Individual Placement & Support
(IPS)
Martin Dominy
Head of Mental Health Recovery Services
Southdown
Kate Bones
Director of Occupational Therapy & Recovery Practice
Sussex Partnership NHS Foundation Trust
An evidence based
supported employment
approach which aims to
enable people with severe
and enduring mental
health needs to gain and
maintain competitive
employment.
 Focus on competitive employment as a primary
goal
 Eligibility to the service Zero exclusion
 Rapid job search and minimal pre-vocational
training
 Integrated into the work of the clinical team
 Attention to client interests preferences
 Availability of time unlimited support
 Access welfare benefits counselling
 Employer Engagement
•
•
•
•
•
•
•
•
16 Randomised control trails internationally
IPS - 50% increase outcomes of other models
Dartmouth Research Centre USA
Principles and Fidelity framework
Centre for Mental Health
IPS Centre of Excellence Programme
NICE Guidance for Schizophrenia 2014
National Development Team for Inclusion
Commissioning Guidance 2014
• 80% of people with severe and enduring MH
needs want to work
• 55% would like active support to find work
• Only 8% of people with serious mental illness
being seen in secondary care are in work
• 80% of General Population – approx
• Compare to physical and sensory disability
employment rate of 48%
–
–
–
–
Sussex Area
population of 1.5 million, Trust supports 10,000 people with a
severe and enduring mental health problems each year.
28 clinical teams (including 4 early intervention and 4 additional
assertive outreach teams).
22 (20 FTE) Employment Specialists across the area, all employed
by Southdown, a local not-for-profit organisation, but attached to
& embedded in the clinical teams within the area.
Every community team has a vocational champion – usually an
Occupational Therapist
• Brighton and Hove have commissioned IPS
services since 2008
• East Sussex since July 2009
• West Sussex May 2010
• Contracted to support people with severe and
enduring mental health issues
• Annually supporting over 1138 people
• 450 at any one time
• 2013/2014 - Last years paid outcomes 298
• 2014/2015 - Target of 334 Paid Outcomes
• 12% increase expected
Rinadi, Miller & Perkins 2010
4 key barriers to implementation of IPS
• fear on the part of professionals, individuals
and their families;
• a culture of low expectations;
• a failure to provide the support that we know
works,
• the global ‘credit crunch’ recession.
The suggestion to engage with employment was a key
part of my recovery. If I’d waited until I felt ready to go to
work I might still be waiting, but since Dr D, and my OT
believed I could benefit from talking to the employment
specialist, then I was willing to try.
Person using employment support
• Tony Wilson, Policy Director at Inclusion
• ‘The Work Programme ……..is still a long way below
expectations for those who are on benefit because of a
health condition or disability. For this latter group, just
one in 25 participants is getting into sustained
employment within a year. There is no sign of any
improvement in performance for these participants,
and the nature of the Work Programme means that
lower employment is leading to fewer “outcome”
payments and in turn less funding being made
available. The government needs to look urgently at its
targets and funding rules for these groups.’