leap forum- hope
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How does Health Optimisation benefit Job Seekers with a Mental Illness?
Outline • Health Op*misa*on Program for Employment (HOPE) – Background/Evidence suppor*ng HOPE – Update on program coordina*on
– How does it fit in with LEAP partnerships and providing “wrap-‐around” supports?
– Importance of peer educators
– Peer educators share their ideas and experiences about HOPE and recovery
– Evalua*on so far
Health Op-misa-on Program for Employment (HOPE)
• A ten-‐session group-‐based program for job seekers with mental illness
• Helps par*cipants gain a beLer understanding of their health, stressors, and effec*ve coping strategies in everyday life and the workplace
• Explores how the par*cipant can work with the supports available to manage their health and achieve their goals
• HOPE is based on an evidence-‐based program, Collabora*ve Therapies (developed by Frameworks for Health)
Frameworks for Health
• Frameworks for Health is dedicated to transla*ng “real world” health research into everyday clinical prac*ce through program development, research and implementa*on.
• Frameworks for Health works with organisa*ons to implement service delivery models of care and stand alone programs based on the Health Op*misa*on approach.
• Manager -‐ Monica Gilbert (03) 9288 2293 or monica.gilbert2@svhm.org.au
Framework for Service Delivery Entire Service Delivery Model incorporating comprehensive assessment,
treatment pathways and best practice psychosocial programs
• Managing Mental Health and Substance Use
• MAPS: Program for Bipolar Disorder
• Optimal Health Program
• Supporting Self and Others
• Health- Promoting Parenting
• Mental Health Maintenance
• HOPE: Program for Jobseekers with a Mental Illness
Evidence based programs
• Controlled trial of OHP: – Canberra – Two treatment sites (OHP + Case
Management); two control sites (CM)
• Randomised controlled trial of MAPS (Bipolar) – Victoria – Treatment (MAPS + Treatment as
usual); control (TAU)
FFH Principles
• Empowering people to become resilient through developing: – A positive view of health – Self efficacy – Social connectedness
• Health is a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities. Health is created and lived by people within the settings of their everyday life; where they learn, work, play and love.
(WHO Ottawa Charter for Health Promotion, 1986)
• Self-efficacy is defined as beliefs in one’s capabilities to organise and execute the courses of action required to produce given attainments.
• Bandura, A. (1997). Self-‐efficacy: The exercise of control. New York: W.H. Freeman and Company
• Refers to: – the relationships people have with
others (family, friends, community) – people joining together to achieve
shared goals
• Positive link between social connectedness and health and well-being.
• To provide information and develop strategies for attaining and maintaining optimal health
• To prepare and support job seekers with a mental illness to access, gain and maintain employment
• To facilitate communication between job seekers with a mental illness and support persons
Session Title Content
1 Optimal Health and Work • Perceptions of health and behaviours that influence health • Understanding health at work & recognising personal strengths
2 The “I Can Do” model • Understanding the three components of the “I Can Do’ model : Health Plan I – ‘Daily coping Plan’
3 Sub-optimal Health • Cumulative stress, sub-optimal health, recognising vulnerable situations and early warning signs, collaborative partners, goal setting : Health Plan II – ‘Sub-Optimal Health’
4 Episode of Illness • What does it mean to experience an episode of illness; medication; problem solving : Health Plan III – Action Plan
5 The Worker Experience: Preparing for a job
• Identifying stressors and coping strategies; Healthy Routines • Using Health Plans in ‘preparing for a job’
6 The Worker Experience: Finding and starting a job
• Identifying stressors and coping strategies; problem solving,; managing discrimination and disclosure
7 The Worker Experience: Keeping a job
• Identifying stressors and coping strategies; collaborative partners • Developing ‘HOPE Action Plans’ to manage vulnerable situations and stressors in ‘worker experiences’
8 Review: Putting it all together • Review optimal health and optimal health at work : Review plans • Recognising interests, skills, and strengths; goal setting for work
Booster What is my health like now? • Review HOPE journal : Health and HOPE plans, review work-goals, problem solve vulnerable situations.
Health Op-misa-on Ra-onale
• Knowledge of stress and vulnerability and its personal impact gives an individual the mo*va*on and ability to develop and implement coping strategies.
• It also increases individual’s understanding of the effects of stress and the impact it may have on their physical, emo*onal and psychological wellbeing.
• Through knowledge and understanding, individuals are beLer able to effec*vely manage their day-‐to-‐day lives, increasing their sense of control as well as crea*ng an opportunity for avenues of choice.
(Gilbert, Ho & Castle, Frameworks for Health)
HOPE Program Structure
• SoFA coordinates the HOPE programs • Representa*ves from the partnership become HOPE facilitators by aLending training by Frameworks for Health
• A peer educator co-‐facilitates HOPE • Ongoing support is available for HOPE facilitators
Update on HOPE Coordina-on
September – December 2010
7 HOPE programs Across 6 local areas
June – September 2010
3 HOPE programs Coburg, Northcote & Footscray
April – June 2010
HOPE Pilot Coburg
How does HOPE fit with LEAP partnerships and providing “wrap-‐around” supports?
