places like people’s homes and workplaces. With the right services, people with SMI can live in their own homes. They can also get and keep jobs where they work alongside people without disabilities doing the same work for the same pay.
Instead of helping Nebraskans with SMI find jobs, Nebraska relies heavily on segregated day programs that group these individuals together in facilities. People with SMI may spend years in segregated day programs with no path to employment. Instead of being able to live in their own homes, many people with SMI are forced to enter assisted living facilities to get help.
Nebraska already offers services that could help its citizens with SMI find jobs and live independently. For example, Nebraska offers a service called “supported employment” that helps people with SMI find jobs and supports them in the workplace. Nebraska also offers services that help people with SMI succeed in their own homes. But the department found that Nebraska limits access to community-based services and has not developed sufficient service capacity to enable people with SMI to avoid unnecessary institutionalization. As a result, many Nebraskans with SMI struggle to access community-based services. Instead, for many Nebraskans with SMI, the only options are institutions and unemployment. Nebraska could expand access to its existing community-based services so that people with SMI can get the support they need to live and work in the community.
The department describes its findings and minimum remedial measures necessary in a letter to Nebraska Governor Jim Pillen. View the department’s letter of findings here.