MSD – What we do

What we will cover Who is MSD How we work with NZers The numbers Our philosophy Perception of employers and support to employers Support for clients

What we will cover today

Ministry of Social Development Regions

What drives Ministry of Social Development Our vision - We help New Zealanders to help themselves to be safe, strong and independent. Ministry of Social Development’s role is developing and delivering effective and efficient client-centred services Developing an integrated actuarial providing current and long-term social policy advice.

Work and income in operation 4 key areas of service delivery Work and Income Study Link Seniors Social Housing We operate 147 service centres Work Focused case managers, Employment Co-ordinators and Work Brokers Regional Health Advisers, Regional Disability Advisers and Health and Disability Co-ordinators

Determinants of Health Income Access to medical and related services Housing Employment Education 20/11/2018 We help New Zealanders to help themselves to be safe, strong and independent.

Financial Support Jobseeker Support Sole Parent Support people available and looking for full-time work temporary deferral for sickness long term/ permanent condition with capacity to work Sole Parent Support sole parents with dependent children under 14 Supported Living Payment people with serious health conditions or disability unable to work 15 hours or more a week caregivers looking after seriously ill people 20/11/2018 We help New Zealanders to help themselves to be safe, strong and independent.

The numbers are people too! 24 Feb 17 - National JSS - 67,354 JS HCID - 56,234 (exempt work) SPS - 63,322 SLP - 93,078 Youth - 3,138 Other - 9,002 Total - 288,990

Health and Disability Population 34% of people on JS – H&D have a mental health condition. Next largest group are those with musclo-sketal conditions. It is important to note that 97% of the overall growth in JS-HCID/ SLP client numbers over the last 10 years are people who have a mental health condition. 70% of JS-HCID & SLP clients are aged over 40 years.

Consideration “It’s much more important to know what sort of person has the disease than what sort of disease the person has” Sir William Osler, 1896

Philosophical basis International Classification of Functioning, Health and Disability (ICF) Health Benefits of Good Work New definition:…”as the ability to adapt to change and self manage in the face of social, physical and emotional challenges.” Huber et al 2011, BMJ 343

Employment as an important part of inclusion Work is an important therapeutic intervention Impact of been out of work: Loss of Income Loss of self-respect Risks of ill-health The “psychological scar” persists Suicide in young men > 6mths out of work is increased 40x (Wessely, 2004) Greatest impact on the children

Perception of employers Hassle Costly Lower productivity Higher absenteeism Impact on other employees Customer concerns Health and Safety issues

Functions Engaging with employers from an employer perspective Providing employers with the tools Knowledge Information Networking Learning from the successes of others

Employers Employer Advice Line Account managers Work Brokers Disability Confident Employers- msd.govt.nz/DisabilityConfidentNZ Employability Launches Modification Grants Subsidies – Flexi wage Skills for Industry programmes

Services to clients – assessment Self – assessments Designated Doctor Assessments Specialist assessments Workability Assessments

Support to get into work Job Search Service Funding to address Health and Disability barriers Dress for success CV writing; interview skills Work Experience Work confidence Mainstream programme SLP – Opt In Programme Contracts with: Supported employment Agencies Work to Wellness providers (Mental Health Service)

Stay in Work Sustainable Employment Trial- allows a person to work 15 hours or more in open employment for up to 6 months while retaining Supported Living Payment In work support Job support – providing reasonable accommodations for individuals in employment.

Finding out what works Number of trials: Oranga Mahi REACH (Waikato) Step Up – (Canterbury ) -co located with Primary Care Restores – (Waitemata) Intensive case management foe people with Stroke Rakau Rangatira (Northland) – integrated social and health programme Mana Taimahi – National Hauora Coalition Resiliency unleashed – one day workshop for staff and managers Intensive Client Support trial (Nelson)

Outcomes Sustainable employment Staircase off benefit Better futures for clients and their families

Questions

Contact Anne.hawker011@msd.govt.nz