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Supportive Housing Conference November 19, 2013

Civil Rights and the Tools for Change:  Advocating for and Creating a Positive Shift Toward Employment. Supportive Housing Conference November 19, 2013. Putting It into Context Creating a Positive Shift Towards Employment Bringing it into Practice Translating it to the Person. AGENDA.

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Supportive Housing Conference November 19, 2013

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  1. Civil Rights and the Tools for Change:  Advocating for and Creating a Positive Shift Toward Employment Supportive Housing Conference November 19, 2013

  2. Putting It into Context • Creating a Positive Shift Towards Employment • Bringing it into Practice • Translating it to the Person AGENDA

  3. The Right to Integrated Employment: Established by Title II of the ADA and the Supreme Court’s Olmstead Ruling Each person utilizing services through state and local government has the right to be employed in the “most integrated setting.”

  4. What Do People Want? “Given the choice between work and idleness, people will almost always choose work. Regardless of our station in life, the conditions of our bodies and minds, or the amount of money in our bank accounts, the need to work remains one of our strongest drives. Work is central to our lives, and as such, gives a large measure of structure to our days. Common sense tells us that we feel better about ourselves when we are working regularly.” Robert E. Drake, M.D., Ph.D.

  5. National Context for Change • President’s New Freedom Commission • US v GA • DOJ cases interpreting ADA (NH,RI,OR) • MA Executive Order • US Senate HELP Committee Reports • NCD Report, ODEP Projects, EEOC, USBLN • NGA Initiative and Blueprint for Governors

  6. Not just any kind of employment approach will do... • Individual Placement and Supports is a very specific type of Supported Employment. • The IPS approach assumes everyone can work with the right supports. The person decides when and how they want to go to work. • There are no prerequisites (work adjustment, pre-vocational, sheltered, enclave or otherwise). • Unlike other approaches, IPS has been researched and proven to get higher rates of employment.

  7. Overall Findings for 17 RCTs • All 17 studies showed a significant advantage for IPS. • Mean competitive employment rates for the 17 studies: • 59% for IPS (Median= 64%) • 25% for controls (Median= 26%)

  8. Ample Opportunity to Collaborate... • Integration of rehabilitation with mental health through team assignment, • Integration of rehabilitation with mental health through frequent team member contact, • Collaboration between Employment Specialists and Vocational Rehabilitation Counselors, • Integrated Supports are provided by a variety of people, including treatment team members (e.g. housing staff, clinicians, family, friends, co-workers, and employment specialists).

  9. Example of Supportive Housing and IPS Working Together... • 40% of participants experienced co-occurring disorders, 60% experienced primary substance use disorders, and 70% had histories of felony convictions. Emphasis was on recovery as well as employment. • Integrated team was made up of Peer Specialists, Case Managers, Supportive Housing staff and Employment Specialists. • The impact of the IPS model found that 71 percent of the 319 individuals enrolled in the employment program were successful in securing integrated and competitive employment over 2 years. Average wage was $9.96/hour. **Study was developed at the Dartmouth Psychiatric Research Center by Robert Drake and Deborah Becker, and research was conducted by Heidi Herinck, independent evaluator and Assistant Director of the Regional Research Institute for Human Services at Portland State University.

  10. Finally, Return-on-Investment for Taxpayers • New Study Explores Cost Efficiency of Supported Employment throughout US • An average monthly net benefit to taxpayers of $251 (or an annual net benefit of $3,016.08 per supported employee) and generated a benefit–cost ratio of $1.46 for every dollar spent. The comprehensive research looked at all 231,204 supported employees. • Cimera, R. (2010). Supported Employment's Cost-Efficiency to Taxpayers: 2002 to 2007, Research and Practice for Persons with Severe Disabilities, Vol. 34, No. 2., pp. 13-20.

  11. Return-on-Investment for Taxpayers • New Study Explores Cost Efficiency of Supported Employment throughout US. • An average monthly net benefit to taxpayers of $251 (or an annual net benefit of $3,016.08 per supported employee) and generated a benefit–cost ratio of $1.46 for every dollar spent. The comprehensive research looked at all 231,204 supported employees. • Cimera, R. (2010). Supported Employment's Cost-Efficiency to Taxpayers: 2002 to 2007, Research and Practice for Persons with Severe Disabilities, Vol. 34, No. 2., pp. 13-20.

  12. Nuts & Bolts for Providers

  13. Idea of Whole Health & Wellness Recovery Wellness Employment Faith Behavioral (Mental) Health Family Physical (Primary Care) Health Community Integration Housing Relationships Sense of Purpose

  14. Providers Putting it Into Practice • Braiding the Funding of Housing & Employment • Organizational Factors that Lead to Success • Individual Recovery & Choice • Community Involvement & Integration

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