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INDIVIDUAL PLACEMENT and SUPPORT (IPS) Improving Lives Through Work

INDIVIDUAL PLACEMENT and SUPPORT (IPS) Improving Lives Through Work. Deborah R. Becker Dartmouth Psychiatric Research Center Amersfoort, Holland March 30, 2006. OVERVIEW of IPS. Principles and practice Research findings Lessons learned. Definition of Supported Employment.

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INDIVIDUAL PLACEMENT and SUPPORT (IPS) Improving Lives Through Work

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  1. INDIVIDUAL PLACEMENT and SUPPORT (IPS)Improving Lives Through Work Deborah R. Becker Dartmouth Psychiatric Research Center Amersfoort, Holland March 30, 2006

  2. OVERVIEW of IPS • Principles and practice • Research findings • Lessons learned

  3. Definition of Supported Employment • Mainstream job in community • Pays at least minimum wage • Work setting includes people who don’t have a disability • Service agency provides ongoing support • Intended for people with most severe disabilities

  4. Evidence-Based Principles • Eligibility is based on consumer choice • Personalized benefits planning is provided • Supported employment is integrated with treatment • Competitive employment is the goal • Job search starts soon after a consumer expresses interest in working • Follow-along supports are continuous • Consumer preferences are important

  5. Primary Evidence for Supported Employment • 5 day treatment conversion studies • 13 completed randomized controlled trials • 3 correlationalstudies of work and program implementation

  6. Competitive Employment Rates in 12 RCTs of Supported Employment

  7. Conclusions: Randomized Controlled Trials of Supported Employment • In 13 of 13 studies, SE had significantly better competitive employment outcomes than controls • Mean across studies of consumers working competitively at some time: • 60% for supported employment • 22% for controls

  8. Long-Term Follow Up • 3 supported employment research studies - 8-12 years • Similar findings • Most worked for pay • Current jobs were mostly competitive • People held multiple jobs over time

  9. Implementation Studies • National Evidence-Based Practices Project • Johnson & Johnson - Dartmouth Community Mental Health Program

  10. Lessons Learned • Recovery-oriented environment • Changing voc program vs. new voc • Quality improvement team • Eliminate words: motivation, compliance, work readiness

  11. Recognize strengths rather disabilities • Prepare to talk with employers • Not everyone can be an employment specialist • Role of agency’s employment supervisor

  12. Track outcomes • Outcomes-based supervision • Publicize agency outcomes • Fidelity counts • Peer/staff meetings across agencies (supervisors, employment specialists)

  13. Partner with clients for training and education • Educate with news articles, public radio, agency newsletters, information sheets, videos • Work is everybody’s business

  14. Resources • Dartmouth Vocational Publication List • karendunn@dartmouth.edu • 603-448-0263

  15. More Resources • A Working Life for People With Severe Mental Illness-Becker and Drake, Oxford University Press, 2003 • Supported employment resource kit Mentalhealth.samhsa.gov

  16. Summary • People with severe mental illness can work in competitive employment • Programs following evidence-based principles of IPS-supported employment have better outcomes • Programs must address implementation factors to be successful

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