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Supported Employment: A model that works Paul Wilson, Vice Chairman British Association for @GlosCC.

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Presentation on theme: "Supported Employment: A model that works Paul Wilson, Vice Chairman British Association for @GlosCC."— Presentation transcript:

1 Supported Employment: A model that works Paul Wilson, Vice Chairman British Association for @GlosCC

2 Work: An LD perspective  What is a learning disability?  Abstract ideas  Transferring learning between contexts  Day one  A multi-tasking world  The ‘Them and Us’ perspective  The need for a @GlosCC

3 Addressing the challenges: The supported employment model  Vocational profiling  Employer engagement  Job analysis and job carving  Job coaching  Natural support  Maintenance @GlosCC

4 Who says the model works?  DWP  ODI  Department of Health  Department of Education  Inclusion  Local @GlosCC

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6 Where’s the evidence?  Beyer S and Robinson C (2009) A Review of the Research Literature on Supported Employment  Beyer, S., Kaehne, A., Grey, J., Sheppard, K. and Meek, A. (2008) What works?- Transition to employment for young people with learning disabilities. Chippenham: Shaw Trust.  Beyer, S., Kaehne, A., Grey, J., Sheppard, K. and Meek, A. (2008) What works?- Transition to employment for young people with learning disabilities. Chippenham: Shaw Trust. trust.org.uk/files/shaw_trust_summary_report.pdfhttp://www.shaw- trust.org.uk/files/shaw_trust_summary_report.pdf  Beyer, Melling and Kilsby (2012) Supported employment for people with learning disabilities in the UK: the last 15 years. Tizard Learning Disability Review, 16, 2,  Beyer, S. (2012). The progress towards integrated employment in the UK. Journal of Vocational Rehabilitation  Beyer S and Kilsby M (2011) A Financial Cost: Benefit Analysis of Kent Supported Employment (A Framework for Analysis)  Beyer, S. Goodere, L. and Kilsby, M. (1996) The Costs and Benefits of Supported Employment Agencies: Findings from a National Survey. Employment Service Research Series, No. 37. London: Stationery Office.  Beyer, S. (2012) The Impact of Agency Organisation and Natural Support on Supported Employment Outcomes. JVR, Volume 36, Number @GlosCC

7 Is there evidence from other sources?  Bond, G. R. (2004). Supported employment: Evidence for an evidence-based practice. Psychiatric Rehabilitation Journal, 27,  Bond, G., Drake, R. and Becker, D. (2008). An update of randomized controlled trials of evidence-based supported employment, 31(4),  Bond, G., Drake, R. and Becker, D. (2008). An update of randomized controlled trials of evidence-based supported employment, 31(4),  Brown, L., Shiraga, B. and Kessler, K. (2006). The quest for ordinary lives: the integrated post-school vocational functioning of 50 workers with significant disabilities. Research and Practice for Persons with Severe Disabilities, 31(2):  Brown, L., Shiraga, B. and Kessler, K. (2006). The quest for ordinary lives: the integrated post-school vocational functioning of 50 workers with significant disabilities. Research and Practice for Persons with Severe Disabilities, 31(2):  Carter, E.W., Austin, D. and Trainor, A. (2011). Factors associated with the early work experiences of adolescents with severe disabilities. American Journal of Intellectual and Developmental Disabilities, 49(4),  Cimera, R.E. (2007). The cumulative cost-effectiveness of supported and sheltered employees with mental retardation. Research and Practice for Persons with Severe Disabilities, 32(4),  Cimera, R.E. (2010). National cost efficiency of supported employees with intellectual disabilities: American Journal of Intellectual and Developmental Disabilities, @GlosCC

