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Evidence Based Supported Employment

This presentation discusses evidence-based supported employment practices and their impact on individuals with mental health diagnoses. Supported employment is shown to improve competitive employment outcomes, increase control of symptoms, and enhance overall well-being. Learn about the principles of supported employment and the role of employment specialists in coordinating with treatment teams to help individuals achieve their employment goals.

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Evidence Based Supported Employment

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  1. Evidence Based Supported Employment This presentation was sponsored in part by The Oregon Competitive Employment Project, which is part of the Oregon State Department of Human Services, Office of Vocational Rehabilitation Services, is funded through a Medicaid Infrastructure Grant from the U.S. Centers for Medicare and Medicaid Services (CFDA #93.768).

  2. Reasons People Work • Money! • Structure during the day. • Social interactions. • Positive self identity. • Greater financial freedom. • Opportunity to learn new things. • Because they enjoy challenges. • To contribute to the community.

  3. Why focus on Employment? • Viewed by many as an essential part of recovery. • Most people want to work. • Working is a typical role for adults in our society. • Employment is a cost effective alternative to other treatment options. • Supported employment is an evidence based practice.

  4. Evidence Based Practice • Program models validated by rigorous research. • Has guidelines describing the critical components. • Has a treatment manual. • Has a fidelity scale. • Ideally, has been successfully implemented in a wide range of settings.

  5. Conclusions: Research studies of Supported Employment • In 13 of 13 studies, Supported Employment had significantly better competitive employment outcomes. • Mean across studies of consumers working competitively at some time: • 60% employment for consumers who received supported employment • 22% employment for consumers without supported employment.

  6. Positive Outcomes from Competitive Work • Better control of psychiatric symptoms • Higher self-esteem • More satisfaction with finances and with leisure (Bond et al., 2001)

  7. Definition of Supported Employment • Mainstream job in the community. • Pays at least minimum wage. • Work setting includes people who are not disabled. • Service agency provides ongoing support. • Intended for people with mental health diagnosis.

  8. Evidence based principles. • Eligibility is based on consumer choice. • Consumers are not excluded because “they are not ready”, because of lack of work history, substance abuse, symptoms or other characteristics. • Nobody is excluded who wants to participate.

  9. Evidence based principles • Supported employment is integrated with treatment. • Employment specialists coordinate plans with the treatment team, e.g., case manager, therapist, psychiatrist, etc.

  10. Evidence based principles • Competitive Employment is the goal. • The agency needs to devote sufficient resources to supported employment to permit full access to all consumers who seek competitive employment. • Consumers interested in employment are not steered into day treatment or sheltered work.

  11. Evidence based principles • Personalized benefits planning is provided. • Benefits planning and guidance help consumers make informed decisions about job starts and changes.

  12. Evidence based principles • Job search starts soon after a consumer expresses interest in working. • Pre-employment assessment, training, and counseling are kept to a minimum.

  13. Evidence based principles • Follow along supports are continuous. • Employment Specialists continue to stay in regular contact with consumer and (when appropriate) the employer without arbitrary time limits.

  14. Evidence based principles • Consumer preferences are important. • Job finding is based on consumers’ preferences, strengths, and work experiences, not on a pool of jobs that are available.

  15. What do Employment Specialists do? • Practice interviewing. • Resume writing. • Assist with transportation. • Help fill out applications. • Job development. • Motivational interviewing. • Coordinate with treatment team. • Assist in determining future work goals. • Coordinate with vocational rehabilitation and other agencies in the community. • Advocate within training and educational facilities.

  16. Supported Employment Unit:Recommended Basic Structure • Minimum of 2 full-time staff • Staff devoted exclusively to SE • Full-time leader/supervisor who also provides employment services • Offices physically located in mental health center

  17. J&J Dartmouth collaboration

  18. Oregon SE MAP

  19. Parting words from Mike Moore • “Thanks for daring to be part of something on the cutting edge. You are the ones that are making great things happen.”

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