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Mental Health Supported Employment Assessment Answer

BA Education and Social Services

X7437 Specialist Pathway 2019-20



Welcome to the Specialist Pathway module.

Your module leader is Dr Trish Hafford-Letchfield, Professor of Social Work Email: Trish.hafford-letchfield@strath.ac.uk Work tel: 0141 444 8656

This guide provides an overview of the aims of this module and its intended learning outcomes. I look forward to working with you.

The module is comprised of eight 3-hour workshops, each covering a range of topics which build your knowledge and skills in relation to policy and practice with different service user and carer groups. These will address interdisciplinary and practice issues to support you to deepen your knowledge and skills in meeting the specific needs of people in a range of targeted services across the lifespan.

This guide provides an outline of the learning and teaching programme for each workshop. Each workshop has essential reading and recommended reading. You will also be asked to undertake some additional tasks which may involve individual students working together in undertaking some independent research such as reading and preparing material to share with your peers. As the module progresses you will be preparing for your own assignment which is focused on a service user group of your choice. This will also require some independent research and reading in relation to a range of policy, evidence and debates informing practice with your chosen service user group.  The module leader will provide advice and guidance as the module progresses and for each workshop.

This module offers an opportunity for students to develop their knowledge further in relation to a number of different areas of practice and in working with specific service user and carer groups. The disciplinary/practice focus will support depth of learning in relation to the chosen service user group.

  • : Demonstrate a detailed understanding of the nature of service delivery for specific service user groups.
  • : Demonstrate a detailed understanding of the needs of a particular service user group in relation to their environment.
  • : Critically analyse the effectiveness of practice within the chosen service delivery area and the extent to which it is supported by research evidence.
  • : Demonstrate a detailed understanding of the range and significance of approaches for evaluating service user outcomes. 5 : Demonstrate and evidence understanding of macro policy and micro practice in relation to the chosen service user group 6 : Demonstrate and evidence understanding of the challenges of integrated working for the chosen service user group

Outline of Module

The module will introduce students to theories and discourses of care throughout the lifespan. We will consider how research impacts on practice and the importance of critical reflective practice and evaluation of care practices and how these are organised and delivered.

The module will have a strong theme in relation to co-production and collaboration.

  • Discourses of care, key concepts and an examination of the changing nature of care, its context, and organisation in the policy, political and socio-economic environment.
  • Working with young people and their families including children looked after away from home.
  • Working with transitions in care
  • Disability, empowerment and co-production
  • Challenges of ageing and ageism in care services
  • Integrated practice and whole systems approaches to strengthening service responses to social problems
  • Developing and improving skills in consultation, supervision and decision-making to improve outcomes for service users and carers.

Method of Delivery

Using a workshop format, each session will involve short lectures, small group work. There will be student led input, research and case study analysis.  The tutor will encourage skills practice and provide assignment tutorials.

Outline of Module

The module will introduce students to theories of discourses of care, public policy, service user and carer perspectives

Students will analyse and investigate case studies of policy and practice development in their chosen context supported by independent research.

Methods of Delivery

Workshops comprising short lectures, small group work, case study analysis, student informal presentations following independent research, tutorial, case study analysis.

Independent study: constitutes an important mode of learning on the module. You are expected to read widely between teaching sessions and to think critically about what you read. Essential (required) readings and other readings are listed with each workshop outline. There is no expectation that you read every text on the list or that you restrict your reading to listed texts. You are encouraged to undertake your own relevant reading in relation to the topic.

The essential readings are available on MyPlace. You should read these texts before each workshop and complete any tasks that have been set. Alongside books, you should consult journals and online resources. We give some suggestions for each session. We also recommend additional introductory readings for the module. Please speak to the module convenor if you have trouble accessing resources or would like additional suggestions for reading.

The workshops will be interactive to encourage and facilitate cross disciplinary learning and to build opportunities for students to share their own specialist expertise and experiences.

Students are expected to take an active role in their own learning by ensuring they prepare for the workshops and by actively contributing during sessions and through myplace discussion forums.

Assignment Guidelines

Formative – throughout the module there will be tasks to complete for upcoming sessions including peer review. Although these will not be marked there is an assumption that the student will use these activities to aid the writing of their assignment and their progression.

Summative  Final Assignment

Students will undertake a 3,000 word written assignment.

This assignment will provide a profile of service delivery specific to the specialist pathway chosen by the student and relevant to the module curriculum. You are asked to critically analyse this and identify a potential area of service development. Service user/carer narratives and perspectives should be used where appropriate.

The assessment will draw on policy and analyse current published research in relation to the specialist topic selected. 

