Search results for ‘Subject term:"mental health problems"’ Sort:
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Doing what works: individual placement and support into employment
- Author:
- SAINSBURY CENTRE FOR MENTAL HEALTH
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2009
- Pagination:
- 7p., bibliog.
- Place of publication:
- London
The Sainsbury Centre for Mental Health has published 'Doing what works: individual placement and support into employment'. This briefing paper states that people with severe mental health problems are much more likely to get and keep jobs if services use the most effective methods of supporting them into employment. It describes the Individual Placement and Support scheme and suggests that it is the most effective approach to enabling people to gain and retain the jobs they want. However, the paper states that it is only effective if all seven of its key principles are in place.
The impact of employment on perceived recovery from opiate dependence
- Authors:
- LOWE Elizabeth, et al
- Journal article citation:
- Drugs and Alcohol Today, 18(4), 2018, pp.206-216.
- Publisher:
- Emerald
Purpose: Less than 15 per cent of people starting opiate substitution treatment (OST) in England are employed, but few gain employment during treatment. Increasingly punitive approaches have been tried to encourage individuals with substance dependence into employment in the hope of facilitating recovery. It is not clear which factors are associated with the successful maintenance of employment whilst receiving OST, and whether this group can be said to be “in recovery”. The paper aims to discuss these issues. Design/methodology/approach: A cross-sectional study of the OST population in one English region was conducted between January and April 2017. Measures of physical health, employment patterns, drug use, mental health, recovery capital, and dependence severity were administered to 55 employed and 55 unemployed clients. Findings: Those in employment had higher levels of “recovery capital”, better physical and mental health, fewer drug problems, and less severe dependence, despite reporting heroin use at a similar level. Three variables were significantly associated with employment: longest period of employment (OR=1.01, p=0.003); number of chronic medical conditions (OR=0.44, p=0.011); and number of days of psychological problems in the last month (OR=0.95, p=0.031). Practical implications: These results suggest that abstinence may not be required in order to maintain stable employment when OST is in place. Different treatment strategies are required for clients receiving OST already in employment compared with those who are unemployed. Originality/value: This is the first UK study to the author’s knowledge to focus on people receiving OST who are also in employment. (Publisher abstract)
Children placed in out-of-home care as midlife adults: are they still disadvantaged or have they caught up with their peers?
- Authors:
- BRANNSTROM Lars, et al
- Journal article citation:
- Child Maltreatment, 22(3), 2017, pp.205-214.
- Publisher:
- Sage
International research has consistently reported that children placed in out-of-home care (OHC) have poor outcomes in young adulthood. Yet, little is known about their outcomes in midlife. Using prospective data from a cohort of more than 14,000 Swedes born in 1953, of which nearly 9% have been placed in OHC, this study examines whether there is developmental continuity or discontinuity of disadvantage reaching into middle age in OHC children, compared to same-aged peers. Outcome profiles, here conceptualized as combinations of adverse outcomes related to education, economic hardship, unemployment, and mental health problems, were assessed in 1992–2008 (ages 39–55). Results indicate that having had experience of OHC was associated with 2-fold elevated odds of ending up in the most disadvantaged outcome profile, controlling for observed confounding factors. These findings suggest that experience of OHC is a strong marker for disadvantaged outcomes also in midlife. (Publisher abstract)
Recommendations for a “Recovery” orientated apprenticeships scheme in mental health: a literature review
- Author:
- SAPANI John
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 10(3), 2015, pp.180-188.
- Publisher:
- Emerald
Purpose: Recovery principles have been central to debates in both the government and the mental health field, when thinking about the best way to support people who have experienced mental health distress into employment and education. The purpose of this paper is to review how this principle has been employed within the most effective approaches. This information will contribute to the development of the South London and Maudsley (SLaM) NHS Foundation Trust apprenticeship/return-to-work scheme for people who have experienced mental health distress. Design/methodology/approach: NHS evidence was used to undertake searches journals on CINAHL, EMBASE, PsycINFO, MEDLINE, HMIC, AMED, BNI, HEALTH BUSINESS ELITE and the Cochrane Library. Common search terms used were as follows: apprentice*; mental illness*; mental disorder*; psychiatric; psychosis; chronic mental disorder*; patient*; service user*; client*; return to work schemes; work; employment; unemployment; peer worker*; supported employment; vocational rehabilitation; peer training*; outcome measure*; recovery. Findings: Although the available literature writing about these employment schemes were not explicit in using Recovery as its guiding principle (i.e. Hope, Control and Opportunity), many of the participants in studies about a particular type of supported employment called Individual Placement Support (IPS) referred to recovery concepts in their narrative accounts, i.e. doing work that is meaningful, building self-esteem. This particular type of employment scheme was shown to have better outcomes for people who have experienced mental health difficulties then others schemes. The importance of employers having systems in place to support people’s control/self-management of their mental health condition was a key factor in helping them retain jobs once they have got them. Originality/value: The SLaM education and training service plans to develop a return to work programme for people who have had lived experience of mental health distress, through a workforce skills apprenticeships scheme. This is first apprenticeship scheme of this type in London. Therefore, this paper will review the literature on previous and current employment programmes for people who have experienced mental health distress, specifically highlighting what has worked well and what could be improved. This paper will also draw on the literature presented in this review and conclude on key points, which will contribute to the development of SLaM’s apprenticeships scheme. This literature review will form the basis of further research about the outcome/evaluation of the actual apprenticeship scheme after the first year. (Publisher abstract)
Impact of supported employment on service costs and income of people with mental health needs
- Authors:
- SCHNEIDER Justine, et al
- Journal article citation:
- Journal of Mental Health, 18(6), December 2009, pp.533-542.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This paper examined the impact of supported employment on the cost of services used, benefits claimed, and earnings for 141 participants in the UK with mental health problems. Service use and frequency were measured at baseline and 12 months. Comparisons paid particular attention to the differences between people entering work and those who remained unemployed. Costs were analysed from a government perspective, excluding earnings, and a societal perspective excluding welfare benefits and taxes. Results revealed 77 of the participants in the study remained unemployed, 32 got jobs and 32 retained the jobs they held at the outset. Those who entered work reduced their consumption of mental health services. However, use of supported employment increased. The increase in earnings for those entering work was not offset by a similar reduction in benefits. In conclusion, the findings suggest that mental health services may make savings as a result of their clients engaging in paid work.
