employability and health -an integrated approach stirling council and stirling chp

Employability and Health-An Integrated Approach

Stirling Council

and

Stirling CHP

Background

• Partnership established in 2004 - Development of an Employability and Health project through the European Equal Programme (Well Connected)• The Fit for Work European Partnership• ‘Beyond Equal’ - Mapping and Assessment of Health and Employability Networks• New Council Employability Service created in 2007 through mainstream funding• An Integrated Approach - Stirling CPP Fairer Scotland Fund (2008)

The Employability Service was created to support individuals who have disabilities, learning difficulty, mental health problems or other health-related conditions Current breakdown of service users• 32% Learning Disability• 28% Mental Health • 15% Health Conditions• 14% Physical Disability• 8% ASD• 3% Sensory Impairments(Based on current caseload of 153 individuals)

Current Developments

• Social Return on Investment Study• The Supported Employment Framework for Scotland - Stirling Demonstration Site• New ESF Priority 5 - Stirling’s Employability Pipeline

Our Partnership Vision of Health and Employability

“ The physical, psychological and social aspects of work as they relate to

health and wellbeing”

Our Focus• Inequalities• Clarity and Realism of Purpose• Ownership and Commitment to Joint Learning • Building Evidence of What Works• Assets and Solutions, Person Centred

Integrating Policy Strands• Equally Well, Change Programme• Anticipatory Care, Keep-well Stirling• Long Term Conditions • Community Planning Priorities• Well Connected

KEY LEARNING POINTS WELLCONNECTED PROJECT

•The importance of the team approach when working with this client group and of the skill mix of the team to providing a range of skills from Employment services and Health.

• The need for a robust Partnership agreement.

• The need for staff to remain connected to their original service to remain updated on relevant clinical or service developments.

• The need for flexibility of time spent with clients and location in which they are seen, particularly with the more debilitated clients.

• The need for staff to be experienced in their field and have good networking skills and local service knowledge.

• The benefit of direct access to some health services (which was not a feature of this project).

Challenges for Joe!

Now, please turn to your colleague sitting next to you and discuss this question for a minute.

What are the challenges in working with people with complex health

conditions and barriers, who aspire to, including sustaining work?

Supported Employment ModelSupporting the aspirations towards

employment

EngagementBy Service

Helping people with disabilities

and Health conditions most distanced from

the labour market to make

informed decisions on their own future

Vocational Profiling

Identifying skills and preferences for

work, giving workexperiences that willhelp the individualmake their own

vocational choices

Job Finding

Identifying the preferred job

through employer

engagement, also providingsupport to the

employer

EmployerEngagement

Finding out aboutThe workplace

Environment, co-Workers and the

‘supports’ a personmight need

On/Off theJob Support

and Aftercare

Providing help,Information andbackup to the

employee and theiremployer, developingindependence through

natural supports inthe workplace and addressing careerprogression in due

course

Engagement By Service


Job FindingEmployer

EngagementOn/Off Job Support

and Aftercare

•Client Journey

•Challenges

•Susan’s Journey

EngagementBy Service


Making sense for Susan-Case formulation

Presenting ProblemPresenting ProblemDepressive symptomsDepressive symptoms

Poor management of multiple Poor management of multiple Health conditionsHealth conditions

Environmental stress.Environmental stress.

Low self-worth and low value.Low self-worth and low value.

Anxiety.Anxiety.

Lifestyle factors.Lifestyle factors.

Maintenance Cycle 1•Lack of purpose/routine/work in my life.

•Too much time to think on my problems.•Leads to avoidance behaviour.•Reduces my motivation.•Leads to isolation.

Maintenance Cycle 2•Past and present life events have shaped certain rules and beliefs that I have about myself.

• self-critical/blame.• I am not good enough person.•people are more needy than me.

Maintenance Cycle 3•Growing up gave me certain coping strategies, yet these coping strategies also make me vulnerable.

•Not trusting people to help.•Not asking for help, when I need it, •People perception-”strong” “able”•Not seeing my needs

Maintenance Cycle 4•Lots of people in my life come to me to sort out their problems.

•Put peoples needs before mine•As people expect it, its difficult to say no•Feel overwhelmed with demand

Susan’s StrengthsSusan’s Strengths “ “I have worked most of my life”I have worked most of my life”

““Most of my life I have coped”Most of my life I have coped”““I have managed my diabetes, asthma in the past”I have managed my diabetes, asthma in the past”



Job FindingEmployer


and Aftercare



Job FindingEmployer


and Aftercare

• Clients Journey

• Challenges

• Early Intervention

On/Off Job Supportand Aftercare



Job FindingEmployer


and Aftercare

Future Development

• Learning

• Keep well Health Checks

• Mental Health Services

StakeholdersStakeholders

-Job Centre +

-Carers

-Employability Network

-Clients

-Employer

-Core services

-Keep well

-Community Partners

-Gp’s

-Primary care services

-LTC Partner Network

-HR/Occ. Health

Health Pathway

AX/ScreeninScreeningg

Health Check

HADS

LAZER

CORE

WHEEL

Client centred planningClient centred planning

Initiate Self-care Health Initiate Self-care Health and Employability Baton and Employability Baton

Partner with CORE Partner with CORE Services Services

Social Stressors Social Stressors support e.g. Housingsupport e.g. Housing

Initiate Condition Initiate Condition ManagementManagement

Exercise SchedulingExercise SchedulingSocial PrescribingSocial Prescribing

Psychological Psychological InterventionIntervention

Change LifestyleChange LifestyleFactors Factors

Education/Education/Support EmployersSupport Employers

Complex Job Analysis Complex Job Analysis

Functional CapacityFunctional CapacityEvaluationEvaluation

Engage person in long-Engage person in long-term supports term supports

Partners

Health and Employability Pathway - Blueprint



Job FindingEmployer


and Aftercare

Health and Employability Pathway- Blueprint

Future Development

employability and health -an integrated approach stirling council and stirling chp

Documents