2017 Minnesota Racial & Ethnic Survey of Attitudes Towards People with Developmental Disabilities MN Governor's Council on Developmental Disabilities Quantitative Research Study #2377 Final Report, July 6, 2017 MarketResponse International 1304 University Ave NE Suite 304, Minneapolis, MN 55413 612-379-1645 marketresponse.com CONTENTS Research Overview 3 Research Summary 7 Detailed Findings General Population of Minnesota: * Attitudinal Landscape 9 * Attitudinal Segments 16 Racial & Ethnic Communities of Minnesota: * Landscape Positions & Summaries 31 * Attitudes regarding housing supports, abuse investigation, home healthcare services, and Minnesota overall performance 44 Appendix 50 RESEARCH OVERVIEW OBJECTIVES Measure attitudes and opinions among racial and ethnic communities in the state of Minnesota regarding people with developmental disabilities. The results will provide insights into potential cultural impacts on attitudes towards people with developmental disabilities among Minnesota's various racial and ethnic communities. BACKGROUND An original attitudinal survey regarding people with developmental disabilities was conducted by the state of Minnesota in 1962; the survey was repeated in 2007 and then again in 2012, 50 years after the original benchmark study. Some of the original questions were retained in each survey. In 2017 the study was repeated among the general population of Minnesotans, with new questions added to reflect 21st century issues and concerns. With the Olmstead Plan as the driving force, the survey was repeated in 2017, among Minnesota's racial and ethnic minority communities including Hispanic, American Indian, African American, East African and Southeast Asian. The purpose was to compare perspectives between these communities and the white Caucasian population regarding equality, equity, diversity and inclusion of people with developmental disabilities. The original survey matched the demographics of Minnesota. This report reflects additional sampling of five racial and ethnic groups. RESPONDENT PROFILE – MINNESOTA GENERAL POPULATION SURVEY 2017 study among the general population of Minnesotans (n=1,001) Although females are represented more than males, the survey sample closely matches the age and diversity of the Minnesota adult population. Data from this survey was used to conduct a segmentation analysis of the Minnesota population based on attitudes towards people with developmental disabilities. Results of this analysis are reported in the Detailed Findings of this report. Age Census Parameters 18-24 11% 11% 25-34 21% 19% 35-44 17% 16% 45-54 21% 19% 55-64 14% 17% 65-74 11% 11% 75+ 4% 8% Race/Ethnicity Census Parameters White, Caucasian 83% 81% Black, African American 4% 6% Hispanic 4% 5% Asian/Pacific Islander 6% 5% American Indian 1% 1% Other 2% 2% RESPONDENT PROFILE – MINNESOTA RACIAL & ETHNIC COMMUNITIES SURVEY The survey was repeated in 2017, among Minnesota's various racial and ethnic communities. We decided to go back out and over sample groups to understand attitudes. Gender: Male 38% 35% 38% 24% 57% 45% Female 62% 65% 32%ABDF 76%ACEF 43%ABD 55%CD ADE ABCF BCDF BDE Average Age: 48 41 33 59 49 36 Education: < Grade School ----3% 2% 35%BCDF 4% Some/High School 15% 17% 14% 19% 28% 14% Trade/Some College 32% 42% 35% 47% 13% BCD 16% BCD College Degree 37% 31% 38% 26% 17% 43% Post Grad Work 16% 10% 10% 5% 7% 24% BDE Average Income: $72,145 $47,796 $57,853 $28,305 $16,582 $53,873 ADE ADE ABCEF ABCDF ADE ABCDEF Indicates statistically significantly higher than other figures in the row, at 95% confidence level RESEARCH SUMMARY This segmentation and research was done to better understand the attitudes of both the mainstream and typically underrepresented populations within the state of Minnesota, regarding people with developmental disabilities. Insights gained from this research can help inform policy decisions, and provide guidance as to how to best communicate to the people of Minnesota, in order to create awareness of the Olmstead Plan and enhance support for greater integration and inclusion for people with developmental disabilities. With respect to communication strategies, we believe there are two main messages that need to be communicated to the general population of Minnesota regarding people with developmental disabilities: 1. The message of capability: People with developmental disabilities are capable of living happy, productive and fulfilling lives. 2. Government services that enhance integration are a good investment: When society helps people with developmental disabilities live to their highest potential, we are all better off. ATTITUDES TOWARDS PEOPLE WITH DEVELOPMENTAL DISABILITIES & IMPORTANCE OF GOVERNMENT SERVICES The 1,001 respondents from the Minnesota general population survey rated the extent to which they agreed or disagreed (using the scale shown below) with 22 statements related to people with developmental disabilities and selected quality of life issues, including: * Integration & Inclusion * Productivity * Self Determination * Independence * Help/Assistance The respondents also rated the importance of spending taxpayer's money (using the scale below) on 24 government services for people with developmental disabilities, related to the following subject areas: * Housing/Living * Education * Employment * and other Services/Programs TWO DIMENSIONAL ATTITUDINAL LANDSCAPE A multivariate statistical analysis procedure was employed to group like-minded people together, based on answers across the 22 agree/disagree statements and 24 importance ratings related to government services. The relationships between the various attitude statements and importance ratings are visually displayed within 2 dimensions, providing a picture of the Attitudinal Landscape. On the next several slides we paint the attitudinal landscape, by defining the endpoints of the 2 axes and the four quadrants, based on the relative positions of the attitudinal statements and importance ratings. PAINTING THE ATTITUDINAL LANDSCAPE CAPABLE People with developmental disabilities should be: Allowed to have children Able to drink alcohol Allowed to vote Can live happy, fulfilling lives People with developmental disabilities should not: Be allowed to live on their own Have the opportunity of making major life decisions INCAPABLE The vertical axis differentiates those who tend on their own to think of people with