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National programme for improving mental health and well-being small research projects initiative 2006: making an impact: exploring how to measure the mental health impacts of working in a social firm
- Authors:
- McDERMID Leona, et al
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2008
- Pagination:
- 2p.
- Place of publication:
- Edinburgh
This study aimed to begin to support the development of an evidence base for mental health improvement through employment in Social Firms, by identifying potential indicators and ways of measuring mental health impacts. A brief literature review was undertaken of studies and publications, from peer reviewed and internet sources, relating to indicators for measuring mental health impacts of working in a Social Firm. Workshop discussions and interviews were held with Social Firms’ managers and service users working in Social Firms to inform the choice of indicators and tools.
Evaluation of the fit for work service pilots: first year report: research summary
- Author:
- GREAT BRITAIN. Department for Work and Pensions
- Publisher:
- Great Britain. Department for Work and Pensions
- Publication year:
- 2012
- Pagination:
- 4p.
- Place of publication:
- London
In March 2010, 11 pilot Fit for Work Services (FFWS) were established to provide personalised, case-managed support for workers in the early stages of sickness absence or ill-health in order to expedite return to work and support job retention. This report presents the findings from an evaluation of the first year. The research comprised: management information; over 200 interviews with stakeholders, providers and others; the first wave of a 2-wave telephone survey of over 300 FFWS clients; interviews with a panel of 64 FFWS clients drawn from 4 pilot areas; and interviews with 30 General Practitioners. By the end of March 2011, 6,726 people had taken up the service offered by the pilots. Nearly all FFWS clients were employed and two-thirds were ‘presentees’ (attending work but at risk of sickness absence) rather than absentees. This research summary describes the findings of the evaluation in relation to: the pilot take-up; engagement and referrals; the client journey through the service; and outcomes. It finds that 62% of the clients who were supported by the pilots in the first year had been discharged by the end of March 2011. Three-quarters of absentees who were discharged were back at work by the time they left. Qualitative evidence from clients indicates that the FFWS provided significant support to return to work. Without this support, in some cases the return would not have happened at all, and in others it was made quicker, easier or more sustained.
Evaluation of the fit for work service pilots: first year report
- Authors:
- HILLAGE Jim, et al
- Publisher:
- Great Britain. Department for Work and Pensions
- Publication year:
- 2012
- Pagination:
- 128p.
- Place of publication:
- London
In March 2010, 11 pilot Fit for Work Services (FFWS) were established to provide personalised, case-managed support for workers in the early stages of sickness absence or ill-health in order to expedite return to work and support job retention. This report presents the findings from an evaluation of the first year. The research comprised: management information; over 200 interviews with stakeholders, providers and others; the first wave of a 2-wave telephone survey of over 300 FFWS clients; interviews with a panel of 64 FFWS clients drawn from 4 pilot areas; and interviews with 30 General Practitioners. By the end of March 2011, 6,726 people had taken up the service offered by the pilots. Nearly all FFWS clients were employed and two-thirds were ‘presentees’ (attending work but at risk of sickness absence) rather than absentees. This report describes the findings of the evaluation in relation to: the pilot take-up; engagement and referrals; the client journey through the service; and outcomes. It finds that 62% of the clients who were supported by the pilots in the first year had been discharged by the end of March 2011. Three-quarters of absentees who were discharged were back at work by the time they left. Qualitative evidence from clients indicates that the FFWS provided significant support to return to work. Without this support, in some cases the return would not have happened at all, and in others it was made quicker, easier or more sustained.
Qualitative evaluation of a job retention pilot for people with mental health problems
- Authors:
- THOMAS Kristina, SECKER Jenny, GROVE Bob
- Journal article citation:
- British Journal of General Practice, 55(516), July 2005, pp.546-547.
- Publisher:
- Royal College of General Practitioners
Interviews with job retention clients, their employers and case managers were carried out. A group interview with GPs was also conducted. Client-focused interventions were reported to be helpful by clients and GPs and employer -focused interventions were appreciated by both clients and employers. All clients attributed positive outcomes to the service. In conclusion, these preliminary results support the further development and evaluation of job retention services.
What sort of support in employment?
- Authors:
- PERKINS Rachel, et al
- Journal article citation:
- A Life in the Day, 5(1), February 2001, pp.6-13.
