CNWL Employment Services - Chinye Furner

CNWL Employment Services
West Midlands Employability Event:
21st March 2016
Chinye Furner
Employment Specialist
Addictions & Recovery
Clinical Centre (ARCC)
Brent - London
Individual Placement and Support
 Introduction to CNWL evidence based Employment
Services
 How the Service Works
 Principles of IPS
 DVD
 Impact and Outcomes
 Questions / Comments
Introduction to CNWL
One of the largest Mental Health and Community Trusts in England
 Almost 6,000 staff
 Provides services to a third of London’s population and across a
wide geographical area including outer London suburbs
 Inpatient and community services, approximately 300 locations
 Enormous variation in socio-economic status of populations
served – from very rich to very poor
 Provides an integrated physical and mental health services in the
community
 Also, substance misuse, learning disability and prison healthcare
Employment Services Team:
 Employment Services Manager
 Deputy Employment Services Manager and Employment Project
Manager (for employment within CNWL)
6 Team Leaders (Team Leaders also carry a reduced or full caseload)
17 IPS trained Employment Specialists (ES), 1 with 6 years experience of
delivering Supported Employment to our Brent Drug & Alcohol clients
IPS - Definition
 An evidence based model of employment support – originally
developed in the US to support people with mental health problems
(but a high proportion also have substance misuse problems)
 The service supports both the employee and employer in making the
return to work a success, and is integrated into treatment/clinical
interventions.
 People accessing mental health and addiction services often see
returning to employment as central to their recovery, quality of life and
an opportunity to contribute to their local community.
 CNWL – national IPS Centre of Excellence since 2010
Principles of IPS
1. ES are integrated into the mental health team
2. Competitive employment
3. Rapid job search
4. Eligibility is based on client choice
5. Job choice follows client preference
6. Ongoing support determined by need
7. Personalised welfare & benefits advice is provided
8. Building relationships with employers to access the
hidden labour market
Impact





Between 70-90% of service users say they want to work
Challenges low expectations
Brings a sense of hope to service users and the clinical team.
Assists in engaging service users with the team
Gives the team a vocational orientation/employment plays a bigger
role in the work of Addictions and Mental Health teams
 Ensures there is a greater focus on service user strengths
 Use of recovery stories to motivate and inspire clients and clinicians
 Bridge to employers and other services
Outcomes – Quality Assurance
 KPIs developed in partnership with other Centres of
Excellence
 Each ES aims for at least 17 paid outcomes per year
 Fidelity measured KPIs – e.g. rapid job search, time
taken to contact employers
 Measuring service users satisfaction
Outcomes - Performance
When IPS was implemented within K&C/Westminster Early
Intervention 80% of those referred were inactive. Within 9
months this fell to 23%
12
Month
Target
Brent
H&F
Hillingdon
Ealing
Hounslow
K&C
Clients
accessing the
service
35
41
31
35
36
28
41
Paid
employment
15
25
16
18
16
9
18
*Sustained
Employment
10
(65%)
17
5
11
8
5
7
Training /
Education
10
19
7
10
7
15
13
Voluntary
employment
4
8
5
3
6
1
8
*76 clients have entered and remain in employment at the end of the reporting period
Challenges/learning points from Addictions
LEGAL LIMITATIONS ON DRIVING WHILE ON REPLACEMENT MEDICATION, AND
COMPANY LIMITATIONS ON OPERATING HEAVY MACHINERY ETC.
ZERO EXCLUSION
INAPPROPRIATE REFERRALS
DISCHARGE BEFORE REACHING VOCATIONAL GOAL
LIMITED FUNDING FOR ALCOHOL USERS
DISENGAGEMENT - CLIENTS LIKELY TO MISS APPOINTMENTS
BECOME EASILY DISILLUSIONED
HOMELESSNESS
WHEN ENGAGING IN TREATMENT, MANY FIND IT NECESSARY TO DETACH
THEMSELVES FROM THEIR FORMER LIVES, IE. DRUG USING FRIENDS - LEADING
TO ISOLATION
Challenges/learning points from Addictions cont:
 Picking Up Prescriptions When In Employment, Changing Pharmacies And
Arranging Appointments With Key Worker Around Employment Hours
 Discrimination Which Is Not Covered By Legislation
 Lifestyles Are Very Chaotic, Non Stable And Ess Have To Work With That In Mind
 Forensic History
 Gaps On CV due to Chaotic Lifestyle
 Physical Problems Caused By Substance Use
 Lifestyle Change
 Erratic Attendance
 Funding For IPS In Addictions Has Been Challenging
DVD - Short film about 3 service users who are in paid
employment
Using Feedback from Service users and teams:
“ “having a job is the biggest part of my
recovery… the boredom of not working just
made me drink more”
Service user who had been unemployed for 17 years
“IPS has worked. Having an ES in our team,
has given the whole team a sense of hope
about future opportunities for service users”
Consultant Psychiatrist, Addictions Brent
PR Tools:
Employment Recovery Booklets
During the year a
Briefing paper with
the Centre for Mental
Health and an
Addiction service in
New Zealand was
produced.
Social Media:
@cnwles
Questions / Comments