developmental disabilities as being capable of assuming responsibilities and living fulfilling lives, vs. those who equate developmental disabilities as being incapable. PAINTING THE ATTITUDINAL LANDSCAPE CAPABLE If someone has a child with developmental disabilities that's their problem. There's really no reason why the rest of us should have to pay any of the extra costs of raising their child When someone is born with a developmental disability, we shouldn't assist them too much, because ultimately its survival of the fittest SEPARATION People with developmental disabilities should be integrated into society as much as possible When society helps people with disabilities live to their highest potential, we're all better off The horizontal axis differentiates those who believe in the importance of integration of people with developmental disabilities into society at large, vs. those who tend to think of people with developmental disabilities as being separated from the rest of society. INCAPABLE INTEGRATION ATTITUDINAL LANDSCAPE SUMMARY SEPARATION INDEPENDENCE CAPABLE INCLUSION The four quadrants of the attitudinal landscape are defined, based on the relative positions of the attitudinal statements, as shown on the next slide. EXCLUSION INCAPABLE DEPENDENCE INTEGRATION ATTITUDINAL LANDSCAPE SUMMARY The attitudinal segments that follow are defined by a statistical method of grouping people who have similar attitudes with each other. Each segment is therefore a cluster of beliefs held by the people in that segment. CAPABLE INDEPENDENCE Allowed to have children INCLUSION Able to drink alcohol Allowed to vote Can live happy, fulfilling lives Too much taxpayer money is being spent No preferential treatment Helping people live to highest potential, we're all better off Their child, their problem Many ADA requirements are Foster care homes excessive & costly for children Coordinated healthcare Transportation service Employment services Subsidies to rent or own a home Should not be allowed to live Survival of the fittest on their own Should not have the opportunity of making major life decisions Provision of personal assistants DEPENDENCE EXCLUSION Moved into my neighborhood, I'd be concerned It's OK to exclude people with developmental disabilities INCAPABLE SEPARATION INTEGRATION ATTITUDINAL LANDSCAPE – FOUR SEGMENTS IDENTIFIED Four discrete segments were identified. The relative position of the segments within the attitudinal landscape below are defined and differentiated by respondents' attitudes towards people with developmental disabilities. SEGMENT 4: SELF-RELIANT Individual freedoms are fundamental for the Self-Reliant segment. They believe society benefits when all individuals have the opportunity to live up to their potential. However, this group does not attach high importance to using taxpayers' money for services and supports for people with developmental disabilities. Demographically, this group has the highest income, and believe that Republican and Libertarian parties represent their views. Male Female High school or less Trade/Vocational/ Some college College graduate Grad school/ Post grad work Demographics 42% Ave. Age 45 58% Ave Income $78,400 12% Full/Part time 71% 27% Unemployed 6% 41% Student 4% 19% Retired 19% Political Party Democratic 27% Republican 33% Independent 23% All others 10% ATTITUDES: SEGMENT 4-SELF-RELIANT Agree Agree Somewhat Agree Strongly Although IPSII Advocates show the highest levels of agreement on all statements, the Self-Reliant segment was relatively high in agreement to the statements on this page, relative to the other segments. Not at all important Somewhat important Very important 1 2 3 4 5 People with developmental disabilities should be included in public places & social events 57% 90% 45% 10% People with developmental disabilities can live happy, fulfilling lives 69% 92% 66% 21% People with developmental disabilities should be encouraged to get out and be involved in the community 58% 90% 49% 13% People with developmental disabilities should be allowed to have children, just like everyone else 15% 39% 5% 5% People with developmental disabilities should be allowed to vote 25% 54% 9% 9% People with developmental disabilities should be integrated into society as much as possible 45% 81% 44% 13% People with developmental disabilities should be able to drink alcohol 11% 20% 2% 7% One can be 95% confident that differences in proportions of 8% or more are statistically significant. ATTITUDES: SEGMENT 4-SELF-RELIANT The Self-Reliant segment, along with the Egoistic segment, were less likely to attach high importance to using taxpayers' money for services and supports for people with developmental disabilities, as compared to the IPSII Advocates and Protectors segments. Not at all important Somewhat important Very important 1 2 3 4 5 Vocational counseling to help people with developmental disabilities get a better paying job 4% 76% 37% 8% Better access to post-secondary education opportunities (college/trade) 5% 76% 37% 7% Subsidies to enable adults with developmental disabilities to rent or purchase their own homes 2% 48% 17% 7% Internships or other employment opportunities designed for people with developmental disabilities 4% 75% 39% 8% Training services for employers to learn how to provide a welcoming work environment 6% 79% 42% 10% On the job assistance, so people with developmental disabilities can work in regular businesses 8% 75% 37% 6% Subsidies to families to pay for extra costs of caring for children with developmental disabilities 2% 52% 21% 9% One can be 95% confident that differences in proportions of 8% or more are statistically significant. ATTITUDES: SEGMENT 4-SELF-RELIANT CONTINUED Not at all important Somewhat important Very important 1 2 3 4 5 Training for people with developmental disabilities, and/or their advocates, on how to exercise rights 9% 79% 49% 9% & speak up for themselves Individual teaching assistants who enable children with developmental disabilities to attend regular public school classes 7% 76% 47% 9% Legal advice and representation for people with developmental disabilities 5% 70% 47% 6% Provision of personal assistants, to enable them to live more independently, or as they choose 5% 65% 34% 13% Transportation services, to get to work, doctor's appointments, grocery stores, other places 13% 82% 54% 6% Employment services that help people with developmental