Journeys to work: the perspective of client and employment specialist of “Individual Placement and Support” in action

2014 ◽  
Vol 18 (4) ◽  
pp. 198-202 ◽  
Author(s):  
Lynne Miller ◽  
Suzanne Clinton-Davis ◽  
Tina Meegan
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Supported Employment ◽  
Mental Health Problems ◽  
Individual Placement And Support ◽  
Content Type ◽  
Employment Specialist ◽  
Personal Accounts ◽  
Individual Placement ◽  
Employment Specialists

Purpose – The purpose of this paper is to provide the personal accounts of the journey back to work from the perspective of both the person entering employment and the Employment Specialist who assisted them. Design/methodology/approach – Two people with mental health problems who received help into employment from an employment service in a London Mental Health Trust were asked to give write their accounts of their journey. The Employment Specialists who assisted them in this journey were also asked to write their accounts. Findings – Reflective accounts – no findings presented. Originality/value – Much has been written about the effectiveness of Individual Placement and Support evidence-based supported employment, but little has been published about the lived experience of this approach from the perspective of both the person endeavouring to return to work and the employment specialists who support them. This paper presents two such accounts.

scholarly journals Implementing evidence-based supported employment

2007 ◽  
Vol 31 (7) ◽  
pp. 244-249 ◽  
Author(s):  
Miles Rinaldi ◽  
Rachel Perkins
Keyword(s):  
Supported Employment ◽  
Educational Activity ◽  
Client Outcomes ◽  
Individual Placement And Support ◽  
Individual Client ◽  
The Individual ◽  
Work Education ◽  
The Impact ◽  
Individual Placement ◽  
Employment Specialists

Aims and MethodWe evaluated the impact of implementing the individual placement and support (IPS) approach within eight community mental health teams (CMHTs) in two London boroughs. Demographic, clinical and vocational data were collected enabling a comparison of the number of people supported in work/education and individual client outcomes at 6 and 12 months.ResultsFollowing the integration of employment specialists there were significant increases in the number and proportion of clients engaged in mainstream work or educational activity at 6 months and 12 months. The employment specialists supported 38% in open employment at 6 months and 39% at 12 months.Clinical ImplicationsThe results support the use of IPS in clinical practice in CMHTs.

scholarly journals Individual placement and support: cross-sectional study of equality of access and outcome for Black, Asian and minority ethnic communities

2021 ◽  
pp. 1-6
Author(s):  
Rachel Perkins ◽  
Rash Patel ◽  
Amelia Willett ◽  
Laura Chisholm ◽  
Miles Rinaldi
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Individual Placement And Support ◽  
Employment Services ◽  
Minority Ethnic ◽  
Individual Placement ◽  
Equality Of Access

Aims and method To explore whether people from Black, Asian and minority ethnic (BAME) communities experience equality of access and outcome in individual placement and support (IPS) employment services. Cross-sectional data were analysed of all people with severe mental health problems who accessed two mature high-fidelity IPS services in London in 2019 (n = 779 people). Results There were no significant differences between the proportions of people who gained employment. The data strongly suggest that people from BAME communities are not differentially disadvantaged in relation to either access to or outcomes of IPS employment services. Clinical implications The challenge for mental health professionals is not to decide who can and who cannot work but, how to support people on their case-loads to access IPS and move forward with life beyond their illness.

Attitude and behaviour change – it takes a generation

2014 ◽  
Vol 9 (4) ◽  
pp. 207-214
Author(s):  
Naomi Russell ◽  
Jennifer Taylor
Keyword(s):  
Mental Health ◽  
Young People ◽  
Lived Experience ◽  
Mental Health Problems ◽  
Health Problems ◽  
Mental Health Stigma ◽  
Content Type ◽  
Stigma And Discrimination ◽  
The Social ◽  
Insight Into

Purpose – The purpose of this paper is to describe the work of the Children and Young People's Programme of Time to Change, which is England's biggest campaign to end the stigma and discrimination that surrounds mental health. Design/methodology/approach – The paper draws upon research into the nature and effects of mental health stigma and discrimination on young people and also outlines the strategy of the Time to Change campaign and its initial outcomes. Findings – The paper includes testimonies from young people with lived experience of mental health problems about the stigma and discrimination they have faced. It also outlines the aims, objectives and stages of implementation of the Time to Change Children and Young People's Programme. The paper particularly focuses on the campaign work undertaken in secondary schools, the social leadership programme for young people with lived experience of mental health problems and the process of designing effective campaign messaging for social media. Originality/value – Time to Change is England's biggest campaign to end the stigma and discrimination that surrounds mental health. This paper provides a unique insight into the process of developing and rolling out an anti-stigma campaign for young people.

