Implementing Supported Education - The First Six Months After Program Implementation

1. Implementing Supported Education -The First Six Months After Program Implementation Presented By: Vanessa Taylor OSECE Statewide Trainer

2. Presentation Overview • SEdOverview • Implementing SEd: The First Six Months After Program Implementation • Technical Assistance for SEd • Questions • Next SEd statewide call date: June 28th 3-4pm

3. Individualized Placement and Support (IPS) • IPS supported employment helps people with serious mental illness work at regular jobs of their choice. • IPS stands for individual placement and support. • The acronym “IPS” indicates the evidence-based approach rather than generic employment services. • OSECE uses the terms IPS and Supported Employment interchangeably in reference to the evidenced-based practice. For more information about IPS visit: https://ipsworks.org/ OR www.osece.org

4. Differences In IPS Education supports & SEd Most SE programs in Oregon provide limited educational support services as an element of the IPS Supported Employment model. • Education is a part of the IPS model. • In IPS, work is the main goal. There may be a need for education to achieve the work goal. • Often people in IPS are still looking for work or have a job while exploring or completing education. • Shorter term educational programs, certificates, a couple classes, etc. • IPS model doesn’t give specific guidelines for specialists around delivery of educational services.

5. OSECE: SEdDevelopment OSECE collaborated with consultants, Karen Unger and Trevor Manthey, to develop a crosswalk from the 25 items of the IPS SE fidelity scale to an equivalent 25 item best practice SEd fidelity scale. Creating SEd guidelines for service delivery! • Karen Unger: Wrote A Handbook on Supported Education, Providing Services for Students with Psychiatric Disabilities, available on Amazon.com.  She has recently completed An Implementation Guide for Supported Education, funded by Mental Health Services of the Substance Abuse and Mental Health Services Administration, part of the ToolKit Series to promote evidence-based practices. http://www.supportededucation.com/ • Trevor Manthey: Lead developer of the University of Kansas Supported Education Fidelity Scale. Trevor has conducted several fidelity reviews on SEd.http://www.mantheyconsulting.com/ • SAMHSA: https://www.samhsa.gov/homelessness-programs-resources/hpr-resources/supported-education-programs

6. What is Supported Education? Helping people with mental illness participate in an education program so they may receive the education and training they need to achieve their learning and recovery goals and become gainfully employed in the job or career of their choice. • Individuals in SEd still have a career goal they are working towards but education may be a larger focus or take longer to complete than the typical educational supports in the IPS model.

7. Job of an Education Specialist • Clarifying education and career goals. • Finding education programs consistent with these goals. • Navigating the application process & school system. • Securing financial support. • Finding education supports and accommodations to help ensure student success in meeting academic requirements.

8. KEY PRINCIPLES • Eight Principles of Supported Employment • Every person who wants to work is eligible • Supported employment is integrated with treatment • Competitive employment is the goal • Consumer preferences are important • Rapid job search • Systematic job development • Follow along supports are continuous • Personalized benefits planning Principles of Supported Education • Eligibility is based on client choices • Services begin soon after person expresses interest • Supported education is integrated with services • Individual preferences guide services • Individualized follow-along supports are ongoing • Services are community based • Supported education is strengths based and promotes hope and recovery

9. Supported Education: We’re Growing! Oregon has been proactive in developing Supported Education services with three programs established in 2008, and a fourth in 2013. These programs used a variety of different SEd models. • In April of 2016 OSECE released the Oregon Integrated SE/SEdScale and training manual to programs around the state. • Currently we have 8 SEd programs using the Integrated Model and 6 programs are using the billing code modifier. • 7 additional agencies are interested in developing Supported Education programs!

10. SEdDevelopments • OSECE is now starting to conduct integrated/concurrent SEd & IPS Fidelity Reviews for programs around the state. • Continued collaboration and consultation with Trevor Manthey regarding the scale and expansion. • Fidelity Scale • Training Manual • Data Collection • Fidelity Manual Development • Collaboration and Funding • Sources: Vocational Rehabilitation & EASA • Training Opportunities

11. The Oregon Supported Employment/Education Fidelity Scale: Version 1: Ins & Outs 25 items in three sections & 125 points possible Three sections: • Staffing • Organization • Services * SEd Items are integrated with Supported Employment. A color key is listed on the top of the scale. SEd items are listed with SE or listed below SE on the Integrated Scale. The Oregon benchmark for SE (and in the future SEd) is 100 or above to maintain certification. • 115 – 125: Exemplary • 100 – 114: Good Fidelity • 74 – 99: Fair Fidelity • 73 and below: Not Supported Employment

12. SEd Scale and Fidelity SEd: This is a promising practice. • OSECE created a 25 item SEd scale from IPS & used the SEd best practices from SAMHSA and other SEdmodels. (University of Kansas- Trevor Manthey & Karen Unger’s SEd Model) The SEd Scale: Provides guidelines around delivering SEd services. • Some items are combined IPS or are directly parallel but include educational services. SEd Fidelity: Provides a principle-driven model. • “Fidelity” in context of SEd refers to the agreement of adherence to the model’s principles.

