1) Supported employment (IPS) is more effective at helping people with severe mental illness find competitive jobs compared to other vocational services.
2) While IPS does not seem to improve non-vocational outcomes or reduce healthcare costs in the short-term on average, working appears to provide long-term benefits to self-esteem, symptoms, and healthcare costs.
3) The cost-effectiveness of IPS from the perspective of departments of health, governments, and societies is unclear and depends on factors like client characteristics, program fidelity, unemployment rates, and social benefits systems, but IPS may be cost-neutral or cost-saving for some groups in the long-run.
This document discusses mental health in the workplace and provides strategies for addressing it. It notes that 1 in 6 people experience conditions like anxiety and depression, which impact individual workers and workplaces through absenteeism, lost productivity and costs. Effective treatments exist but many go untreated. The document recommends workplaces develop a culture of prevention, early intervention and awareness to address mental health issues and realize benefits for individuals and the organization.
A training presentation for clinician involved in providingIndividual Placement and Support (IPS) employment services to those with mental health problems.
The SESAMI study examined employment support services for adults with mental illness. It found that having previous work experience, positive work attitudes, and ongoing job support were associated with greater employment success. Services that integrated with mental health teams and provided individualized, emotional, and practical support helped clients obtain and maintain jobs. Of those working at baseline, 82% remained employed one year later, and 25% of unemployed clients found work. Gaining employment was linked to improved well-being. Specialist employment agencies seemed to work better than other options like job centers. The study concluded that with expert support, people with severe mental illness can succeed in various jobs and benefit from long-term, specialized employment assistance.
Mark Dudderidge, Director at Ginsters, talks us through their scheme to bring Health, Work and Wellbeing to the 24-hour baking environment at Ginsters.
Originally uploaded on 23 August 2010.
Dame Carol Black takes us through the current position of the UK Health, Work and Wellbeing agenda in light of the recent change in government. She outlines the work going on and the challenges that lie ahead.
Originally uploaded on 23 August 2010.
Working our way to better mental health: a framework for action: Dame Carol B...Centre for Mental Health
The document outlines Dame Carol Black's framework for action to improve mental health and employment in the UK. The framework proposes six themes: changing attitudes towards mental health, improving population well-being, intervening quickly when mental health issues arise at work, providing tailored help for individuals, building resilience from an early age, and coordinated government action. It also discusses initiatives to promote mental health in the workplace and support for employers and employees.
A presentation about the 6-month follow-up we carried out after the Impact on Depression training. Within eight months, 2 out of 5 managers reported that they had put what they had learnt into practice. This training is now called Centre for Mental Health Workplace Training.
Originally uploaded on 14 December 2010.
1) Supported employment (IPS) is more effective at helping people with severe mental illness find competitive jobs compared to other vocational services.
2) While IPS does not seem to improve non-vocational outcomes or reduce healthcare costs in the short-term on average, working appears to provide long-term benefits to self-esteem, symptoms, and healthcare costs.
3) The cost-effectiveness of IPS from the perspective of departments of health, governments, and societies is unclear and depends on factors like client characteristics, program fidelity, unemployment rates, and social benefits systems, but IPS may be cost-neutral or cost-saving for some groups in the long-run.
This document discusses mental health in the workplace and provides strategies for addressing it. It notes that 1 in 6 people experience conditions like anxiety and depression, which impact individual workers and workplaces through absenteeism, lost productivity and costs. Effective treatments exist but many go untreated. The document recommends workplaces develop a culture of prevention, early intervention and awareness to address mental health issues and realize benefits for individuals and the organization.
A training presentation for clinician involved in providingIndividual Placement and Support (IPS) employment services to those with mental health problems.
The SESAMI study examined employment support services for adults with mental illness. It found that having previous work experience, positive work attitudes, and ongoing job support were associated with greater employment success. Services that integrated with mental health teams and provided individualized, emotional, and practical support helped clients obtain and maintain jobs. Of those working at baseline, 82% remained employed one year later, and 25% of unemployed clients found work. Gaining employment was linked to improved well-being. Specialist employment agencies seemed to work better than other options like job centers. The study concluded that with expert support, people with severe mental illness can succeed in various jobs and benefit from long-term, specialized employment assistance.