Arrangements for Submission

You should submit your assignments through the assignment submission on myplace by due date. All assignments automatically go through turnitin in the first instance so consider how to avoid accidental plagiarism. Under no circumstances may you submit any part of a previous assignment, this is considered self-plagiarism. Similarly quotes from published work must be appropriately referenced otherwise it will be considered plagiarism.

When submitting your assignment on myplace a two-step process is required. First check your assignment for originality using the link to turnitin, you can submit more than once to turnitin so if the originality report has a high grading then please redraft your assignment and submit again. Turnitin is opened until assignment due time but please note that there are times when it can get very busy and the reports can take a while to be produced. It is recommended that you do not leave the checking of your assignment until the last minute. You then must submit your final assignment for marking via the myplace assignment submission button. By clicking the submit button you are declaring that the assignment is all your own work and there are no unacknowledged contributions from others.

Grading

A minimum of 40% for the summative assignment is required to pass this module.

Your assignment grade will be returned to you via myplace in due course. The feedback you receive at this stage is provisional. Please note that a sample of all cohort’s submissions will be forwarded to the external examiner for review. Final recommendations will be made at the meeting of the Board of Examiners, who will ratify the grades. Only after this process is complete will your assignment grade be confirmed.

Please note that 10% of the total marks available for can be deducted for poor quality of language, punctuation, spelling and grammar, over and above the specified content. Poor use of language, punctuation, spelling, grammar and referencing throughout an assignment can affect your grade.

Answer

Mental health supported employment

Introduction  

For any organization, the improved individual outcomes would be correlated to the mental soundness and alertness with correcting the mental ill-health and having a positive influence on the individuals' wellbeing.  Due to the active organization involved in improving mental health, it has also significantly contributed to the financial benefits to society. Within Scotland, there has been a low ratio of the employment rates of approximately 39% in 2016. Due to this, the mental health and care organization has been increasingly involved as a response to offering services to support individuals having a mental ailment with the health back into employment.  

As per the Scottish Association for Mental Health (SAMH), it has been commissioned to support and provide an Individual and Placement Support (IPS) which can help to balance the individuals with the severe and enduring mental health conditions that can help in securing and sustaining the paid employment (Elliott, 2017). Through this assignment the purpose is to understand the mental health problems within the employment and how through the special pathways it can help to overcome the problem. Through the active peer support, co-production and understanding the framework of the SAHM can help to identify solutions to the pre-requisite problems.

Specialist pathway module learning outcomes

The Scottish government is very particular on health priorities and has agreed on six public health priorities in June 2018 intending to ensure healthy citizens across Scotland and to work towards the improvement of life expectancy and better lives of citizens (Harner, 2019). This has also led to the improvement of mental health and people in Scotland have good mental wellbeing.  While mental wellbeing is more a feeling wherein one feels good and function in an effective manner, this leads to a better society as citizens feel good about themselves and thus could take care of their families leading to a happy society and thus creating an overall positive impact which is good for them and the society and ultimately the country. For a good mental well being, education is an important tool that makes an individual rationale in his thoughts and he becomes logical and understanding.

Certain strategic priorities for ensuring better mental wellbeing are improved access to information and advice, support for self-management and improved access to services. While the Scottish government is duty-bound to provide these, Integrated Care Pathway also aims to support this by assessing the support and services required by the elderly. They have different models for different categories it starts with lessons of self-help wherein people are taught to help themselves in a situation of stress. While the second layer would be for any urgent help require and would consist of front line services and this would consist of volunteers and self-help referrals. Another segmentation would be community-based care and consists of treatment for those with more severe problems and next would be hospitalization for more acute ailment and treatment required.   

(Source Brown,2017)

As per the findings of the economic impact that is linked to the IPS, service has been provided by the SAMH and it is linked with the two scenarios-:

• IPS scenario-: it involves the active service users that have been extensively been supported by the employment through the IPS employment specialists. It includes the IPS service that has been adapted for the needs of people that can include the mental health conditions to relate to the employment outcomes.

(Source Brown,2017)

• Alternative scenario-: It involves the service users which can provide access to the traditional vocational schemes and there can be support to the employment. As per the given assumptions it would be linked to the relatively lower employment outcomes (compared to the IPS).


Key legislative and policy context and  having  relevancy

The Scottish Borders Health & Social Care Partnership 2017 sets out the framework for the activities and services deliverables and design them to improve the mental wellbeing and health for all the citizens (Elliott, 2017). The legislative and the policy context strategy is part of a wider program which offers a range of health and social care benefits and is part of a vision to promote good mental health and wellbeing,  increase awareness and protect and support people with mental health issues and inspires them and all to lead a healthy and happy life.  It is also important to promote the culture of family bonding and promote a feeling of being related to one's own family.