disabilities get placed in jobs that reflect their interests and skills 13% 82% 44% 10% One can be 95% confident that differences in proportions of 8% or more are statistically significant. SEGMENT 1: IPSII ADVOCATES INTEGRATION The IPSII Advocates have strong beliefs in community and societal supports. They believe in the importance of government/taxpayer services and supports for people with developmental disabilities, with the goal of enhancing independent living and productivity. Demographically, this group has the most females, and they were most likely to choose the Democratic party as best representing their views related to developmental disabilities. Female 73% Ave Income $68,000 Full/Part time 65% Trade/Vocational/ 23% Unemployed 10% Some college High school or less 12% College graduate 34% Student 5% Grad school/ 22% Retired 20% Post grad work Political Party Democratic 50% Republican 15% CAPABLE INCLUSION Allowed to have children Allowed to vote Can live happy, fulfilling lives Helping people live to highest potential, we're all better off Foster care homes for children Transportation service Employment services Subsidies to rent or own a home Provision of personal assistants DEPENDENCE Independent 16% All others 7% INCAPABLE ATTITUDES: SEGMENT 1 ―IPSII ADVOCATES The IPSII Advocates show the highest level of importance on services and supports. This segment is the farthest to the right indicating strong attitudes related to integration and inclusion for people with developmental disabilities. Not at all important Somewhat important Very important 1 2 3 4 5 Vocational counseling to help people with developmental disabilities get a better paying job 4% 76% 37% 8% Better access to post-secondary education opportunities (college/trade) 5% 76% 37% 7% Subsidies to enable adults with developmental disabilities to rent or purchase their own homes 2% 48% 17% 7% Internships or other employment opportunities designed for people with developmental disabilities 4% 75% 39% 8% Training services for employers to learn how to provide a welcoming work environment 6% 79% 42% 10% On the job assistance, so people with developmental disabilities can work in regular businesses 8% 75% 37% 6% Subsidies to families to pay for extra costs of caring for children with developmental disabilities 2% 52% 21% 9% One can be 95% confident that differences in proportions of 8% or more are statistically significant. ATTITUDES: SEGMENT 1 ―IPSII ADVOCATES CONTINUED Not at all important Somewhat important Very important 1 2 3 4 5 Training for people with developmental disabilities, and/or their advocates, on how to exercise rights 9% 79% 49% 9% & speak up for themselves Individual teaching assistants who enable children with developmental disabilities to attend regular public school classes 7% 76% 47% 9% Legal advice and representation for people with developmental disabilities 5% 70% 47% 6% Provision of personal assistants, to enable them to live more independently, or as they choose 5% 65% 34% 13% Transportation services, to get to work, doctor's appointments, grocery stores, other places 13% 82% 54% 6% Employment services that help people with developmental disabilities get placed in jobs that reflect their interests and skills 13% 82% 44% 10% One can be 95% confident that differences in proportions of 8% or more are statistically significant. FAMILIARITY WITH DEVELOPMENTAL DISABILITIES BY SEGMENT IPSII Advocates stand out from the other 3 segments by their (self reported) relatively higher level of familiarity with developmental disabilities. How familiar are you with developmental disabilities? (Q8) Very Familiar Somewhat Familiar Slightly Familiar Not at all Familiar Attitudinal Segments: 17% 46% 29% 8% Self-Reliant IPSII Advocates 2% Protectors 22% 41% 28% 9% Egoistic 16% 38% 27% 19% Indicates the percent is statistically significantly different from the comparable proportion of all the other segments SEGMENT 3: PROTECTORS The Protectors believe in caring for all members of CAPABLE society. Services geared more to protecting and caring for people with developmental disabilities are most important to this segment. Demographically, this is the oldest segment with the highest percent of retirees compared to other groups. Demographics High school or less 19% Full/Part time 63% Trade/Vocational/ 34% Unemployed 7% Some college College graduate 37% Student 5% Grad school/ 11% Retired 26% Post grad work Political Party Democratic 31% Republican 23% Independent 22% All others 10% INCLUSION Can live happy, fulfilling lives Helping people live to highest potential, we're all better off Foster care homes for children Coordinated healthcare Transportation service Employment services Subsidies to rent or own a home PROTECTORS 26% DEPENDENCE INTEGRATION INCAPABLE Neither ATTITUDES: SEGMENT 3 -PROTECTORS Agree Agree Somewhat Strongly 4 5 Not at all important Somewhat important Very important 1 2 3 4 5 Although the Protectors are strong believers in the importance of integration of people with developmental disabilities, their relatively low position within the attitudinal landscape is due, in part, to the relatively high importance they place on protection and healthcare related services. When society helps people with disabilities live to their highest 56% 95% 69% 17% potential, we're all better off I have a lot of respect for companies that employ people 55% 92% 67% 19% with developmental disabilities Society should do everything in its power to help those individuals who are most 38% 87% 54% 15% vulnerable With the right education/training, most people with developmental disabilities could be very productive workers 35% 81% 47% 13% Protection services to prevent abuse of people with developmental disabilities 31% 87% 71% 11% Access to quality, coordinated healthcare services 20% 89% 69% 9% Special education services for students with developmental disabilities 21% 89% 67% 8% Early Childhood special education services to help children with developmental disabilities 21% 89% 67% 14% One can be 95% confident that differences in proportions of 8% or more are statistically significant. SEGMENTAT 2: EGOISTIC CAPABLE The Egoistic segment may be motivated out of fear or a lack of understanding of those individuals who have developmental disabilities. With strong financial self interest, they believe that minimal funding should be provided to individuals with