Mark Dudderidge, Director at Ginsters, talks us through their scheme to bring Health, Work and Wellbeing to the 24-hour baking environment at Ginsters.
Originally uploaded on 23 August 2010.
Dame Carol Black takes us through the current position of the UK Health, Work and Wellbeing agenda in light of the recent change in government. She outlines the work going on and the challenges that lie ahead.
Originally uploaded on 23 August 2010.
Working our way to better mental health: a framework for action: Dame Carol B...Centre for Mental Health
The document outlines Dame Carol Black's framework for action to improve mental health and employment in the UK. The framework proposes six themes: changing attitudes towards mental health, improving population well-being, intervening quickly when mental health issues arise at work, providing tailored help for individuals, building resilience from an early age, and coordinated government action. It also discusses initiatives to promote mental health in the workplace and support for employers and employees.
A presentation about the 6-month follow-up we carried out after the Impact on Depression training. Within eight months, 2 out of 5 managers reported that they had put what they had learnt into practice. This training is now called Centre for Mental Health Workplace Training.
Originally uploaded on 14 December 2010.
The document discusses commissioning Individual Placement and Support (IPS) services in Shropshire. It summarizes that IPS has been shown to be twice as effective as other vocational approaches and can provide good value for money through cost savings elsewhere in the health system. While IPS may require investment, evidence suggests it can save more money over the long-term by lowering healthcare costs through increased employment outcomes for those with mental illness or disabilities. The document advocates for integrated employment strategies between health and employment providers to improve recovery outcomes through hope and the key role employment can play.
Getting employment specialists established in clinical teams, Lynne MillerCentre for Mental Health
This document discusses setting up and implementing an evidence-based vocational service within a mental health trust. It outlines keys to success like recruiting the right employment specialists, ensuring fidelity to the Individual Placement and Support model, and gaining support from clinical teams. Feedback from service users and teams has been positive, and monitoring shows the program has helped many find paid work or education. Continued support from management and a focus on fidelity and improvement are important going forward.
IPS in practice: the partnership experience in Sussex, Martin Dominy and Kate...Centre for Mental Health
Martin Dominy, Head of Supported Employment, Southdown Supported employment and Kate Bones, Director of Occupational Therapy, Sussex Partnership NHS Foundation Trust
Employment is important for personal identity and as a source of friends as well as improved income and the benefits this brings. Individual Placement Support (IPS) must deliver the 7 principles of evidence-based employment e.g. we must focus on real employment not voluntary work. The combination of clinical support alongside employment support is vital and we must retain the opportunity to work with anyone who wants to give it a try.
The document discusses barriers and facilitators to implementing evidence-based supported employment (EBSE) in the UK. It summarizes the evidence showing EBSE is effective for people with severe mental illness. While government policy now supports EBSE, barriers remain like separate mental health and employment services and a lack of provider training. The Sainsbury Centre is working to establish "Centres of Excellence" through partnerships, training, outcome measurement, and learning networks to systematically implement high-quality EBSE across England. Successful implementation requires factors like organizational commitment, ongoing supervision, and measuring both process and outcome indicators.
1. The document discusses a study in Queensland, Australia that aims to enhance employment outcomes for people with serious mental illnesses by co-locating employment specialists within community mental health teams.
2. Preliminary results from an early trial show that 54% of clients receiving integrated employment and mental health services found competitive jobs within 12 months, compared to 36% of clients receiving standard brokered employment assistance.
3. Integrating employment specialists and mental health services has been well-received and shows promise based on international evidence, though long-term outcomes data is still being collected. Barriers to referring clients to employment services are being addressed.
Blurring the boundaries: the convergence of mental health and criminal justiceCentre for Mental Health
A presentation about how mental health and criminal justice policies and services are converging in the UK. The report on the subject is available from: http://www.centreformentalhealth.org.uk/publications/blurring_the_boundaries.aspx?ID=608
Originally uploaded 15 March 2010.
Evidence-based Support Employment Conference, 3 March 2011, Dr Bill GunnyeonCentre for Mental Health
Dr Bill Gunnyeon, Director for Health Work and Well Being, Department for Work and Pensions
Ministers in DWP are interested in mental health – Chris Grayling, Minister for Employment is keen to improve outcomes for people with mental health problems and Lord Freud’s interest is not just in improving work outcomes but improving mental health for the population as a whole. The Government has asked Liz Sayce to review specialist disability programmes and the report will be published summer 2011.
