October 2012 newsletter of the Center for Evidence-Based Practices at Case Western Reserve Universityhttps://commons.case.edu/evidence-matters/1003/thumbnail.jp

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Case Western Reserve University Scholarly Commons @ Case Western Reserve University Evidence Matters Center for Evidence-Based Practices (CEBP) Scholarship 10-2012 Evidence Matters (October 2012) Center for Evidence-Based Practices Follow this and additional works at: https://commons.case.edu/evidence-matters Recommended Citation Center for Evidence-Based Practices, "Evidence Matters (October 2012)" (2012). Evidence Matters. 4. https://commons.case.edu/evidence-matters/4 This Book is brought to you for free and open access by the Center for Evidence-Based Practices (CEBP) Scholarship at Scholarly Commons @ Case Western Reserve University. It has been accepted for inclusion in Evidence Matters by an authorized administrator of Scholarly Commons @ Case Western Reserve University. For more information, please contact digitalcommons@case.edu. COMPETITIVE JOBSEmployment reaches 36 percentfor people with mental illnessin OhioCleveland, OH—An analysis of employment data from 23behavioral healthcare organizations in Ohio shows that 36 percentof people with serious mental illness who received evidence-basedSupported Employment/Individual Placement and Support(SE/IPS) services were competitively employed in full-time or part-time jobs in September 2011. The num-ber is significant, because the national average was37 percent in that same month for similar servic-es delivered at multiple organizations in 12states as part of the Johnson & Johnson-Dartmouth Community Mental HealthProgram. The evaluation of Ohio servicesalso shows that some organizations are con-sistently achieving job-placement rates of 50to 60 percent.The analysis of Ohio outcomes was conductedby Debra R. Hrouda, MSSA, LISW-S, director ofquality improvement at the Center for Evidence-Based Practices at CaseWestern ReserveUniversity. The data was submitted to the Center bythe 23 organizations, which collected the followingdata on a quarterly basis from July to December 2011:• Number of people receiving employment servicesfrom each organization’s SE/IPS teamContinued on page 2In thisissue2 OHIO SE/IPSOUTCOMESAT-A-GLANCEMattersAn offline version of online news and other storiesOCTOBER 2012The Center for Evidence-Based Practices atCase Western ReserveUniversity is apartnership betweentheMandel School ofApplied Social Sciencesat Case Western Reserveand the Departmentof Psychiatry at theSchool of Medicine.The partnership is incollaboration with andsupported by the OhioDepartment of MentalHealth and the OhioDepartment of Alcoholand Drug AddictionServices.www.centerforebp.case.eduEvidenceFor more detailed informationabout Ohio’s SE/IPS outcomes,consult our report from June 2012 online.www.centerforebp.case.edu/stories/employment-reaches-36-percentTHE FULLREPORTFreePDF2 October 2012 - Evidence Matters | www.centerforebp.case.eduonly 10 to 15 percent are competitively employed. Inaddition, follow-up surveys of people discharged frompsychiatric hospitals have found employment rates ofless than 5 percent (see Bond (2011) in Resourcesbelow).Boyle explains that employment among people withmental illness tends to be higher when they receiveevidence-based SE/IPS, because the model encour-ages organizations to be systematic about the waythey help people identify and pursue their employ-ment dreams.“This evidence-based practice teaches us that getting ajob is not the result of treatment and recovery,” Boylesays. “Instead, employment is integral to recovery.The job search must begin as soon as someoneexpresses an interest in considering and pursuing apart-time or full-time job in the community, even afterhospitalization.”Boyle adds that the employment rates of 50 to 60 per-cent being achieved by several organizations in Ohioaffirms that SE/IPS can produce outcomes similar tothose achieved in controlled clinical trials, such asthose conducted by the Dartmouth PsychiatricResearch Center in the late 1990s (see Bond (2004)and Becker & Drake (2003) in Resources below).Ohio’s SE/IPS services are responding positively tothe needs of residents in local communities. In the late1990s and early 2000s, the Ohio Mental HealthCommission reported that people with mental illnessidentified employment as a top recovery goal (seeOMHC in Resources below).