process evaluation of employment support in wellington ... · 27 evaluation of employment support...
TRANSCRIPT
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TE POU LIMITED TRADING AS TE POU
Process evaluation
of employment
support in
Wellington general
practices An initiative between Workwise, the
Ministry of Social Development,
Work and Income, Compass Health
and Newtown and Waitangirua
general practices
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2 Evaluation of employment support in Wellington general practices
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Evaluation of employment support in Wellington general practices 3
Acknowledgements
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4 Evaluation of employment support in Wellington general practices
Contents
Acknowledgements ............................................................................................... 3
Contents ............................................................................................................ 4
List of figures ...................................................................................................... 5
List of tables ....................................................................................................... 5
Frequently used terms ........................................................................................... 6
Key findings ........................................................................................................ 8 Client profile ....................................................................................................................8 Partnership roles and relationships .........................................................................................9
Executive summary ............................................................................................. 10 Background .................................................................................................................... 10 Evaluation goals and objectives ........................................................................................... 10 Methods ........................................................................................................................ 10 Key findings .................................................................................................................... 10 Issues to consider ............................................................................................................. 12
Programme background ....................................................................................... 13
Evaluation approach and method ............................................................................ 15 Data collection methods .................................................................................................... 15 Data analysis and ethics ..................................................................................................... 16 Limitations ..................................................................................................................... 17
Establishing the partnership .................................................................................. 18 Integration and enrolment .................................................................................................. 20
Client demographics, activities, outcomes and experiences ........................................... 23 Client demographics ......................................................................................................... 23 Client activities and outcomes ............................................................................................. 25 Client experiences............................................................................................................ 28
Partnership ....................................................................................................... 31 Organisational roles .......................................................................................................... 31 Developing relationships, communication and information sharing ................................................. 40 Challenges ..................................................................................................................... 46 Outcomes and learnings ..................................................................................................... 48 Suggestions for improvement and next steps ............................................................................ 52
Discussion ........................................................................................................ 54 Organisational roles in employment support pathways ................................................................ 54 Operational and strategic roles ............................................................................................ 58
Conclusions ....................................................................................................... 60
Appendices ....................................................................................................... 61 Appendix A: Evaluation objectives and questions ...................................................................... 62 Appendix B: Evaluation approach and method .......................................................................... 64 Appendix C: Relationship survey results .................................................................................. 67 Appendix D: Interview schedules .......................................................................................... 76
References ....................................................................................................... 85
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Evaluation of employment support in Wellington general practices 5
List of figures
List of tables
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6 Evaluation of employment support in Wellington general practices
Frequently used terms
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Evaluation of employment support in Wellington general practices 7
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8 Evaluation of employment support in Wellington general practices
Key findings
Clients’ profile
Clients’ early outcomes
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Evaluation of employment support in Wellington general practices 9
Partnership roles and relationships
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10 Evaluation of employment support in Wellington general practices
Executive summary
Background
Evaluation goals and objectives
Methods
Key findings
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Evaluation of employment support in Wellington general practices 11
Partnership
Client outcomes
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12 Evaluation of employment support in Wellington general practices
Issues to consider
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Evaluation of employment support in Wellington general practices 13
Programme background
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14 Evaluation of employment support in Wellington general practices
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Evaluation of employment support in Wellington general practices 15
Evaluation approach and method
Data collection methods
Literature review
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16 Evaluation of employment support in Wellington general practices
In-depth interviews
Review of routine programme data
Data analysis
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Evaluation of employment support in Wellington general practices 17
Limitations
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18 Evaluation of employment support in Wellington general practices
Establishing the partnership
Table 1: Key implementation milestones
Date Milestone
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Evaluation of employment support in Wellington general practices 19
Table 2: Practice and catchment area characteristics
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20 Evaluation of employment support in Wellington general practices
Integration and enrolment
Table 3: Employment consultant integration with the two sites and referral data October 2012 to July
