The Success of IPS in Oklahoma 10th Annual Oregon IPS Supported Employment and Education Conference 2018

The Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) along with key partners in Tulsa and Oklahoma began in late 2014 implementing the Homes, Honor and Health for Oklahomans (H3OK). This housing first project integrated an array of needed services and supports for veteran and non-veteran individuals with mental health, substance use, or co-occurring disorders who experienced homeless or chronic homelessness to achieve self-sufficiency, permanent housing and improved quality of life. The Homes, Honor, and Health for Oklahomans (H3Ok) project provided necessary resources for the state to move forward toward ending chronic homelessness and making a way for every Oklahoman with a serious mental illness, substance use disorder, or co-occurring disorder to achieve and maintain permanent and safe housing.

H3OK Goals

H3OK Enhancement Goals

Working is Recovery! The best way to support self-sufficiency for our target population is to reinforce rapid entry into the competitive labor market integrated with support services. Individual Placement and Supports (IPS) is the standard evidence-based supported employment and education model that was chosen to enhance the H3OK Program and began year two of the project. The IPS model was fully launched on January 11, 2016 with two teams, one based out of Hope Community Services serving Oklahoma City H3OK participants and one based out of the Mental Health Association of Oklahoma serving Tulsa H3OK participants. This model focuses on the participant’s choice and strengths, and aligned closely with the Housing First and Pathways Case Management models.

Oklahoma joined the IPS Learning Community in October 2017 IPS SUSTAINABILITY: BEYOND H3OK IPS ODMHSAS We know the IPS model is evidence-based and effective, producing long-term positive outcomes with a good return on investment. Most importantly, steady employment promotes improvement in other life domains.

Targeted Populations The Oklahoma Governor’s Interagency Council on Homelessness (GICH) serves as the steering committee for IPS and endorses the model to improve employment, education and training for those experiencing homelessness. In FY19 contracts with housing and homeless providers, ODMHSAS encouraged providers to be trained in IPS. IPS is a key support service in the Assisted Outpatient Treatment grant. Through the Opioid STR grant providers, all CCARCs, CMHCs and CCBHCs are trained in IPS. In January 2017, two SAMHSA funded transition aged youth grants adopted IPS as their evidenced-based model. The Mental Health Association OK was chosen as one of the 30 research sites for the SED project.

Transition Age Youth Average Wage: $9.57 13 job starts 6 job ends 8 are currently looking for employment 50% competitively employed or in school 13 job starts 6 job ends Average # of hours worked: 33.5 hours/wk Average Wage: $9.57 Oklahoma Now Is The Time (ONIT) grant focuses on integrated services and supports for transition aged youth and young adults ages 16 through 25 with serious mental health conditions and their families. ONIT’s developmentally- appropriate and effective youth-guided local Systems of Care have been designed to improve outcomes in education, employment, housing, mental health and co-occurring disorders, and decrease contact with the juvenile and criminal justice systems.  Navigate is a Coordinated Specialty Care model that is a collaborative, recovery oriented approach involving clients, treatment team members, and when appropriate, family, as active participants. This comprehensive early treatment model is focused on helping young people age 16-30 who have experienced their first episode of psychosis within the last two years to help them be more successful in their homes and in their communities.

Opioid Epidemic Grand Lake 7 rural counties 24 active clients 46% working or enrolled in school 12 & 12 Urban setting Full caseload within a month 50% are competitively employed Opioid Epidemic Prescription drug overdose is now the leading cause of injury death for Oklahomans ages 25-64 according to the Oklahoma State Health Department.

Barriers Direct line staff Vs Leadership Continuity of an new evidence-based practice State budget and funding Department of Rehabilitation Services Culture Shift

Lessons Learned Housing Wrap around support services Fidelity Training for Decision-Makers Offer CEUs Be a IPS Champion!

Provider Perspectives “For employment, using IPS led to the highest re-employment rate of any program targeted at homeless populations that I know of in my 30-year career.” “The outcomes are remarkable. Not only did the program lead to reductions in chronic and veteran homelessness, but the housing retention and employment rates are amazing. This speaks to how the partner agencies were able to maintain fidelity to the models, not in theory, but in practice.”

Suzanne L. Williams Manager of Employment, Housing, and Homeless Initiatives Amanda Burnside IPS State Trainer and IPS Fidelity Reviewer