employability and mental health
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Employability and Mental Health. Michael Perera – Projects Manager , Mental Health Lynn Holmes ,Employment Advisor, Job Centre Plus/NHS Highland Fiona Maclachlan, Occupational Therapist, Inverness CMHT. Employability and Mental Health. The IPS Model in Highland - PowerPoint PPT PresentationTRANSCRIPT
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Employability and Mental Health
• Michael Perera – Projects Manager , Mental Health
• Lynn Holmes ,Employment Advisor, Job Centre Plus/NHS Highland
• Fiona Maclachlan, Occupational Therapist, Inverness CMHT
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Employability and Mental Health
• The IPS Model in Highland
• Review of local pilot in partnership with Department of Work and Pensions
• Suggested way forward
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1 in 6 people with a serious mental health condition have a job. 8 in 10 want 1.
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• Why do people with mental health conditions struggle to be in employment?
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3 Factors
A culture of low
expectations Fear
Failure to do what we know
works
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What is IPS?
• Competitive employment is the primary goal• No eligibility criteria• Job search based on individual preferences• Job search rapid, within one month• Employment specialists co-located with
clinical team• Support time-unlimited and individualised• Benefits advice supports transition to work• Job development is undertaken with local
employers
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So, how do you successfully help people with mental health problems
into work?• Individual Placement Support
• 12 month pilot in NHS Highland
• Partnership with DWP – Job Centre Plus
• Employment Advisor located within mental health services 3 days per week
• Worked along side Community Mental health team and Rehabilitation Services
• Ambitious for clients who wanted to work
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What happened?
• 26 clients referred• Initial confusion from referrers over role of
service (e.g. 2 clients already in work)• 4 realised during process that they were not
quite ready for work • 4 decided at initial interview IPS was not right
approach for them• 15 received support• 10 now in work• 3 in volunteering• 2 in college
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Lessons
• For IPS to work well it must be undertaken to a level of high fidelity
• Not all 8 principles are as easy to implement– Those achieved more easily:
• Personalised i.e. based on user preference• Rapid action plan, finance/benefits advice• Achieves open employment
– Less often fully in evidence:• Fully integrated with health care, no exclusion criteria• Employer engagement job development• Planned follow-on support
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Success?
• We believe so. The success rate of clients referred gaining employment mirrors that in other areas where IPS is the adopted approach (66%)
• This is double the success rate of traditional approaches.
• It is intensive but has proven to be worth it
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Mental Health Strategy
• Evidence Based supported Employment
• Adherence to 7/8 Core Principals
“If IPS is not delivered to a proven model, effectiveness will be reduced”
Work Foundation Centre for Mental Heath
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What next?
• Employment Specialist is continuing in NHSH Rehabilitation Service part time in a joint funded position
• We recommend IPS be the model of choice • We recommend that the totality of resource utilised by all
agencies to support employability be identified across The Highland Council area
• A mapping of who does what be undertaken to identify duplications/ overlap
• Draft an employability pathway understandable to all• Adjust working practices/ service level agreements/ to
redesign existing resources focusing on implementing IPS
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Questions?