8 Is there more evidence?  Chesnut, R.M., Carney, N., Maynard, H., Mann, N.C., Patterson, P. and Helfan, M. (1999). Summary report: evidence for the effectiveness of rehabilitation for persons with traumatic brain injury. Journal of Head Trauma Rehabilitation, 4(2),  Coutts, P. and Riddell, S. (2012) Employers’ Views of Supported Employment for Disabled People in Scotland. University of Edinburgh: Centre for Research in Education Inclusion and Diversity.  Daston, M., Riehle, E. and Rutkowski, S. (2012) High School Transition that Works: Lessons Learned from Project Search. Baltimore, MD, Paul H. Brookes Publishing Co.  Drake, R. & Bond G. (2008). The future of supported employment for persons with severe mental illness. Psychiatric Rehabilitation Journal 1(4),  Drake, R. & Bond G. (2008). The future of supported employment for persons with severe mental illness. Psychiatric Rehabilitation Journal 1(4),  Gidugu, V. and Rogers, E. S. (2012). Review of Employment Services for Individuals with Intellectual and Developmental Disabilities: A Comprehensive Review of the State-of-the-Field from 1996–2011. Boston: Boston University, Sargent College, Center for Psychiatric Rehabilitation.  Hart, T., Dijkers, M., Whyte, J., Braden, C., Trott, C. and Fraser, R. (2010). Vocational interventions and supports following job placement for persons with traumatic brain injury. Journal of Vocational Rehabilitation, 32 (3),  Hart, T., Dijkers, M., Whyte, J., Braden, C., Trott, C. and Fraser, R. (2010). Vocational interventions and supports following job placement for persons with traumatic brain injury. Journal of Vocational Rehabilitation, 32 (3),  Howlin, P., Alcock, J. and Burkin, C. (2005). An eight year follow-up of a specialist supported employment service for high-ability adults with autism or Asperger’s syndrome. Autism. @GlosCC

9 Is that it?  Inge, K., Wehman, P., Strobel, W., Powell, D., and Todd, J. (1998). Supported employment and assistive technology for persons with spinal cord injury: Three illustrations of successful work supports. Journal of Vocational Rehabilitation, 10,  Jahoda, A., Kemp, J., Riddel, S. and Banks, P. (2008). Feelings about work: a review of the socio-emotional impact of supported employment on people with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 21(1),  Luecking, R.G. (2009). The way to work: how to facilitate work experiences for youth in transition. Baltimore, MD, Paul H. Brookes Publishing Co.  Luecking, R.G. (2011). Connecting employers with people who have intellectual disabilities. American Journal of Intellectual and Developmental Disabilities 49(4),  Mank,D., Cioffi, a. and Yovanoff, P. (2000, December). Direct Support in Supported Employment and Its Relation to Job Typicalness, Coworker Involvement, and Employment Outcomes. Mental Retardation: 38,(6)  Mank,D. and Grossi, T.A. (2013 ) Employment: Renewed Investments. INCLUSION AAIDD, Vol. 1, No. 1, 7–16.  McGaughey, M. and Mank, D. (1999) Empirical evidence of systems change in supported employment.  McGaughey, M. and Mank, D. (1999) Empirical evidence of systems change in supported employment. @GlosCC

10 Some more?  Ottomanelli, L., Goetz, L., McGeough, C., Suris, A., Sippel, J., Sinnott, P., et al. (2009). Methods of a multisite randomized clinical trial of supported employment among veterans with spinal cord injury. Journal of Rehabilitation Research & Development, 46(7),  Ottomanelli, L., Goetz, L., Suris, A., McGeough, C., Sinnot, P., Toscano, R.,et al. (2012). The effectiveness of supported employment for veterans with spinal cord injuries: results from a randomized multi-site study. Archives of Physical Medicine and Rehabilitation, 930(5),740–747.  Ann Purvis, Lauren Small, James Lowrey, Danielle Whitehurst, Malen Davies (February 2012) Project SEARCH Evaluation: Final Report (Centre for Economic & Social Inclusion) ISBN:  Schneider J. and Wistow, R. (2003) Users views on supported employment and social inclusion: A qualitative study of people in work. British Journal of Learning Disabilities, 31,  Symonds, P. and Luecking, R.G. (2013) Open employment in Australia. Journal of Vocational Rehabilitation, 38(3),  Wehman, P. (2013). Transition from School to Work: Where are we and where do we need to go? Career Development for Exceptional Individuals-35 th Anniversary issue, 36(1), 58 – 66.  Wehman, P., Chen, C., Targett, P., West, M., and Cifu, G. (in press, 2013). Transition planning and postsecondary educational outcomes for youth with @GlosCC

