1. Moving Forward Project
Gillian Funai
Highly Specialist Occupational Therapist
____________
moving forward
Occupational Therapy
Service

2. Presentation Outline ____________ moving forward Introduction
Moving Forward Partnership
Referral criteria and process
Course Content
Outcomes
Predictors of Outcomes
Conclusion
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moving forward
Occupational Therapy
Service

3. Introduction ____________ moving forward
Initiated by Dundee Mental Health Occupational Therapy
Service in The aim was to develop a programme
to support adults with severe and enduring mental health
problems to make the transition from sheltered NHS
environments to education, training, employment or
voluntary work.
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moving forward
Occupational Therapy
Service

4. Original Project Partnership Funded by Mental Illness Specific Grant from 2004 to 2008
NHS Tayside Adult Mental Health Occupational Therapy Service
Employment Provider
Dundee College
Social Work Welfare Rights Dundee City Council
____________
moving forward
Occupational Therapy
Service

5. ____________ moving forward Funded by existing resources
Present Project Partnership
Funded by existing resources
NHS Tayside Adult Mental Health Occupational Therapy Service
Dundee College
Social Work Welfare Rights Dundee City Council
Invited Speakers or site visits
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moving forward
Occupational Therapy
Service

6. Service Aims and Objectives
To promote social inclusion, well being and independence
To develop services that promote recovery and support ordinary living including access to employment, education and leisure.
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moving forward
Occupational Therapy
Service

7. Referral Criteria ____________ moving forward Students will:
have begun to focus on their future developments
have successfully engaged in a structured activity programme in recent months
not currently be misusing drugs or alcohol
have the support of their NHS key-worker
be able dress and present themselves in a manner fitting for work
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moving forward
Occupational Therapy
Service

8. Process ____________ moving forward
Referrals from 4 CMHTs and Day Services
Screening and interviews carried out by OT
Successful interviewees attend 8 week course
Exit interviews
Post course support and case management
6 monthly reviews
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moving forward
Occupational Therapy
Service

9. Course Content ____________ moving forward Tues -1.30pm to 4.30pm
Coping with Change - Occupational Therapy
Wed- 9.30am to 12.30pm
Communicating with Confidence – College
Thurs pm to 4.30pm
Opening up Opportunities – Occupational Therapy and college
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moving forward
Occupational Therapy
Service

10. Coping with Change Occupational Therapy
Aimed at developing personal skills and self confidence.
Course covers:
goal setting
relationships and conversing with colleagues
strategies for stress management
stigma
exploring volunteering
assertiveness
getting on with other people
problem solving
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moving forward
Occupational Therapy
Service

11. Communicating with Confidence Dundee College
Aimed at developing key skills of:
reading
responding
listening and comprehension
group discussion
writing IT
exploration of educational opportunities
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moving forward
Occupational Therapy
Service

12. Opening up Opportunities Occupational Therapy and College
Discuss work opportunities with emphasis on skills development and graded return to work which includes:-
identifying transferable skills
writing CVs
training and volunteer opportunities
financial implications of work - Welfare Rights Service
site visits and guest speakers e.g. Dundee Volunteer Centre, Braes Riding for Disabled, Dundee Healthy Living Initiative, Learning Around and others
____________
moving forward
Occupational Therapy
Service

13. Welfare Rights Dundee City Council
Advice and information about:
income maximisation
‘better off’ work calculations
debt counselling
benefit appeals
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moving forward
Occupational Therapy
Service

14. Outcomes from 2004-2008 ____________ moving forward
Demographic data collected pre course
Data of exit plan activity which was coded by the occupational therapist who followed up clients
At point of discharge occupational therapist collected and coded the final outcomes of demographic and activity data
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moving forward
Occupational Therapy
Service

15. Outcomes from 2004 - 2008 ____________ moving forward
total of 9 courses
98 (100%) clients referred from Dundee’s
Community Mental Health Service
75 (76%) started the course
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moving forward
Occupational Therapy
Service

16. Outcomes from 2004 - 2008 ____________ moving forward
75 (100%) started the course
55 (73%) completed the course
47 (62%) engaged with post course follow-up
8 (11%) disengaged with post course follow-up
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moving forward
Occupational Therapy
Service

17. Outcomes from 2004 - 2008 ____________ moving forward
55 (100%) completed the course
47 (85%) engaged with post course follow-up and of these 47 (85%):-
23 (42%) achieved 1 vocational outcome
16 (29%) achieved 2 vocational outcomes
5 (9%) achieved 3 vocational outcomes
3 (5%) achieved 4 vocational outcomes
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moving forward
Occupational Therapy
Service

18. Employment Outcomes from 2004 - 2008
A total of 10 (18%) of individuals achieved an employment outcome. Their pathway to employment typically comprised of 3 to 4 outcomes to achieve this
Employment outcomes were enhanced by 3 (5%) from having additional funding from NHS Endowments to fund permitted work as a route to mainstream employment
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moving forward
Occupational Therapy
Service

19. Predictors of Positive Outcomes
Age – 46ys to 55yr had 78% engagement with
course and post course support
Contact with service – 3 to 5years was the optimum length of contact with 73% completing the course and still good results for those with 6 to 10 years at 71% but after 10 years this drops to 47%
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moving forward
Occupational Therapy
Service

20. Predictors of Positive Outcomes
Pre-morbid levels of education – with a significant
Percentage, 60%, educated to a minimum of an HND who
gained an employment outcome and 34% who had a
voluntary or educational outcome
Types of previous employment – with 59.5% of
individuals who gained an employment, voluntary or
educational outcome being previously employed in manual
semi-skilled jobs or higher
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Occupational Therapy
Service

21. Conclusion ____________ moving forward
This is an Occupational Therapy led recovery focused model which is under- pinned by case management and multi- agency working.
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moving forward
Occupational Therapy
Service

22. ____________ moving forward Gillian Funai
Highly Specialist Occupational Therapist
Community Mental Health Team 2
Wedderburn House
1 Edward Street
Dundee
Tel:
____________
moving forward
Occupational Therapy
Service