Although most people (80%-90%) with serious psychiatric disabilities do not work, between 55%-75% indicate a desire to do so. The recognized vision of Recovery includes work as one important domain in which to develop a sense of purpose. Effective interventions that support recovery by facilitating the employment of people with significant psychiatric disabilities have been identified over the past two decades. The most globally researched model is Individual Placement and Support (IPS), which repeatedly demonstrated outcomes in the range of 50-60%.
Great Minds at Work, funded by the BEST grant, is committed to demonstrating to Washington employers the value, benefits and incentives of hiring people with treated mental health issues or substance abuse disorders. In addition, Great Minds helps educate Washington employers about the cost through lost productivity, absenteeism and turnover of untreated mental health and substance abuse disorders.
Research from OECD (The Organization for Economic Co-operation and Development) stresses the state of being unemployed itself is very detrimental to mental health. The OECD also states there is evidence that people with mental health challenges who find a job see significant improvements in their life.
Joe Marrone, Senior Program Manager, Public Policy, Institute for Community Inclusion, School of Global Inclusion and Social Development at UMASS BOSTON, believes that supported employment is crucial in helping individuals with behavioral health challenges.
“Long term unemployment is a major public health crisis, especially for citizens confronted by behavioral health problems. It is one of the most harmful conditions for people that can lead to psychiatric and other health problems, even when these conditions are not present before becoming unemployed. So, employment must be considered a major outcome for which a behavioral health system of care should be held accountable,” says Marrone.
AN OVERVIEW OF SUPPORTED EMPLOYMENT
The program includes two Medicaid benefits: supported employment and supportive housing services. The supported employment service is a benefit that wraps a web of support around an individual to help them find and keep jobs while supporting the employers who hire them.
There are many types of vocational programs for people with mental illness; however, people who participate in supported employment program also called Individual Placement and Support (IPS) are almost three times more likely to gain employment than those who engage in other types of vocational programs. IPS has been thoroughly researched and is a specific set of supported employment services that help more people with mental illness or substance use challenges obtain employment than any other type of vocational program.
HOW IT WORKS
Often a medical provider or a case worker will refer an individual to a supported employment (SE) provider. In Washington State, AmeriGroup administers supported employment services. Together, the SE provider and the individual work on developing a career path as well as identifying barriers to success and addressing those barriers with the intent of initiating the job search process as rapidly as possible.
“While there has been an enormous amount of evidence developed over more than 2 decades showing how helpers can effectively assist people with psychiatric disabilities achieve successful employment, some mental health systems of care have been slow to change,” says Marrone. “It’s impressive that Washington State DBHR/ HCA has embarked on a major funding initiative for employment through a Medicaid waiver authority.”
In some cases, through the analysis of the business’s needs they’ll work out a solution known as job carving. They’ll ask the employer, ‘Is there a way we could carve out some of the tasks that may be a better fit with the skills and talents of the individual being served.’ Job carving helps a potential employee add maximum value to the employer in a competitive environment.
All of the jobs pay minimum wage or higher.
Individuals with behavioral health challenges can be a value-add to any team. Supported employment is a resource for both the employee and the employer. It is the right thing to do for the individual, but it is also an opportunity to diversify the workforce with an untapped labor pool with skills, talents and abilities to contribute to organizations in need of additional workers — at the end of the day it is good for individuals, and it is good for business.
The good news is that this evidence-based approach helps people with behavioral health challenges find and keep jobs in their communities.
For more information about supported employment, visit