The Children are very vulnerable to get affected with respiratory disease.
In our country, the respiratory Disease conditions are consider as major cause for mortality and Morbidity in Child.
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/
Spontaneous Bacterial Peritonitis - Pathogenesis , Clinical Features & Manage...Jim Jacob Roy
In this presentation , SBP ( spontaneous bacterial peritonitis ) , which is a common complication in patients with cirrhosis and ascites is described in detail.
The reference for this presentation is Sleisenger and Fordtran's Gastrointestinal and Liver Disease Textbook ( 11th edition ).
Receptor Discordance in Breast Carcinoma During the Course of Life
Definition:
Receptor discordance refers to changes in the status of hormone receptors (estrogen receptor ERα, progesterone receptor PgR, and HER2) in breast cancer tumors over time or between primary and metastatic sites.
Causes:
Tumor Evolution:
Genetic and epigenetic changes during tumor progression can lead to alterations in receptor status.
Treatment Effects:
Therapies, especially endocrine and targeted therapies, can selectively pressure tumor cells, causing shifts in receptor expression.
Heterogeneity:
Inherent heterogeneity within the tumor can result in subpopulations of cells with different receptor statuses.
Impact on Treatment:
Therapeutic Resistance:
Loss of ERα or PgR can lead to resistance to endocrine therapies.
HER2 discordance affects the efficacy of HER2-targeted treatments.
Treatment Adjustment:
Regular reassessment of receptor status may be necessary to adjust treatment strategies appropriately.
Clinical Implications:
Prognosis:
Receptor discordance is often associated with a poorer prognosis.
Biopsies:
Obtaining biopsies from metastatic sites is crucial for accurate receptor status assessment and effective treatment planning.
Monitoring:
Continuous monitoring of receptor status throughout the disease course can guide personalized therapy adjustments.
Understanding and managing receptor discordance is essential for optimizing treatment outcomes and improving the prognosis for breast cancer patients.
Selective alpha1 blockers are Prazosin, Terazosin, Doxazosin, Tamsulosin and Silodosin majorly used to treat BPH, also hypertension, PTSD, Raynaud's phenomenon, CHF
The document discusses commissioning Individual Placement and Support (IPS) services in Shropshire. It summarizes that IPS has been shown to be twice as effective as other vocational approaches and can provide good value for money through cost savings elsewhere in the health system. While IPS may require investment, evidence suggests it can save more money over the long-term by lowering healthcare costs through increased employment outcomes for those with mental illness or disabilities. The document advocates for integrated employment strategies between health and employment providers to improve recovery outcomes through hope and the key role employment can play.
Getting employment specialists established in clinical teams, Lynne MillerCentre for Mental Health
This document discusses setting up and implementing an evidence-based vocational service within a mental health trust. It outlines keys to success like recruiting the right employment specialists, ensuring fidelity to the Individual Placement and Support model, and gaining support from clinical teams. Feedback from service users and teams has been positive, and monitoring shows the program has helped many find paid work or education. Continued support from management and a focus on fidelity and improvement are important going forward.
IPS in practice: the partnership experience in Sussex, Martin Dominy and Kate...Centre for Mental Health
Martin Dominy, Head of Supported Employment, Southdown Supported employment and Kate Bones, Director of Occupational Therapy, Sussex Partnership NHS Foundation Trust
Employment is important for personal identity and as a source of friends as well as improved income and the benefits this brings. Individual Placement Support (IPS) must deliver the 7 principles of evidence-based employment e.g. we must focus on real employment not voluntary work. The combination of clinical support alongside employment support is vital and we must retain the opportunity to work with anyone who wants to give it a try.
The document discusses barriers and facilitators to implementing evidence-based supported employment (EBSE) in the UK. It summarizes the evidence showing EBSE is effective for people with severe mental illness. While government policy now supports EBSE, barriers remain like separate mental health and employment services and a lack of provider training. The Sainsbury Centre is working to establish "Centres of Excellence" through partnerships, training, outcome measurement, and learning networks to systematically implement high-quality EBSE across England. Successful implementation requires factors like organizational commitment, ongoing supervision, and measuring both process and outcome indicators.
