Individual Placement & Support Project Dr Louise Thomson

7.9% employment rate for people with serious mental health conditions Work leads to better mental health, physical health and economic well-being IPS consistently more effective than other approaches at getting people into work: 61% IPS vs 23% Traditional IPS reduces health service use: fewer days in hospital, reduced rates of readmission (Hoffman, 2014) Economic studies estimate £1.59 saving for every £1 spent (Van Stolk, 2014) Why IPS? “I felt that it was very important to get back into full time work, where I was before I had my depression.” - IPS Service User

IPS Principles & Fidelity IPS Principle 1IPS Principle 2 Eligibility is based on individual choice - no exclusion criteria Supported employment is integrated with clinical teams IPS Principle 3IPS Principle 4 Job finding and all assistance is individualised Employers are approached with the needs of individuals in mind IPS Principle 5IPS Principle 6 Competitive employment is the primary goal Job search is rapid (begins within 4 weeks) IPS Principle 7IPS Principle 8 Follow-along supports are continuous Financial planning is provided “My employment specialist visited me in-post to check how I was doing and if the workload was fine, which gave me a chance to voice any concerns.” - IPS Service User

Facilitative Change Model IPS Fidelity Review High Fidelity IPS Implementation Plan IPS Employment Specialist Training Embed Fidelity Reviews in internal processes

Objectives /16 Demonstrate improvements in the IPS fidelity scale in those NHS provider services that have signed up to the project Establish an East Midlands IPS supervisors’ network Establish an East Midlands IPS employment specialists’ network Deliver specialist IPS training to key staff within NHS provider services Scope the potential development of employment outcomes data collection and reporting model within patient record systems “Even though I live with a diagnosis of schizophrenia, with support I have achieved a sense of satisfaction in my job. Over time I have developed insight into my illness, which has helped my recovery and reduced the symptoms.” - IPS Service User

Impact More people with severe mental illness will be offered evidenced best practice employment support as part of their recovery plan NHS providers will be afforded expert support and facilitation leading to increased fidelity of IPS services available to patients NHS providers will be given the means to ensure that these improvements are sustained far beyond the life of this project IPS practitioners will have a regional network of peers in order to share best practice and access support “The work I do with service users is individual, client focussed and strengths driven. We work to the recovery model and part of this is to build people’s self-esteem.” - Mel, Employment Specialist

The Employers’ Role IPS is highly effective, but job retention is still problem Employers’ role is crucial Facilitating workplace adjustments (e.g. Access to Work) Maintaining contact during absence Reducing stigma How can employers support employees with mental illness? Where can employers get information on evidence-based practices? Recent review highlighted gaps and uncertainty “Holding down a job is not always easy but it has helped my self-esteem.” - IPS Service User

Employment & Mental Health Knowledge Hub New project aims to provide: Single source of evidence-based, best practice approaches Sign-posting to sources of support available locally Consultation with Stakeholders starts in Spring Type of content Delivery methods (e.g. animations, toolkits etc.) Contact: