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IPS: Working for Recovery. Facts. 60 – 70% of people with a mental illness want to work Less than 15% are employed Unemployment rate is 3 to 5 times higher than those without a mental illness. Irony of it All. Employment is an evidence-based practice in treating mental illnesses and
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Facts • 60 – 70% of people with a mental illness want to work • Less than 15% are employed • Unemployment rate is 3 to 5 times higher than those without a mental illness
Irony of it All Employment is an evidence-based practice in treating mental illnesses and helping people in their recovery
Employment Provides daily structure, routine, goals Improves self-esteem and self-image Increases income Provides opportunities for friendships, social support Reduces symptoms Improves quality of life
Barriers • Stigma • Difficulty disclosing to employers • Not asking for accommodations • Many employment programs geared towards other disabilities • Programs are “place” and drop
Employment Covered under Americans with Disabilities Act (ADA) Under the ADA, you have a disability if you have a physical or mental impairment that substantially limits a major life activity
MN Employment Programs • Vocational Rehabilitation • Extended Employment (EE) • EE-SMI (for people with serious mental illness) • Supported Employment • Individual Placement and Support (IPS)
Individual Placement and SupportIPS • Evidence-based practice • Competitive employment rate is 65% compared to 25% for other models • Took 10 weeks less to get a job • Two thirds worked 20+ hours a week
Principles of IPS 1. Focus on competitive employment 2. Eligibility based on client choice 3. Integration of rehabilitation and mental health services 4. Attention to client preferences
Principles of IPS 5. Personalized benefits counseling 6. Rapid job search 7. Systematic job development 8. Time unlimited and individualized support
IPS • Team Approach/Multidisciplinary • Case manager or counselor • Voc rehab counselor • Client • Employment specialist • Psychiatrist or nurse practitioner • Family member
Career Profile • Client completes with employment specialist in first few weeks • Updated with each new job experience
Career Profile • What is your dream job? • What do you like and not like? • What symptoms impact you? • Are there physical health issues that get in the way?
Career ProfileConsiderations… • Work goal • Education and experience • Mental and physical health • Cognitive problems/abilities • Getting ready for a job • Interpersonal skills • Work skills
Career Profile More than just a job…. • Benefits • Disclosure • Substance use • Justice system record • Daily activity • Networking contacts
IPS Components - Competitive employment • Real jobs • Part- or full-time • At least minimum wage • Has the same pay and benefits as everyone else • Not a segregated environment or workgroup
IPS Components - Zero Exclusion • Anyone who wants to participate is eligible • Motivation is an indicator of success • Doesn’t matter re: work history, diagnosis, criminal record, substance use, missed appointments, cognitive problems, grooming
IPS Components - Integrating employment and mental health • Work as a team • Collaborate, service coordination • Treatment changes to accommodate work. Ex: modifying medication schedule
IPS Components - Client preferences are honored • What kind of job is sought • Whether to disclose or not • What type of support is desired – role playing, job coaching, talking to employer • People stay at jobs longer when they like them
IPS Components - Benefits planning • Know how it impacts MA and/or Medicare • Know how it impacts Social Security, General Assistance or Veteran’s benefits • Ongoing service, not one-time • Work Incentives Connection – (651) 632-5113
IPS Components - Rapid job search • Explore within one month • No hoops to go through first • No work readiness, work adjustment, work trials • Acting on motivation
IPS Components - Systematic job development • Develop relationships with employers • Learn about work environment and employers’ needs • Out in the community - greater opportunity to learn about jobs opening up
IPS Components - Follow – Along supports • Individualized assistance • As long as needed and desired • Responsive to changing interests • Can assist in going back to school
Long-Term Benefits • Cost effective • May reduce hospitalizations and other intensive services • Savings in Social Security and other federal benefits programs
IPS in Minnesota • Six projects funded • Part of national learning collaborative with Dartmouth and J&J • Joint effort Dept of Employment & Economic Development (DEED) & DHS • Average cost per project $125,830
IPS Projects in Minnesota • HDC in Duluth • Guild in St Paul • Functional Industries in Wright County • Tran$em in Clay and Ottertail Counties • Lifetrack Resources in Washington County • Rise, Inc in Anoka County
NAMI-MN Family Advocacy Team • Raise awareness of benefits of IPS • Expand the number of IPS programs in the state • Encourage family members to become involved in employment activities • Advocate at community & state levels • Become part of our team!
Dartmouth IPS Supported Employment Center http://www.dartmouth.edu/~ips/
NAMI Minnesota 800 Transfer Road, Suite 31 St. Paul, MN 55114 651-645-2948 1-888-NAMI-HELPS www.namihelps.org