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Supported Employment: A model that works

Supported Employment: A model that works

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Supported Employment: A model that works

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  1. @BASE_tweets@PlussInspires@GlosCC Supported Employment:A model that works Paul Wilson,Vice Chairman British Association for Supported Employment

  2. @BASE_tweets@PlussInspires@GlosCC • What is a learning disability? • Abstract ideas • Transferring learning between contexts • Day one • A multi-tasking world • The ‘Them and Us’ perspective • The need for a precise fit Work: An LD perspective

  3. @BASE_tweets@PlussInspires@GlosCC • Vocational profiling • Employer engagement • Job analysis and job carving • Job coaching • Natural support • Maintenance • Resilience Addressing the challenges: The supported employment model

  4. @BASE_tweets@PlussInspires@GlosCC • DWP • ODI • Department of Health • Department of Education • Inclusion • Local Government Association Who says the model works?

  5. @BASE_tweets@PlussInspires@GlosCC • Beyer S and Robinson C (2009) A Review of the Research Literature on Supported Employment • Beyer, S., Kaehne, A., Grey, J., Sheppard, K. and Meek, A. (2008) What works?- Transition to employment for young people with learning disabilities. Chippenham: Shaw Trust. • Beyer, Melling and Kilsby (2012) Supported employment for people with learning disabilities in the UK: the last 15 years. Tizard Learning Disability Review, 16, 2, 23-32. • Beyer, S. (2012). The progress towards integrated employment in the UK. Journal of Vocational Rehabilitation • Beyer S and Kilsby M (2011) A Financial Cost: Benefit Analysis of Kent Supported Employment (A Framework for Analysis) • Beyer, S. Goodere, L. and Kilsby, M. (1996) The Costs and Benefits of Supported Employment Agencies: Findings from a National Survey. Employment Service Research Series, No. 37. London: Stationery Office. • Beyer, S. (2012) The Impact of Agency Organisation and Natural Support on Supported Employment Outcomes. JVR, Volume 36, Number 2, 109-119. Where’s the evidence?

  6. @BASE_tweets@PlussInspires@GlosCC • Bond, G. R. (2004). Supported employment: Evidence for an evidence-based practice. Psychiatric Rehabilitation Journal, 27, 345-359. • Bond, G., Drake, R. and Becker, D. (2008). An update of randomized controlled trials of evidence-based supported employment, 31(4), 280-290.  • Brown, L., Shiraga, B. and Kessler, K. (2006). The quest for ordinary lives: the integrated post-school vocational functioning of 50 workers with significant disabilities. Research and Practice for Persons with Severe Disabilities, 31(2):93-121.  • Carter, E.W., Austin, D. and Trainor, A. (2011). Factors associated with the early work experiences of adolescents with severe disabilities. American Journal of Intellectual and Developmental Disabilities, 49(4), 233-247. • Cimera, R.E. (2007). The cumulative cost-effectiveness of supported and sheltered employees with mental retardation. Research and Practice for Persons with Severe Disabilities, 32(4), 247-252. • Cimera, R.E. (2010). National cost efficiency of supported employees with intellectual disabilities: 2002-2007. American Journal of Intellectual and Developmental Disabilities, 115, 19-29. Is there evidence from other sources?

  7. @BASE_tweets@PlussInspires@GlosCC • Chesnut, R.M., Carney, N., Maynard, H., Mann, N.C., Patterson, P. and Helfan, M. (1999). Summary report: evidence for the effectiveness of rehabilitation for persons with traumatic brain injury. Journal of Head Trauma Rehabilitation, 4(2), 176-188. • Coutts, P. and Riddell, S. (2012) Employers’ Views of Supported Employment for Disabled People in Scotland. University of Edinburgh: Centre for Research in Education Inclusion and Diversity. • Daston, M., Riehle, E. and Rutkowski, S. (2012) High School Transition that Works: Lessons Learned from Project Search. Baltimore, MD, Paul H. Brookes Publishing Co. • Drake, R. & Bond G. (2008). The future of supported employment for persons with severe mental illness. Psychiatric Rehabilitation Journal 1(4),367-376.  • Gidugu, V. and Rogers, E. S. (2012). Review of Employment Services for Individuals with Intellectual and Developmental Disabilities: A Comprehensive Review of the State-of-the-Field from 1996–2011. Boston: Boston University, Sargent College, Center for Psychiatric Rehabilitation. • Hart, T., Dijkers, M., Whyte, J., Braden, C., Trott, C. and Fraser, R. (2010). Vocational interventions and supports following job placement for persons with traumatic brain injury. Journal of Vocational Rehabilitation, 32 (3),135-150.  • Howlin, P. , Alcock, J. and Burkin, C. (2005). An eight year follow-up of a specialist supported employment service for high-ability adults with autism or Asperger’s syndrome. Autism. 9(5), 533–549. Is there more evidence?

