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Creating a Culture that of Employment and Economic Self-Sufficiency. NYAPRS Len Statham, Employment and Economic Self Sufficiency Specialist lens@nyaprs.org (585) 490-3979. New York Association of Psychiatric Rehabilitation Services (NYAPRS).
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Creating a Culture that of Employment and Economic Self-Sufficiency NYAPRS Len Statham, Employment and Economic Self Sufficiency Specialist lens@nyaprs.org (585) 490-3979
New York Association of Psychiatric Rehabilitation Services (NYAPRS) • A statewide coalition of people who use and/or provide community mental health recovery services and supports dedicated to improving services and social conditions for people with psychiatric disabilities by promoting their recovery, rehabilitation and rights • Members Services and Technical Assistance • Grassroots Advocacy E News Regional Forums Annual Conference Exec Seminar PROS Academy • Service Transformation • Community and Economic Development • Peer Services • Cultural Competence website www.nyaprs.org
Objectives • Participants will learn how culture drives outcomes and outcomes drive culture • Participants will recognize the link between poverty and mental illness • Participants will come away with ten concrete steps they can implement immediately that will help them foster a culture of employment • Participants will be introduced to curriculum that will help move people along the continuum of Employment and Economic Self-Sufficiency.
AGENDA • Welcome & Expectations • Why Employment & Economic Self-Sufficiency? • Exercise: What do we want? • “We Can Work DVD” • The Tools • Making Employment Work: Building a culture that supports work • Evaluations
“Hope deferred makes the heart sick, but a dream fulfilled is a tree of life”
Mental Illness and Poverty 10 Facts You Should Know! 1) The lower the socioeconomic status of an individual is, the higher is his or her risk of mental illness (Hudson, 2005). 2) There is a strongly negative relationship between socioeconomic status and mental illness (Hudson, 2005). 3). The conditions of poverty can cause certain mental health disorders and that alleviating poverty can have positive effects on children's mental health (Costello et al, 2003). 4) The stresses associated with low socioeconomic status lead to higher mental illness (Hudson, 2005). 5) Higher unemployment, poverty, and lack of housing affordability in poorer communities account for more than half of community differences in psychiatric hospitalization rates (Hudson, 2005).
6) Major depression occurs more frequently among people of lower socioeconomic status (Gilman et al, 2002). 7) Participants from lower socioeconomic backgrounds had nearly a twofold increase in risk for major depression compared to those from the highest socioeconomic status (Gilman 2002). 8) Poverty, acting through economic stressors such as unemployment and lack of affordable housing, is more likely to precede mental illness than the reverse (Hudson, 2005). 9) Adults with lower socioeconomic status are more likely to have serious mental illness than those with higher socioeconomic status (SAMHSA, 2002). 10) One study found that the low-income uninsured population had a higher prevalence of 1 or more psychiatric disorders (51% vs. 28%): mood disorders (33% vs. 16%), anxiety disorders (36% vs. 11%), probable alcohol abuse (17% vs. 7%), and eating disorders (10% vs. 7%) (Mauksch, 2001).
Benefits = PovertyBenefits + Employment = Working PoorEmployment – Benefits = PRICELESS
Economic Self-Sufficiency Being able to provide for ourselves in order to meet our essential needs and wants. When we are self-sufficient, we are financially independent. When we have independence we can pursue the life we want for ourselves.
What is economic self-sufficiency? • Having control over one’s financial life • Having independence from public programs • Having sufficient earned income • Having assets • Being able to contribute to one’s communities
When poverty and dependencybecome barriers to psychiatric rehabilitation and recovery • Living with chronic worry or anxiety to meet one’s basic needs • Residing in neighborhoods where violence and deteriorating community ties leave individuals in isolation • Being so afraid of not making it without benefits that one prefers to stay in the benefits trap • Lacking transportation to take a job or a better paying job • Lacking the resources or supports to pursue a new career or advance professionally
The impact of poverty and dependency on all areas of wellness
What Do You Want? - Exercise • Name 5 things you would like to have in your life in the next year? 3 years? • How will you acquire these things? • Can you do it on a budget of $785 a month?
