National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness IPS: Working for Recovery

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness Facts 60 – 70% of people with a mental illness want to work Less than 15% are employed Unemployment rate is 3 to 5 times higher than those without a mental illness

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness Irony of it All Employment is an evidence-based practice in treating mental illnesses and helping people in their recovery

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness Employment Provides daily structure, routine, goals Improves self-esteem and self-image Increases income Provides opportunities for friendships, social support Reduces symptoms Improves quality of life

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness Barriers Stigma Difficulty disclosing to employers Not asking for accommodations Many employment programs geared towards other disabilities Programs are “place” and drop

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness Employment Covered under Americans with Disabilities Act (ADA) Under the ADA, you have a disability if you have a physical or mental impairment that substantially limits a major life activity

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness MN Employment Programs Vocational Rehabilitation Extended Employment (EE) EE-SMI (for people with serious mental illness) Supported Employment Individual Placement and Support (IPS)

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness Individual Placement and Support IPS Evidence-based practice Competitive employment rate is 65% compared to 25% for other models Took 10 weeks less to get a job Two thirds worked 20+ hours a week

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness Principles of IPS 1. Focus on competitive employment 2. Eligibility based on client choice 3. Integration of rehabilitation and mental health services 4. Attention to client preferences

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness Principles of IPS 5. Personalized benefits counseling 6. Rapid job search 7. Systematic job development 8. Time unlimited and individualized support

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness IPS Team Approach/Multidisciplinary –Case manager or counselor –Voc rehab counselor –Client –Employment specialist –Psychiatrist or nurse practitioner –Family member

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness Career Profile Client completes with employment specialist in first few weeks Updated with each new job experience

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness Career Profile What is your dream job? What do you like and not like? What symptoms impact you? Are there physical health issues that get in the way?

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness Career Profile Considerations… Work goal Education and experience Mental and physical health Cognitive problems/abilities Getting ready for a job Interpersonal skills Work skills

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness Career Profile More than just a job…. Benefits Disclosure Substance use Justice system record Daily activity Networking contacts

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness IPS Components - Competitive employment Real jobs Part- or full-time At least minimum wage Has the same pay and benefits as everyone else Not a segregated environment or workgroup

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness IPS Components - Zero Exclusion Anyone who wants to participate is eligible Motivation is an indicator of success Doesn’t matter re: work history, diagnosis, criminal record, substance use, missed appointments, cognitive problems, grooming

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness IPS Components - Integrating employment and mental health Work as a team Collaborate, service coordination Treatment changes to accommodate work. Ex: modifying medication schedule

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness IPS Components - Client preferences are honored What kind of job is sought Whether to disclose or not What type of support is desired – role playing, job coaching, talking to employer People stay at jobs longer when they like them

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness IPS Components - Benefits planning Know how it impacts MA and/or Medicare Know how it impacts Social Security, General Assistance or Veteran’s benefits Ongoing service, not one-time Work Incentives Connection – (651)

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness IPS Components - Rapid job search Explore within one month No hoops to go through first No work readiness, work adjustment, work trials Acting on motivation

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness IPS Components - Systematic job development Develop relationships with employers Learn about work environment and employers’ needs Out in the community - greater opportunity to learn about jobs opening up

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness IPS Components - Follow – Along supports Individualized assistance As long as needed and desired Responsive to changing interests Can assist in going back to school

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness Long-Term Benefits Cost effective May reduce hospitalizations and other intensive services Savings in Social Security and other federal benefits programs

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness IPS in Minnesota Six projects funded Part of national learning collaborative with Dartmouth and J&J Joint effort Dept of Employment & Economic Development (DEED) & DHS Average cost per project $125,830

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness IPS Projects in Minnesota HDC in Duluth Guild in St Paul Functional Industries in Wright County Tran$em in Clay and Ottertail Counties Lifetrack Resources in Washington County Rise, Inc in Anoka County

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness NAMI-MN Family Advocacy Team Raise awareness of benefits of IPS Expand the number of IPS programs in the state Encourage family members to become involved in employment activities Advocate at community & state levels Become part of our team!

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness Dartmouth IPS Supported Employment Center

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness Questions?

National Alliance on Mental Illness MINNESOTA National Alliance on Mental Illness NAMI Minnesota 800 Transfer Road, Suite 31 St. Paul, MN NAMI-HELPS