Working Your Way Through Recovery


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Maria Hilditch, Specialist OT
Jan McGall, Lead OT

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Working Your Way Through Recovery

  1. 1. Working Your Way Through Recovery   Maria Hilditch, Specialist OT Jan McGall, Lead OT
  2. 2. Drivers for the initiativeWhere Are We Now? 32% of people with a disability are in employment Mental and behavioural disorders make up the largest diagnostic category for Employment and Support Allowance in Northern Ireland Long-term unemployment and increased risk of mental health problems Unemployment: increased risk of suicide
  3. 3. Drivers for the initiativeRecovery and Work Recovery: an ethos to guide practice and also a personal journey for individuals Benefits of work in recovery Barriers to employment
  4. 4. Drivers for the initiative Dame Carol Black: Working for a Healthier Tomorrow 2008 The Review of Mental Health and Learning Disability (Northern Ireland) June 2005: The Bamford Report Recovering Ordinary Lives, The Strategy for Occupational Therapy in Mental Health Services 2007-2017
  5. 5. Occupational Therapy:Helping you to live life your way
  6. 6. Summary of Innovative PracticeBHSCT: Mental Health Key Service Changes Priority clinical focus: Vocational rehabilitation and work Mental health OT’s as ‘vocational champions’ Work is on the agenda!
  7. 7. Summary of Innovative PracticeIndividual Placement and Support (IPS) Partnership with Action Mental Health Evidence-based supported employment model Roles of the Occupational Therapist and Employment Specialist ‘Place then train’ model Job retention principles
  8. 8. Outcomes and BenefitsIndividual Placement and Support (IPS) Case example: ‘Trevor’ Case example: ‘Lisa’
  9. 9. Summary of Innovative PracticeAcute Care Job Clinic Individuals in employment in receipt of acute mental health care (inpatient units, Home Treatment and Acute Day Treatment) Focus: job retention
  10. 10. Summary of Innovative PracticeAcute Care Job ClinicHolistic assessment: Job role and working patterns Job description Current work status, reasons for current absence and any previous absences Disciplinary processes / precipitating issues of urgency Organisational procedures in managing sickness and absence Awareness the employer has with regards to nature of sick leave / disclosure Involvement of Occupational Health, Welfare Officers, Trade Unions
  11. 11. Summary of Innovative PracticeAcute Care Job Clinic Current health situation: diagnosis, treatments and medication Current daily routine and overall level of functioning Personal circumstances: e.g. breadwinner in family / dependents / debt Support systems Individuals attitude to returning to work and perceived barriers Strategies which have worked previously in returning to work after a period of sick leave
  12. 12. Summary of Innovative PracticeAcute Care Job ClinicIndividualised interventions using Job Retention Principles: Liaison with employers Disclosure and attitudes in relation to employment Liaison with Occupational Health departments Liaison with other members of the multi-disciplinary team Assisting individuals in resolving perceived barriers to returning to work Lifestyle balance Mental health promotion and keeping well Return to work plans and reasonable adjustments
  13. 13. Outcomes and BenefitsAcute Care Job Clinic Case study: ‘George’ Case study: ‘Anna’
  14. 14. Summary of Innovative PracticeExemplar Employer BHSCT: programme for employing individuals with mental health issues into permanent, ‘real jobs’ within the Trust, including Mental Health OT service Support from Workable
  15. 15. Thank you for listening