• Number of people receiving SE/IPS services whowere employed• Average number of people receiving SE/IPSservices from each employment specialistHrouda reported the results of her analysis to pro-gram managers this past summer. A summary isincluded in Figure 1 below. Nicole Clevenger, BFA,consultant and trainer at the Center, assisted with thedata analysis.The Center for Evidence-Based Practices analyzedthis jobs data because it is the parent organization forthe Ohio Supported Employment CoordinatingCenter of Excellence (SE CCOE), which providestechnical-assistance services—consultation, training,and evaluation—to help organizations implementSE/IPS, an evidence-based practice endorsed by theSubstanceAbuse and Mental Health ServicesAdministration (SAMHSA). The SE CCOE is partof the Coordinating Center of Excellence initiativesupported by the Ohio Department of MentalHealth.GOOD NEWS FOR OHIOAccording to Patrick E. Boyle, MSSA, LISW-S,director of implementation services at the Center forEvidence-Based Practices, the 36-percent employ-ment rate is very good news, because it is signifi-cantly higher than employment rates reported inother studies of community services conducted inother states. He cites researcher Gary R. Bond, PhD,professor of psychiatry at the Dartmouth PsychiatricResearch Center, who has noted that surveys of peo-ple receiving community treatment have found thatDebra R. Hrouda,MSSA, LISW-S,director of qualityimprovementPatrick E. Boyle,MSSA, LISW-S,director ofimplementationservicesFIG 1: OHIO SE/IPS OUTCOMES 2011AT-A-GLANCEJuly to Sept 2011 Oct to Dec 2011Team sizeAverage number of people receiving SE/IPSservices from each service team in 23 Ohioorganizations55(range of 1 to 141)55(range of 4 to 163)Employment rate Percentage of people receiving SE/IPSservices who found jobs and were employed36(7 to 100 percent)28(7 to 75 percent)Caseload size Average number of people receiving SE/IPSservices from each FTE employment specialist24(range of 3 to 50)21(range of 4 to 46)For more detailed information, consult our report from June 2012 (see bottom of page 1).3www.centerforebp.case.edu | Evidence Matters - October 2012ABOUT THE DATASeveral factors may influence Ohio’s employmentdata and the results of current and future analyses,according to Hrouda. For example, employment ratesmay be influenced by the size of the SE/IPS serviceteam and the caseload size of employment specialists(see Figure 1), as well as by each organization’s defi-nition of when a person is active—that is, when he orshe officially begins to receive SE/IPS services. Inaddition, outcomes may be influenced by organiza-tional policies, leadership, and staffing, as well as bysystemic issues such as changes in state policy andavailable funding.FUTURE ANALYSESThe Center for Evidence-Based Practices will contin-ue to evaluate employment data from organizations inOhio that are implementing SE/IPS. The Center isworking to expand the analyses to include data aboutemployment tenure (duration), the range of hoursworked per month, and hourly wages. The Centeralso plans to compare such data from Ohio teams withthose in the national J&J-Dartmouth program.“Expanding the analyses is important,” Boyle says,“because one objective of evidence-based SupportedEmployment is to help people find jobs that matchtheir interests and pay a decent wage. We know fromrecent published studies that if people get jobs that arealigned with their preferences, their job tenure isgreater. We look forward to providing annual reportsabout the progress being made in Ohio’s evidence-based employment initiative.” EVIDENCE-BASED SE/IPSSupported Employment/Individual Placement and Support(SE/IPS) is an evidence-based practice that helps people withmental illness and other disabilities identify and acquire part-time or full-time jobs of their choice in the community withrapid job-search and placement services. SE/IPS is differentfrom traditional vocational rehabilitation (voc rehab) becauseit emphasizes that work is not the result of treatment andrecovery but integral to both.For more information about SE/IPS, consult the Practices sec-tion of our website.NATIONAL CONNECTIONThe SE/IPSmodel was developed byresearchers at the Dartmouth PsychiatricResearch