- Publisher:
- Emerald
Despite a growing amount of literature concerning the success of supported employment initiatives in enabling people with mental health problems to work successfully in open employment less attention has been paid to the type of support people might require. This article explores this issue from the perspective of the Pathfinder User Employment project.
See Me: workplace. Three year evaluation
- Author:
- MENTAL HEALTH FOUNDATION
- Publisher:
- Mental Health Foundation
- Publication year:
- 2020
- Pagination:
- 39
- Place of publication:
- London
An evaluation of the See Me in Work programme, which aims to support employers to create a working environment that encourages an equal and fair recruitment process for those seeking employment; where people feel safe and able to talk openly about mental health in work, and where those returning to work following ill-health are fully supported back into the workplace. Implementation of the programme incorporates the following aspects: conduct a baseline Mental Health Check survey with staff; create an action plan to tackle mental health stigma, including promoting the e-Learning resource to staff; showcase this work to other employers; and repeat the Mental Health Check survey to show any change. The e-Learning evaluation indicates this resource is the right length, with relevant content that inspires employees to change their own behaviour and that in broader workplace. Organisations value the level of engagement and support they receive from the See Me in Work team. However, some organisations feel that the focus on stigma and discrimination is too narrow and would prefer a focus on broader mental health wellbeing. A more focused single outcome for organisations appeared to be beneficial for those who engaged with the Workplace Equality Fund. Organisations that engaged with the pilot of the Starter Pack found the process to be engaging and helpful. The report makes a number of recommendations, including continuing to engage with the rural local authority to ensure evidence is captured on how to tackle stigma and discrimination in a small community; and considering a broader focus on mental health wellbeing rather than mental health stigma and discrimination. (Edited publisher abstract)
Barriers and facilitators to the implementation of individual placement and support (IPS) for patients with offending histories in the community: the United Kingdom experience
- Authors:
- KHALIFA Najat, et al
- Journal article citation:
- British Journal of Occupational Therapy, 83(3), 2020, pp.179-190.
- Publisher:
- Sage
Introduction: This study aimed to identify the barriers and facilitators to the implementation of a high fidelity individual placement and support service in a community forensic mental health setting. Method: In-depth interviews were conducted with clinical staff (n = 11), patients (n = 3), and employers (n = 5) to examine barriers and facilitators to implementation of a high fidelity individual placement and support service. Data was analysed using thematic analysis, and themes were mapped onto individual placement and support fidelity criteria. Results: Barriers cited included competing interests between employment support and psychological therapies, perceptions of patients’ readiness for work, and concerns about the impact of returning to work on welfare benefits. Facilitators of implementation included clear communication of the benefits of individual placement and support, inter-disciplinary collaboration, and positive attitudes towards the support offered by the individual placement and support programme among stakeholders. Offences, rather than mental health history, were seen as a key issue from employers’ perspectives. Employers regarded disclosure of offending or mental health history as important to developing trust and to gauging their own capacity to offer support. Conclusions: Implementation of individual placement and support in a community mental health forensic setting is complex and requires robust planning. Future studies should address the barriers identified, and adaptations to the individual placement and support model are needed to address difficulties encountered in forensic settings. (Edited publisher abstract)
An evaluation of a vocational group for people with mental health problems based on The WORKS framework
- Authors:
- HITCH Danielle, et al
- Journal article citation:
- British Journal of Occupational Therapy, 80(12), 2017, p.717–725.