1. The document discusses a study in Queensland, Australia that aims to enhance employment outcomes for people with serious mental illnesses by co-locating employment specialists within community mental health teams.
2. Preliminary results from an early trial show that 54% of clients receiving integrated employment and mental health services found competitive jobs within 12 months, compared to 36% of clients receiving standard brokered employment assistance.
3. Integrating employment specialists and mental health services has been well-received and shows promise based on international evidence, though long-term outcomes data is still being collected. Barriers to referring clients to employment services are being addressed.
Blurring the boundaries: the convergence of mental health and criminal justiceCentre for Mental Health
A presentation about how mental health and criminal justice policies and services are converging in the UK. The report on the subject is available from: http://www.centreformentalhealth.org.uk/publications/blurring_the_boundaries.aspx?ID=608
Originally uploaded 15 March 2010.
Evidence-based Support Employment Conference, 3 March 2011, Dr Bill GunnyeonCentre for Mental Health
Dr Bill Gunnyeon, Director for Health Work and Well Being, Department for Work and Pensions
Ministers in DWP are interested in mental health – Chris Grayling, Minister for Employment is keen to improve outcomes for people with mental health problems and Lord Freud’s interest is not just in improving work outcomes but improving mental health for the population as a whole. The Government has asked Liz Sayce to review specialist disability programmes and the report will be published summer 2011.
The Children are very vulnerable to get affected with respiratory disease.
In our country, the respiratory Disease conditions are consider as major cause for mortality and Morbidity in Child.
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/
Spontaneous Bacterial Peritonitis - Pathogenesis , Clinical Features & Manage...Jim Jacob Roy
In this presentation , SBP ( spontaneous bacterial peritonitis ) , which is a common complication in patients with cirrhosis and ascites is described in detail.
The reference for this presentation is Sleisenger and Fordtran's Gastrointestinal and Liver Disease Textbook ( 11th edition ).
Receptor Discordance in Breast Carcinoma During the Course of Life
Definition:
Receptor discordance refers to changes in the status of hormone receptors (estrogen receptor ERα, progesterone receptor PgR, and HER2) in breast cancer tumors over time or between primary and metastatic sites.
Causes:
Tumor Evolution:
Genetic and epigenetic changes during tumor progression can lead to alterations in receptor status.
Treatment Effects:
Therapies, especially endocrine and targeted therapies, can selectively pressure tumor cells, causing shifts in receptor expression.
Heterogeneity:
Inherent heterogeneity within the tumor can result in subpopulations of cells with different receptor statuses.
Impact on Treatment:
Therapeutic Resistance:
Loss of ERα or PgR can lead to resistance to endocrine therapies.
HER2 discordance affects the efficacy of HER2-targeted treatments.
Treatment Adjustment:
Regular reassessment of receptor status may be necessary to adjust treatment strategies appropriately.
Clinical Implications:
Prognosis:
Receptor discordance is often associated with a poorer prognosis.
Biopsies:
Obtaining biopsies from metastatic sites is crucial for accurate receptor status assessment and effective treatment planning.
Monitoring:
Continuous monitoring of receptor status throughout the disease course can guide personalized therapy adjustments.
Understanding and managing receptor discordance is essential for optimizing treatment outcomes and improving the prognosis for breast cancer patients.
Selective alpha1 blockers are Prazosin, Terazosin, Doxazosin, Tamsulosin and Silodosin majorly used to treat BPH, also hypertension, PTSD, Raynaud's phenomenon, CHF
Nutritional deficiency Disorder are problems in india.
It is very important to learn about Indian child's nutritional parameters as well the Disease related to alteration in their Nutrition.
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14...Donc Test
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition (Hinkle, 2017) Verified Chapter's 1 - 73 Complete.pdf
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition (Hinkle, 2017) Verified Chapter's 1 - 73 Complete.pdf
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition (Hinkle, 2017) Verified Chapter's 1 - 73 Complete.pdf
Applications of NMR in Protein Structure Prediction.pptxAnagha R Anil
This presentation explores the pivotal role of Nuclear Magnetic Resonance (NMR) spectroscopy in predicting protein structures. It delves into the methodologies, advancements, and applications of NMR in determining the three-dimensional configurations of proteins, which is crucial for understanding their function and interactions.
