Sharing what works - Evidence-Based Supported Employment
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Helen Lockett's presentation on implementing EBSE on a visit in New Zealand. Originally uploaded on 28 May 2010.
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Sharing what works - Evidence-Based Supported Employment
- 1. Evidence-based supported employment (EBSE) Helen Lockett Associate Director, Employment Programme
- 17. Source: Latimer, adapted from Gary Bond SE or pre-IPS
- 18. “ In following people for 30 years and then following patients who are in dozens and dozens of research studies that are sent around, it’s totally clear to me at this point that there’s nothing about medications or psychotherapies or rehabilitation programs or case management programs or any of the other things that we study that helps people to recover in the same way that supported employment does.” (Drake, 2008) Employment and recovery
- 20. Thank you Helen Lockett [email_address] www.scmh.org.uk/employment
Editor's Notes
- Presentation: to give information on EBSE and help differentiate it (show how it is different) from other employment services (and SE services) you may be familiar with; and to generate energy and enthusiasm for this way of working
- Employment for people with mhps should be a top priority for health and social commissioners and providers; however access to evidence-base employment support is patchy and limited. There are now numerous local and national studies which estimate that between 70-90% of people in contact with specialist mental health services would like to work
- (courses in managing mental health, general social skills, independent living, self-esteem);
- people who received Supported Employment were significantly more likely to be in competitive employment than those who received Pre-vocational Training (at 12 months 34% employed in Supported Employment compared with 12% in Pre-vocational Training). 18 RCTs No evidence that pre-vocational was more effective than standard community care
- Roadmap / compass
- Fish without chip! (Fush without chips!)
- Aim is to commence job searching within 4 weeks. [Place then train, not Train then place]. Thanks to Geoff Waghorn IPS has changed the way we think!
- 11 of 16 RCTs compared high fidelity services to the best available local services (EB-SE vs. controls). More participants commenced competitive employment (11 studies, 62% vs. 25%); More participants worked 20 or more hours per week (4 studies, 43.6% overall, 66% vs. 14.2% at control sites). Less days to first job (6 studies, 144.5 vs. 214.0 days). Similar accumulated employment following commencement of first job (11 studies, 24.5 vs. 25.0 weeks). More weeks worked at longest job (11, studies, 22.0 vs 16.3 weeks). Time to first job, and job retention, are the major challenges.
- Professor of Psychiatry, Dartmouth Medical School But – IPS services are still not readily available in the UK
- Look at some of the challenges to implementation and what is important to ensure effective implementation