APSE PPT 2014_2 AS Additions

January 5, 2018 | Author: Anonymous | Category: Science, Health Science, Mental Health
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Building Bridges for Employment Presented by Andy Sink, Liam McNabb and Jill Dorsi, NYS Office of Mental Health Dan O’Shea, ACCES-VR & Crystal Collins, Northeast Career Planning/PROS on Broadway APSE Conference, May 2014

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Employment and Mental Illness •

78% of people who are diagnosed with a serious mental illness are unemployed (2006) • This rate is lower than for people with other disabilities (30% employed vs 22%) • Stigma and misunderstanding of mental illness present a significant barrier to employment 2

SAMSHA Employment Intervention Demonstration Program  5 year study of employment programs nationwide evaluated a variety of supported employment approaches  Most successful outcomes occurred when:  programs integrated mental health services with vocational services  focused on rapid placement into jobs of the person’s choice  collaboration between the support providers and the businesses employing the individuals Source: Supported Employment: a guide for mental health planning and advisory councils. www.samsha.gov 3

Through integration and collaboration multiple barriers to employment can be overcome

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Updates on Collaboration Efforts  Improved lines of communication between VR Counselors and PROS practitioners  Worked together to update PROS Guidance Documents for implementing ACCES-VR supports in combination with PROS Services

 ACCES-VR staff have presented at OMH Field Offices and with PROS providers and PROS staff have provided training to VR Counselors 5

What we discovered…  PROS is able to integrate mental health supports in conjunction with supports provided to people through ACCES-VR  Liaison connections between the PROS and ACCES-VR office are essential to seamless integration  How to coordinate ACCES-VR CRS Milestone Payments with PROS Ongoing Rehabilitation and Supports (ORS) 6

What is PROS?  Personalized Recovery-Oriented Services  Rehabilitation program with a treatment component

 Core Value: Recovery is a reality for people with severe and persistent mental illness  PROS provides individualized services and interventions to support employment  PROS Services and ACCES-VR Supports can work together to achieve employment goals

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PROS Services that can be used to support employment Intensive Rehabilitation Goal Acquisition Benefits and Financial Management Medication Management Intensive Relapse Prevention Basic Living Skills Structured Skill Development Clinical Treatment Services/Health Assessment

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Supporting PROS Participants who don’t have Medicaid  Lack of Medicaid coverage DOES NOT prevent a person from receiving PROS Services  Net deficit funding: PROS providers receive funding to offset providing supports to individuals without Medicaid  Sliding fee scales: PROS providers must charge for PROS Services but can use a sliding scale to make services affordable

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Managing Benefits to Support Employment  PROS Service: Benefits and Financial Management can provide information  Learn about SSI -budgeting protocol including PASS: Plan to Achieve Self Support IRWE: Impairment Related Work Expenses Medicaid Buy-in: Allows individuals to work and continue to access Medicaid health coverage  Hand-out: web addresses for more information 10

ACCES-VR MILESTONES & PROS ORS  How do the new ACCES-VR Milestone Supported Employment payments work with PROS ORS?  Assuring milestone payments are billed before any ORS (extended services) are provided

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Quality Outcome Payments  Incentive payment for providers  Bonus to provider for obtaining employment at higher hourly wage and/or more than 30 hours/week  Bonus payment and ORS: conflicts? 12

Coordinating Supports through “non-PROS” Agencies  What happens when a non-PROS agency provides ACCES Intensive Supports and a PROS provides ongoing supports?  Example: Putnam County

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Additional ACCES-VR Services  Education: college tuition and room and board; vocational training – Work Try-Outs (WTO) & On The Job Training (OJT)

 Career counseling & guidance  Rehabilitation & assistive technology  Assessment to identify skills, interests, abilities, and limitations  Job placement and job retention

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Best Practices: Northeast Career Planning  Identifying point person/liaison at ACCES-VR local office: makes collaboration easier and more effective  Referrals go both ways: PROS to ACCES-VR; ACCES-VR to PROS: identify barriers to employment and necessary supports  Invite local ACCES-VR office into PROS to share information with participants and practitioners  Providing ORS to people who don’t have Medicaid 15

PRINCIPLES INFORMING PRACTICE  For the first time, the OMH model of choice is a rehabilitation model  Implementing IPS and Supported Employment principles in your PROS is not only possible, it’s a must!  Unique opportunity for doing real rehab… 16

Overlapping Circles of Support  PROS and Supported Employment programs overlap  No wrong door of entry  PROS and ACCES-VR Services can be simultaneous

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Working together improves employment outcomes Evidence-Based Practice: IPS

PROS: ORS, IR, & CRS

On the Job Training & Worker Try-out

ACCESIntensive

EMPLOYMENT Education

Medicaid Buy-in

Benefits & Financial Management 19

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