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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.
Developing a theoretical understanding of therapy techniques: an illustrative analogue study
- Authors:
- FREEMAN Daniel, et al
- Journal article citation:
- British Journal of Clinical Psychology, 44(2), June 2005, pp.241-254.
- Publisher:
- Wiley
In psychological interventions, clients are often asked to review unhelpful beliefs. Surprisingly, there is no theoretical understanding of how beliefs are reviewed in therapy. Moreover, by understanding a therapeutic technique, potential interactions with symptom processes can be considered. An analogue study assessing the feasibility of researching therapy techniques is described, in which links between symptoms, reasoning style, and an experimental version of the cognitive therapy technique of belief evaluation are examined. Thirty individuals without psychiatric illness completed (i) dimensional measures of depression, anxiety, and delusions, (ii) a measure of confirmatory reasoning both before and after instruction in disconfirmatory reasoning, and (iii) a belief evaluation task. Compared with individuals with a confirmatory reasoning style, individuals with a disconfirmatory reasoning style were less hasty in their data gathering, considered a greater number of hypotheses during the task, had higher intellectual functioning, and had lower levels of depressive symptoms. Conversely, the individuals with the strongest confirmatory reasoning had higher levels of depression and preoccupation with delusional ideation. Successful adoption of disconfirmatory reasoning was associated with less hasty decision-making and lower levels of preoccupation and distress by delusional ideation. Individuals with a disconfirmatory reasoning style reported more evidence both for and against their beliefs in the belief evaluation task. In the context of clinical research indicating that individuals with delusions are hasty in their data gathering and have difficulty considering alternatives, a potential implication of the findings is that individuals with delusions may find belief evaluation in therapy.
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.
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)
Personal storytelling in mental health recovery
- Authors:
- NURSER Kate P., et al
- Journal article citation:
- Mental Health Review Journal, 23(1), 2018, pp.25-36.
- Publisher:
- Emerald
Purpose: Creating more positive individual narratives around illness and identity is at the heart of the mental health care recovery movement. Some recovery services explicitly use personal storytelling as an intervention. The purpose of this paper is to look at individual experiences of a personal storytelling intervention, a recovery college Telling My Story (TMS) course. Design/methodology/approach: Eight participants who had attended the TMS course offered at a UK recovery college were interviewed. Data were analysed using interpretative phenomenological analysis. Findings: Five key themes, namely a highly emotional experience, feeling safe to disclose, renewed sense of self, two-way process and a novel opportunity, were emerged. Originality/value: The findings suggest that storytelling can be a highly meaningful experience and an important part of the individual’s recovery journey. They also begin to identify elements of the storytelling process which might aid recovery, and point to pragmatic setting conditions for storytelling interventions to be helpful. More time could be dedicated to individuals telling their story within UK mental health services, and the authors can use this insight into the experience of personal storytelling to guide any future developments. (Publisher abstract)
A systematic review of group work interventions in UK high secure hospitals
- Authors:
- STURGEON Michaela, TYLERA Nichola, GANNON Theresa A.
- Journal article citation:
- Aggression and Violent Behavior, 38, 2018, pp.53-75.