13. SEd Fidelity and why it is important Fidelity Review: OSECE does Quality Assurance Reviews (Fidelity Reviews) to measure a program’s adherence to the SEd model. • For SEd, currently the score from the review does not effect funding. Why is it important? • It helps to measure or gauge areas of success as well as areas for growth and development so a program can strive to increase outcomes for participants. • In Oregon, the fidelity score is tied to funding for IPS programs and may become tied to SEd funding in the future. • Helps OSECE develop trainings and assists with development of SEd tools, manuals, and model development.

14. Fidelity Scale & Funding On July 1, 2015, a modifier became available to use with the Medicaid supported employment code to denote supported education service provision. The Medicaid service description for this code has been revised to include supported education. Currently the billing modifier for supported education is available and open to be used by any program without provisional certification from the state. To use this modifier: • Schedule an initial onsite training (SEd 101)/ or attend a scheduled training • Receive a letter of support from OSECE to use the modifier • Contact Jason Daniels and provide a letter of intent & OSECE support letter • Contact CCO(s) to receive any required authorization you might need

15. How do you know if your program is ready for SEd? A Few Indicators Might Be: • Clients are interested and there is a known need for SEd services • Available FTE or ability to fund a specific SEdposition • Individuals are receiving entry level jobs but there is an interest by clients to move into career level positions • The Executive Team is interested in expanding IPS to serve more individuals through education Want more information about if your program should consider SEd or first steps towards implementation and service delivery? Ask OSECE for SEd Technical Assistance!

16. The First Six Months After Program Implementation Supported Education: Growth and Development

17. Program Development It’s a marathon not a sprint! • Each program looks different! • Different schools, resources, staff, agency guidelines, etc. • Use each other’s knowledge as much as possible. • Ask questions, reach out, & connect.

18. Where To Start?While developing a full caseload, consider these five areas for growth and development: • Workflow- Developing and discussing how services and documentation will flow at your agency. • Education- Learning about the fidelity model & school systems. • Activities - Get out there and find out what it’s like! • Projects - Start creating materials to get yourself/program organized. • Developing Connections - Make connections at the school and get familiar with navigating the campus.

19. Meeting with Clients • Get out there and start learning on the job. • Don’t be afraid to ask for support or identify that you don’t know the answer- School is a learning experience for everyone! • Learning alongside someone can be the best teaching experience.

20. Supervisor Support • Helping to develop relationships at schools: • Building a MOU, field mentoring, problem solving, asking for more partnership with educational institutions, etc. • Fostering agency support: • Develop and communicate a SEd workflow, talk with the agency about the SEd program, share success stories regularly, problem solve programmatic issues, etc. • Training Opportunities! • Advocating for Education Specialists to attend college trainings/staff meetings, other agency trainings (motivational interviewing, WRAP, etc.), scheduling trainings with OSECE, providing direct support with field mentoring. • EdS role can be isolating at times- how can a SE team unit meeting support an EdS? Agency / SE Team

21. SEd Kickoff Celebration • Meet with treatment teams & introduce SEd into your agency. • Invite educational partners to attend/participate in the steering committee meeting. • Create a SEd celebration to begin services! (Try this within the first 6 months of the program starting.) • Invite clients, treatment team members, VR, educational partners, etc. • Have the Executive Director talk about how SEd fits with the mission of the agency. • Discuss SEd and the services/support provided by an Education Specialist. • Offer written information/self referral forms.

22. OSECE Technical Assistance • TA online form for SEd Coming Soon! • www.OSECE.org or email Crystal or Vanessa • Please share SEd success stories with us! • We’d love to receive or hear any SEd success stories! • Have ideas for TA or topics for Statewide SEd calls? Let me know! vtaylor@optionsonline.org

23. Questions?

24. Next SEd Statewide Conference Call: June 28th 3-4pm!