A General Framework for Complete Positivity - Jason M. Dominy, Alireza Shabani, Daniel a. Lidar
Martin Dominy, Head of Mental Health Recovery, Southdown Housing Association
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Transcript of Martin Dominy, Head of Mental Health Recovery, Southdown Housing Association
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Psychological Wellbeing and
Work Feasibility (RAND) pilot
Individual Placement & Support
(IPS) in IAPT’s
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Rand – Psychological
Wellbeing & Work
Report Findings
• Difficulties in assessment of a person Mental Heath
and employment needs
• Services often work in isolation and tackle the
mental health need and the employment separately
• Service provision is offer delayed and both health
and employment situation can worsen as a result
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Rand - Proposed Pilot
1. Embed IPS in Primary settings offering
psychological support
2. Group work to build self-efficacy and resilience
to setbacks when job searching
3. Provide access to online mental health and
work assessments and support
4. Third Sector commissioned by JCP to delivery
telephone-based psychological and
employment support
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The Study aimed
• 750 people with common MH conditions who are
out of work and in receipt of ESA or who are at
the assessment phase of the Work Capability
Assessment
• 500 referred to IAPT’s plus IPS support
• 250 referred to IAPT’s only (control group)
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Outputs and Outcomes
• 413 people referred to the four sites
• 173 declined to take up the opportunities
• = 240 participation
• 166 consented to take part in the evaluation
• 183 job application made
• 39 interviews
• 15 paid employment outcomes
• Improved job search self-efficacy
• Improved health & wellbeing scores from GAD & PHQ
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IAPT Referral Status
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Outcomes
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Con-current Treatment
& Support
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Outcomes with the
two month extension
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Challenges
• Bring the support of physiological support
and Employment Support together
– Contrasting referral rates
– High numbers “Closed at referral”
– Not eligible for IAPT’s due to complex needs
– Waiting times for IAPT’s
– Short time frame to deliver IPS support
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Recommendations
for future trails • In order to ensure parallel provision of
physiological and employment support
– 2 months advanced referrals process before
employment service commences
– Dictated IAPT’s councillor, supervised by the
Health team but paid for by the employment
service
– Broaden eligibility critical
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• Video clip