Alternative Approaches to Employment Supports: Advancing the field of PSR PSR/RPS Canada Conference 2010 Pam Lahey Policy Analyst CMHA Ontario September 21, 2010 . Time to rethink “one-size-fits-all”. How to increase employment rates for persons with severe mental illness (SMI)?
Alternative Approaches to Employment Supports: Advancing the field of PSRPSR/RPS Canada Conference 2010Pam LaheyPolicy AnalystCMHA OntarioSeptember 21, 2010
How to increase employment rates for persons with severe mental illness (SMI)?
Evidence shows that supported employment approaches are most effective
Individual Placement and Support is dominant model
Current supported employment (SE) models do not measure:
- Mental Health Commission of Canada (Toward Recovery and Well-being: a framework for a mental health strategy 2009)
- Judge McKee (A transformed mental health system for New Brunswick, 2009)
Develop a range of evidence-based, person-directed approaches
– Strategic Directions, Ministry of Community and Social Services
Service delivery models are needed that can identify and provide more intensive help to the smaller number who require it.
- Guelph-Wellington Employment Training Committee 2009
Need for more Canadian research into service delivery models, including employment
-OMHAKEN Creating Together Agenda – Toronto Consultations
Value-based supported employment programs with range of employment options
Increase opportunities for goal planning and success
Offer choice and promote self-determination
Dorio, 2004 as cited in CAMH and CMHA Ontario discussion paper
Which types or combinations of services work best for which individuals with severe mental illness?
- Corbiere, 2010
Mental Health Commission of Canada’s (MHCC) Aspiring Workforce project:
Support for education and employment programs to innovate, adapt, evaluate and improve
- Emerging and promising practices at the community level
- Identify and evaluate new and adapted employment support models
– CAMH and CMHA Ontario discussion paper, 2010
innovations in practice that :
- CMHA National
Are often used to indicate practices or approaches that have not been evaluated as rigorously as "best practices", but which address a widely held client need or gap in our service system
Enables us to:
Identify programs strengths and weaknesses
Create action plans for improving program
Help job seekers achieve their goals for recovery
Deliver effective and efficient vocational services
Outcome measures capture the results or achievements in your program.
Community and government champions
Pilot demonstration projects (to illustrate social and financial benefits)
Replicate successful learnings in other regions
Build critical mass
A policy framework based on recovery principles
Three sets of program activities, Choosing, Getting and Keeping, form the program structure and parallel the supported employment components described by others as pre-employment, placement, and training/follow-along
more uptake in Canadian context (often level-entry jobs)
extensive prevocational career exploration with access to skills training
It is necessary to invest more, [and] it will also be important to review and expand the scope of research so that it covers the full range of approaches
– MHCC (Toward Recovery and Well-being: a framework for a mental health strategy)
Change in funding structure- PROCEEDINGS FROM CMHA ONTARIO’S EMPLOYMENT FORUM 2010
Develop understanding and support for practice (e.g. Facilitated and shared with knowledge exchange networks (regional employment networks, OMAKEN)
Create enthusiasm for program
Provide new way of delivering service
Generate interest for funding
Contact: Pam Lahey 416-977-5580 x4129 firstname.lastname@example.org
Canadian Mental Health Association, Ontario, “Proceedings of Employment Forum 2010” unpublished .
Centre for Addiction and Mental Health, Community Support and Research Unit, “Augmented Education: Effectiveness of a New Employment Training and Support Model for People with Mental Illness,” unpublished .
M. Corbière & T. Lecomte, “Vocational Services Offered to People with Severe Mental Illness,” Journal of Mental Health (2009; 18: 38-50).
M. Corbiere, “Work Accomodation and job tenure of people with mental disorders,” Presentation to the Centre for Addiction and Mental Health, Toronto, Ontario, March 17 2010.
J. Dorio, “Tying It All Together – The PASS to Success: A Comprehensive Look at Promoting Job Retention for Workers with Psychiatric Disabilities in a Supported Employment Program,” Psychiatric Rehabilitation Journal (2004; 28: 32-39).
Guelph-Wellington Employment and Training Committee, “Dialogue with Job Seekers and Employers in Guelph-Wellington: What They Need, What Helps the Most, What Changes are Needed,” unpublished 
The Honourable Judge Michael McKee. “Together into the Future: A transformed mental health system for New Brunswick,” April 2009.
S. McGurk et al., “Cognitive Training for Supported Employment: 2-3 Year Outcomes of a Randomized Controlled Trial,” American Journal of Psychiatry (2007; 164: 437-441); W.R. Miller & S. Rollnick, Motivational Interviewing: Preparing People to Change (NY: Guilford Press, 2002).
E.S. Rogers, W.A. Anthony & M. Farkas, “The Choose-Get-Keep Model of Psychiatric Rehabilitation: A Synopsis of Recent Studies,” Rehabilitation Psychology (2006; 51: 247-256).
Ontario Mental Health and Addiction Knowledge Exchange Network , “Developing a Mental Health and Addictions Research Agenda for Ontario” Provincial Consultations; Summary Notes from the Toronto In-Person Consultation [unpublished July6, 2010].
Mental Health Commission of Canada, “Toward Recovery & Well-Being: A Framework for a Mental Health Strategy for Canada, November 2009.
Ministry of Community and Social Services, “Mental Health & Addictions Strategy: Stakeholder Engagement, MCSS Stakeholders Regional Roundtable With a Focus on Employment Supports” North/North East Region Video Conference November 24, 2009.