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HOPE PROMOTION Mental Health and Employment BASE Conference Manchester Simon Francis June 2009. Context. Economic downturn rising personal debt Rising Unemployment, who gets jobs Fewer jobs Impact of targets – Broad range of priorities

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  1. HOPE PROMOTIONMental Health and Employment BASE Conference Manchester Simon Francis June 2009

  2. Context • Economic downturn rising personal debt • Rising Unemployment, who gets jobs • Fewer jobs • Impact of targets – Broad range of priorities • Numbers of people with common MH conditions increasing, SMI stable.

  3. Overarching Government Drivers • Recession • Demographic time bomb. Pensions. • Pledge to abolish child poverty in Britain in a generation. • Citizenship Rights and responsibilities, work for those who can support for those who can’t • Devolution?

  4. Overarching Government Drivers (2) • Tackling social exclusion, work is the best way out of poverty. • Regeneration and active communities • Creating the conditions for business success and economic growth. • Health Work and wellbeing, Workplace MH. • Tackling unemployment and worklessness

  5. The issue • Stigma and discrimination. Over 2/3 of people put off applying for jobs due to unfair treatment. • Less than 40% of employers would recruit from the MH group. SEU report 2004. • Low aspiration • 3X More likely to be in debt • Procurement and Targets, • Low employment rates • 70% of people find their job fairly or very stressful BACP/ Future foundation Base 2004.

  6. But Poor Mental Health is not Unusual and people recover • 1 in 4 people have a MH problem at some time in their lives • 1 in 6 people experience mental distress at any point in time. • Strong association between poverty, poor MH and unemployment. Intergenerational effects • Most people recover from mental illness • Work provides hope and optimism for the future and hope is integral to recovery.

  7. Health • Therapeutic value of work, people in work experience better health than those out of work, But sometimes work is part of the problem • Being unemployed carries the same health risks as smoking 200 cigarettes a day, with unemployment itself is a cause of poor MH • Suicide biggest killer among young men with • Strong association with unemployment.

  8. The Cost • Britains biggest social problem • Poor mental health costs each household £2K p.a • Cost for Yorkshire and the Humber £6.5bn Francis and Lindsay 2008 • Annual cost to employers is around £600 per employee. CIPD and CBI. • Presenteeism likely to cost around 1.5 times more than absenteeism. Sainsbury Centre 2007 • Significant, impact on individuals their families and communities.

  9. Government Response Policies • Life Chances of Disabled People • Reaching Out National: Action Plan to Tackle Social Exclusion 2006 • Working for a Healthy Tomorrow 2008 • Public Service Agreement Target PSA 16, Work Recovery and Inclusion. Delivery Strategy • IDEAs • National Strategy for Mental Health and Employment • Perkins Review • New Horizons • Work Recovery and Inclusion

  10. There are opportunities • This is the right thing to do. Positive messages around mental health (Time to Change/Shift) • Raft of Government policies, high on Government social policy agenda. PSA targets • Funding, DH investment in the regions, through Government Office and SHA. IAPT • Future Jobs Fund, critical

  11. Continued • Existing delivery partnerships, RETs • Public Sector to Lead by Example, Job opportunities • Strong Evidence base on what works IPS • Existing delivery partnerships • Range of existing best practice

  12. Perkins review • Commissioned by DWP SoS • Recommendations for Pre Budget Report, cost neutral • Strong fit with Work Recovery and Inclusion especially adults with SMI • Looking at cost benefit analysis for intervention

  13. Perkins Review Scope • How people with common mental health needs should be supported, to ensure the speediest and most effective work-focussed support; • How to get additional employment and health support to enable those with more complex needs – SMI – to realise their aspiration to work, including through self employment. How wider access can be provided to progressive, individually tailored employment support • How innovative models (including an IPS model) could be used alongside and/or in strengthening DWP existing suite of employment programmes and employment support services across government; • How the right balance of support can be achieved, using existing resources in the most effective way.

  14. Perkins Possible Options forProgress • Personal Budgets to be used for employment support, especially in work • Possible short term work trials • Refocusing health services toward evidence based interventions IPS • Welfare benefit system as enabler • Closer working between health and employment

  15. Work Recovery and Inclusion • Offers a vision for Employment of people with severe mental illness • Sets out principles for services and delivery • Sets out policy options • Builds on and adds value to current work, including Perkins review • Sets out a coherent delivery model, national local and regional delivery • Makes the business case for intervention

  16. Work Recovery and Inclusion • Shift the culture and aspiration of services toward the case for the recovery and therapeutic value of work. For both System and Individuals • Restate the importance of effective co-ordination of health and employment services • Commit services to act as an enabler to work • Explores the perceived and real barriers to work surrounding the welfare benefit system, offer solutions

  17. Work Recovery and Inclusion • Employment is considered within context of wider determinants of social inclusion, such as housing, learning and skills. • Service user consultation is at the heart of policy development locally, regionally and nationally. • Ensure change is driven by the best use of evidence and data and continuing to build the evidence base. • Ensure that infrastructure is focused on delivery and a broad range of providers (the third sector). • NHS and Public sector lead by Example

  18. Themes: • Links with young people agenda, intergenerational effects • Positive about mental health. • Build capacity in individuals and organisations, Trust development • Ensure that Learning and Skills agenda is an integral part of our efforts. How best to enable people to stay in FE and HE. • Get people into work, manage the transition • Engage and support employers and employees • Promote good and mentally healthy work

  19. Final Career Limiting Thoughts • What Do people Need? • A. Home and a Job same as you and me, and to be treated with dignity and respect • Do resources follow need? • Is there a broad range of provision available in each locality? Do people know about it? • What more is needed? • Whose responsibility?

  20. Simon Francis simon.francis@dwp.gsi.gov.uk

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