2013
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Evaluation of employment support in Wellington general practices 21
Figure 1: Referrals accepted to July 2013, Hamilton v Wellington
Referral process
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Month PH Waikato - Referrals accepted by practice PH Wellington - Referrals accepted by practice
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22 Evaluation of employment support in Wellington general practices
Cohort trial
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Evaluation of employment support in Wellington general practices 23
Client demographics, activities, outcomes and
experiences
Client demographics
Figure 2: Age (in years) and gender of accepted Clients, October 2012 to July 2013
Age (in years)
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24 Evaluation of employment support in Wellington general practices
Figure 3: Ethnicity of accepted clients, October 2012 to July 2013
Figure 4: Mental health issues of accepted clients, October 2012 to July 2013
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Evaluation of employment support in Wellington general practices 25
Client activities and outcomes
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26 Evaluation of employment support in Wellington general practices
Figure 5: Length of stay in the service of accepted clients by phase
Phase/Employment plan
Length of stay
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Evaluation of employment support in Wellington general practices 27
Figure 6: Employment outcomes to July 2013, Hamilton vs. Wellington
Figure 7: Job titles and number of hours worked per week of the five Wellington clients
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PH Weliington - Employment outcome by practice PH Wellington - Number of people who secured jobs by practice
Shop assistant (4 hours/week)
Security guard (40 hours/week)
Graphic designer (40 hours/week)
Meat processor (45 hours/week)
Sales consultant (40 hours/week)
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28 Evaluation of employment support in Wellington general practices
Client experiences
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Evaluation of employment support in Wellington general practices 29
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30 Evaluation of employment support in Wellington general practices
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Evaluation of employment support in Wellington general practices 31
Partnership
Figure 8: Organisational partnership levels
Organisational roles
Strategic management
Operations management
Frontline staff
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32 Evaluation of employment support in Wellington general practices
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Evaluation of employment support in Wellington general practices 33
Working with clients: Work and Income
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34 Evaluation of employment support in Wellington general practices
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Evaluation of employment support in Wellington general practices 35
Working with clients: Workwise
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36 Evaluation of employment support in Wellington general practices
Figure 9: Time spent (in minutes) on activities, October 2012 to July 2013
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1 2 3 4 5 6 7 8 9Introduction & Employment CV/Cover letter Interview skills, Job Job Work On-going Clinicalassessment planning development training & search applications experience in-work liaison/MDT
support & job try outs support
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Evaluation of employment support in Wellington general practices 37
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38 Evaluation of employment support in Wellington general practices
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Evaluation of employment support in Wellington general practices 39
Duplication of services
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40 Evaluation of employment support in Wellington general practices
Developing relationships, communication and information
sharing
Work and Income and Workwise
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42 Evaluation of employment support in Wellington general practices
Work and Income and GPs
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44 Evaluation of employment support in Wellington general practices
Workwise and GPs
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46 Evaluation of employment support in Wellington general practices
Challenges
Privacy and consent
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48 Evaluation of employment support in Wellington general practices
Outcomes and learnings
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Evaluation of employment support in Wellington general practices 49
Establishing roles and relationships
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50 Evaluation of employment support in Wellington general practices
Frontline organisational changes
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Evaluation of employment support in Wellington general practices 51
Value of the partnership
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52 Evaluation of employment support in Wellington general practices
Suggestions for improvement and next steps
Communication and resources
Sustainability
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54 Evaluation of employment support in Wellington general practices
Discussion
Organisational roles in employment support pathways
Standard pathway
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Evaluation of employment support in Wellington general practices 55
Figure 10: Standard pathway to access employment support services
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56 Evaluation of employment support in Wellington general practices
Integrated pathway
Figure 11: Integrated pathway to access employment support services
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Evaluation of employment support in Wellington general practices 57
Client experiences with employment support pathways
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58 Evaluation of employment support in Wellington general practices
Operational and strategic roles
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60 Evaluation of employment support in Wellington general practices
Conclusions
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Evaluation of employment support in Wellington general practices 61
Appendices
Appendix A: Evaluation objectives and questions
Appendix B: Evaluation methodology
Appendix C: Relationship survey results
Appendix D: Interview schedules
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62 Evaluation of employment support in Wellington general practices
Appendix A: Evaluation objectives and questions
Table 4: Evaluation objectives and questions
Evaluation Objectives Evaluation Questions
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Evaluation of employment support in Wellington general practices 63
Evaluation Objectives Evaluation Questions
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64 Evaluation of employment support in Wellington general practices
Appendix B: Evaluation approach and method
Process evaluation
Theory-based evaluation
Utilisation evaluation methodology
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Evaluation of employment support in Wellington general practices 65
Data analysis methods
Analysis of qualitative data
Inductive and deductive analysis
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66 Evaluation of employment support in Wellington general practices
Analysis of quantitative data
Summary
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Evaluation of employment support in Wellington general practices 67
Appendix C: Relationship survey results
Evidence-based supported employment demonstration in Compass Health
primary care practices, baseline and follow up survey results
Working relationship
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68 Evaluation of employment support in Wellington general practices
Figure 12: How important is it to have a working relationship with the other party when supporting
clients/patients?