  8. @BASE_tweets@PlussInspires@GlosCC • Inge, K.,Wehman, P.,Strobel, W., Powell, D., and Todd, J. (1998). Supported employment and assistive technology for persons with spinal cord injury: Three illustrations of successful work supports. Journal of Vocational Rehabilitation, 10, 141-152. • Jahoda, A., Kemp, J., Riddel, S. and Banks, P. (2008). Feelings about work: a review of the socio-emotional impact of supported employment on people with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 21(1), 1- 18. • Luecking, R.G. (2009). The way to work: how to facilitate work experiences for youth in transition. Baltimore, MD, Paul H. Brookes Publishing Co. • Luecking, R.G. (2011). Connecting employers with people who have intellectual disabilities. American Journal of Intellectual and Developmental Disabilities 49(4),261-273. • Mank,D., Cioffi, a. and Yovanoff, P. (2000, December). Direct Support in Supported Employment and Its Relation to Job Typicalness, Coworker Involvement, and Employment Outcomes. Mental Retardation: 38,(6) 506-516. • Mank,D. and Grossi, T.A. (2013 ) Employment: Renewed Investments. INCLUSION AAIDD, Vol. 1, No. 1, 7–16. • McGaughey, M. and Mank, D. (1999) Empirical evidence of systems change in supported employment. Is that it?

  9. @BASE_tweets@PlussInspires@GlosCC • Ottomanelli, L., Goetz, L., McGeough, C. , Suris , A., Sippel, J., Sinnott, P., et al. (2009). Methods of a multisite randomized clinical trial of supported employment among veterans with spinal cord injury. Journal of Rehabilitation Research & Development, 46(7), 919-30. • Ottomanelli, L. , Goetz, L., Suris, A., McGeough, C., Sinnot, P., Toscano, R.,et al. (2012). The effectiveness of supported employment for veterans with spinal cord injuries: results from a randomized multi-site study. Archives of Physical Medicine and Rehabilitation, 930(5),740–747. • Ann Purvis, Lauren Small, James Lowrey, Danielle Whitehurst, Malen Davies (February 2012) Project SEARCH Evaluation: Final Report (Centre for Economic & Social Inclusion) ISBN: 978-1-84947-947-9 • Schneider J. and Wistow, R. (2003) Users views on supported employment and social inclusion: A qualitative study of people in work. British Journal of Learning Disabilities, 31, 166-174. • Symonds, P. and Luecking, R.G. (2013) Open employment in Australia. Journal of Vocational Rehabilitation, 38(3),215-222. • Wehman, P. (2013). Transition from School to Work: Where are we and where do we need to go? Career Development for Exceptional Individuals-35th Anniversary issue, 36(1), 58 – 66. • Wehman, P., Chen, C., Targett, P., West, M., and Cifu, G. (in press, 2013). Transition planning and postsecondary educational outcomes for youth with TBI. NeuroRehabilitation. Some more?

  10. @BASE_tweets@PlussInspires@GlosCC • Wehman, P., Inge, K. J., Revell, G., and Brooke, V. A. (2007). Real Work for Real Pay: Inclusive Employment for People with Disabilities. Baltimore: Paul Brookes Publishing Co. • Wehman, P., Lau, S., Molinelli, A., Brooke, V., Thompson, K., Moore, C., et al. (2012). Supported employment for young adults with autism spectrum disorder: Preliminary data. Research and Practice for Persons with Severe Disabilities, 37(3), 1-10. • Wehman, P. McDonough, J. , Schall, C., Molinelli, A.and Riehle,E. (in press). Project SEARCH implementation at high school level for youth with autism . Teaching Exceptional Children. • Wehman, P., Schall,C., McDonough, J., Kregel, J., Brooke, V., Molinelli, A., et al. (2013). Competitive employment for youth with autism spectrum disorders: Early results from a randomized clinical trial. • Wistow, R. and Justine Schneider, J. (2007) Employment support agencies in the UK: current operation and future development needs. Health and Social Care in the Community (2007) 15 (2), 128–135. Are we done yet?

