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14 October 2005 - Melbourne

Integrated Case Management Employment Project Presenter: Chris Harris Hospital: Waikato DHB Chris Harris - Waikato DHB - harrisch@waikatodhb.govt.nz ph. +64 7 834 3621. 14 October 2005 - Melbourne. KEY PROBLEMS.

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14 October 2005 - Melbourne

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  1. Integrated Case Management Employment Project Presenter: Chris HarrisHospital: Waikato DHBChris Harris - Waikato DHB - harrisch@waikatodhb.govt.nz ph. +64 7 834 3621 14 October 2005 - Melbourne

  2. KEY PROBLEMS • Lack of acceptance of employment as a health outcome by health professionals • People who experience mental illness have difficulty gaining and keeping employment • Lack of intersectoral approach - culture of risk shifting

  3. INNOVATIONS IMPLEMENTED • Intersectoral partnership • Dept Work & Income, Workbridge and Waikato DHB • Developed steering group of Employment funders, and Supported Employment Agencies • Explicit expectationof employment outcomes for Community MH teams • Established a pilot with NGO (Workwise) to introduce an integrated case management model - to focus on paid employment

  4. HOW WE DID IT • Employment Consultants attached to each team (integrated teams accessed an EC) • acts as employment liaison and support person • attends weekly CMHT meetings • monitors effects of treatment on work • Research trial - established two groups - integrated and not integrated - and observed the differences • Work and Income established work and benefit consultants in the Inpatient Service

  5. HOW WE DID IT • Project Started: Jan 2004 as Thames CMH pilot for six months then rolled out to three further CMH teams • Staffing: NGO – 3.0 FTE including project coordinator • Funding: Pilot funding for two years - $220K

  6. OUTCOMES SO FAR • 76 consumers have gained employment from 130 referrals • Improved employment outcomes for integrated group and positive feedback from both CMHT and Workwise staff about pilot • Integrated group CMHT clinical staff promote the importance of employment as a key health outcome • Intersectoral approach has created a sustained collaboration rather than competitive focus between agencies

  7. LESSONS LEARNT • Microchange is successful in changing staff attitudes • Leverage off the strengths of different stakeholders to achieve shared outcome focus - employment is a shared outcome • Staff attitudes are the single greatest determinant of employment outcome NOT health status

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