developmental disabilities. Demographically, this group has the most males and the lowest average household income. INDEPENDENCE Able to drink alcohol Too much taxpayer money is being spent No preferential treatment Their child, their problem Many ADA requirements are excessive & costly EGOISTIC 18% Should not be allowed to live Survival of the fittest on their own Should not have the opportunity of making major life decisions EXCLUSION Moved into my neighborhood, I'd be concerned INCAPABLE It's OK to exclude people with developmental disabilities SEPARATION Demographics High school or less 23% Full/Part time 65% Trade/Vocational/ 30% Unemployed 13% Some college College graduate 35% Student 4% Grad school/ 13% Retired 19% Post grad work Political Party Democratic 23% Republican 30% Independent 23% All others 13% ATTITUDES: SEGMENT 2 - EGOISTIC Neither Agree Agree Somewhat Strongly The Egoistic segment is the smallest group (18%), and they show the highest levels of agreement with attitudes that imply separating and excluding people with developmental disabilities, positioning them farthest to the left compared to all other groups. When someone is born with a developmental disability, we shouldn't assist them too much, because ultimately its survival of the fittest 1%2% 2% 27% It's OK to exclude people with developmental disabilities from many public situations; they cannot be expected to fit in 4%1% 8% 31% If someone has a child with developmental disabilities that's their problem. There's really no reason why the rest of us should have to pay any of the extra costs of raising that child 13% 1% 6% 35% Too much taxpayer money is being spent on people with developmental disabilities 11% 0% 3% 35% If a person with developmental disabilities moved into my neighborhood, I'd be concerned 3%1% 3% 20% Most people with developmental disabilities should not have the opportunity of making major life decisions: where they live, where they work, with whom they associate, etc. 6% 3% 10% 27% Society shouldn't give preferential treatment to people with developmental disabilities when there are so many other people who are still unemployed. 21% 4% 13% 39% Many of the requirements of the American with Disabilities Act (ADA) are excessive and too costly for a lot of businesses to comply with 28% 8% 28% 42% People with developmental disabilities should not be allowed to live on their own; they need to be closely supervised 14% 3% 22% 32% One can be 95% confident that differences in proportions of 8% or more are statistically significant. 29 HOUSING SUPPORTS The respondents were shown the following statement regarding housing supports for people with developmental disabilities: The State of Minnesota currently places over 14,000 people with developmental disabilities in 4 person corporate foster care facilities. The cost is over $1 billion per year. Other states provide housing supports directly to people with disabilities so they can live in their own homes and choose their own providers. Some people believe the State of Minnesota should begin to shift from the 4-person corporate foster care facilities, to the more independent living approach, siting research showing that people with disabilities thrive better in homes of their own with only one or two roommates (usually 3 or fewer people). Others believe the State of Minnesota should stay with corporate foster care, saying they can provide a safer, more secure environment; and changing to the more independent living approach would be too disruptive to the lives of people with developmental disabilities. Attitudinal Segments: Percent who believe Minnesota should provide direct housing supports 37% Self-Reliant 73% IPSII Advocates IPSII Advocates were the most likely to believe the State of Minnesota should replace 4-person corporate foster care facilities with direct supports to people with developmental disabilities. Protectors 44% Egoistic 37% IMPORTANCE OF INVESTIGATING ABUSE Not at all important Somewhat important Very important 1 2 3 4 5 The respondents were shown the following statement regarding investigations of abuse of people with developmental disabilities: There are many forms of abuse: physical, verbal, sexual, financial etc.; and unfortunately, abuse can happen to anyone, anywhere, and at any age. In the past year there were 52,000 reports of abuse across all vulnerable populations in Minnesota. Of the 52,000 reports, only 1,046 reports were referred for investigation. And of those 1,046 reports, there were 789 investigations completed. Thinking again in terms of spending taxpayer's money, how important do you believe it is for government to investigate all reports of abuse of people with developmental disabilities? Attitudinal Segments: Very Important Ratings 36% Self-Reliant 80% IPSII Advocates 62% Protectors IPSII Advocates and Protectors were more likely than the Egoistic other 2 segments to believe it's Very Important to investigate all reports of abuse of people with developmental disabilities. 16% PROPOSED ENHANCEMENT OF HOME HEALTHCARE PROGRAM IPSII Advocates were more likely than the other segments to Strongly Believe that the proposed wage increase should be implemented for personal care assistants who provide for those with the more complex health needs. The respondents were shown the following statement regarding compensation of home health workers who care for people with developmental disabilities: The State of Minnesota currently provides a home health program for people with disabilities, which in 2015 served 40,600 Minnesotans in their homes at an annual cost of $832 million. Currently the personal care assistants who provide care under the program are all paid the same rate ($10 to $12 an hour), regardless of the level of care needed. As a result, it is believed that caregivers are switching to clients who require less-demanding care. It has been proposed that home-care aides should get a 20 percent wage increase, amounting to $2 to $4 an hour, if they care for people with the more complex health needs, who are currently being underserved. About 3,000 people statewide would qualify for the new, enhanced level of care, according to state estimates. Strongly Tend to Tend to Don't Know, Believe Support Reject No Opinion Attitudinal Segments: 18% 62% 10% 10% Self-Reliant 61% 36% 1% 3% IPSII Advocates 33% 57% 2% 8% Protectors 17% 39% 20% 23% Egoistic DISTRIBUTION OF RACIAL & ETHNIC COMMUNITIES, ACROSS THE ATTITUDINAL SEGMENTS The attitudinal midpoint of the various racial and ethnic communities was subjectively positioned within the Attitudinal Landscape (next slide) based on how their members were distributed across the four segments. For example, American Indians are positioned down and to the right, because of the large share of their community members (49%) in the Protectors segment, and relatively few of their members in the upper and lower left segments. White Caucasian (n=831) African American (n=93) 49% Hispanic (n=78) 37% 36% 34% 34% 31% 27% 23% 20% 18% 17% 14% 8% American Indian (n=59) East African (n=52) Southeast Asian (n=51) 24% 24% IPSII Advocates Egositic Protectors Self-Reliant ATTITUDINAL LANDSCAPE – RACIAL & ETHINIC COMMUNITIES SEPARATION INTEGRATION CAPABLE INDEPENDENCE INCLUSION SOUTHEAST ASIAN EGOISTIC HISPANIC 18% AMERICAN INDIAN AFRICAN AMERICAN PROTECTORS 26% EXCLUSION DEPENDENCE INCAPABLE ATTITUDINAL LANDSCAPE – AFRICAN AMERICAN COMMUNITIY SEPARATION INTEGRATION CAPABLE INDEPENDENCE INCLUSION EGOISTIC 18% AFRICAN AMERICAN PROTECTORS 26% EXCLUSION DEPENDENCE INCAPABLE RESPONDENT PROFILE - AFRICAN AMERICAN COMMUNITY African American respondents feel that people with developmental disabilities need to be closely supervised, for their own protection and wellbeing. It is important that society helps provide necessary services for parents of children with developmental disabilities, from early childhood education to employment services. Attitudes they generally agree with: * People with developmental disabilities should not be allowed to live on their own; they need to be closely supervised * Parents of children with developmental disabilities cannot be expected to provide all necessary services themselves Services they generally consider important: * Early childhood special education services (Pre-Kindergarten, birth to age 5) to help children with developmental disabilities prepare for school * Employment services so that people with developmental disabilities can learn job skills * Protection services to prevent abuse of people with developmental disabilities * Foster care homes for children with developmental disabilities Demographics (n=93) Male 35% Ave. Age 41 Female 65% Ave Income $47,796 Less than high school __ High school 17% Full/Part time 64% Trade/Vocational/ 42% Unemployed 17% Some college College graduate 31% Student 9% Grad school/ 10% Retired 10% Post grad work Political Party Democratic 62% Republican 8% All others/Don't Know 20% Independent 11% Higher or lower measure compared to all other ethnic communities ATTITUDINAL LANDSCAPE – HISPANIC COMMUNITY SEPARATION INTEGRATION CAPABLE INDEPENDENCE INCLUSION EGOISTIC HISPANIC 18% PROTECTORS 26% EXCLUSION DEPENDENCE INCAPABLE RESPONDENT PROFILE – HISPANIC COMMUNITY Hispanics respondents are the most reluctant to have strong opinions regarding people with developmental disabilities, compared to the other populations surveyed. They were the least likely to agree strongly that, with the right education or training, most people with developmental disabilities could be very productive workers. And they were least likely to believe that school aged children with developmental disabilities should be taught together with children without disabilities in the same classes. Attitudes they generally agree with: * Society should do everything in its power to help those individuals who are most vulnerable * It's OK to exclude people with developmental disabilities from many public situations; they cannot be expected to fit in * Society shouldn't give preferential treatment to people with developmental disabilities when there are so many other people who are still unemployed Services they generally consider important: * Services to help students with developmental disabilities transition from high school, to college or gainful employment * Access to quality, coordinated healthcare services, legal advice Male Female Less than high school High school Trade/Vocational/ Some college College graduate Grad school/ Post grad work Democratic Independent Demographics (n=78) 38% Ave. Age 33 62% Ave Income $57,853 3% 14% Full/Part time 71% 35% Unemployed 14% 38% Student 10% 10% Retired 5% Political Party 35% Republican 13% All others/Don't 17% 36% Know Higher or lower measure compared to all other ethnic communities ATTITUDINAL LANDSCAPE – AMERICAN INDIAN COMMUNITY SEPARATION INTEGRATION CAPABLE INDEPENDENCE INCLUSION EGOISTIC 18% AMERICAN INDIAN PROTECTORS 26% EXCLUSION DEPENDENCE INCAPABLE RESPONDENT PROFILE – AMERICAN INDIAN COMMUNITY American Indian respondents are big on inclusion and all aspects of transportation, housing and care supports for people with developmental disabilities. They have a strong conviction that, when society does everything in its power to help individuals who are most vulnerable, we are all better off. Demographically, American Indian respondents had the highest number of females and were older, on average, than the respondents of all other communities. Attitudes they generally agree with: * People with developmental disabilities should be included in public places and social events * When society helps people with disabilities live to their highest potential, we're all better off * People with developmental disabilities can live happy, fulfilling lives * Society should do everything in its power to help those individuals who are most vulnerable Services they generally consider important: * All aspects of transportation, housing & care * Special education services for students with developmental disabilities Demographics (n=59) Male 24% Ave. Age 59 Female 76% Ave Income $28,305 Less than high school 2% High school 19% Full/Part time 48% Trade/Vocational/ 47% Unemployed 2% Some college College graduate 26% Student 2% Grad school/ 5% Retired 48% Post grad work Political Party Democratic 66% Republican 8% All others/Don't Know 17% Independent 8% Higher or lower measure compared to all other ethnic communities ATTITUDINAL LANDSCAPE – EAST AFRICAN COMMUNITY SEPARATION INTEGRATION CAPABLE INDEPENDENCE INCLUSION EGOISTIC 18% PROTECTORS 26% EXCLUSION DEPENDENCE INCAPABLE RESPONDENT PROFILE -EAST AFRICAN COMMUNITY As a group, East African respondents are conflicted in their attitudes towards people with developmental disabilities. On the one hand, the majority of them agree strongly that people with developmental disabilities