Way2work: mental health and employment
- Author:
- HURFORD Heather
- Publisher:
- RDMH
- Publication year:
- 2007
- Pagination:
- 6p.
- Place of publication:
- Whitstable
This paper examines specific aspects of the debate that surrounds approaches to mental health care. It details examples of good practice within the context of current policy and research. The paper highlights an employment project called Way2Work which has been chosen for a number of reasons. Nationally, performance remains weak in this area despite the strong evidence base and the high need identified by service users for this kind of support. This particular example of good practice demonstrates what is possible using high levels of commitment, relatively small resources, and an assertive approach to partnership working. As a project based in a voluntary sector organisation it also highlights the financial insecurity that such services continue to face despite the value placed on them by their clients and the fact that successful uptake should produce whole system savings in terms of reduced dependency on statutory organisations. The paper concludes that commissioning organisations need a robust approach to performance monitoring that levels this playing field if voluntary sector services are truly to be encouraged to bring their capabilities much more into play in developing services that respond to need.
Tackling worklessness: mental health and worklessness
- Author:
- IMPROVEMENT AND DEVELOPMENT AGENCY
- Publisher:
- Improvement and Development Agency
- Publication year:
- 2010
- Pagination:
- 6p.
- Place of publication:
- London
This report provides guidance to local authorities on how to help people with a mental illness find a job and remain in work. It summarises the macro-economic costs of work-related mental illness and outlines the positive health impact of employment and the business benefits of promoting good mental health in the workplace. It introduces the UK Mental Health and Employment Strategy and sets out the employment barriers commonly experienced by people with mental health problems. It provides advice to councils on: individual placement and support; designing effective employability approaches; and promoting well-being in the workplace. It also includes short case studies highlighting good practice.
Helpful support to promote participation in school and work: subjective experiences of people with mental health problems - a literature review
- Authors:
- SOMMER Mona, NESS Ottar, BORG Marit
- Journal article citation:
- Social Work in Mental Health, 16(3), 2018, pp.346-366.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article provides an overview over current knowledge regarding helpful support to promote participation in education and work among people with mental health problems. Based on 14 studies gleaned from a systematic review, three overarching themes were identified through thematic analysis: supportive interpersonal relationships, integrating mental health and everyday life issues with education/employment support, and person-centred support. The findings call for a deeper understanding of support in the context of mental health and participation in education and work among people with mental health problems. (Edited publisher abstract)
Whole in one: achieving equality of status, access and resources for people with depression
- Authors:
- PAXMAN Jon, MANNING Julia
- Publisher:
- 2020 Health
- Publication year:
- 2015
- Pagination:
- 50
- Place of publication:
- London
This report focuses on depression in adults, with particular emphasis on access to NHS services and treatment, the funding of services, depression in the workplace, and the role of the National Institute for Health and Care Excellence (NICE). It draws on evidence from interviews and discussions with researchers and people living with depression or in supportive roles. The report questions the lack of diagnosis, treatment options and the apparent discrimination in availability of medicines, as well as the continued separation of mental health from physical health. The report sets out a series of recommendations aimed at: improving access to treatment and services; closing the funding gap; improving mental health in the workplace; and encouraging parity of esteem through NICE. (Edited publisher abstract)
The socially excluded adults PSA
- Authors:
- EISENSTADT Naomi, LAWRENCE John
- Journal article citation:
- Housing Care and Support, 11(1), July 2008, pp.4-6.
- Publisher:
- Emerald
The Government's Public Service Agreement on Socially Excluded adults aims to ensure that the most socially excluded adults are offered the opportunity to get back on a path to a more successful life by focusing on two key outcomes: a place to live and a job. It is aimed at four groups at significant risk of social isolation and poverty: young people leaving the care system; adult offenders under probation supervision; adults in contact with secondary mental health services; and adults with moderate to severe learning disabilities. From local area agreements to problems in gathering evidence about excluded groups, this article details the mechanisms involved, the obstacles to be overcome, and the benefits that the success of this PSA will bring.