- Publisher:
- Sage
Introduction: Attitudinal, social and workplace barriers, as well as poor health, can disrupt participation in education and employment for people experiencing mental illness. The WORKS framework conceptualises support for employment and mental health in relation to three starting points on vocational pathways: Starting Out, Moving Forward, and Keeping Going and Growing. Method: The WORKS ‘Starting Out’ phase was adapted for a vocational group run in an Australian mental health service, and qualitative methods used to evaluate three consecutive programmes. Focus group data about service user participants’ (n = 20) views were subjected to content analysis. Findings: Two themes related to programme experience were identified: ‘Working together’ and ‘Experiencing structured workshops’. Four themes related to the influences of the group on recovery and vocational aspirations: ‘Work and recovery’; ‘What we got from Starting Out’; ‘Promoting vocation’ and ‘Where to next?’ Conclusion: The findings confirmed the importance of employment to people experiencing longstanding mental illness, and demonstrated that the ‘Starting Out’ programme provided a meaningful way of opening conversations about work. Co-facilitation by occupational therapists and peer workers enabled a respectful environment, which supported participants to identify transferable skills, reconnect with vocational goals and redefine themselves as ‘employable’. (Edited publisher abstract)
Employment in mind: the Poppy Factory employability service and veterans with mental health conditions
- Author:
- CAROLAN Stephany
- Publisher:
- Centre for Mental Health
- Publication year:
- 2016
- Pagination:
- 34
- Place of publication:
- London
This report evaluates evaluate the Poppy Factory’s employability service and examines the challenges experienced by veterans in gaining and retaining civilian employment, the barriers to employment for people with mental health problems, what works in supporting veterans with a mental health condition into employment, and what research evidences this approach. The Poppy Factory supports wounded, injured or sick ex-Service personnel into employment. Since its inception in 1922 it has provided employment opportunities at its headquarters in Richmond, Surrey, and in recent years through its national ‘Getting You Back To Work’ employability service it has been helping wounded, injured or sick veterans in England and Wales who have been out of the Forces for more than two years, to find and sustain open employment within their own communities. The report identifies the Individual Placement and Support (IPS) model as the most effective way of supporting wounded, injured or sick veterans into employment. IPS is a form of evidence-based supported employment for people with serious mental illness, based on the assumption that given the right job and the right support anyone can work and working on the principle of place, train and maintain: working with an individual to find and secure a job in open employment, and then provide the training to support them in that role, rather than the traditional train and place approach where services provide training for an individual and then search for an appropriate job. The report shows that the employment rate for IPS is twice that of usual high quality vocational support for people with serious mental illness; and that veterans with post-traumatic stress disorder are nearly three times more likely get into open employment if they access IPS instead of supported employment. The Poppy Factory’s employability service is similar in many ways to the IPS approach. It does not exclude people on the basis of their mental health diagnosis, it offers expert employment support and seeks open employment opportunities for clients based on their abilities and interests. In addition, the Poppy Factory is taking steps to strategically develop its employability service to achieve a closer fidelity with the IPS model. (Edited publisher abstract)
A randomised controlled trial of time-limited individual placement and support: IPS-LITE trial
- Authors:
- BURNS Tom, et al
- Journal article citation:
- British Journal of Psychiatry, 207(4), 2015, pp.351-356.
- Publisher:
- Cambridge University Press
Background: Individual placement and support (IPS) has been repeatedly demonstrated to be the most effective form of mental health vocational rehabilitation. Its no-discharge policy plus fixed caseloads, however, makes it expensive to provide. Aims: To test whether introducing a time limit for IPS would significantly alter its clinical effectiveness and consequently its potential cost-effectiveness. Method: Referrals to an IPS service were randomly allocated to either standard IPS or to time-limited IPS (IPS-LITE). IPS-LITE participants were referred back to their mental health teams if still unemployed at 9 months or after 4 months employment support. The primary outcome at 18 months was working for 1 day. Secondary outcomes comprised other vocational measures plus clinical and social functioning. The differential rates of discharge were used to calculate a notional increased capacity and to model potential rates and costs of employment. Results: A total of 123 patients were randomised and data were collected on 120 patients at 18 months. The two groups (IPS-LITE = 62 and IPS = 61) were well matched at baseline. Rates of employment were equal at 18 months (IPS-LITE = 24 (41%) and IPS = 27 (46%)) at which time 57 (97%) had been discharged from the IPS-LITE service and 16 (28%) from IPS. Only 11 patients (4 IPS-LITE and 7 IPS) obtained their first employment after 9 months. There were no significant differences in any other outcomes. IPS-LITE discharges generated a potential capacity increase of 46.5% compared to 12.7% in IPS which would translate into 35.8 returns to work in IPS-LITE compared to 30.6 in IPS over an 18-month period if the rates remained constant. Conclusions: IPS-LITE is equally effective to IPS and only minimal extra employment is gained by persisting beyond 9 months. If released capacity is utilised with similar outcomes, IPS-LITE results in an increase by 17% in numbers gaining employment within 18 months compared to IPS and will increase with prolonged follow-up. IPS-LITE may be more cost-effective and should be actively considered as an alternative within public services. (Publisher abstract)