11 Are we done yet?  Wehman, P., Inge, K. J., Revell, G., and Brooke, V. A. (2007  Wehman, P., Inge, K. J., Revell, G., and Brooke, V. A. (2007). Real Work for Real Pay: Inclusive Employment for People with Disabilities. Baltimore: Paul Brookes Publishing Co.  Wehman, P., Lau, S., Molinelli, A., Brooke, V., Thompson, K., Moore, C., et al. (2012). Supported employment for young adults with autism spectrum disorder: Preliminary data. Research and Practice for Persons with Severe Disabilities, 37(3),  Wehman, P. McDonough, J., Schall, C., Molinelli, A.and Riehle,E. (in press). Project SEARCH implementation at high school level for youth with autism. Teaching Exceptional Children.  Wehman, P., Schall,C., McDonough, J., Kregel, J., Brooke, V., Molinelli, A., et al. (2013). Competitive employment for youth with autism spectrum disorders: Early results from a randomized clinical trial.  Wistow, R. and Justine Schneider, J. (2007) Employment support agencies in the UK: current operation and future development needs. Health and Social Care in the Community (2007) 15 (2), @GlosCC

12 Supported employment is needed and it’s widely endorsed It has an international evidence base: It has an international evidence base:  Local authority disinvestment  Austerity and a changing economy  The presumption of employability  Commissioning  Quality and performance  Quality and performance occupational-standards occupational-standards  Braiding and connecting funding streams  @GlosCC

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14 Delivering enhanced results through personalised services Jayne Mills, Pluss and Vikki Walters, Gloucestershire @GlosCC

15  Pluss and its goals  Gloucestershire CC and its goals  Why we are presenting together Introduction

16 The background to personalised services  The move to ‘personalise’ social care  The current direction of travel (Valuing Employment Now, Right to Control, Think Local, Act Personal, Sayce Review)  The current direction of travel (Valuing Employment Now, Right to Control, Caring for Our Future, Think Local, Act Personal, Sayce Review)  Personal budgets @GlosCC

17 Developing a Pluss personalisation model Pilots in Plymouth and Teignbridge  Outcomes: o Teignbridge – 7 paid jobs at 7k each o Plymouth – effective transitions pathway developed  Findings: o A fully individualised, intensive programme can produce better outcomes than traditional employment programmes. o The relationship with the individual changes from a “provider / service user” to “customer / provider” – in other words, the service is customer led. o The use of “Discovery methodology” to fully understand a customer was central to success. o Employers value continuity of support from a single of point of contact o Transparency around services and outputs are very important when operating in what is a retail environment o Building a robust presumption of employability is crucial with @GlosCC

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19 The Pluss personalisation offer Pluss has used the pilots to build a core programme of five service packages based on the principles of the DoE’s Valuing Employment Now: Pluss has used the pilots to build a core programme of five service packages based on the principles of the DoE’s Valuing Employment Now:  Introducing you to work  Getting to know you  You getting a job  Job start and induction  Maintain @GlosCC

20 The Pluss personalisation offer We have also developed a series of supplementary modules which include:  Better off in work reviews  Career development planning  Job coaching  Additional monitoring support  Sector @GlosCC

21 The fit within the wider sector  As well as, not instead of, DWP programmes  Potential links to mainstream provision  The potential for @GlosCC

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23 A commissioner’s perspective   Austerity and changing economy   Welfare reforms driving people to work   People who haven’t been expected to work in the past will need to work in @GlosCC

24 The numbers in Gloucestershire Population 897,000 Unemployed 10,000 Sickness benefits 18,000 People with Learning Disabilities 3,000 Number known to services 1,800 LD Social Care budget employment @GlosCC

25 The personal case   Increased independence via empowerment   Increased social circles   Decreases risks of being a victim of hate crime   Improves physical and mental wellbeing   Improves levels of pride, dignity, confidence @GlosCC

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27 The financial case   22 people into work = savings of £235k pa £4-5m over an average lifetime   A young person going into services could cost up to £2m over @GlosCC

28 Actions   Presumption of employability   Employment is discussed early on   Employment services available to buy with personal budgets   Robust system of support   Clear employment pathway   Strong network @GlosCC

29 Outcomes   5/6 people spending personal budgets on employment services are now in full time employment   100 more people in work @GlosCC

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31   More services for those with complex needs   Personal budgets for intensive employment support packages   Innovatively encourage people to work   Develop a holistic approach to employment @GlosCC

32 Questions @GlosCC


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