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IF YOU THINK WORK IS BAD FOR PEOPLE WITH SIGNIFICANT DISABILITIES,

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THEN WHAT ABOUT POVERTY, UNEMPLOYMENT, AND SOCIAL ISOLATION? ... AVOIDING LONG TERM UNEMPLOYMENT IS A BETTER OPTION THAN WAITING FOR AN IDEAL OR ... – PowerPoint PPT presentation

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Title: IF YOU THINK WORK IS BAD FOR PEOPLE WITH SIGNIFICANT DISABILITIES,


1
  • IF YOU THINK
    WORK IS BAD FOR PEOPLE WITH
    SIGNIFICANT DISABILITIES,
  • THEN WHAT ABOUT POVERTY,
    UNEMPLOYMENT,
    AND
    SOCIAL ISOLATION?

2
ALL CHANGE IS DIFFICULT NO MATTER HOW LONG YOU
PUT IT OFF.
  • ------ JOE MARRONE

3
  • JOE MARRONE
  • INSTITUTE FOR COMMUNITY INCLUSION
  • MAIN OFFICE BOSTON, MA
  • NW OFFICE
  • 4517 NE 39TH AVENUE
  • PORTLAND, OR 97211-8124
  • TEL 503-331-0687
  • HOME TEL 503-331- 0486
  • FAX 503-961-7714
  • EMAIL JM61947_at_AOL.COM
  • WEB WWW.COMMUNITY INCLUSION.ORG

4
  • I CANT UNDERSTAND WHY PEOPLE
    ARE FRIGHTENED OF NEW
    IDEAS IM
    FRIGHTENED OF THE OLD ONES.
  • JOHN CAGE, COMPOSER

5
VISION OF RECOVERYJOE MARRONE
  • RECOVERY MAY BE A JOURNEY
  • BUT IF YOU NEVER GET ANYWHERE,
  • IT CAN EASILY BECOME A TREADMILL.

6
VISION OF RECOVERY
  • SHOULD WORK,
  • NOT JUST
  • MEANINGFUL OR PRODUCTIVE ACTIVITY
  • BE AN ESSENTIAL PART OF RECOVERY VISION?

7
REMAINING UNEMPLOYED IS WORSE FOR YOU THAN BEING
EMPLOYED IS GOOD FOR YOU.AVOIDING LONG TERM
UNEMPLOYMENT IS A BETTER OPTION THAN WAITING FOR
AN IDEAL OR PERFECT JOB MATCH.
8
OUTCOMES THAT SHOULD BE SOUGHT IN COMMUNITY
SERVICES
  • BECOMING A BETTER PERSON AND
    SELF REALIZATION IS
    THE CONSUMERS RESPONSIBILITY.
  • HELPING PEOPLE GET EMPLOYED,
    GET HOUSING, STAY OUT OF HOSPITAL ( JAIL)
    AND REDUCE SYMPTOM IMPACT ARE
    STAFFS RESPONSIBLITIES IN PARTNERSHIP WITH THE
    PERSON.

9
  • LIFE LIVED WITHIN THE CONFINES OF THE HUMAN
    SERVICE REHABILITATION LANDSCAPE IS A LIFE IN
    WHICH THE FREEDOM TO BECOME MAKE YOUR OWN
    FUTURE IS DIMINISHED
  • PATRICIA DEEGAN
  • 20th World Congress Rehab International Oslo,
    Norway JUNE 2004

10
  • PEOPLE SAY TO ME
  • ISNT IT BETTER TO WORK 2-3 HOURS A WEEK
    AT SOMETHING A PERSON LIKES THAN
    15-20 HOURS WEEK (OR MORE)
    JUST TO MAKE A LIVING?
  • SIMPLE ANSWER NO
  • HOW DO YOU ANSWER THIS QUESTION FOR YOURSELF OR
    YOUR LOVED ONES?

11
THE REAL ISSUES TO WORRY ABOUT
  • DISCRIMINATION NOT STIGMA
  • BEHAVIOR NOT ATTITUDE
  • CITIZENSHIP/CIVIL RIGHTS NOT CONSUMERISM
  • POWER/CONTROL NOT CONSUMERISM
  • COMPETENCY NOT COURTESY
  • ECONOMIC ENGAGEMENT NOT VOCATIONAL PROGRAMMING

12
OUTCOMES THAT SHOULD BE SOUGHT IN
COMMUNITY SERVICES
  • Employment and educational outcomes
  • Housing outcomes
  • Course of illness, including hospitalizations
    distressing symptoms and/ or self - injurious
    behavior
  • Community participation/ citizenship
  • Income support
  • Client satisfaction with their own lives
  • Client satisfaction with services

13
OUTCOMES THAT SHOULD BE SOUGHT IN
COMMUNITY SERVICES
  • IS SELF SUFFICIENCY AND MOVING AWAY FROM PUBLIC
    ASSISTANCE A REASONABLE GOAL?

