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A capitated model for a cross-section of severely mentally ill clients: employment outcomes
- Authors:
- CHANDLER Daniel, et al
- Journal article citation:
- Community Mental Health Journal, 33(6), December 1997, pp.501-516.
- Publisher:
- Springer
Describes the employment outcomes in the USA of a three year controlled study of two Integrated Service Agencies (ISAs) for a cross-section of severely mentally ill clients. At each site significantly more ISA members than comparison clients obtained some paid employment. At the urban site the difference was dramatic: 73 against 15 per cent worked during the study period, and 29 per cent of the ISA clients worked competitively. The significant but still limited ISA results argue for increased employment opportunities for all seriously mentally ill clients.
The Experience of KAI MAHI, an employment initiative for people with an experience of mental illness, as Told by Zarna, Zeus, Lulu, Mary, Paul, and Hemi
- Authors:
- De MALMANCHE Janie, ROBERTSON Linda
- Journal article citation:
- Community Mental Health Journal, 51(8), 2015, pp.880-887.
- Publisher:
- Springer
There is a growing body of evidence endorsing the use of supported employment models for people with an experience of mental illness. However current literature and research regarding the perspective of people with experience of mental illness, as well as alternate models of employment support, is sparse. This study has captured the stories of employment of people with experience of mental illness who participated in KAI MAHI, a group based employment programme. Findings identified key components of KAI MAHI, consistent with their overall experiences of employment, which were influential in assisting them to find and sustain employment. These included the opportunity for self-determination, a sense of self-efficacy, and respectful relationships. (Edited publisher abstract)
The Madison Model of community care for the mentally ill: some lessons for Britain
- Author:
- STEPHENS Mike
- Journal article citation:
- Journal of Social Welfare and Family Law, 21(3), 1999, pp.221-234.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In the light of the government's plan to overhaul the system of community care for people with mental health problems, this article examines some aspects of the proposals. In particular, it looks at the applicability of the Madison model, which is a highly successful and comprehensive system of community care used in the USA. It is an integrated network of services dedicated both to supporting individuals with mental illness in the community and to finding them work.
Models of specialist employment for people with mental health problems
- Author:
- SCHNEIDER Justine
- Journal article citation:
- Health and Social Care in the Community, 6(2), March 1998, pp.120-129.
- Publisher:
- Wiley
There is a growing interest in work schemes for people with mental health problems. This article describes the characteristics of nine models of specialist employment, their similarities and differences are portrayed on three dimensions: productivity, integration, and permanence. Models discussed are sheltered settings, vocational rehabilitation and training, clubhouse, transitional employment, social firms, placement agencies, assertive community treatment and voluntary work.
The cost effectiveness of employment support for people with disabilities: final detailed research report
- Authors:
- GREIG Rob, et al
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2014
- Pagination:
- 121
- Place of publication:
- Bath
The final report from a two year study on employment support for people with mental health problems or learning disabilities. The study focused on three areas: the cost effectiveness or value for money of current models of employment support, whether outcomes varied for different models used, and if outcomes were affected by approaches of commissioners to implementing local employment strategies. The report summarises the findings of a scoping review, findings from national and local data collection on the quality and effectiveness of employment support, and findings from in-depth field work visits to 11 sites to see local commissioners implemented employment strategies. Five Theories of Change identified from the field visits are discussed: shifting culture, employment outcomes, strategic direction, developing the market and performance management. They were seen as aspects that needed to be in place to delivery cost effective outcomes. (Edited publisher abstract)
Employment support for disabled people: investigating the relationship between investment and outcomes: research findings
- Author:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION
- Publisher:
- NIHR School for Social Care Research
- Publication year:
- 2014
- Pagination:
- 4
- Place of publication:
- London
This briefing summarises the findings of research on the cost effectiveness of different service models and commissioning approaches to employment support for people with mental health problems or learning disabilities. The study analysed national data and in addition analysed cost and outcome data from 70 different sites and also carried out fieldwork visits to six sites. Data analysis included an analysis of costs per job outcome (securing new jobs, retaining jobs or moving into self employment). Good evidence was also found to support Individual Placement and Support (IPS) in mental health services and supported employment in learning disabilities services were the most effective ways of supporting people. The study also identified five different organisational or system 'conditions' that were most likely to be found in successful cost effective services.
Right on our side
- Author:
- JACKSON Catherine
- Journal article citation:
- Mental Health and Learning Disabilities Care, 4(1), September 2000, pp.6-8.
- Publisher:
- Pavilion
Reports on how legislation is just one of the many tools the Disability Rights Commission will be using to tackle discrimination.
Putting the missing rungs into the vocational 'ladder'
- Authors:
- BUTTERWORTH Roger, DEAN Jo
- Journal article citation:
- A Life in the Day, 4(1), February 2000, pp.5-9.
- Publisher:
- Emerald
The Avon and Western NHS Trust's work development programme in Bristol is a beacon award winner. This Department of Health award has been made for achievements in establishing a comprehensive vocational advice and support service for people with mental health problems. Central to the service model are close partnerships with occupational therapy as well as the employment service, further education and service providers from the voluntary sector. Describes how the service was developed.
Vocational rehabilitation and employment
- Authors:
- PECK Edward, BATES Peter
- Journal article citation:
- Mental Health Review, 2(2), June 1997, pp.8-15.
- Publisher:
- Pier Professional
Discusses the importance and growing recognition of the role of work and occupation in the rehabilitation of people with learning disabilities and mental illness. Looks at the current position in the United Kingdom and provides brief descriptions of employment models such as industrial therapy/sheltered work models, transitional employment schemes, and supported employment.
Implementing the Comprehensive, Continuous, Integrated System of Care model for individuals with co-occurring disorders: preliminary findings from a residential facility serving homeless individuals
- Authors:
- HARRISON Melissa L., et al
- Journal article citation:
- Journal of Dual Diagnosis, 4(3), 2008, pp.238-259.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Comprehensive, Continuous, Integrated System of Care (CCISC) model is officially recognised as one of the best treatment protocols in the USA, and provides medical care, counselling, psychiatric/psychological evaluation, recreational and vocational services, and comprehensive discharge planning within a residential setting. A total of 76 participants were administered measures that assessed housing and employment status, mental health symptoms and levels of substance use at baseline and six-month follow-up. The results show significant improvement in all assessment categories at six months, as well as client satisfaction with the programme. In addition, application of the Comorbidity Program Audit and Self-Survey for Behavioral Health Services (COMPASS) showed that the CCISC principles of care were implemented as intended. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).