• Local services work in partnership to deliver the HOPE program to JS with MI
• Par*cipants learn about community supports/services from one another
• Facilitators also gaining beLer understanding of different sectors
• Par*cipants take greater control in managing their supports or “collabora*ve partners”
Mental Health Peer Educators • Mental Health Peer Educators are involved in all
aspects of project – Advisory Group – Partnership mee*ngs
– HOPE program delivery
• Peer Educators act as conduit for communica*on between HOPE par*cipants and LEAP partnerships
• Training includes 3 orienta*on sessions, comple*ng the HOPE program as a par*cipant and 2 day workshop with Frameworks for Health
• Peer Educators are supervised, mentored and supported by SoFA
Discussion with Peer Educators
• Jo Richardson and Jeff Galvin
Preliminary Evalua-on: Number of par*cipants
2010 101
72
Enrolled An*cipated comple*on
5
9
10
4
2
2
2
2
1 1
1 1
Got a job!
Mental health issues
No reason given/ “not for me”/”not right *me”
Training/volunteer work/other programs
Didn’t relate to other par*cipants who have mental illness
Len support agency and HOPE
Physical health issues
Several conflic*ng appointments that can’t be changed
Transporta*on issues
Travel opportunity
Family commitments
Familiar with material already
Reason for leaving program:
HOPE partnership area
Coburg
Footscray
Northcote
Dandenong
Maryborough
Prahran
Referral source
33.80%
46.70%
19.50%
Disability Employment Service
PDRSS/PHaMS
Clinical mental health service
Age of par*cipants
2.60%
36.40%
37.70%
14.30%
6.50%
Under 25 years
26 to 35 years
36 to 45 years
46 to 55 years
56 to 65 years
Over 65 years
Not answered
Gender
67.53%
32.47%
Male Female
Country of origin
• 2 Indigenous participants • English not main language for 10 participants
Australia
Other English speaking country
Other non-‐English speaking country
Not answered
Housing
Stable (permanent and secure)
Unstable (temporary)
Not answered
Resides with
36.40%
36.40%
5.20%
19.50%
Alone
Family
Partner
Friends
Other adults
Not answered
Educa*on
53.20%
40.30%
Primary school
Secondary school
Post secondary school
Not answered
Employment
40
11
7
14
25
19
0
5
10
15
20
25
30
35
40
45
currently looking for work
Home du*es studying Volunteering Not currently looking for work
currently working
Hours worked 11
7
1
0
2
4
6
8
10
12
Less than 8 hrs per week 8-‐16 hrs per week 31-‐40 hrs per week
13 casual employees, all looking for more stable positions &/or more hours
Last employed
25.7%
36.4%
21.0%
9.0%
within 12 months
12 months -‐ 5 years
5-‐10 years
10 years plus
Reason len last job
14.50% 5.20%
36.80% 10.50%
33.00%
Terminated/"Let go"
Redundancy/Restructure
Health reasons
Short-‐term posi*on
Not answered
DES clients
DES client not DES client not answered
Self defined diagnosis
20.70%
32.40% 44%
2.60% 5%
2.60% 5%
Psycho*c
Anxiety
Mood disorder
Substance use
Personality
Sleep dosorder
Other mental disorder
Treatment
81.50%
57%
35%
62% Used GP
Clinical case manager
Community mental health service
Private psychiatrist / psychologist
Hospital admissions
18.60%
17.50% 11.40%
17.10%
2.90%
Within 0-‐3 months
Within 3-‐12 months
Within 1-‐3 years
Within 3-‐10 years
Over 10 years
56% have been admitted for mental health related issues
Difficul*es faced as a result of mental health issues
0% 10% 20% 30% 40% 50% 60% 70%
difficul*es with paren*ng, caring or home du*es
difficul*es with work
leisure ac*vi*es
rela*onships
finances
volunteering, community ac*vity
HOPE par-cipants
• “Best program I’ve ever done, and I’ve done lots”
• “It wasn’t as bad as I thought it was going to be” • “I think the program’s going to pay dividends”
• “Makes you think about things you haven’t thought about”
• “focus on the posi*ve side of life” • “tools to explore yourself” • “problems are explainable, not consumed by inner
turmoil. Quan*fies them in op*mal health wheel”
… at the final session
• “I know more about myself” • “I learned something and gained from it”
• “I’m coping with situa*ons and not getng stressed”
• “Wri*ng stuff down helps” • “More physically ac*ve” • “peer educator is great!”
For further informa-on about LEAP/HOPE, please contact:
Caitlin McDowell
LEAP Project Coordinator Social Firms Australia Lon 10, 49 Smith Street
Fitzroy VIC 3065 Ph) 9445 0373 M) 0403 616 247 caitlin@socialfirms.org.au
www.socialfirms.org.au
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