What is a learning disability? Abstract ideas Transferring learning between contexts Day one A multi-tasking world The ‘Them and Us’ perspective The need for a precise fit Vocational profiling Employer engagement Job analysis and job carving Job coaching Natural support Maintenance Resilience DWP ODI Department of Health Department of Education Inclusion Local Government Association Beyer S and Robinson C (2009) A Review of the Research Literature on Supported Employment Beyer, S., Kaehne, A., Grey, J., Sheppard, K. and Meek, A. (2008) What works?- Transition to employment for young people with learning disabilities. Chippenham: Shaw Trust. http://www.shawtrust.org.uk/files/shaw_trust_summary_report.pdf Beyer, Melling and Kilsby (2012) Supported employment for people with learning disabilities in the UK: the last 15 years. Tizard Learning Disability Review, 16, 2, 23-32. Beyer, S. (2012). The progress towards integrated employment in the UK. Journal of Vocational Rehabilitation Beyer S and Kilsby M (2011) A Financial Cost: Benefit Analysis of Kent Supported Employment (A Framework for Analysis) Beyer, S. Goodere, L. and Kilsby, M. (1996) The Costs and Benefits of Supported Employment Agencies: Findings from a National Survey. Employment Service Research Series, No. 37. London: Stationery Office. Beyer, S. (2012) The Impact of Agency Organisation and Natural Support on Supported Employment Outcomes. JVR, Volume 36, Number 2, 109-119. Bond, G. R. (2004). Supported employment: Evidence for an evidence-based practice. Psychiatric Rehabilitation Journal, 27, 345359. Bond, G., Drake, R. and Becker, D. (2008). An update of randomized controlled trials of evidence-based supported employment, 31(4), 280-290. Brown, L., Shiraga, B. and Kessler, K. (2006). The quest for ordinary lives: the integrated post-school vocational functioning of 50 workers with significant disabilities. Research and Practice for Persons with Severe Disabilities, 31(2):93-121. Carter, E.W., Austin, D. and Trainor, A. (2011). Factors associated with the early work experiences of adolescents with severe disabilities. American Journal of Intellectual and Developmental Disabilities, 49(4), 233-247. Cimera, R.E. (2007). The cumulative cost-effectiveness of supported and sheltered employees with mental retardation. Research and Practice for Persons with Severe Disabilities, 32(4), 247-252. Cimera, R.E. (2010). National cost efficiency of supported employees with intellectual disabilities: 2002-2007. American Journal of Intellectual and Developmental Disabilities, 115, 19-29. Chesnut, R.M., Carney, N., Maynard, H., Mann, N.C., Patterson, P. and Helfan, M. (1999). Summary report: evidence for the effectiveness of rehabilitation for persons with traumatic brain injury. Journal of Head Trauma Rehabilitation, 4(2), 176-188. Coutts, P. and Riddell, S. (2012) Employers’ Views of Supported Employment for Disabled People in Scotland. University of Edinburgh: Centre for Research in Education Inclusion and Diversity. Daston, M., Riehle, E. and Rutkowski, S. (2012) High School Transition that Works: Lessons Learned from Project Search. Baltimore, MD, Paul H. Brookes Publishing Co. Drake, R. & Bond G. (2008). The future of supported employment for persons with severe mental illness. Psychiatric Rehabilitation Journal 1(4),367-376. Gidugu, V. and Rogers, E. S. (2012). Review of Employment Services for Individuals with Intellectual and Developmental Disabilities: A Comprehensive Review of the State-of-the-Field from 1996–2011. Boston: Boston University, Sargent College, Center for Psychiatric Rehabilitation. Hart, T., Dijkers, M., Whyte, J., Braden, C., Trott, C. and Fraser, R. (2010). Vocational interventions and supports following job placement for persons with traumatic brain injury. Journal of Vocational Rehabilitation, 32 (3),135-150. Howlin, P. , Alcock, J. and Burkin, C. (2005). An eight year follow-up of a specialist supported employment service for high-ability adults with autism or Asperger’s syndrome. Autism. 9(5), 533–549. Inge, K., Wehman, P., Strobel, W., Powell, D., and Todd, J. (1998). Supported employment and assistive technology for persons with spinal cord injury: Three illustrations of successful work supports. Journal of Vocational Rehabilitation, 10, 141-152. Jahoda, A., Kemp, J., Riddel, S. and Banks, P. (2008). Feelings about work: a review of the socio-emotional impact of supported employment on people with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 21(1), 1- 18. Luecking, R.G. (2009). The way to work: how to facilitate work experiences for youth in transition. Baltimore, MD, Paul H. Brookes Publishing Co. Luecking, R.G. (2011). Connecting employers with people who have intellectual disabilities. American Journal of Intellectual and Developmental Disabilities 49(4),261-273. Mank,D., Cioffi, a. and Yovanoff, P. (2000, December). Direct Support in Supported Employment and Its Relation to Job Typicalness, Coworker Involvement, and Employment Outcomes. Mental Retardation: 38,(6) 506-516. Mank,D. and Grossi, T.A. (2013 ) Employment: Renewed Investments. INCLUSION AAIDD, Vol. 1, No. 1, 7–16. McGaughey, M. and Mank, D. (1999) Empirical evidence of systems change in supported employment. http://www.worksupport.com/main/downloads/article4.pdf Ottomanelli, L., Goetz, L., McGeough, C. , Suris , A., Sippel, J., Sinnott, P., et al. (2009). Methods of a multisite randomized clinical trial of supported