Employability and Health
-An Integrated Approach
Stirling Council
and
Stirling CHP
Background
• Partnership established in 2004 - Development of
an Employability and Health project through the
European Equal Programme (Well Connected)
• The Fit for Work European Partnership
• ‘Beyond Equal’ - Mapping and Assessment of
Health and Employability Networks
• New Council Employability Service created in
2007 through mainstream funding
• An Integrated Approach - Stirling CPP Fairer
Scotland Fund (2008)
The Employability Service was created to support
individuals who have disabilities, learning difficulty,
mental health problems or other health-related
conditions
Current breakdown of service users
• 32% Learning Disability
• 28% Mental Health
• 15% Health Conditions
• 14% Physical Disability
• 8% ASD
• 3% Sensory Impairments
(Based on current caseload of 153 individuals)
Current Developments
• Social Return on Investment Study
• The Supported Employment Framework for
Scotland - Stirling Demonstration Site
• New ESF Priority 5 - Stirling’s Employability
Pipeline
Our Partnership Vision of Health
and Employability
“ The physical, psychological and
social aspects of work as they relate to
health and wellbeing”
Our Focus
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Inequalities
Clarity and Realism of Purpose
Ownership and Commitment to Joint Learning
Building Evidence of What Works
Assets and Solutions, Person Centred
Integrating Policy Strands
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Equally Well, Change Programme
Anticipatory Care, Keep-well Stirling
Long Term Conditions
Community Planning Priorities
Well Connected
KEY LEARNING POINTS
WELLCONNECTED PROJECT
•The importance of the team approach when working with this
client group and of the skill mix of the team to providing a range
of skills from Employment services and Health.
• The need for a robust Partnership agreement.
• The need for staff to remain connected to their original service to
remain updated on relevant clinical or service developments.
• The need for flexibility of time spent with clients and location in
which they are seen, particularly with the more debilitated clients.
• The need for staff to be experienced in their field and have good
networking skills and local service knowledge.
• The benefit of direct access to some health services (which was
not a feature of this project).
Challenges for Joe!
Now, please turn to your colleague sitting next
to you and discuss this question for a minute.
What are the challenges in working
with people with complex health
conditions and barriers, who aspire
to, including sustaining work?
Supported Employment Model
Supporting the aspirations towards
employment
Engagement
By Service
Vocational
Profiling
Job Finding
Employer
Engagement
Helping people
with disabilities
and Health
conditions most
distanced from
the labour
market to make
informed decisions
on their own future
Identifying skills
and preferences for
work, giving work
experiences that will
help the individual
make their own
vocational choices
Identifying the
preferred job
through
employer
engagement,
also providing
support to the
employer
Finding out about
The workplace
Environment, coWorkers and the
‘supports’ a person
might need
On/Off the
Job Support
and Aftercare
Providing help,
Information and
backup to the
employee and their
employer, developing
independence through
natural supports in
the workplace and
addressing career
progression in due
course
Engagement
By Service
Vocational
Profiling
Job Finding
Employer
Engagement
•Client Journey
Engagement
By Service
•Challenges
•Susan’s Journey
Vocational
Profiling
On/Off Job Support
and Aftercare
Engagement
By Service
Vocational
Profiling
Job Finding
Employer
Engagement
On/Off Job Support
and Aftercare
Making sense for Susan-Case formulation
Maintenance Cycle 3
Maintenance Cycle 1
•Lack of purpose/routine/work in
my life.
Presenting Problem
Depressive symptoms
•Too much time to think on my
problems.
•Leads to avoidance behaviour.
•Reduces my motivation.
•Leads to isolation.
Maintenance Cycle 2
•Past and present life events have
shaped certain rules and beliefs
that I have about myself.
• self-critical/blame.
• I am not good enough person.
•people are more needy than me.
Poor management of multiple
Health conditions
Environmental stress.
Low self-worth and low value.
Anxiety.
Lifestyle factors.
Susan’s Strengths
“I have worked most of my life”
“Most of my life I have coped”
“I have managed my diabetes, asthma in the past”
•Growing up gave me certain coping
strategies, yet these coping
strategies also make me vulnerable.
•Not trusting people to help.
•Not asking for help, when I need it,
•People perception-”strong” “able”
•Not seeing my needs
Maintenance Cycle 4
•Lots of people in my life come to
me to sort out their problems.
•Put peoples needs before mine
•As people expect it, its difficult to
say no
•Feel overwhelmed with demand
Engagement
By Service
Vocational
Profiling
Job Finding
• Clients Journey
On/Off Job Support
and Aftercare
• Challenges
• Early Intervention
Employer
Engagement
On/Off Job Support
and Aftercare
Engagement
By Service
Vocational
Profiling
Job Finding
Employer
Engagement
Future Development
• Learning
• Keep well Health Checks
• Mental Health Services
On/Off Job Support
and Aftercare
Future Development
Health and Employability Pathway - Blueprint
Stakeholders
Engagement
By Service
Vocational
Profiling
Employer
Engagement
Job Finding
On/Off Job Support
and Aftercare
-Job Centre +
-Carers
-Employability
Network
-Clients
-Employer
-Core services
-Keep well
AX/
Screening
Health Check
HADS
LAZER
-Community
Partners
-Gp’s
-Primary care
services
Client centred planning
Psychological
Intervention
Initiate Self-care Health
and Employability Baton
Change Lifestyle
Factors
Partner with CORE
Services
Exercise Scheduling
Social Prescribing
Complex Job Analysis
Functional Capacity
Evaluation
CORE
WHEEL
Social Stressors
support e.g. Housing
Initiate Condition
Management
Health Pathway
-LTC Partner
Network
-HR/Occ. Health
Education/
Support Employers
Partners
Health and Employability Pathway- Blueprint
Engage person in longterm supports