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IPS: Working for Recovery

IPS: Working for Recovery. Facts. 60 – 70% of people with a mental illness want to work Less than 15% are employed Unemployment rate is 3 to 5 times higher than those without a mental illness. Irony of it All. Employment is an evidence-based practice in treating mental illnesses and

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IPS: Working for Recovery

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  1. IPS: Working for Recovery

  2. Facts • 60 – 70% of people with a mental illness want to work • Less than 15% are employed • Unemployment rate is 3 to 5 times higher than those without a mental illness

  3. Irony of it All Employment is an evidence-based practice in treating mental illnesses and helping people in their recovery

  4. Employment Provides daily structure, routine, goals Improves self-esteem and self-image Increases income Provides opportunities for friendships, social support Reduces symptoms Improves quality of life

  5. Barriers • Stigma • Difficulty disclosing to employers • Not asking for accommodations • Many employment programs geared towards other disabilities • Programs are “place” and drop

  6. Employment Covered under Americans with Disabilities Act (ADA) Under the ADA, you have a disability if you have a physical or mental impairment that substantially limits a major life activity

  7. MN Employment Programs • Vocational Rehabilitation • Extended Employment (EE) • EE-SMI (for people with serious mental illness) • Supported Employment • Individual Placement and Support (IPS)

  8. Individual Placement and SupportIPS • Evidence-based practice • Competitive employment rate is 65% compared to 25% for other models • Took 10 weeks less to get a job • Two thirds worked 20+ hours a week

  9. Principles of IPS 1. Focus on competitive employment 2. Eligibility based on client choice 3. Integration of rehabilitation and mental health services 4. Attention to client preferences

  10. Principles of IPS 5. Personalized benefits counseling 6. Rapid job search 7. Systematic job development 8. Time unlimited and individualized support

  11. IPS • Team Approach/Multidisciplinary • Case manager or counselor • Voc rehab counselor • Client • Employment specialist • Psychiatrist or nurse practitioner • Family member

  12. Career Profile • Client completes with employment specialist in first few weeks • Updated with each new job experience

  13. Career Profile • What is your dream job? • What do you like and not like? • What symptoms impact you? • Are there physical health issues that get in the way?

  14. Career ProfileConsiderations… • Work goal • Education and experience • Mental and physical health • Cognitive problems/abilities • Getting ready for a job • Interpersonal skills • Work skills

  15. Career Profile More than just a job…. • Benefits • Disclosure • Substance use • Justice system record • Daily activity • Networking contacts

  16. IPS Components - Competitive employment • Real jobs • Part- or full-time • At least minimum wage • Has the same pay and benefits as everyone else • Not a segregated environment or workgroup

  17. IPS Components - Zero Exclusion • Anyone who wants to participate is eligible • Motivation is an indicator of success • Doesn’t matter re: work history, diagnosis, criminal record, substance use, missed appointments, cognitive problems, grooming

  18. IPS Components - Integrating employment and mental health • Work as a team • Collaborate, service coordination • Treatment changes to accommodate work. Ex: modifying medication schedule

  19. IPS Components - Client preferences are honored • What kind of job is sought • Whether to disclose or not • What type of support is desired – role playing, job coaching, talking to employer • People stay at jobs longer when they like them

  20. IPS Components - Benefits planning • Know how it impacts MA and/or Medicare • Know how it impacts Social Security, General Assistance or Veteran’s benefits • Ongoing service, not one-time • Work Incentives Connection – (651) 632-5113

  21. IPS Components - Rapid job search • Explore within one month • No hoops to go through first • No work readiness, work adjustment, work trials • Acting on motivation

  22. IPS Components - Systematic job development • Develop relationships with employers • Learn about work environment and employers’ needs • Out in the community - greater opportunity to learn about jobs opening up

  23. IPS Components - Follow – Along supports • Individualized assistance • As long as needed and desired • Responsive to changing interests • Can assist in going back to school

  24. Long-Term Benefits • Cost effective • May reduce hospitalizations and other intensive services • Savings in Social Security and other federal benefits programs

  25. IPS in Minnesota • Six projects funded • Part of national learning collaborative with Dartmouth and J&J • Joint effort Dept of Employment & Economic Development (DEED) & DHS • Average cost per project $125,830

  26. IPS Projects in Minnesota • HDC in Duluth • Guild in St Paul • Functional Industries in Wright County • Tran$em in Clay and Ottertail Counties • Lifetrack Resources in Washington County • Rise, Inc in Anoka County

  27. NAMI-MN Family Advocacy Team • Raise awareness of benefits of IPS • Expand the number of IPS programs in the state • Encourage family members to become involved in employment activities • Advocate at community & state levels • Become part of our team!

  28. Dartmouth IPS Supported Employment Center http://www.dartmouth.edu/~ips/

  29. Questions?

  30. NAMI Minnesota 800 Transfer Road, Suite 31 St. Paul, MN 55114 651-645-2948 1-888-NAMI-HELPS www.namihelps.org

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