Center, which continues to study theeffectiveness of this evidence-based practicethrough the Johnson & Johnson-DartmouthCommunity Mental Health Program. Multipleorganizations in 13 states, including eightorganizations in Ohio, are implementing evi-dence-based Supported Employment as partof the J&J-Dartmouth Program.Nicole Clevenger,BFA, consultant andtrainer for SE/IPsinitiativesSteve Shober, BS,LSW, consultant andtrainer for SE/IPsinitiativesGary R. Bond (2011). Employment of People with MentalDisabilities, Written Testimony. US Equal EmploymentOpportunity Commission, March 15, 2011.http://www.eeoc.gov//eeoc/meetings/3-15-11/bond.cfmGary R. Bond & Kukla, M (2011). Is Job Tenure Brief inIndividual Placement and Support (IPS) EmploymentPrograms? Psychiatric Services, Aug, v62, n8, p953.Gary R. Bond andAmanda Jones (2005). SupportedEmployment. Evidence-Based Mental Health Practice: ATextbook. NewYork: W.W. Norton & Company, Inc.,p367-394.Gary R. Bond (2004). Supported Employment: Evidencefor an Evidence-Based Practice. Psychiatric RehabilitationJournal, v27, n4, p345-359.Deborah R. Becker & Robert E. Drake (2003). A Working Lifefor People with Severe Mental Illness. NewYork: OxfordUniversity Press.OMHC (Ohio’s Mental Health Commission) (2001). AccessIssues ImpactingAdults. Changing Lives: Ohio’s ActionAgenda for Mental Health (Report). Columbus, Ohio: OhioDepartment of Mental Health, p21-22.Robert E. Drake, Guest Editor (1998). SupportedEmployment: A Special Issue of Psychiatric RehabilitationJournal. Psychiatric Rehabilitation Journal. Summer, v22, n1.ES Rogers, DWalsh, LMasotta, et al (1991). MassachusettsSurvey of Client Preferences for Community Support Services(Final Report). Boston: Boston University, Center forPsychiatric Rehabilitation.RESOURCESdEmployment reaches 36 percent forpeople with mental illness in OhioAn analysis of employment data from 23 behavioral healthcare organi-zations in Ohio shows that 36 percent of people with serious mental ill-ness who received evidence-based Supported Employment/IndividualPlacement and Support (SE/IPS) services were competitively employedin full-time or part-time jobs inSeptember 2011. The number issignificant, because the nationalaverage was 37 percent in thatsamemonth for similar servicesdelivered at multiple organizationsin 12 states as part of the Johnson& Johnson-Dartmouth CommunityMental Health Program.4 October 2012 - Evidence Matters | www.centerforebp.case.eduwww.centerforebp.case.edu/stories/employment-reaches-36-percentSHARE THE NEWS!Here is an excerpt of the top story to share with teammembers,collaborators, community stakeholders, advocates, andstudents. Email it and post it to your website. Weencourage you to photocopy this entire document ordownload it from our website. It is in HTML and PDFformats. Attach it to grant applications.GETMORE STORIES AND JOINOURMAILING LIST ONLINE!www.centerforebp.case.edu/storiesABOUT USEvidence Matters is an offline version of online news and other stories from theCenter for Evidence-Based Practices at CaseWestern Reserve University inCleveland, Ohio. We welcome and encourage your comments, questions, andsuggestions. Back issues of this newsletter may be downloaded from our website:www.centerforebp.case.edu/resources/tools/evidence-matters-archiveFree PDFv.2012.10.22The Center for Evidence-Based Practices at CaseWestern Reserve Universityis a partnership betweentheMandel School ofApplied Social Sciences atCase Western Reserve andthe Department ofPsychiatry at the School ofMedicine. The partnershipis in collaboration with andsupported by the OhioDepartment of MentalHealth and the OhioDepartment of Alcohol andDrug Addiction Services.CO-DIRECTORS Lenore A. Kola, PhD, AssociateProfessor of Social Work, MandelSchool of Applied Social Sciences Robert J. Ronis, MD, MPH,Douglas Danford Bond Professorand Chairman, Department ofPsychiatry, Case Western ReserveSchool of MedicineCONTACT US Patrick E. Boyle, MSSA, LISW-S,LICDC, Director ofImplementation Servicespatrick.boyle@case.eduSTAFF For a complete list of staff,consult our website.www.centerforebp.case.eduEditorsPaul M. Kubek, MA; LenoreA.Kola, PhD; & Patrick E. Boyle,MSSA, LISW, LICDC.Graphic DesignDavid CravenerCravener | Holmes Creativewww.chcreative.com

Evidence Matters (October 2012)

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