should get involved in the community, be allowed to vote, and have access to quality health care, legal, employment, transportation and education services. However, there is a sizable group within this community who believe that excluding people with developmental disabilities is OK, that they should not have the opportunity to make decisions for themselves, and they believe society should not play any role in paying for the extra costs of raising children with developmental disabilities. Demographically, East African respondents were the least educated and had the lowest average household income, as compared to all other communities. Attitudes they generally agree with: Demographics (n=52) * With the right education or training, most people with developmental disabilities could be very productive workers Male 57% Ave. Age 49 Female 43% Ave Income $16,582 * Society should do everything in its power to help those individuals who are most vulnerable Less than high school 35% High school 28% Full/Part time 61% * It's OK to exclude people with developmental disabilities from many public situations; they cannot be expected to fit in Trade/Vocational/ Unemployed 19% Some college 13% College graduate 17% Student 6% * Society shouldn't give preferential treatment to people with developmental disabilities when there are so many other people who are still unemployed Grad school/ 7% Retired 15% Post grad work Place of birth Somalia: 62% Ethiopia: 35% Kenya: 4% Services they generally consider important: Political Party * Services to help students with developmental disabilities transition from high school, to college or gainful employment Democratic 66% Republican 4% All others/Don't Know 24% Independent 6% * Access to quality, coordinated healthcare services, legal advice Higher or lower measure compared to all other ethnic communities ATTITUDINAL LANDSCAPE – SOUTHEAST ASIAN COMMUNITY SEPARATION INTEGRATION CAPABLE INDEPENDENCE INCLUSION SOUTHEAST ASIAN EGOISTIC 18% PROTECTORS 26% EXCLUSION DEPENDENCE INCAPABLE RESPONDENT PROFILE -SOUTHEAST ASIAN COMMUNITY Along with the Hispanic community, attitudes among the Southeast Asian respondents were similar to those of the general population of Minnesotans. This may be due in part to the relatively higher levels of education from this sample of respondents, compared to the education levels of the other communities. Demographically, in addition to higher education, Southeast Asian respondents had the highest average household income and were most likely to choose the Democratic party as best representing their views related to developmental disabilities. Demographics (n=51) Attitudes they generally agree with: Male 45% Ave. Age 36 * Many of the requirements of the American with Disabilities Act (ADA) are excessive and too costly for a lot of businesses to comply with Female 55% Ave Income $53,873 Less than high school 4% High school 14% Full/Part time 98% * With the right education or training, most people with developmental disabilities could be very productive workers Trade/Vocational/ 16% Unemployed - Some college College graduate 43% Student 2% * People with developmental disabilities should be allowed to have children, just like everyone else Grad school/ 24% Retired - Post grad work Place of birth Services they generally consider important: Laos: 67% Thailand: 10% Myanmar: 10% * Programs that connect a parent with a child with developmental disabilities with another parent of a child with developmental disabilities for counseling and support Philippines: 2% Malaysia: 2% Other: 10% Political Party Democratic 71% Republican - Independent - All others/Don't Know 27% Higher or lower measure compared to all other ethnic communities 45 DETAILED FINDINGS General Population of Minnesotans: * Attitudinal Landscape * Attitudinal Segments Racial & Ethnic Communities of Minnesota: * Landscape Positions & Summary * Attitudes regarding housing supports,abuse investigation, home healthcareservices, and Minnesota overall performance HOUSING SUPPORTS The respondents from all racial and ethnic communities were more likely to believe that the state of Minnesota should provide housing supports directly to people with developmental disabilities, as compared to Caucasians. The respondents were shown the following statement regarding housing supports for people with developmental disabilities: The State of Minnesota currently places over 14,000 people with developmental disabilities in 4 person corporate foster care facilities. The cost is over $1 billion per year. Other states provide housing supports directly to people with disabilities so they can live in their own homes and choose their own providers. Some people believe the State of Minnesota should begin to shift from the 4-person corporate foster care facilities, to the more independent living approach, siting research showing that people with disabilities thrive better in homes of their own with only one or two roommates (usually 3 or fewer people). Others believe the State of Minnesota should stay with corporate foster care, saying they can provide a safer, more secure environment; and changing to the more independent living approach would be too disruptive to the lives of people with developmental disabilities. Minnesota should provide housing supports directly to people with developmental disabilities, giving them more involvement in decisions regarding where they live, who they live with and who their care providers are Minnesota should stay with the corporate foster care facilities, because they provide more stable and secure living environments for people with developmental disabilities 49% 69% 64% 64% 58% 67% 16% 14% 15% 10% 10% 14% I don't know, I don't have an opinion either way 34% 17% 21% 25% 32% 20% Proportions are statistically significantly different than other proportions in the row, at the 95% confidence level REASONS FOR DIRECT HOUSING SUPPORTS, OR CORPORATE FOSTER CARE FACILITIES Shown below are the coded open-ended responses, showing the reasons why some people believe Minnesota should provide housing supports directly to people with developmental disabilities, and others believe the state should maintain the current approach with corporate foster care facilities. Too vulnerable, don't have the capacity to live on their own They should have the right, freedom to choose own/safety/need supervision Best for individual/better quality of