As per the specialist pathway, the guidance to form the link in between the two scenarios and drivers can be helped to relate with the IPS are linked to be-:

- Employment outcomes-: To understand the alternative services are linked with the specific needs of the users, and it would be attributed to the lower number of service users which can be found to secure employment. It covers the accounting benefits for this and it engages the stakeholder groups which would be dependent on the alternative scenario linked with the IPS. When using the services of the IPS it would help in the service users securing employment which would be contributing significantly to the net benefit of £41,050. 

- Cost of provision-: It also entitles the cost of providing the IPS service linked with 55% less than the Alternative. It is attributed to the estimated c.£63,840 contribution to the net impact (Brown, 2017).

To devise the number of benefits it is important to link with the engagement that can quantitative assessment and includes the data available. It would involve the potential increase which would-be users’ and the self- confidence and determine the sense of social inclusion (Elliott 2017)

Brief Description of the issues 

The issue of mental health has been observed to be persistent and there are the individuals who are affected due to the mental ill-health conditions and there can be lower employment rates on account of the national average. During 2016, as per the statistics, there was the Scottish employment rate reflecting 72.9% and in comparison, there were only 39% of people who have shown the long-term mental health conditions in Scotland during their course of employment.

As observed, within the United Kingdom, there were approximately 1.3 million people who showed signs of mental health problems and were also out of employment and did not get any sort of benefits (Harner, 2019).  Within the benefits, the mental disorders have been reviewed to be a common reason that can be indicated as the worrisome for the health-related unemployment benefits. It accounts for 42% of people claiming that such benefits would affect the mental health reason. Combining it with the loss of the benefits linked with the opportunity would involve the greater number of people that are part of the workforce, accounts for the cost of the government. Due to this, there has been a persistent case of the lack of motivation to continue working. Within the reports, as observed, that there are approximate “90% of workless people who show the signs of the mental health services and there would be less than the employment case, that would be obliged to enduring mental health problems (Harris, 2020). Due to the benefits availed the people without work, and during the reemployment, it shows an improvement in health along with the well-being that can lead to deterioration. Substantially there can be cases to improve the employability of people showing the mental health conditions as a sign of the recovery. It further shows how it can help to alleviate symptoms along with finding the wider financial benefits to the system.

SAHM aims to provide the best health and care services and is an active provider to support people to get proper mental assistance and continue employment.

Challenges 

In the workforce, often the problem which has been faced by the participants is the lack of understanding if the peer support worker role or even facing the instances of the sense of exclusion. Due to this, there can be focused strategies aimed to educate consumers and linked with the managers, and health professionals have to ensure that there is proper peer support from the worker, else all the efforts and time would go waste.

The other challenges are the lack of management, resources and the active participation by the peers in providing an engaging experience to the mental health individuals. Sometimes, the issue is due to the lack of experience and there can be a low established intervention causing low support to the mental illness (Hodas, 2016). As observed, there have been instances of the people who require a major chunk of correcting the situation and mental illness that gets no care. 

The challenge is also in the care gap, which is found to be low in some of the employee organization and there are low efforts shown by the individuals and societies. Due to the shortage of human resources who can handle mental health, it would be attributed care gap. Some of the peers do not have the adequate sourcing to the resource in global mental health

Research findings 

Peer Support

When facing the mental health problems in the employment, the best support system is of the active peer support and it is linked to providing the active services during the mental health circles in the real-time.

Peers support, actually does not relate and presents an actual picture of the description or model linked with the circumstances.  From the information, when linked with the universally accepted information, peer support can be deemed as the mutual support which can be provided by the people that can aim to have similar life experiences along with contributing to the different situations”.

It also involves the active mutual support that can aim for the social, emotional along with having practical support (or all of these) thus allowing the peers to benefit and involve the active support that actively involves the giving or receiving it.

From the research instances, through the active peer support, it can help to provide mental health to link with the personal experience, trust along with having empathy. The prime focus of the peer is to look over the individual’s strengths and not just the weaknesses, and it works alongside the individual’s wellbeing and recovery(Stratford, 2019). The peer support, can be identified through the 12 principals of peer support which includes the “mutuality, involves the active solidarity, synergy and it involves the sharing part with the safety and trust, having a companionship, hopefulness along with obliging the focus on strengths and potential and involving the equality and empowerment and defining the being yourself, having the active independence and reduction of stigma”.

Due to the peer support it involves the varying degrees which can be linked to the service users and extensively finding the people providing support to the other individuals and involving the institutional care, having the active inpatient services along with obliging the day centers or support groups within the given community(Muskett, 2017). The core responsibility of the formally designed creation of networks can help to understand the self-help groups to support people having specific mental health conditions.