- Publisher:
- Elsevier
Background: Rehabilitating high secure hospital patients poses significant challenges. Group work is thought to play a key role in patient recovery; however, there have been no reviews conducted specifically assessing group work interventions for high secure hospital patients. Objectives: To review the focus of group work interventions that are being implemented and evaluated with high secure hospital patients in the UK, and to examine the effectiveness of these interventions and the methods used to assess intervention effectiveness. Method: A systematic literature search combined with reference screening was conducted examining group work interventions with high secure hospital patients in the UK. Results: In total, 28 manuscripts (outlining 29 group work intervention evaluations) were identified for review inclusion. Across these, ten focuses of group work intervention emerged: anger/aggression, offence-specific, enhancing insight and understanding of mental illness, thinking skills/problem solving, substance misuse, self-harm, relationships, self-esteem and well-being, relapse prevention, and moving on. Positive outcomes were generally reported across all ten areas. Conclusions: Studies assessing the impact of group work interventions could be improved by increasing sample sizes, reducing sole reliance on self-report measures, employing clear statistical and clinical significance testing, and increasing the use of follow-up assessments and control groups. (Publisher abstract)
Movement into employment: return on investment tool. Estimation of benefits from moving an individual from unemployment into sustainable employment
- Authors:
- MALLENDER Jacqueline, et al
- Publisher:
- Public Health England
- Publication year:
- 2017
- Pagination:
- 119
- Place of publication:
- London
This report accompanies the release of an economic tool designed to estimate the benefits of transitioning from unemployment into employment and presents the findings of a rapid evidence review that have informed the development of the tool. The review and analysis has shown that there are significant mental health benefits and consequent financial savings from returning to work, as well as direct financial benefits, while there is a paucity of robust evidence around physical health impacts. The tool allows users to understand, for a given number of people who return to work, the mental health benefits and financial benefits to a variety of stakeholders. This can also be compared against an intervention cost to understand if the intervention is cost saving (financial benefits outweigh the cost) and/or cost-effective (the cost per QALY gained is below a given threshold). The tool, combined with other available evidence around the benefits of employment, equips decision-makers with the evidence needed to support the case for better investment in areas aimed at alleviating worklessness. Better investment will likely lead to better outcomes for the individuals transitioning into employment, their families and their wider local communities, leading to an overall more healthy and inclusive society. (Edited publisher abstract)
Adapted DBT programme for individuals with intellectual disabilities and problems managing emotions: staff awareness training
- Authors:
- ASHWORTH Sarah, MOONEY Paul, TULLY Ruth J.
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 10(3), 2016, pp.185-198.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to present the development and evaluation of an original training package for staff members on an awareness of an adapted Dialectical Behaviour Therapy programme, the “I Can Feel Good” programme (Ingamells and Morrissey, 2014) designed for individuals with intellectual disabilities (ID) and problems managing emotions. The quality and effectiveness of the training was assessed and is reported in this paper. Design/methodology/approach: The training was delivered for staff working with individuals with ID in a UK medium-secure psychiatric hospital and was attended by nursing staff. The workshop consisted of six modules: “Introduction to the programme”, “Mindfulness”, “Managing feelings”, “Coping in Crisis”, “People skills” and “Application and summary”. Level of self-reported knowledge, confidence and motivation regarding seven aspects of the training was measured by an evaluation questionnaire completed pre and post training. Findings: The results of this study showed that following the training there was a significant increase in self-reported knowledge, confidence and motivation regarding the seven aspects of the training. When perceptions of staff behaviours are observed, although in the right direction, this change was found not to be significant. Originality/value: This study highlights the potential for staff training to increase awareness of newly adapted therapeutic programmes for individuals with ID. The staff training may increase their ability and willingness to facilitate the running of such programmes and ability to support learning transfer in group members. (Publisher abstract)
Exploring the meaning of recovery for carers: implications for social work practice
- Authors:
- FOX Joanna, RAMON Shula, MORANT Nicola
- Journal article citation:
- British Journal of Social Work, 45(S1), 2015, pp.i117-i134.
- Publisher:
- Oxford University Press
This paper describes the impact that learning about recovery has on mental health carers, exploring the implications of this research for UK social work and beyond. A steering group co-produced a training intervention on recovery that was delivered by the first author and a carer, both with experiences of recovery, to eleven carers. Mainly qualitative data, with supplementary socio-demographic data, were collected to evaluate the impact of this training. Thematic analysis was applied to the data. Findings suggest that being more ‘recovery-aware’ gives carers increased hope and optimism for the future. Awareness of the impact of caring upon the service user's life helps carers to promote recovery in their relative, and gain confidence in their own expertise-by-caring. Professional care is fundamental to recovery but needs to build on a partnership model. The carers evaluated the training as helpful, and valued its authenticity in being led by trainers with experience of recovery. Carers' expectations of professional practice are highlighted, with different approaches discussed that support effective carer involvement in their relative's care. Recognition of carers' expertise-by-caring demands a new approach to mental health care, with significant implications for British social work practice. (Publisher abstract)