Shelley Seaton in conversation with Jerome Carson

2019 ◽  
Vol 23 (1) ◽  
pp. 12-15
Author(s):  
Shelley Seaton ◽  
Jerome Carson
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Mental Health Problems ◽  
Life Story ◽  
Vital Role ◽  
Health Issues ◽  
Content Type ◽  
Study Approach ◽  
Post Natal Depression

Purpose The purpose of this paper is to provide a profile of Shelley Seaton. Design/methodology/approach Shelley gives a short background to her life story and is then interviewed by Jerome. Findings Shelley tells us about a number of life events that impacted on her mental health issues, starting with childhood bullying and also abusive relationships. Research limitations/implications The case study approach privileges the person’s lived experience. It also lets us see the unique complexity of each person’s story. Practical implications Shelley received little help in the form of counselling either at school or when she experienced post-natal depression. Social implications When mental health problems start in childhood, schools have a vital role to play. While the bullying stopped when Shelley’s Mum went to the school, the damage was already done. She was given no support to help her through this. Originality/value Patricia Deegan has asked, “Could you have survived what this person has survived?” (Deegan, 1996, p. 95). Shelley’s story is a tale of survival.

scholarly journals Individual placement and support: from research to practice

2008 ◽  
Vol 14 (1) ◽  
pp. 50-60 ◽  
Author(s):  
Miles Rinaldi ◽  
Rachel Perkins ◽  
Edmund Glynn ◽  
Tatiana Montibeller ◽  
Mark Clenaghan ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Mental Health Problems ◽  
Evidence Base ◽  
Health Problems ◽  
Routine Clinical Practice ◽  
Research To Practice ◽  
Individual Placement And Support ◽  
The Uk ◽  
Individual Placement

Vocational rehabilitation for people with severe mental health problems is poorly developed in the UK. Although there is a clear evidence base indicating the effectiveness of approaches to helping people with severe mental health problems gain and retain employment there is generally a lack of awareness of this evidence. As a result there has been a lack of implementation within routine clinical practice of the most effective approaches to improving employment outcomes for such individuals.

scholarly journals Improving vocational recovery among people with psychosis: a two-pronged approach

2019 ◽  
Vol 47 (2) ◽  
pp. 114-123
Author(s):  
Niall Turner ◽  
Tara Nesbitt ◽  
Felicity Fanning ◽  
Mary Clarke
Keyword(s):  
Supported Employment ◽  
First Episode Psychosis ◽  
First Episode ◽  
Individual Placement And Support ◽  
Content Type ◽  
Episode Psychosis ◽  
The Impact ◽  
Individual Placement ◽  
Productive Role

PurposeThis paper aims to investigate the feasibility of conducting research on a two-pronged vocational intervention for people with first episode psychosis. The paper also aims to empirically examine the impact of a two-pronged vocational intervention for people with first episode psychosis by determining what effect, if any, introducing a two-pronged vocational intervention to an early intervention for psychosis service (EIPS) has on vocational outcomes using a prospective follow-up design. The approach consisted of supported employment (individual placement and support, IPS) for participants without a productive role and a job retention programme for those employed or studying.Design/methodology/approachBetween 2010 and 2013, a supported employment specialist joined an EIPS where occupational therapy was available to all attenders. The appropriate intervention was determined by the occupational therapist on the team. Participants were interviewed at baseline and one follow-up. Ethical approval was attained. The Individual Placement and Support Fidelity Scale was used to ensure the quality of IPS implementation.FindingsIn total, 39 (20 men, 19 women) consented; 21 (54 per cent) of these participants were unoccupied; 18 (46 per cent) had a productive role; 87 per cent (n= 34) were followed up. The mean length of follow-up was 18 months. At follow-up, 50 per cent (n= 10) of unoccupied participants had attained a productive role, and 17 of the 18 participants had retained their productive role. Overall, participants were found to have spent an average of 62 per cent of the follow-up period in a productive role.Research limitations/implicationsRates of vocational recovery among people affected by psychosis may be enhanced by a two-pronged approach that allows for the persons individual work circumstances to be taken into account.Originality/valueThis study highlights the impact of a two-progroned vocational intervention for people with first episode psychosis in Ireland. It is the first study of its kind to be published in the Republic of Ireland and the first world-wide to include a job retention element in its design.

