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Employability and Health & Wellbeing. Neil Anand and Emma Hogg NHS Health Scotland. Key points. Terminology Existing evidence The Adoption model The C urrent scenario Evidence of what might work Conclusions. Key terms. Employment Employability Good health. Existing Evidence.
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Employability and Health & Wellbeing Neil Anand and Emma Hogg NHS Health Scotland
Key points • Terminology • Existing evidence • The Adoption model • The Current scenario • Evidence of what might work • Conclusions
Key terms • Employment • Employability • Good health
Existing Evidence • Suggests of a strong link between unemployment and poor physical and mental health. • For YP, it strongly points to the adverse effects on mental health & psychological wellbeing. • Mixed or inconclusive regarding physical health and health behaviours. • Being disadvantaged makes a YP more vulnerable to adverse health effects. • Suggests of a strong spiral association between poor heath and worklessness. • For YP, this evidence is not direct and explicit, but could be extrapolated.
Personal Circumstances Wider determinants Health of a young person Social Determinants Individual factors
Adoption Model Personal circumstances Wider determinants Employment Health of a young person Employability potential Unemployment Social determinants Individual factors Positive effect Negative effect
The Current Scenario Other policy documents with limited health reference: Scotland’s Skills strategy and Career Information, Advise and Guidance Framework. Practice with limited health discourse: Activity Agreement, My World of Work, DWP Work Programmes and Employability fund contracts.
Adoption Model Personal circumstances Wider determinants Employment Health of a young person Employability potential Unemployment Social determinants Individual factors Positive effect Negative effect
Evidence on what might work… GOOD Getting YP a job! • Provide intensive personalized employability support that incudes health as an important component. • Provide tailored practical support to address personal circumstances. • Move towards targeted economic regeneration • Improve matching to labour market opportunities. Sustain/Improve Employability Sustain/Improve Health OR
Conclusions • Efforts need to happen at all levels to achieve sustainable employability/employment related outcomes. • Health component (especially, mental wellbeing) needs to built-into personalized employability programs. • Cross agency/department partnership needs to be stronger and more proactive to fill the gaps.
References and further reading Brenninkmeijer, V; Blonk, R. (2012). The effectiveness of the JOBS program among the long-term unemployed: a randomized experiment in the Netherlands. Health Promotion International, 27 (2), 220-9. Brown J., Demou E., Tristram M.A., Gilmour H., Sanati, K.A. and Macdonald, E.B. (2012) Employment status and health: understanding the health of the economically inactive population in Scotland. BMC Public Health, 12, 327. Reynolds, C; Barry, M; Gabhainn, S. (2010): Evaluating the Impact of the Winning New Jobs Programme on the Re-employment and Mental Health of a Mixed Profile of Unemployed People. International Journal of Mental Health Promotion, 12 (2), 32-41. RoelfsD.J., Shor E., Davidson K.W. and Schwartz J.E. (2011) Losing life and livelihood: A systematic review and meta-analysis of unemployment and all-cause mortality. Social Science & Medicine, 72(6), 840–854. Taulbut M. and McCartney G. (2013) The chance to work in Scotland. Edinburgh: NHS Health Scotland. Vuori, J. and Silvonen, J. (2005), The benefits of a preventive job search program on re-employment and mental health at 2-year follow-up. Journal of Occupational and Organizational Psychology, 78, 43–52. NREPP JOBS Program http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=170
Thanks for listening Contact email: neil.anand@nhs.net emma.hogg@nhs.net