Engaging in life dreams and aspirations • The role of life dreams and aspirations in the pursuit of employment and economic change • What moves people to do what they do? • Why people would consider work or becoming more self-sufficient? • Key questions: • What are your life dreams and aspirations? • How would you like your life to be like in 1 year? in 2 years? In 5 years? • What would you like to have? What would you like to be doing? Where would you like to live?
WE Can Work DVD: Our Stories of Recovery and Employment Success
A Provider’s Guide to Promoting Economic Self-sufficiency: A recovery-oriented approachA Workbook for People in Recovery Seeking Economic Self-sufficiency
Provider Guide: Contents Lesson 1: Why Is Economic Self-sufficiency Important to Recovery? Lesson 2: What Can Providers Do to Support Economic Self- Sufficiency? A recovery-oriented approach to financial wellness What providers can do to support economic self-sufficiency: An overview • Engaging individuals through conversations about life dreams • Assessing readiness to pursue economic self-sufficiency • Developing readiness to pursue economic self-sufficiency • Creating a plan towards self-sufficiency • Developing skills and capital to achieve self-sufficiency • Linking and referring individuals to economic self-sufficiency services Lesson 3: Strategies and Tools to Engage, Assess and Develop Readiness towards Economic Self-Sufficiency
Provider Guide: Contents Lesson 4: Strategies and Tools to Create a Plan towards Self-sufficiency Lesson 5: Strategies and Tools to Develop Skills and Capital to Achieve Self-Sufficiency • Module 1: Budgeting • Module 2: Accessing work incentives to increase earned income • Module 3: Filing taxes • Module 4: Saving • Module 5: Clearing and building credit • Module 6: Dealing with predatory lending • Module 7: Getting help with addictions and financial stressors • Module 8: Increasing social capital Lesson 6: Strategies and Tools to Increase Access to Economic Self-sufficiency Services
Making Employment Work: Building a culture that supports work
Culture drives Outcomes Outcomes drive Culture
Culture Change • Zero Exclusion • Application process for job development or volunteer positions • Performance Reviews • Time off request • Job Board • Achievement Board • Weekly / Monthly Forums • Workshops
Culture Change • Integrated team – Everyone is on the employment team. • Everyone supports economic self-sufficiency. • Support recovery and work oriented culture • Look for job leads • Training • Jobs are celebrated milestones • Employment discussed at every staff meeting.
“First Job Ever” • “No one ever talked to me about work.” • “I experienced that work was helpful in managing my symptoms.” • “Work gave me the confidence that I can do anything that I put my mind to.” • “Has help me to be a better person knowing that I am needed somewhere.”
The Role of Job Developer – There is no typical day! • Employment time vs. Human service time. • Visits to employers using the 3 Cups of Tea Method. • Sits on the following Business/Association Councils: North Clinton Business Association, Wal-Mart/City Hall Committee, Rotary Club, and Rochester Area Employment Network. • Using numerous job development strategies. • Our circle is their circle.
Assess Readiness To… • Help me determine what my level of readiness to pursue employment is • Enhance my willingness to engage in activities/actions to pursue employment • Find best ways to engage me in the process • Get in touch with my hopes, preferences, values • Explore past and current experiences • Consider future possibilities • Create action steps that develop readiness
What Readiness Assessment is NOT • NOT about labeling me as “ready” or “not ready” to work • NOT about screening me out or excluding me from vocational services • NOT about my capacity to work or improve my economic self-sufficiency • NOT about determining the achievability or realism of my goals
Change begins when they first enter your care! • Expectations • Reflections • Outcome-oriented • Accountability
THANK YOU!NYAPRSwww.nyaprs.orgLen Statham, Economic and Employment Self Sufficiency Specialistlens@nyaprs.org(585) 490-3979