  11. @BASE_tweets@PlussInspires@GlosCC It has an international evidence base: • Local authority disinvestment • Austerity and a changing economy • The presumption of employability • Commissioning • Quality and performance • Braiding and connecting funding streams • Personal budgets Supported employment is neededand it’s widely endorsed

  12. @BASE_tweets@PlussInspires@GlosCC Delivering enhanced results through personalised services Jayne Mills, Plussand Vikki Walters, Gloucestershire County Council

  13. Pluss and its goals • Gloucestershire CC and its goals • Why we are presenting together @BASE_tweets@PlussInspires@GlosCC Introduction

  14. @BASE_tweets@PlussInspires@GlosCC • The move to ‘personalise’ social care • The current direction of travel (Valuing Employment Now, Right to Control, Caring for Our Future, Think Local, Act Personal, Sayce Review) • Personal budgets and employment The background to personalised services

  15. @BASE_tweets@PlussInspires@GlosCC Pilots in Plymouth and Teignbridge • Outcomes: • Teignbridge – 7 paid jobs at 7k each • Plymouth – effective transitions pathway developed • Findings: • A fully individualised, intensive programme can produce better outcomes than traditional employment programmes. • The relationship with the individual changesfrom a “provider / service user” to “customer / provider” – in other words, the service is customer led. • The use of “Discovery methodology” to fully understand a customer was central to success. • Employers value continuity of support from a single of point of contact • Transparency around services and outputs are very important when operating in what is a retail environment • Building a robust presumption of employability is crucial with this cohort. Developing a Pluss personalisation model

  16. @BASE_tweets@PlussInspires@GlosCC Pluss has used the pilots to build a core programme of five service packages based on the principles of the DoE’s Valuing Employment Now:  • Introducing you to work • Getting to know you • You getting a job • Job start and induction • Maintain and monitor The Pluss personalisation offer

  17. @BASE_tweets@PlussInspires@GlosCC We have also developed a series of supplementary modules which include: • Better off in work reviews • Career development planning • Job coaching • Additional monitoring support • Sector specific training The Pluss personalisation offer

  18. @BASE_tweets@PlussInspires@GlosCC • As well as, not instead of, DWP programmes • Potential links to mainstream provision • The potential for braiding funding The fit within the wider sector

  19. @BASE_tweets@PlussInspires@GlosCC • Austerity and changing economy • Welfare reforms driving people to work • People who haven’t been expected to work in the past will need to work in the future A commissioner’s perspective

  20. @BASE_tweets@PlussInspires@GlosCC Population 897,000 Unemployed 10,000 Sickness benefits 18,000 People with Learning Disabilities 3,000 Number known to services 1,800 LD Social Care budget employment spend 1% The numbers in Gloucestershire

  21. @BASE_tweets@PlussInspires@GlosCC • Increased independence via empowerment • Increased social circles • Decreases risks of being a victim of hate crime • Improves physical and mental wellbeing • Improves levels of pride, dignity, confidence and self-worth The personal case

  22. @BASE_tweets@PlussInspires@GlosCC • 22 people into work = savings of £235k pa £4-5m over an average lifetime • A young person going into services could cost up to £2m over their lifetime The financial case

  23. @BASE_tweets@PlussInspires@GlosCC • Presumption of employability • Employment is discussed early on • Employment services available to buy with personal budgets • Robust system of support • Clear employment pathway • Strong network of partners Actions

  24. @BASE_tweets@PlussInspires@GlosCC • 5/6 people spending personal budgets on employment services are now in full time employment • 100 more people in work related activities Outcomes

  25. @BASE_tweets@PlussInspires@GlosCC • More services for those with complex needs • Personal budgets for intensive employment support packages • Innovatively encourage people to work • Develop a holistic approach to employment The future

  26. @BASE_tweets@PlussInspires@GlosCC Questions andComments