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Mental Health Supported Employment in Oregon

Mental Health Supported Employment in Oregon. Crystal McMahon. The project is funded through a Medicaid Infrastructure Grant from the U.S. Centers for Medicare and Medicaid Services (CFDA #11-P-92415/-01). Reasons People Work. Money! Structure during the day. Social interactions.

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Mental Health Supported Employment in Oregon

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  1. Mental Health Supported Employment in Oregon Crystal McMahon The project is funded through a Medicaid Infrastructure Grant from the U.S. Centers for Medicare and Medicaid Services (CFDA #11-P-92415/-01).

  2. Reasons People Work • Money! • Structure during the day. • Social interactions. • Positive self identity. • Greater financial freedom. • Opportunity to learn new things. • Because they enjoy challenges. • To contribute to the community.

  3. Why focus on employment? • Viewed by many as an essential part of recovery. • Most people (including clients) want to work. • A typical role for adults in our society. • Cost effective alternative to other treatment options. • Supported employment is an evidence based practice.

  4. Evidence Based Practice • Program models validated by rigorous research. • Has guidelines describing the critical components. • Has treatment manual.

  5. Conclusions: Randomized Controlled Trials of Supported Employment • In 13 of 13 studies, SE had significantly better competitive employment outcomes than controls • Mean across studies of consumers working competitively at some time: • 60% for supported employment • 22% for controls

  6. Competitive Employment Rates in 12 RCTs of Supported Employment

  7. Positive Outcomes from Competitive Work • Better control of psychiatric symptoms • Higher self-esteem • More satisfaction with finances and with leisure (Bond et al., 2001)

  8. Definition of Supported Employment • Mainstream job in the community. • Pays at least minimum wage. • Work setting includes people who are not disabled. • Service agency provides ongoing support. • Intended for people with mental health diagnosis.

  9. Evidence based principles. • Eligibility is based on consumer choice. • Consumers are not excluded because “they are not ready”, because of lack of work history, substance abuse, symptoms or other characteristics. • Nobody is excluded who wants to participate.

  10. Evidence based principles • Supported employment is integrated with treatment. • Employment specialists coordinate plans with the treatment team, e.g., case manager, therapist, psychiatrist, etc.

  11. Evidence based principles • Competitive Employment is the goal. • The agency needs to devote sufficient resources to supported employment to permit full access to all consumers who seek competitive employment. • Consumers interested in employment are not steered into day treatment or sheltered work.

  12. Evidence based principles • Personalized benefits planning is provided. • Benefits planning and guidance help consumers make informed decisions about job starts and changes.

  13. Evidence based principles • Job search starts soon after a consumer expresses interest in working. • Pre-employment assessment, training, and counseling are kept to a minimum.

  14. Evidence based principles • Follow along supports are continuous. • Employment Specialists continue to stay in regular contact with consumer and (when appropriate) the employer without arbitrary time limits.

  15. Evidence based principles • Consumer preferences are important. • Job finding is based on consumers’ preferences, strengths, and work experiences, not on a pool of jobs that are available.

  16. What do Employment Coordinators do? • Assessment of vocational interest and aptitudes. • Resume writing. • Assist with transportation. • Help fill out applications. • Job development. • Motivational interviewing. • Coordinate with treatment team. • Establish future goals.

  17. Job Preferences Are Important

  18. Job Seekers Community Resources • Vocational Rehabilitation • One Stop • Employment Department • Community College • Salem Statesman • Employment Works • Others?

  19. Key Factors in Implementation • Build Consensus • Maximize Financing • Examine Agency Philosophy • Identify Leadership • Key on Organizational Structure • Provide Ongoing Training • Make Time Commitment • Track Process and Outcomes

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