14
  • IF PEOPLE
  • CAN WORK
  • PEOPLE
  • SHOULD WORK

15
  • IT IS NEARLY IMPOSSIBLE TO MAKE
    YOUR OWN FUTURE
    WHEN YOU ARE NOT PART OF
    THE
    ECONOMIC FABRIC OF THE
    CULTURE YOU LIVE IN
  • PATRICIA DEEGAN
  • 20th World Congress Rehab International Oslo,
    Norway JUNE 2004

16
Ships are safe in harbor,but that is not what
ships are built for.
  • ------ Anonymous

17
UNEMPLOYMENT IS BAD FOR YOU !!!
18
MH SYSTEMS /EMPLOYMENT FIGURES 2004
19
REMAINING UNEMPLOYED IS WORSE FOR YOU THAN BEING
EMPLOYED IS GOOD FOR YOU.AVOIDING LONG TERM
UNEMPLOYMENT IS A BETTER OPTION THAN WAITING FOR
AN IDEAL OR PERFECT JOB MATCH.
20
Dooley, D., Fielding, J., Levi, L. (1996).
Health and unemployment. Annual Review of
Public Health
Bruffaerts, R, Sabbe, M., Demyttenaere, K. (2004)
Effects of Patient Health-System
Characteristics on Community Tenure of Discharged
Psych Inpatients Psych Serv 55685-690, June
2004-- increases in rehospitalization
Kasl, S. V., Rodriguez, E., Lasch, K. E.
(1998). The impact of unemployment on health and
well-being. In B. Dohrenwend, (Ed.).
Adversity, Stress and Psychopathology
Lennon, M. C. (1999). Work and unemployment
as stressors. In A. Horwitz, T. Scheid,
(Eds.). A Handbook for the Study of Mental
Health Social Contexts, Theories and Systems
21
Dooley, D., Catalano, R., Hough, R.
(1992). Unemployment and alcohol disorders in
1910 and 1990 Drift versus social causation.
Journal of Occupational Organizational Psych
----- increases alcohol use Linn, M. W.,
Sandifer, R., Stein, S. S. (1985). Effects of
unemployment on mental and physical health.
American Journal of Public Health ---- increases
in anxiety Dooley, D., Catalano, R., Wilson,
G. (1994). Depression and unemployment Panel
findings from the Epidemiologic Catchment Area
study. American Journal of Community Psychology
----- increases in depressionWarr, P.B.
(1987).
Work, unemployment
and mental health.
Clarendon Press, Oxford
22
Murphy, G.C. Athanasou, J.A (1999). The
Effect of unemployment on mental health.
Journal of Occupational and Organizational
Psychology--- large effect size for employment
positive, smaller effect size for unemployment as
bad. Darity, W.A. (2003). Employment
Discrimination, Segregation, and Health.
American Journal of Public Health--- bouts of
unemployment lead to lower self esteem, lower
motivation Darity, W.A. (1999). Who Loses from
unemployment. Journal of Economic Issues---
cross national data greater spousal abuse and
suicide Winefield, A.H., Tiggemann, M.,
Winefield, H.R., Goldney, R.D. (1993). Growing
up with unemployment A longitudinal study of its
psychological impact.--- youth with similar
characteristics in school after long term
unemployment more depression and anxiety
23
SIDE EFFECTS OF UNEMPLOYMENT IN THE GENERAL
POPULATION
  • Increased substance abuse
  • Increased physical problems
  • Increased psychiatric disorders
  • Reduced self-esteem
  • Loss of social contacts
  • Alienation and apathy
  • Warr, P.B. (1987), Work, Unemployment and Mental
    Health, Clarendon Press, Oxford

24
  • WHAT DRIVES ME UP THE WALL IS THE INTENTIONAL
    TEACHING OF FEAR OF HAVING ANY KIND OF MEANINGFUL
    LIFE BECAUSE YOU WILL DECOMPENSATE OR
    YOU ARE STRESS
    SENSITIVE. THE MOST STRESSFUL THING
    IN THE WORLD IS BEING A COACH POTATO WITH NOTHING
    TO DO, NO
    WHERE TO GO, AND
    NO ONE TO TALK TO.
  • ED KNIGHT, PH.D.