(Source Brown,2017)


Due to the formalization of the groups, the peer support workers are able to attain an active mental health system linked with the “expertise involving the lived experience” which can help to edge over the peer support reasonably to provide (Weir, 2019). It involves the instances that can help to evidence which can emphasize and also derive a successful, formalized peer support that would involve the below process-:

  • To have a clear role
  • To get clear access to appropriate training and involves the active support along with the supervision linked to the peer support workers
  • Having training and support linked to the staff which can provide better support workers 

Peer Listening

Through the active peer support, it can help to listen and serve the trained people to gain a counseling skill which involves the active listening, involves a verbal and non-verbal communication along with facing the confidentiality and problem-solving.

The peer support and providing education is linked to the specific topics and focuses on providing depression, anxiety or addiction. It can help to provide a contribution to the similar age, status along with relating with the delivering material.

Co-Production

Co-production entitles the services to work and linked with the people and the services and carers. It is defined as how there can be a co-production that is attributed to all services and aims to provide a better bigger picture to redefine the problems linked with the moment.

The co-production can be linked to the services and relate to what the Care Act and helps to save money (Weir, 2019). Co-production aims to provide better-customized services for people. It is also linked with how people can be defined in the course of the community. It is attributed to the services who can think and relate with the people’s lives better and can redefine the problems. The people who have to show the signs of mental health illness are often in need of support to provide the co-production. Through the co-production it would help to mean together and relate with the different views and the ideas the everyone

Co-production is how mental ill-health is defined as the use of services, carers and how the run services can support the equals. It is important for co-production which can help to redefine the good as it should be and how it can be attributed to the changes to the co-production. It is also important how co-production can define in different ways.

Through the co-production, it can help in providing a sense of belonging to local groups along with the networking (Sweeney, 2018). Through the co-produced activity, it can also support the relationships with peers, family, and friends: involving 90% of the participation.  Through co-production, it helps to reduce stigma. It also involves the people to categorize the co-production that can involve experience and stigma linked with the professional staff in mental health services, It is attributed to the less stigma in accessing services and helps to reduce the ‘community’.

  • Increased skills along with the employability-: Co-production can help the people to improve

skills and can help in formulating the learning and training opportunities to gain better employment. As observed from the statistics, the Expert Patient Programme involved with the 24% increase has a better response to the paid employment.

  • Reduced link and need to the emergency health care-: Due to the  30% reduction on account of the accident, there has been a six months involvement in the peer employment training approach which has strategically reduced the hospitalization to 56% after one year.
  • Co-production is linked to the better physical and mental well-being-: it is considered to be one of the strongest themes which involve a constant interventions that can shape up the co-production and also have the powerful impact on the people’s sense of competence, having an active autonomy and is linked to the person along with the sense of the social and emotional capabilities. 

Main issues impacting on practice in your specialist pathway topic

The main issue is of the mental health linked with the specialist pathway is due to the lack of funding, reachability and finding the active support system. When engaging in the employment services, the SAHM reports, that there are one in four who face the mental health problems and it is due to the persistent prevalence of facing the mental health disorders deemed to be very high. Overall, there are 870 million people who have accounted for the 21 million to suffer due to the depression out of the 100 million people, which is segregated into the 7 million from Alzheimer’s disease along with the 4 million facing the schizophrenia; includes the 4 million affected due to the bipolar affective disorder; and finally the 4 million due to the panic disorders. Lack of Empowerment

While ensuring to provide an active support system, the participants have to handle a great deal of empowering service, involves users and families and friends. There can be a complex issue that can be faced due to the lack of challenges. It can be attributed to bringing service users and having the families involved in the closed decision-making having the active practices and arenas 

Innovation and solidarity

As such, there is no single model of care and it even lacks the attractiveness and effectiveness linked to them than others. There are high innovation and a lack of changes attributed to the problems. It is linked to the exchange information along with redefining the models of good practice, which can visualize the lack the requisite expertise.

Implementation

 The problem lies in the implementation and acknowledging the particular circumstances aimed at vital tasks. Not only it is the lack of the implementation problem but also linking and associating with it, is one of the main problems (Sweeney, 2016).

Conclusion

To conclude, mental health and the related ailments have become a significant issues. Mental ill-health is also known to be a large proportion of the population which shows the one in six adults that have the mental symptoms in between 2012-2016. There has been a high case of depression to anxiety along with showing complex personality disorders, like, schizophrenia. There have been instances of severity or persistence of symptoms that have been linked to the key suffering from mental health impacts and showing the person concern and it includes impairing individuals' ability to work. It also involves the wider aspect of the financial impact to the society. From the identification of the estimated cost, it includes the human, health showing the social care and output losses costs which have contributed to the £10.7 billion, showing a 25% in five years.

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