life More social, communal environment, better living They will be more independent, productive, opportunities Don't fix what is not currently broken Costs are too high for families to afford Less expensive Many are high functioning They can still be independent and learn skills in group home setting There are more important programs for government to spend money Distrust the 4 person corporate foster care system/abuse Should have the same access to housing supports as others who Cruel to disrupt their current situation receive housing supports IMPORTANCE OF INVESTINGATING ABUSE The African American and American Indian respondents were most likely to indicate that it's very important to investigate all reports of abuse of people with developmental disabilities. The respondents were shown the following statement regarding investigations of abuse of people with developmental disabilities: There are many forms of abuse: physical, verbal, sexual, financial etc.; and unfortunately, abuse can happen to anyone, anywhere, and at any age. In the past year there were 52,000 reports of abuse across all vulnerable populations in Minnesota. Of the 52,000 reports, only 1,046 reports were referred for investigation. And of those 1,046 reports, there were 789 investigations completed. Thinking again in terms of spending taxpayer's money, how important do you believe it is for government to investigate all reports of abuse of people with developmental disabilities? Very important 5 53% 81% 65% 79% 54% 59% 4 27% 8% 17% 10% 38% 25% Somewhat important 3 18% 11% 14% 9% 8% 12% 2 2% - 4% 2% - 4% Not at all important 1 - 1% - - - - Proportions are statistically significantly different than other proportions in the row, at the 95% confidence level PROPOSED ENHANCEMENT OF HOME HEALTHCARE PROGRAM All respondents, regardless of the specific community, are supportive of the proposed wage increase for some home-health workers. They appear to be more likely to strongly believe the program should be enhanced as proposed. The respondents were shown the following statement regarding compensation of home health workers who care for people with developmental disabilities: The State of Minnesota currently provides a home health program for people with disabilities, which in 2015 served 40,600 Minnesotans in their homes at an annual cost of $832 million. Currently the personal care assistants who provide care under the program are all paid the same rate ($10 to $12 an hour), regardless of the level of care needed. As a result, it is believed that caregivers are switching to clients who require less-demanding care. It has been proposed that home-care aides should get a 20 percent wage increase, amounting to $2 to $4 an hour, if they care for people with the more complex health needs, who are currently being underserved. About 3,000 people statewide would qualify for the new, enhanced level of care, according to state estimates. I strongly believe the home healthcare program should be enhanced as proposed 35% 47% 49% 53% 58% 49% I would tend to support the enhancement of the home healthcare program, if it's truly needed by those with the most severe disabilities 49% 41% 36% 35% 19% 29% I would tend to reject the idea that more taxpayers' money needs to be spent on providing in-home care services for people with disabilities 7% 4% 9% 4% 6% 4% I don't know, I don't have an opinion either way 9% 8% 6% 9% 17% 18% Proportions are statistically significantly different than other proportions in the row, at the 95% confidence level OVERALL PERFORMANCE OF STATE OF MINNESOTA SERVICES FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES American Indian respondents were the least likely to give a top 2-box rating (8 or 9) regarding the overall performance of Minnesota state government, or the state and its people, in providing needed quality of services to people with developmental disabilities. All things considered, using the scale below, how would you rate the overall performance of Minnesota state government, or the state and its people as a whole, in providing needed quality of services to people with developmental disabilities? 123456789 Mean Ratings Percent who gave an 8 or 9 rating White Caucasian 6.2 12% (n=831) African American 6.3 19% (n=93) Hispanic 6.1 19%(n=78) American Indian 5.6 9% (n=59) East African 6.4 19% (n=52) Southeast Asian 6.2 24%( n=51) * Other Proportions are statistically significantly different than other proportions in the row, at the 95% confidence level I have a lot of respect for companies that employ people with developmental disabilities 64% DE 66% E 63% DE 80% AC 85%ABC 69% When society helps people with disabilities live to their highest potential, we're all better off 65% 66% 59% 75% 69% 63% With the right education or training, most people with developmental disabilities could be very productive workers 49% BCDEF 63% 50% DEF 76% AC 77%AC 69% AC Many of the requirements of the American with Disabilities Act (ADA) are excessive and too costly for a lot of businesses to comply with Society shouldn't give preferential treatment to people with developmental disabilities when there are so many other people who are still unemployed 4% F 3% E 4% F 9% E 9% 6% E 8% 5% E 13% 29% ABCDF 18%AB 10% E ABCDEF Indicates statistically significantly higher than other figures in the row, at 95% confidence level ABCDEF Indicates statistically significantly higher than other figures in the row, at 95% confidence level Society should do everything in its power to help those individuals who are most vulnerable 53% BDEF 74% AC 58% BD 78% AC 69% A 71% A Parents of children with developmental disabilities cannot be expected to provide all necessary services themselves 26% BD 43% ACEF 21% BD 39% ACE 20% BD 25% BD If someone has a child with developmental disabilities that's their problem. There's really no reason why the rest of us should have to pay any of the extra costs of raising that child 3% E 3% E 4% E 2% E 25%ABCDF 8% E Too much taxpayer money is being spent on people with developmental disabilities 2%BE 8% A 6% 7% 13% A 8% When someone is born with a developmental disability, we shouldn't assist them too much, because ultimately its survival of the fittest 2% E 5% E 3% 5% 13% AC 8% Neither ATTITUDES: BY RACIAL & ETHNIC COMMUNITIES Agree Agree Somewhat Strongly 45 People with developmental disabilities should be integrated into society as much as possible 