ips supported employment - eastern kentucky university...ips supported employment (a label does not...
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IPS Supported
Employment
(A Label Does Not
Define Me or Who I am
Meant to Be!)
17/1/2019
peo
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• What’s IPS?
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Characteristics of IPS
• It is an Evidence Based Practice
• Focusses on clients strengths
• Team approach-Vocational Rehabilitation
• Services are individualized and long lasting-
makes supported employment unique
• Has a fidelity scale that measures the key
ingredients of evidence based supported
employment37/1/2019
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Why the Need?
• Adults with serious mental illness
who say they want to WORK: 66%
• Adults with serious mental illness
who are currently WORKING:
<20%
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Employment is Essential
Part of Recovery!
• Recovery refers to the process in which
people are able to live, work, learn, and
participate fully in their communities.
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Benefits of Work
• HOPE
• Self esteem/confidence
• Friends/social
• Increased income
• Reduced substance use
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Pat Deegan once said…
• “what most people want is a job, a
car and a date on Friday night”
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peo
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should try unemployment”
Joe Marrone
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Research Shows That When
People WORK….
• Improvements may occur in symptoms, self
esteem, and money
• Clients do not experience more severe
symptoms or higher levels of distress nor do
they require more extensive psychiatric
treatment or hospitalizations (Bond, et al;
2001)
• SUPPORTED EMPLOYMENT WORKS!!!
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Supported Employment
Philosophy
• The BELIEF that regardless of disability EVERY
ONE can work!
• Primary goal is not to change people but to find
a natural “fit” between person’s strengths and
experiences and jobs in the community!
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PRINCIPLES OF
IPS
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Eligibility is Based on Client
Choice-Zero Exclusion
• People are not excluded on basis of
readiness, diagnoses, symptoms,
legal system involvement,
substance use…
• Every person is encouraged to think
about work
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Employment Services and Mental
Health Services are Integrated
• Employment specialists are full members of mental health
treatment teams and participate on a regular basis
(weekly)
• Provides info regarding: celebrate successes, strengths,
medication side effects, and coping strategies that pertain
to employment
• Co-located
• Everyone on same page - share hopeful message
• Helps team think about employment for people who
haven’t been referred
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Competitive Jobs
• Regular jobs in the community
• Minimum wage or above
• May be part time or full time
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Job (Search) Occurs Rapidly
“Need for Speed”
• Strike while iron is hot!
• ES and/or job seeker make face to face contact with employer within 30 days
• Every job is positive learning experience
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ES Build Relationships with
Employers
• Meet with employers face to face to
learn about business needs and
develop relationships over time (6
face to face employer contacts a
week)
• Jobs are driven by client
preferences
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Client Preferences are
Honored
Type of career, people, location, disclosure
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Job Supports Are Continuous
• What makes supported employment unique
• Individualized/ongoing
• Goal is to help client become as independent as possible while providing support as needed
• Once person has worked for a year, transitioning can be discussed
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Benefits Counseling
• Personalized benefits planning and
guidance help clients make
informed decisions about work
• Includes info regarding: housing
subsidies, food stamps, and any
other source of income
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Program Structure
• IPS SE is delivered by a team which
includes, the person, ES, VR
Counselor, case manager, therapist,
prescriber, and other people that are
involved in the person’s life, such as
family members or other key
supporters with permission
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Unique Features of IPS Supported Employment
• Employment Specialist works with people with serious mental
illness and/or substance use
• Job Search starts soon after person expresses interest in
working (30 days)
• One Employment Specialist to 20 people (65% in community)
• Employment Specialists are full members of mental health
treatment team
• Transition Supports/Step Down Supports
• Fidelity Scale
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Fidelity Scale
• Summarizes the basic characteristics of
Evidence Based Supported Employment (road
map for services)
• Refers to the degree in which a particular
program follows the key components of the
Evidence Based Practice
• Used as a quality improvement tool for better
outcomes/more jobs!
• Also looks at what the agency is doing well!
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KY IPS Supported Employment-
Where we came from…..
• Began implementation with 4 Community Mental
Health Centers - 6 ES’s, 4 SE Supervisor’s and
5 VR liaisons - currently working with 19 sites
• Goal is to work with new and existing programs
so that consistent Supported Employment will
be available to EVERY person with serious
mental illness and/or substance use who wants
to WORK!
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Fun Facts!!!
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12th State to receive grant---2010
Counties served---6 to 81
Total served since 2010-2018—14,824
Job Starts for 2018--516
Average age of IPS---38
Total working 2018--1070
4 International awards since we have been a part of the IPS
national collaborative
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People Working!!
• Associate Computer
Programmer
• Self employment
• Nurse Aide
• Security guard
• Data Entry
• Truck Driver
• Factory worker
• Receptionist
• Youth care worker
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Kentucky IPS Site Highlight:
Communicare
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https://www.youtube.com/watch?v=S24tgXo7yaE
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Kentucky IPS Site Highlight:
Four Rivers
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https://www.youtube.com/watch?v=w1Wc45RKJZs
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Quotes From People
Working• “Since I started working I’m so
grateful I can make sure my son has
everything he needs and wants”
• “There is hope, it takes dedication
and effort, but change is possible
despite many obstacles. I am living
proof of that”
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Another quote
• “I always dreamed of opening a
candy shop…my employment
specialist and VR counselor
encouraged me to work on that
dream”
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What’s Expected?
• Sites are expected to implement a program that
is in alignment with the 25 item Supported
Employment Fidelity Scale
• More people with serious mental illness/and or
substance use will be working!
327/1/2019
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ple A LABEL DOES NOT DEFINE
ME OR WHO I AM MEANT
TO BE!!!
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347/1/2019
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357/1/2019
Questions?