supportive housing conference november 19, 2013
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Civil Rights and the Tools for Change:
Advocating for and Creating a Positive Shift Toward Employment
Supportive Housing ConferenceNovember 19, 2013
AGENDAI. Putting It into Context
II. Creating a Positive Shift
Towards Employment
III. Bringing it into Practice
IV.Translating it to the
Person
The Right to Integrated Employment: Established by Title
II of the ADA and the Supreme Court’s Olmstead Ruling
Each person utilizing services through state and
local government has the right to be employed in
the
“most integrated setting.”
“Given the choice between work and idleness,
people will almost always choose work.
Regardless of our station in life, the conditions
of our bodies and minds, or the amount of
money in our bank accounts, the need to work
remains one of our strongest drives. Work is
central to our lives, and as such, gives a large
measure of structure to our days. Common
sense tells us that we feel better about
ourselves when we are working regularly.”
Robert E. Drake, M.D., Ph.D.
What Do People Want?
President’s New Freedom Commission
US v GA
DOJ cases interpreting ADA (NH,RI,OR)
MA Executive Order
US Senate HELP Committee Reports
NCD Report, ODEP Projects, EEOC, USBLN
NGA Initiative and Blueprint for Governors
National Context for Change
Not just any kind of employment approach will do...
Individual Placement and Supports is a very specific type of Supported Employment.
The IPS approach assumes everyone can work with the right supports. The person decides when and how they want to go to work.
There are no prerequisites (work adjustment, pre-vocational, sheltered, enclave or otherwise).
Unlike other approaches, IPS has been researched and proven to get higher rates of employment.
Overall Findings for 17 RCTs
All 17 studies showed a significant advantage for IPS.
Mean competitive employment rates for the 17 studies:59% for IPS (Median= 64%)25% for controls (Median= 26%)
Ample Opportunity to Collaborate...
Integration of rehabilitation with mental health through team assignment,
Integration of rehabilitation with mental health through frequent team member contact,
Collaboration between Employment Specialists and Vocational Rehabilitation Counselors,
Integrated Supports are provided by a variety of people, including treatment team members (e.g. housing staff, clinicians, family, friends, co-workers, and employment specialists).
Example of Supportive Housing and IPS Working Together...
40% of participants experienced co-occurring disorders, 60% experienced primary substance use disorders, and 70% had histories of felony convictions. Emphasis was on recovery as well as employment.
Integrated team was made up of Peer Specialists, Case Managers, Supportive Housing staff and Employment Specialists.
The impact of the IPS model found that 71 percent of the 319 individuals enrolled in the employment program were successful in securing integrated and competitive employment over 2 years. Average wage was $9.96/hour.
**Study was developed at the Dartmouth Psychiatric Research Center by Robert Drake and Deborah Becker, and research was conducted by Heidi Herinck, independent evaluator and Assistant Director of the Regional Research Institute for Human Services at Portland State University.
Finally, Return-on-Investment for Taxpayers
New Study Explores Cost Efficiency of Supported Employment throughout US
An average monthly net benefit to taxpayers of $251 (or an annual net benefit of $3,016.08 per supported employee) and generated a benefit–cost ratio of $1.46 for every dollar spent. The comprehensive research looked at all 231,204 supported employees.
Cimera, R. (2010). Supported Employment's Cost-Efficiency to Taxpayers: 2002 to 2007, Research and Practice for Persons with Severe Disabilities, Vol. 34, No. 2., pp. 13-20.
Return-on-Investment for Taxpayers
New Study Explores Cost Efficiency of Supported Employment throughout US.
An average monthly net benefit to taxpayers of $251 (or an annual net benefit of $3,016.08 per supported employee) and generated a benefit–cost ratio of $1.46 for every dollar spent. The comprehensive research looked at all 231,204 supported employees.
Cimera, R. (2010). Supported Employment's Cost-Efficiency to Taxpayers: 2002 to 2007, Research and Practice for Persons with Severe Disabilities, Vol. 34, No. 2., pp. 13-20.
Nuts & Bolts for Providers
Idea of Whole Health & Wellness
Providers Putting it Into Practice
Braiding the Funding of Housing & Employment
Organizational Factors that Lead to Success
Individual Recovery & Choice
Community Involvement & Integration
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