25
THOMAS EDISON
  • RESULTS!
  • WHY, IVE GOTTEN A LOT OF RESULTS.
  • I KNOW SEVERAL THOUSAND THINGS THAT WONT WORK.

26
Poverty Rates
Source CPSBurkhauser et al, 1999
27
Employment Rates of People with Psychiatric
Disabilities
  • In 2004, 28.5 of people with mental health
    disabilities were employed
  • In 2004, 37.5 of people with any disability were
    employed
  • In 2004, 77.8 of people without a disability
    were employed
  • Source Houtenville 2006 Disability Status Report

28
Full-Time Full Year Employment
  • In 2004, 14.2 of people with mental health
    disabilities were employed compared to 22.4 of
    people with any type of disability and 56.2 of
    people without disabilities.
  • Median income for people with mental health
    disabilities was 26, 400 in 2004 compared to
    30,000 for people with any disability and 35,000
    for people without a disability HOWEVER
  • Median HOUSEHOLD income for people with mental
    health disabilities was 28,200 compared to 34,300
    for people with any disability and 60,000 for
    people without a disability.
  • Source Houtenville, 2006, 2004 Disability Status
    Report

29
Poverty Rates by Disability
  • In 2004, people with mental health disabilities
    had a poverty rate of 30 compared to 24 for
    people with any type of disability and 9.1 for
    people without disabilities.
  • People with mental health disabilities have the
    highest rate of poverty than any other disability
    group listed in the American Community Services
    dataset from the U.S. Census.
  • Source Houtenville, 2006

30
THE FIFTH DISCIPLINEPeter Senge
ASOHS DEFENSE
31
Clearview Employment ServicesA program of
Columbia River Mental Health Services
32
What activities and services best deliver
employment results?
  • Easy Access to Services
  • Open Orientations
  • Rapid assignment to Employment Specialist to
    develop a vocational plan
  • Assumption of readiness
  • Coordination of Services
  • Meet with Case Managers, Therapists, Doctors,
    Nurses etc.
  • Other systems DSHS, DVR, Corrections, DA
    counselors, DDD, WorkSource

33
What activities and services best deliver
employment results?
  • Individualized Approach
    Person Centered
    Planning/Rally
  • Focusing on Preferences, Contributions,
    Conditions for Employment
  • Career Exploration
  • Informational Interviews
  • Tours
  • Job Shadows
  • Volunteering
  • Supported Education
  • Community Based Assessments/
    Situational Assessments

34
What activities and services best
deliver employment results?
  • Supported/ Customized Employment
  • Job Carving
  • Job Coaching
  • Job Retention
  • Self Employment
  • Braided Funding
  • Services to Employers
  • Job Analysis
  • Identifying Natural Supports
  • Meeting the Employers needs
  • Diversity Training
  • WorkSource Business Services Unit
  • On-The-Job Training

35
What activities and services best deliver
employment results?
  • Supported Education
  • Individualized Plan to obtain career goals
  • Tours/coaching at the Schools
  • Assistance to obtain financial aid
  • Coordination with Disability Support Services
  • Utilizing Individual Training Accounts - WIA
  • Peer Services (40 of Clearview Staff self
    identify as having MH issues)
  • Human Services Training (Intro to Peer
    Certification Training)

36
Develop Partnerships and Access Community
Resources
  • Transportation
  • Work Incentives
  • Financial Assistance
  • Clothing Resources
  • Housing Resources
  • Training
  • Education
  • Child Care

37
What Employment Services are being Provided?
38
(No Transcript)
39
Working For Success
5 year grant from DOL ODEP serving consumers
with disabilities - working in conjunction with
Workforce System community partners - provide
employment to Olmstead type clients.
2 OBJECTIVES 1 System Change through Policy
Change, Advocacy, Education 2 System Change
through Direct Service
40
  • Self Employment Plan
  • Business Plan
  • Everyone contributed to the plan
  • Outside Resources were developed
  • Joint Marketing for the Business with the Team

41
Braiding Funding!!
  • Beas Example
  • Bea Received Clerical Training from DVR
  • Employer Received On-the-Job Training funds from
    WorkSource (Clearview WorkSource worked with
    the employer)
  • Bea received job coaching support from Mental
    Health Services On and Off site support

42
Hope Vocations Progress
Dept of Education/ RSA grant to assist
homeless individuals to become employed
rebuild their lives
  • GOALS
  • Develop Stronger Partnerships with Transitional
    Housing and Shelters
  • Assist individuals who are currently in need of
    housing and employment assistance
  • Learn Peoples stories
  • Human Services Training

43
Description
  • Use Peer Support Counselor located at YW Housing
    and Share Inc. to identify, engage and assist
    participants
  • Develop a person centered
    employment and career planning process
  • Emphasize rapid job entry and wraparound planning
    and support
  • Provide Individual Job Development

44
Whats Working...
  • Easy Access to Services
  • No Preconceived Perceptions of population
  • Providing results quickly
  • Individualized Services
  • Utilizing WorkSource
  • Staff that are knowledgeable of the community,
    services and resources
  • Partnerships between programs

45
(No Transcript)
46
Thom HartmanADD, An Alternate View
  • I am not inattentive,
  • you are just boring.

47
John Galbraith
  • Given a choice between changing and proving that
    it is not necessary,
  • most people get busy with the proof.

48
JERRY GARCIA
  • SOMEONE HAS TO DO SOMETHING AND ITS PRETTY
    PATHETIC ITS GOT TO BE ONE OF US
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