans.
  • Designed and led training programs to increase professional expertise, communications and theoretical background. Developed orientation packets including description of agency services, job expectations, and benefit information. Secured expert speakers for instruction in specific issues.

Community / Interagency Relations

  • Represented organizations on various local and state committees, task forces and project teams.
  • Liaison to service providers, local and state government on disability and other human service issues.
  • Advocated for participation of citizens, consumers and advocacy groups in pending program, legislative, and departmental concerns.
  • Volunteer Board Member
  •  Co-Founder of Person-to-Person: Valley Citizen Advocacy
  • County Election Officer

Cady Landa, MPP

Research and Policy Associate
Institute for Community Inclusion

Cady holds a Masters in Public Policy and an MA in Social Policy and is working toward her PhD in social policy. Her dissertation focuses on public policy and organizational influences affecting the ability of public elementary schools to meet special needs of children of recent immigrants and work with their parents in that process.

  • In the field of disabilities, Ms. Landa developed a successful and enduring Massachusetts legislative initiative to provide support to families caring for chronically mentally ill members at home.
  • She has experience in secondary education that includes teaching middle and high school social studies and language arts for ten years and consulting on service learning program design with the National Service Learning Partnership of the Academy of Educational Development.
  • She has six years experience developing public policy and pilot programs for New York City’s Medicaid program primarily in the area of community-based long-term care. Pilot programs typically required the collaboration of hospitals, nursing homes, home care providers, patients, and state, county, and federal Medicaid administrators. Program design combined service and funding innovations to increase provision of home and community-based services and permit on-going analysis of data for further program and policy development purposes.
  • For five years she managed non-profit agencies as executive director of a New York City agency serving immigrants with language, citizenship, and after-school programs, and later as executive director of a Big Brother/Big Sister agency. She involved staff and consumers in developing agency policy and programs and deepened resources for professional development of staff.
  • She has community organizing and participatory action research experience through previous work as coordinator of a city-wide teen pregnancy prevention coalition that involved building inter-organizational collaborative and inclusive community planning processes.

Alberto Migliore, PhD

Research Associate
Institute for Community Inclusion
University of Massachusetts Boston

Alberto Migliore is a research associate at the Institute for Community Inclusion since 2006. His interest focuses on improving the effectiveness of employment support professionals who assist job seekers with intellectual and developmental disabilities (IDD). His research expertise includes descriptive, correlation, and intervention research designs, including secondary data analysis. His expertise has developed over the years through a number of professional and academic activities including the following:

  • Founding member and 10 year support professional in a day program that involved adults with IDD in community-based work opportunities in Italy (where he grew up).
  • Principal investigator in a descriptive research of employment programs for adults with IDD in Italy
  • Principal investigator in a cross-national comparative research of employment programs for adults with IDD in Italy, Spain, The UK, and Germany.
  • Principal investigator in a descriptive research about preferences of adults with IDD, their families, and support staff between sheltered workshops and employment in a mid-western state in the USA.
  • Project manager in a national survey of employment support professionals in the USA.
  • Project manager of an experimental research testing the effectiveness of a training and mentoring package for employment professionals who assist job seekers with IDD in two states in the USA.
  • Supporting researcher in a national survey of employment support professionals in the USA.
  • Project manager and support analyst in a number of secondary data analyses of employment trends and predictors of outcomes using datasets such as RSA911, American Community Survey, and the National Longitudinal Transition Study 2.

Currently Alberto is involved in the following professional activities:

  • Provides data analysis support to the Partnership in Employment project team
  • Manages a research project on employment support professionals in collaboration with partners at the University of Minnesota
  • Coordinates data collection from 10 states for the annual National Survey of State Intellectual and Developmental Disabilities Agencies’ Day and Employment Services
  • Co-author the annual report ‘StateData: The national report on employment services and outcomes’
  • Is responsible for generating the annual report ‘Trends in employment outcomes of young adults with intellectual and developmental disabilities’
  • Addresses data analyses requests from a variety of in-house project teams and external partners

Jean Winsor, PhD

Research Associate
Institute for Community Inclusion

Jean has been with ICI since 2002. Her work focuses on state systems and integrated employment as well as program evaluation. Through her work she has investigated:

  • the policies and practices of states with high rates of integrated employment,
  • the methods states use to collect data on employment outcomes,
  • the strategies states use to fund integrated employment and the impact of these strategies on employment outcomes,
  • the strategies states use to promote integrated employment, » the development and implementation of Employment First policies and practices, and
  • the factors (individual and systems level) that impact the choices individuals with intellectual and development disabilities (IDD) make about employment.

Dr. Winsor:

  • is coordinator of ICI’s annual National Survey of State Intellectual and Developmental Disabilities Agencies’ Day and Employment Services,
  • is engaged in the development of strategies to train and support individuals with IDD to conduct qualitative research,
  • is a policy specialist for the State Employment Leadership Network (SELN) and the Partnerships in Employment (PIE) Training and Technical Assistance Center,
  • is principal staff for the multi-year Iowa funding project including studying best practices in funding employment services and outcomes, developing a new funding methodology for IA’s state Medicaid agency, and providing long term technical assistance and support to state agency staff to guide implementation of the methodology, and
  • was principal staff in the Washington State Jobs by 21 Partnerships Project.

As a staff member of the PIE Training and Technical Assistance Center Dr. Winsor has conducted Communities of Practice on Evaluating State Level Systems Change and an Introduction to Medicaid Waivers, produced products related to assessing Transition Systems Change, using secondary data to inform performance benchmarking, educating stakeholders about day and employment systems and systems change, and responding to state requests about the elements of successful systems change.


Model Elements