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