Milan J. Anadkat, MD, and Dale V. Reisner discuss generalized pustular psoriasis in this CME activity titled "Supporting Patient-Centered Care in Generalized Pustular Psoriasis: Communications Strategies to Improve Shared Decision-Making." For the full presentation, please visit us at www.peervoice.com/HUM870.
Call Girls in Kolkata 💯Call Us 🔝 7374876321 🔝 💃 Top Class Call Girl Servic...
Work, Recovery and Inclusion: Bruce Calderwood
1. Work, Recovery and Inclusion Bruce Calderwood Director of Mental Health and Learning Disabilities Division Social Care, Local Government and Care Partnership Department of Health
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8. Work, Recovery and Inclusion … .. where people who are in contact with secondary mental health services are helped to get jobs, where they are equally valued for their contributions to the workplace, and where having a mental health condition is not seen as a barrier to work.
9. Thank you DH [email_address] NMHDU [email_address]
Editor's Notes
People with mental health conditions can and do work, with many thousands of people working in a broad range of roles. However, the proportion of people who are employed who have severe mental health conditions compared to other groups is unacceptably low, despite a high proportion of people saying that they would like to work.
Launched on 7 th December as part of a suite of documents on mental health and employment Working our way to better mental health: A framework for action Realising ambitions: better employment support for people with mental health conditions. New Horizons: a shared vision for mental health. More about how they fit together later but key difference of WRI is that it focuses specifically on people in contact with secondary mental health services
Point 1 Across national, regional and local structures – will look at a couple of key ones in the next slide Point 2 We need to raise the understanding of employment as a key part/vehicle in recovery (income, social networks, structure, ability to contribute, self confidence) and expectations of people working in mental health services to support people to realise their ambitions Point 3 This strategy sets out what mental health and employment services (and strategy) can do to reduce the disparity between those wanting to work and those that do work
For health services – some key actions support NHS commissioners and trusts to build the provision of evidence based vocational support in secondary mental health services encourage mental health services to incorporate a focus on employment in the services that they provide, including through personal budgets and care planning. work with government departments, the NHS, local authorities and other public sector organisations to examine ways of ensuring that more people in contact with secondary mental health services are employed by their organisations. For employment services explore how JCP employment advisers and others delivering services are supported to better help people in contact with secondary mental health services. undertake a strategic review of Access to Work to ensure that it best meets the needs of people most disadvantaged in the labour market and is more flexible to accommodate people with fluctuating conditions, including mental health conditions
incorporates the delivery plan for the Socially Excluded Adults PSA (PSA 16) for people with mental health conditions. complements and adds value to the overarching ambitions for mental health and employment set out in Working Our Way to Better Mental Health: A Framework for Action . responds to the recommendations from the independent review Realising ambitions: better employment support for people with mental health conditions. It incorporates a key part of the cross-Government response to the review. embodies the new cross-Government approach to mental health and well-being as set out in New Horizons : a shared vision for mental health .
Specific employment actions include: an outcome indicator for mental health in the World Class Commissioning Assurance Framework for Year 2 that includes employment inclusion of employment in the draft of the new performance framework for non-foundation trust mental health service providers encouragement in the guidance to the standard mental health contract for 2010/11 for PCTs to include employment and accommodation as indicators to be routinely supplied by providers the continuing emphasis on employment support integrated into the new Improving Access to Psychological Therapies (IAPT) services, and further work with SHAs and the NHS Confederation to improve local data collection in support of PSA 16 delivery.
Nationally ministers and officials are working to ensure that government activity is co-ordinated on MH and employment (and learning and skills) across the four departments which feed into the employment side of the PSA for people with mental health problems DH have commissioned NMHDU PSA 16 Project to assist this co-ordination, provide expertise and support implementation of PSA 16 within regions and localities. NMHDU work directly with Deputy Regional Directors for Social Care in Government Offices and third sector organisations to drive forward the agenda – for example partnerships working with SCMH and NHF. Government offices work in partnership with Strategic Health Authorities, Primary Care and MHTs, LAs, JCP and Employers to ensure a joined up approach
From the vision statement within the document….. Work Recovery and Inclusion and the other strategies mean we are one step closer.