1. Can we support recovery through employment? The evidence so far Andy Bell, 20 November 2014

2. Recovery in mental health Personal recovery: “building a life for yourself on your own terms, with or without symptoms of mental illness” Key elements: Hope for the future Control over your life (and treatment) Opportunity for a life outside of illness

3. Implementing Recovery ImROC project: joint initiative of Centre for Mental Health and NHS Confederation Mental Health Network Working with more than half of NHS mental health trusts since 2010: Direct support and advice Learning sets Briefings and online resources

4. Recovery oriented services: key features Peer support Recovery Colleges Safer inpatient wards Employment support Welfare advice

5. Employment 10% people using mental health services are in employment More than half would like to work (eg CQC surveys) Individual Placement and Support can achieve 50-60% work outcomes

6. IPS Key features of IPS: No exclusions, no compulsion Rapid, assertive job search based on preference Employment specialists co-located with clinical teams Benefits advice Time unlimited support in work

7. Evidence for IPS 17 RCTs internationally Outcomes 2-3 times better than traditional vocational services One third of participants become regular workers One third become occasional workers Strongest evidence of value for money in Early Intervention in Psychosis services

8. Southdown Supported Housing Provides employment support to Sussex Partnership NHS Foundation Trust 22 employment specialists working in clinical teams 1,200 clients a year (450 at a time) Last year helped 300 people into work

9. Benefits of employment Income Status: Valued social role Recovery: Opportunity for life outside illness Reduced hospital admissions over time

10. Why isn’t it available everywhere? FoI found more than half of NHS mental health trusts offer some kind of IPS service But links with Work Programme are poorly developed DH funded programme to fill the gaps: initially in Berkshire, Bradford and Lincs

11. New opportunities for IPS Evidence of effectiveness in addiction services (at CNWL) Piloting in prisons (West Midlands) Possibility of extending to primary care (IPS in IAPT)

12. Housing – the missing link? Having somewhere to live is key to getting work, eg for people leaving custody Housing First approach looks promising for those with multiple needs Prevention and early intervention also vital: eg to manage arrears and prevent homelessness

13. Thank you For more information: Contact andy.bell@centreformentalhealth.org.uk follow us @CentreforMH visit: www.centreformentalhealth.org.uk