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Sharing what works  Experiences and challenges from UK policy and practice Helen Lockett   Associate Director, Employment Programme
Presentation ,[object Object],[object Object],[object Object]
A reminder of the evidence from Gary Bond, Phd ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Barriers to implementation (systems/macro level) ,[object Object],[object Object],[object Object]
Policy ‘Desert’ 1999 ,[object Object],[object Object]
10 years on ‘Wave’ of Policy  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Mental health and employment near top of our political agenda
Cross Government Policy Explosion! ,[object Object],[object Object],[object Object],[object Object],[object Object]
Headlines ,[object Object],[object Object],[object Object],[object Object],[object Object]
Welfare Benefits Reform ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mental Health & Employment Services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Health Employment
In summary ,[object Object],[object Object],[object Object]
Challenges (micro-level) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Integration - key ingredient ,[object Object],[object Object],[object Object],[object Object]
Advantages ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sainsbury Centre Centre’s of Excellence Programme ,[object Object],[object Object],[object Object],[object Object]
Series of Information Papers ,[object Object],[object Object]
Measuring what matters ,[object Object],[object Object],[object Object],[object Object],[object Object]
Commissioning what works ,[object Object],[object Object],[object Object]
About Time ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Establishing EBSE Centres of Excellence ,[object Object],[object Object],[object Object],[object Object],[object Object]
Key features for successful implementation ,[object Object],[object Object],[object Object],[object Object]
Training and Supervision ,[object Object],[object Object],[object Object],[object Object]
Organisational commitment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Measurement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Learning networks ,[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank you  Helen Lockett [email_address] www.scmh.org.uk/employment

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Sharing what works in the UK

  • 1. Sharing what works Experiences and challenges from UK policy and practice Helen Lockett Associate Director, Employment Programme
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  • 27. Thank you Helen Lockett [email_address] www.scmh.org.uk/employment

Notas del editor

  1. Sainsbury Centre for Mental Health – what we do Employment Programme Priorities Work with health professionals, health services and providers of specialist employment support Work with employers to improve the capacity of the workplace to employ and retain people who have experienced mental ill health Work on ways of meeting the employment needs of people with mental health problems within the criminal justice system
  2. Don’t we have a duty to implement this knowledge base? Analogy - overwhelming evidence that seat belts prevent road fatalities, we ensure we have legislation to implement the evidence; we know what works – why are we not putting this knowledge into practice as a matter of routine?
  3. Employment’ appears only 20 times in the 153 page document The written care plan for an individual should include: ‘action needed for employment, education or training or another occupation’ The carer’s plan should include: action needed to secure advice on income, housing, educational and employment matters
  4. Framework for implementation; we need to make this work
  5. Government policy in the UK is largely informed by the evidence base Supports the direction of travel Now provides a strong framework for action / implementation Health – should measure employment status and vice versa
  6. Majority of claimants will be required to participate in some sort of work-related activity Supportive, good change in emphasis but concerns that Government funded generic employment services will always exclude/marginalise people with mhps, particularly as funding mechanisms promote creaming and actively go against the evidence base. Therefore responsibility, although joint between DH and DWP, needs to lie with Health.
  7. or ‘specialist mental health services’ e.g. in-patient care, crisis resolution, assertive outreach, early intervention teams, community mental health teams (CMHTs) etc Increasing emphasis on early intervention, job retention, recovery orientated mental health services – e.g. employment advisors in GP surgeries and CMHTs – commitment there, but not necessarily in widespread practice A national survey of mental health service clients in the UK found that 50% wanted help with finding paid work but were not receiving it (Healthcare Commission, 2006).
  8. Acknowledge Geoff Waghorn
  9. Acknowledge Geoff Waghorn
  10. A set of Key Performance Indicators for employment services: Context indicators Input indicators Process indicators Outcome indicators
  11. We want to demonstrate that it is possible to establish high fidelity (and hence high performing) EBSE services in a range of service configurations, partnerships, urban/rural conditions, different regional labour markets
  12. What we are already learning and seeing from our own experience and the increasing literature now being published on implementation from across the world – US, AUS, NZ etc
  13. Ensure reports are easy to understand