Addressing the barriers to employment Maximising the role of Recovery Colleges JAMES KEMPTON ASSOCIATE DIRECTOR OF EDUCATION AND SOCIAL POLICY, CENTREFORUM [email protected].
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Addressing the barriers to employment Maximising the role of Recovery Colleges JAMES KEMPTON ASSOCIATE DIRECTOR OF EDUCATION AND SOCIAL POLICY, CENTREFORUM [email protected] Research Understand the barriers to employment for people with mental health problems Consider the role of recovery colleges in addressing these barriers by: (i) understanding their objectives in relation to employment; (ii) identifying what recovery colleges are actually doing; (iii) assessing their impact on employment outcomes; and (iv) considering if there is more recovery colleges could do. “UK employment rate hits highest level since records began” 28% of people of working age do not have jobs. 6% are economically active (ie available and actively searching for work). 22% are economically inactive (ie not available or do not want to work eg students, house wives/husbands). However 1in 4 people (rising) are economically inactive due to ill health For people with common mental disorders (depression or anxiety), 64% are unemployed. For people with severe mental illnesses (psychosis, schizophrenia), 95% are unemployed. The impact of unemployment is profound For individuals Achieving economic resources. Mental and physical health and For society wellbeing. Long term unemployment is very Recovery. costly to society. Social contacts and support. Mental health problems cost the UK economy £26 billion annually. Structure to day and purpose in life. Employment is a major driver of the social gradients of physical Develop skills. and mental health mortality. Social status. Recovery colleges: an educational approach R Perkins, J Repper, M Rinaldi and H Brown, ‘Recovery Colleges’, Centre for Mental Health and Mental Health Network NHS Confederation, 2012 A therapeutic approach Focuses on problems, deficits and dysfunctions An educational approach Helps people recognise and make use of their talents and resources Strays beyond formal therapy sessions and becomes the over-arching paradigm Transforms all activities into therapies –work therapy, gardening therapy etc Problems are defined, and the type of therapy is chosen, by the professional ‘expert’ Maintains the power imbalances and reinforces the belief that all expertise lies with the professionals Assists people in exploring their possibilities and developing their skills Supports people to achieve their goals and ambitions Staff become coaches who help people find their own solutions Students choose their own courses, work out ways of making sense of (and finding meaning in) what has happened and become experts in managing their own lives. Coverage In England, there are approximately 28 recovery colleges and many more in development. There are also recovery colleges in Europe, Canada, New Zealand and the United States Recovery Hope • Introduction to recovery • Understanding diagnosis courses • Mindfulness • Meditation • Effective communication Control • Telling your story • Taking back control • Living beyond an illness • Spirituality Opport unity • Returning to work or study • Five ways to wellbeing • Problem solving • Learning to be assertive • Future focus Courses relating to employment Number of courses offerred across 9 recovery colleges 18 16 14 12 10 8 6 4 2 0 Work readiness Education Skills Employability Course theme Discrimination Access Sustainability Case study – South West London & St George’s Recovery College Date opened September 2010 Mission statement The Recovery College uses a recovery based approach to help people recognise and develop their personal resourcefulness in order to become experts in their own selfcare, make informed choices about the assistance they need to do this, and do the things they want to do in life. Commissioning body Clinical commissioning group Students 1057 User profile (age, sex, Average age = 42.7 Female = 56%, male 44% ethnicity, disability 69% = White British 44% = schizophrenia etc) Number of staff Training background Number of courses 8 (4 professionals/4 peers) Occupational therapy, nurses, psychologist, social worker. All must take Preparing to Teach in the Lifelong Learning Sector (PTLLS) 51 Case study – South West London & St George’s Recovery College What are the course themes? How many are delivered that relate to employment? DNA Are any courses accredited? Has an evaluation been conducted? 2 Understanding mental health problems and their treatment. Rebuilding your life – the road to recovery. Developing knowledge and life skills. Educational courses. Getting involved with the Recovery College. 38% No Yes Recommendations Courses should be relevant and accessible to students at different stages of their recovery journey. Education and employment outcomes (achieved or progression towards) should be written into any recovery intervention. Recovery Colleges should offer signposting and progression routes to other education and employment focused interventions eg volunteering, IPS, FE college, HE. Recovery colleges should publish annual performance/impact data. There should be a national evaluation of the recovery college model. Both national and institutional level evaluations should review education and employment outcomes.