Employment and people with mental health needs

1. Employment and people with mental health needs Jan Hutchinson Director of Programmes and Performance Centre for Mental Health

2. Structure of talk • Supported Employment – what works? • The costs of mental ill-health in the workplace • Training managers to identify and support vulnerable staff earlier.

3. People with Mental Illness have the highest unemployment rates Source LFS – Q4 2010

4. Wanting to work People with severe mental health problems are more likely than any other group with disabilities to want to have a job. Up to 90% say they would like to work, compared with 52% of disabled people generally. The 2011 Care Quality Commission survey of people who use community mental health services found that 43% of respondents who wanted support to find or keep work had not received it in the past year. Stanley K, Maxwell D (2004). Fit for purpose? London: IPPR.

5. Likelihood of returning to work The British Society for Rehabilitation Medicine

6. The Individual Placement and Support approach 8 evidence-based principles: 1. Eligibility is based on individual choice; 2. Supported employment is integrated with treatment; 3. Competitive employment is the goal; 4. Rapid job search (within 4 weeks); 5. Job finding, and all assistance, is individualised; 6. Employers are approached with the needs of individuals in mind 7. Follow-along supports are continuous; 8. Financial planning is provided.

7. Evidence for what works best • 16 published Randomised Control Trials* • 12 in USA • 1 in Hong Kong • 1 in Canada • 1 in Europe (six European countries) • 1 in Australia *See 2008 edition of Psychiatric Rehabilitation Journal

8. Competitive Employment Rates in 14 High-Fidelity IPS studies

9. Sussex IPSWith Regional Trainer

10. I feel ready to work IPS Service Provider Employer engagement Benefits advice Rapid job search Long term employee support Referrals Work Programme Personal Advisor Support Psychological Support and CBT Psychiatric treatment and medication

11. Health and productivity The total cost to employers of mental health problems among their staff is estimated at nearly £26 billion each year (UK, 2006). That is equivalent to £1,035 for every employee in the UK workforce.

12. The Business Case Average cost per employee = £1,035 / year Source: Centre for Mental Health, 2007

13. Numbers reporting presenteeism • International studies show that 60-85% of employees report going to work despite illness on at least one occasion during the previous year • In a UK study 45% of employees reported one or more days of presenteeism in a 4-week period, compared with 18 % reporting one or more days of absenteeism

14. Workplace Training • Centre for Mental Health Workplace Training • Suite of mental health training programmes • Based on Australian National Workplace Programme • Standardised model • Equips the staff to deal confidently with mental health issues in the workplace

15. Eight-month follow up132 managers • Knowledge of prevalence of depression was still significantly increased from baseline • Increased willingness to engage and positive attitudes sustained • Increased confidence maintained • 40% had already put what they had learnt into practice: • noticed and approached a colleague or someone they manage • Signposted this person to internal or external professional support • Provided ongoing support and adjustments at work.

16. Collaboration in employment support • Consultancy and Training • For implementing Individual Training and Support • Training for Employment Specialists and supervisors • Fidelity Reviews – quality assurance assessments • Access to best practice research on IPS services • Access to the national best practice support network • Events on mental health and employment

17. Thank you Jan.Hutchinson@centreformentalhealth.org.uk Tel: 0207 8278397