employment among veterans with spinal cord injury. Journal of Rehabilitation Research & Development, 46(7), 919-30. Ottomanelli, L. , Goetz, L., Suris, A., McGeough, C., Sinnot, P., Toscano, R.,et al. (2012). The effectiveness of supported employment for veterans with spinal cord injuries: results from a randomized multi-site study. Archives of Physical Medicine and Rehabilitation, 930(5),740–747. Ann Purvis, Lauren Small, James Lowrey, Danielle Whitehurst, Malen Davies (February 2012) Project SEARCH Evaluation: Final Report (Centre for Economic & Social Inclusion) ISBN: 978-1-84947947-9 Schneider J. and Wistow, R. (2003) Users views on supported employment and social inclusion: A qualitative study of people in work. British Journal of Learning Disabilities, 31, 166-174. Symonds, P. and Luecking, R.G. (2013) Open employment in Australia. Journal of Vocational Rehabilitation, 38(3),215-222. Wehman, P. (2013). Transition from School to Work: Where are we and where do we need to go? Career Development for Exceptional Individuals-35th Anniversary issue, 36(1), 58 – 66. Wehman, P., Chen, C., Targett, P., West, M., and Cifu, G. (in press, 2013). Transition planning and postsecondary educational outcomes for youth with TBI. NeuroRehabilitation. Wehman, P., Inge, K. J., Revell, G., and Brooke, V. A. (2007). Real Work for Real Pay: Inclusive Employment for People with Disabilities. Baltimore: Paul Brookes Publishing Co. Wehman, P., Lau, S., Molinelli, A., Brooke, V., Thompson, K., Moore, C., et al. (2012). Supported employment for young adults with autism spectrum disorder: Preliminary data. Research and Practice for Persons with Severe Disabilities, 37(3), 1-10. Wehman, P. McDonough, J. , Schall, C., Molinelli, A.and Riehle,E. (in press). Project SEARCH implementation at high school level for youth with autism . Teaching Exceptional Children. Wehman, P., Schall,C., McDonough, J., Kregel, J., Brooke, V., Molinelli, A., et al. (2013). Competitive employment for youth with autism spectrum disorders: Early results from a randomized clinical trial. Wistow, R. and Justine Schneider, J. (2007) Employment support agencies in the UK: current operation and future development needs. Health and Social Care in the Community (2007) 15 (2), 128– 135. It has an international evidence base: Local authority disinvestment Austerity and a changing economy The presumption of employability Commissioning Quality and performance http://base-uk.org/knowledge/nationaloccupational-standards Braiding and connecting funding streams Personal budgets Pluss and its goals Gloucestershire CC and its goals Why we are presenting together The move to ‘personalise’ social care The current direction of travel (Valuing Employment Now, Right to Control, Caring for Our Future, Think Local, Act Personal, Sayce Review) Personal budgets and employment Pilots in Plymouth and Teignbridge Outcomes: o Teignbridge – 7 paid jobs at 7k each o Plymouth – effective transitions pathway developed Findings: o A fully individualised, intensive programme can produce better outcomes than traditional employment programmes. o The relationship with the individual changes from a “provider / service user” to “customer / provider” – in other words, the service is customer led. o The use of “Discovery methodology” to fully understand a customer was central to success. o Employers value continuity of support from a single of point of contact o Transparency around services and outputs are very important when operating in what is a retail environment o Building a robust presumption of employability is crucial with this cohort. Pluss has used the pilots to build a core programme of five service packages based on the principles of the DoE’s Valuing Employment Now: Introducing you to work Getting to know you You getting a job Job start and induction Maintain and monitor We have also developed a series of supplementary modules which include: Better off in work reviews Career development planning Job coaching Additional monitoring support Sector specific training As well as, not instead of, DWP programmes Potential links to mainstream provision The potential for braiding funding Austerity and changing economy Welfare reforms driving people to work People who haven’t been expected to work in the past will need to work in the future Population 897,000 Unemployed 10,000 Sickness benefits 18,000 People with Learning Disabilities 3,000 Number known to services 1,800 LD Social Care budget employment spend 1% Increased independence via empowerment Increased social circles Decreases risks of being a victim of hate crime Improves physical and mental wellbeing Improves levels of pride, dignity, confidence and self-worth 22 people into work = savings of £235k pa £4-5m over an average lifetime A young person going into services could cost up to £2m over their lifetime Presumption of employability Employment is discussed early on Employment services available to buy with personal budgets Robust system of support Clear employment pathway Strong network of partners 5/6 people spending personal budgets on employment services are now in full time employment 100 more people in work related activities People with learning disabilities in work 15.00% 10.00% 5.00% 0.00% 2012 = 5.9% 2013 - 12.3% More services for those with complex needs Personal budgets for intensive employment support packages Innovatively encourage people to work Develop a holistic approach to employment