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Enhancing Employment Outcomes through Integrated Case Management Project at Waikato DHB

This project by Waikato DHB addressed challenges in mental health employment by fostering an intersectoral partnership and implementing an integrated case management model to focus on paid employment outcomes. The initiative involved collaboration with various agencies and yielded positive employment results, emphasizing the importance of a holistic approach for mental health care.

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Enhancing Employment Outcomes through Integrated Case Management Project at Waikato DHB

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  1. Integrated Case Management Employment Project Presenter: Chris HarrisHospital: Waikato DHBChris Harris - Waikato DHB - harrisch@waikatodhb.govt.nz ph. +64 7 834 3621 14 October 2005 - Melbourne

  2. KEY PROBLEMS • Lack of acceptance of employment as a health outcome by health professionals • People who experience mental illness have difficulty gaining and keeping employment • Lack of intersectoral approach - culture of risk shifting

  3. INNOVATIONS IMPLEMENTED • Intersectoral partnership • Dept Work & Income, Workbridge and Waikato DHB • Developed steering group of Employment funders, and Supported Employment Agencies • Explicit expectationof employment outcomes for Community MH teams • Established a pilot with NGO (Workwise) to introduce an integrated case management model - to focus on paid employment

  4. HOW WE DID IT • Employment Consultants attached to each team (integrated teams accessed an EC) • acts as employment liaison and support person • attends weekly CMHT meetings • monitors effects of treatment on work • Research trial - established two groups - integrated and not integrated - and observed the differences • Work and Income established work and benefit consultants in the Inpatient Service

  5. HOW WE DID IT • Project Started: Jan 2004 as Thames CMH pilot for six months then rolled out to three further CMH teams • Staffing: NGO – 3.0 FTE including project coordinator • Funding: Pilot funding for two years - $220K

  6. OUTCOMES SO FAR • 76 consumers have gained employment from 130 referrals • Improved employment outcomes for integrated group and positive feedback from both CMHT and Workwise staff about pilot • Integrated group CMHT clinical staff promote the importance of employment as a key health outcome • Intersectoral approach has created a sustained collaboration rather than competitive focus between agencies

  7. LESSONS LEARNT • Microchange is successful in changing staff attitudes • Leverage off the strengths of different stakeholders to achieve shared outcome focus - employment is a shared outcome • Staff attitudes are the single greatest determinant of employment outcome NOT health status

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