scholarly journals “It’s a Big Family Here.” Becoming and Belonging in a Service Providing Employment-Related Support for People with Mental Health Problems: An Interpretative Phenomenological Analysis

2021 ◽  
Author(s):  
Nisha Chauhan ◽  
Dawn Leeming ◽  
John Wattis
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Work Experience ◽  
Interpretative Phenomenological Analysis ◽  
Supported Employment ◽  
Mental Health Problems ◽  
Health Problems ◽  
Phenomenological Analysis ◽  
Working Environment ◽  
The Impact

AbstractThe impact of employment for individuals with mental health problems is complex. However, research suggests that when support is provided for accessing employment and gaining roles and skills that are valued by others, a positive effect can be seen on recovery. Employment-related support can take many forms and there is a need for further research into the experience of accessing different kinds of services. The current paper examines the lived experience of 11 people participating in a UK social enterprise providing work experience, training, and skills development for those with mental health problems. Although ‘sheltered’, the organisational ethos strongly emphasised service-user empowerment, co-production, equality with staff, provision of valued social roles and person-centred support. Phenomenological analysis revealed that participants valued a sense of belonging and authentic relationships within the service, whilst being given the opportunity to rediscover an identity that may have been lost because of their mental health problem. However, participants also discussed how, although the service improved their self-value, some feared the ‘real world’ outside of the service and were unsure whether they would be met with the same support. Tensions between field dominant approaches in supported employment and the experiences and values of the participants are explored. We argue that the findings highlight the importance of a nurturing working environment and the value for recovery of a range of meaningful roles, beyond competitive employment.

Ben Robinson in conversation with Jerome Carson

2018 ◽  
Vol 22 (1) ◽  
pp. 13-17
Author(s):  
Ben Robinson ◽  
Jerome Carson
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Mental Health Problems ◽  
Single Case ◽  
Family Therapist ◽  
Mental Health Issue ◽  
Content Type ◽  
The People ◽  
Single Person ◽  
Working Day

Purpose The purpose of this paper is to provide a profile of Ben Robinson. Design/methodology/approach Ben provides a short summary of his life and is then interviewed by Jerome. Findings Ben talks about his inpatient treatment for anorexia and his long journey of recovery. Research limitations/implications Single case studies provide us with unique insights into the lived experience of people with mental health problems. They often provide us with hints as to how services could be improved. Practical implications Ben argues that the voice of service users needs to be heard more by professionals. “The only experts of a mental health problem are the people who have been through a mental health issue themselves”. Social implications One of the classic recovery reports talked about “going the extra mile”. Ben talks about how his family therapist would visit him at the end of her working day. As he says, “this was something she didn’t have to do, but wanted to do as she genuinely cared for us”. Originality/value Ben is determined to use his experiences for the benefit of others. Even to have helped a single person will be his biggest life achievement.

scholarly journals Implementing Supported Employment. Lessons from the Making IPS Work Project

2018 ◽  
Vol 15 (7) ◽  
pp. 1545 ◽  
Author(s):  
Jan Hutchinson ◽  
David Gilbert ◽  
Rachel Papworth ◽  
Jed Boardman
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Support Services ◽  
Supported Employment ◽  
Evidence Base ◽  
Health Conditions ◽  
Individual Placement And Support ◽  
Psychosocial Services ◽  
Mental Health Conditions ◽  
Individual Placement

Individual Placement and Support (IPS) is an internationally accepted and effective form of supported employment for people with severe mental health conditions. Despite its strong evidence base, the implementation of IPS has been slow and inconsistent. In England, a demonstration project, Making IPS Work, was developed to offer support for the implementation of IPS in six local sites National Health Service Mental Health trusts. The project aimed to: Establish Individual Placement and Support services within clinical teams; develop high fidelity practice and leave a sustainable IPS service beyond the project. The number of people gaining open employment in each site was monitored. Fidelity checks were carried out at three sites by independent assessors. Stakeholders were interviewed over the 18-month lifetime of the implementation period to examine the experience of developing the services in the six sites. A total of 421 jobs were found for people with mental health conditions over 18 months with a large variation between the highest and lowest performing sites. The sites assessed for fidelity all attained the threshold for a ‘Good Fidelity’ service. The new services were readily accepted by mental health service users, clinical staff and managers across the trust sites. Maintaining the funding for the Individual Placement and Support services beyond the project period proved to be problematic for many sites. Placing the services within a broader strategy of improving psychosocial services and bringing together decision making at the corporate, commissioning and clinical management level were helpful in achieving success. The growth and maintenance of these services is difficult to achieve whilst the current cost pressures on the NHS continue.

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