52% E 60% 53% 61% 69% A 57% Everyone would be better off if school-aged children with developmental disabilities were taught together in the same classes as other children, as much as possible 14% DE 18% DE 13% DE 34% ABC 39% ABC 24% People with developmental disabilities should be included in public places and social events 57% D 58% 56% 71% A 61% 65% People with developmental disabilities should be encouraged to get out and be involved in the community 58% E 61% 54% E 66% 73% AC 63% If a person with developmental disabilities moved into my neighborhood, I'd be concerned 1% E 6% E 3% E 12% 24%ABC 10% It's OK to exclude people with developmental disabilities from many public situations; they cannot be expected to fit in 2% E 6% 3% E 2% E 13%ACD 10% ABCDEF Indicates statistically significantly higher than other figures in the row, at 95% confidence level People with developmental disabilities should be allowed to vote 26% BDEF 38% ADEF 31% DEF 59% ABC 71%ABC 55% ABC People with developmental disabilities should be allowed to have children, just like everyone else 18% CEF 25% EF 31% AE 27% EF 67%ABCDF 47% ABDE People with developmental disabilities should be able to drink alcohol 10% 9% 8% 15% 6% 18% People with developmental disabilities can live happy, fulfilling lives 69% 69% 62% 76% 67% 69% Most people with developmental disabilities should not have the opportunity of making major life decisions: where they live, where they work, with whom they associate, etc. 1% D 5% CE 0% DE 12% AC 20%ABCF 6% E People with developmental disabilities should not be allowed to live on their own; they need to be closely supervised 2% BEF 13%AC 4% FG 8% 16% AC 14% A ABCDEF Indicates statistically significantly higher than other figures in the row, at 95% confidence level IMPORTANCE OF GOVERNMENT SERVICES: BY RACIAL & ETHNIC COMMUNITIES Not at all important Somewhat important Very important 1 2 3 4 5 Transportation services, to enable people w/ developmental disabilities, who are unable to drive, get to work, doctors appointments, grocery stores & other places they need or want to go Housing assistance, foster care, or group homes for people with developmental disabilities 44% BCDE 35% BCD 62% 49% 58% 53% 73% AF 59% 65% 46% 55% D 47% Foster care homes for children with developmental disabilities 35% BCD 52% AE 49% 57% AE 33%BD 43% Provision of personal assistants, who assist people with developmental disabilities, to enable them to live more independently, or as they choose 32% BCDE 60% 47% AD 67% ACF 59% 45% D Subsidies to families to pay for extra costs of caring for children with developmental disabilities 23% BCDEF 51% 37% 56% 46% 45% Subsidies to enable adults with developmental disabilities to rent or purchase their own homes 20% BCDE 38% 36% 42% 37% 31% ABCDEF Indicates statistically significantly higher than other figures in the row, at 95% confidence level IMPORTANCE OF GOVERNMENT SERVICES: BY RACIAL & ETHNIC COMMUNITIES Not at all important Somewhat important Very important 1 2 3 4 5 Early childhood special education services (Pre-Kindergarten, birth to age 5) to help children with developmental disabilities prepare for school 54% BCDE 73% 65% 68% 67% 65% Special education services for students with developmental disabilities 52% CDE 62% 64% 76% 69% 65% Services to help students with developmental disabilities transition from high school, to college or gainful employment 43% BCDEF 39% BCDEF 36% BCDEF Individual teaching assistants who enable children with developmental disabilities to attend regular public school classes 69% 51% AE 54% 56% AE 53% AE 54% Better access to post-secondary education opportunities (college, trade schools) 71% 63% 68% 75%AC 73% AC 62% 65% 61% 63% ABCDEF Indicates statistically significantly higher than other figures in the row, at 95% confidence level IMPORTANCE OF GOVERNMENT SERVICES: BY RACIAL & ETHNIC COMMUNITIES Not at all important Somewhat important Very important 1 2 3 4 5 Employment services so that people with developmental disabilities can learn job skills Employment services that help people with developmental disabilities get placed in jobs that reflect their interests & skills 47% BDEF 42% BDF Training services for employers to learn how to provide a welcoming work environment for people with developmental disabilities 39% BCDEF Internships, apprenticeships or other employment opportunities 36%designed specifically for people with developmental disabilities BDEF On the job assistance, so people with developmental disabilities can 37%work in regular businesses CDEF Vocational counseling, to individuals with developmental disabilities who earn less than minimum wage, to help them get a better paying job 36% BDEF 68% 55% 71% 65% 61% 58% 49% D 69% ACE 47% D 63% 56% 53% 69% 58% 63% AD AC 48% 45% 75% 62% 59% ADD AC 46% 49% 61% 53% 61% 55% 45% 64% 51% 63% DFAC AC ABCDEF Indicates statistically significantly higher than other figures in the row, at 95% confidence level IMPORTANCE OF GOVERNMENT SERVICES: BY RACIAL & ETHNIC COMMUNITIES Not at all important Somewhat important Very important 1 2 3 4 5 Access to quality, coordinated healthcare services 54% BDEF 68% AE 55% DEF 76% AC 82%ABC 73% AC Protection services to prevent abuse of people with developmental disabilities 56% BDEF 80% AC 64% BD 85% AC 75% 73% Training and counseling services for parents of people with developmental disabilities Research to learn about the causes of autism and other developmental disabilities 41% BCDEF 44% BCDE 60% AE 63% 58% ADE 59% 75% AC 71% 78% ABC 73% ABC 69% 65% Training for people with developmental disabilities, and/or their advocates, on how to exercise rights & speak up for themselves 41% BCDEF 59% AD 59% AD 76% ABC 68% 69% Legal advice and representation for people with developmental disabilities 36% BCDEF 60% AE 53% ADE 69% AB 80% ABC 67% Programs that connect a parent with a child with developmental disabilities with another parent of a child with developmental disabilities for counseling and support 34%BDEF 58% AE 45% DEF 66% AC 78% ABC 71% AC ABCDEF Indicates statistically significantly higher than other figures in the row, at 95% confidence level Thank you Your MARKETRESPONSE contacts: Tom Pearson, Derek Pearson 1304 University Ave. NE Suite 304 Minneapolis, MN 55413 USA office: 612.379.1645 e-mail: t.pearson@marketresponse.com d.pearson@marketresponse.com web: 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