Frequency and type of contact
0
2
4
6
8
10
12
14
16
18
20
Very important Somewhatimportant
Neutral Unimportant Not at allimportant
GPs
W&I
GPs 2
W&I 2
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Evaluation of employment support in Wellington general practices 69
Figure 13: In the last six months, how often have you contacted the other party in relation to a client?
Figure 14: In the last six months, how often are you contacted by the other party in relation to a
client/patient?
0
2
4
6
8
10
12
14
Daily 2-3 times perweek
2-3 times perfortnight
1 time permonth
less than 1 timeper month
Not at all
GPs
W&I
GPs 2
W&I 2
0
5
10
15
20
25
Daily 2-3 times perweek
2-3 times perfortnight
1 time permonth
less than 1time permonth
Not at all
GPs
W&I
GPs 2
W&I 2
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70 Evaluation of employment support in Wellington general practices
Figure 15: Preferred mode of contact
Information Sharing
0
5
10
15
20
25
Telephone calldirectly to me
Telephone call tosomeone else at my
practice, e.g.reception, which I
will return
E-mail Letter Not applicable
GPs
W&I
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Evaluation of employment support in Wellington general practices 71
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72 Evaluation of employment support in Wellington general practices
Figure 16: How confident are you that the other party can provide appropriate support for your
patient/client?
0
2
4
6
8
10
12
14
16
18
Very confident Somewhatconfident
Neutral Unconfident Very unconfident
GPs
W&I
GPs 2
W&I 2
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Evaluation of employment support in Wellington general practices 73
Limitations
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74 Evaluation of employment support in Wellington general practices
Conclusions
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Evaluation of employment support in Wellington general practices 75
Appendix: Participant characteristics
Table 5: Participant characteristics
Length of time in role Time spent working in Wellington
GP Work and
Income
GP Work and
Income
Table 6: Participant characteristics at follow up survey
Length of time in role Time spent working in Wellington
GP Work and
Income
GP Work and
Income
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76 Evaluation of employment support in Wellington general practices
Appendix D: Interview schedules Interview schedule for clients
Part one: Factors that lead to participation or declining
o
o
o
o
o
Part two: During the programme
o
o
o
o
Part three: Outcomes
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Evaluation of employment support in Wellington general practices 77
o
o
o
o
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78 Evaluation of employment support in Wellington general practices
Interview schedule for high level staff
Part one: Vision and Purpose
o
o
o
o
Part two: Establishing partnership
o
o
o
o
o
Part three: Partnership during the programme
o
o
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Evaluation of employment support in Wellington general practices 79
o
o
o
o
Part four: Outcomes
o
o
o
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80 Evaluation of employment support in Wellington general practices
Interview schedule for Work and Income
Part one: Vision and Purpose
o
o
Part two: Establishing partnership
o
o
Part three: During the partnership
Communicating with GPs
o
If doesn’t contact GPs (or says role of RHA to talk to GPs)
o
If does contact GPs
All
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Evaluation of employment support in Wellington general practices 81
Communicating with other employment agencies (including Workwise)
o
o
o
o
o
o
Part four: Outcomes
o
o
o
o
o
o
o
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82 Evaluation of employment support in Wellington general practices
Interview schedule for GPs
Part one: Vision and Purpose
o
o
Part two: Establishing partnership
o
o
Part three: During the partnership
o
o
o
o
o
o
o
o
Part four: Outcomes
o
o
o
o
o
o
o
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Evaluation of employment support in Wellington general practices 83
Interview schedule for employment consultant
Part one: Vision and Purpose
o
o
Part two: Establishing partnership
o
o
Part three: During the partnership
Communicating with GPs
o
o
o
o
o
o
o
Communicating with Work and Income
o
o
o
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84 Evaluation of employment support in Wellington general practices
o
o
o
Part four: Outcomes
o
o
o
o
o
o
o
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Evaluation of employment support in Wellington general practices 85
References
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86 Evaluation of employment support in Wellington general practices
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a u c k l a n d
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c h r i s t c h u r c h
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