KEC Aspiring Workforce Inventory SE Programs Canada ENG

(1)

The Aspiring Workforce

Inventory of Supported Employment (SE) Programs in Canada

Principal Investigator: Dr. Bonnie Kirsh

(2)

Report led by researchers at the Centre for Addiction and Mental Health, University of Toronto, and Queen’s University.

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introduction 4

Supported Employment Programs in Canada Serving People with Mental Illness (Only) 6

british columbia 7 manitoba 20 new brunswick 21 nova scotia 23 ontario 25 quebec 47 saskatchewan 51

Supported Employment Programs in Canada Serving

Multiple Groups (Including Persons with Mental Illness) 54 alberta 55

british columbia 59 manitoba 62

newfoundland 72 nova scotia 75

new brunswick 76 ontario 77

saskatchewan 83

quebec 94

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introduction

Access to Supported Employment (SE) differs across provinces and territories. We examined the availability of SE across Canada by developing an inventory of SE programs in Canada. To do so, we contacted funders, psychiatric facilities, and mental health agencies in each province and territory, first by email and then with a follow-up telephone call when no email response was received. We received responses from a total of 80 supported employment programs across Canada.

We requested information on services provided, population

served, outcome measures utilized, waiting lists, inclusion of

peer support components, numbers of full-time staff, funding

and budget information, and number of clients served per

year. These data are catalogued in the following pages, and

serve as a Canadian Inventory of Supported Employment

Services.

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Supported Employment Programs in Canada

Serving People with Mental Illness (Only)

british columbia

Capital Mental Health Association; NetWorks

Employment Services Provided:

NetWorks Employment Solutions

• A SE program that serves people who experience barriers to employment as a result of mental illness or addictions

• Offers one-to-one assistance for job seekers

• Offers continual support once work has been obtained or if job loss occurs

• Assists in resume writing, interview practice, job search, application process, and problem solving Services include:

• individual employment counselling, one-to-one by appointment

• assessment (through interviewing rather than formal tests) of client’s employment history, skills and interests as well as mental health and/or addiction barriers impacting their employment goals, then come up with a plan to address goals by working together step by step

• once a client has attained work, the employment coach can continue working with them for job support until they are secure in that position.

• an employment coach may work with a client through multiple jobs attained and lost over time with no limit to service as long as support is needed/ wanted

Client Population Served:

Adults with a mental health and/or addictions diagnosis, referred from VIHA (Vancouver Island Health Authority) (80%) as well as those not within the system though have minimum of a Doctor in charge of addressing their health issues (20%).

Outcome Measures for Clients/Programs:

Number of job attained Number of clients served

Number of clients leaving the program and reasons for leaving Waiting Lists:

At the moment all coaches are full with no one waiting for an appointment. The maximum time a client should have to wait for services is two weeks.

Peer Support Components in Program:

None

Region Program Located In:

Urban

Number of Full Time Equivalent Staff:

5 (one of which works as program coordinator, half time and sees clients the other half) Funding Information:

The program is funded by Vancouver Island Health Authority; Mental Health and Addictions Number of Clients Served Per Year:

About 120 to 130 per year including those returning and those not staying engaged in the program

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Centennial Place

Pre-employment training

30 ways to shine as a new employee program Resume/job application support

Computer lab & training Ongoing on the job support Client Population Served:

Mental Health/Clubhouse clients

Anyone with a serious persistent mental illness referred by their doctor Outcome Measures for Clients/Programs:

Organization’s outcome procedures (Communitas Supportive Care Society) Waiting Lists:

None

Urban

1 just for employment (3 other clubhouse staff) Funding Information:

Fraser Health

Number of Clients Served Per Year:

75

CMHA Prince George Branch

Mainly we offer training opportunities in supportive environments, assistance with goal setting, exploring education needs. Resume writing and onsite support for both the employee and employer.

Adults with mental illness

We do not use outcome measures other than a qualitative survey once a year Waiting Lists:

Our waitlist is managed by the Northern Health Authority of the provincial government Peer Support in Program:

We have 3 peer to peer mentors at this time in two different work sites Region Program Located In:

Urban & Northern

2.5

Program is Funded by:

Northern Health Authority

50

CMHA Vancouver Burnbary Branch

Our program follows the Individual Placement and Support Model of Supported Employment.

Our program is based on the principles of IPS as follows:

Integration of employment program with treatment team On-going assessment

Provide services in the community Focus on client preferences

Follow along support once employed Rapid job search

Utilize team approach

Competitive employment is the goal Client Population Served:

Population served is the clientele of the community mental health centers in Burnaby and Vancouver.

The primary outcome measure is number of jobs. However, a large quantity of data is collected including client demographics, diagnosis, and employment and education history. Employment information is also collected such as duration of jobs.

Waiting Lists:

None

None at this time. However, informally PSW have worked with a few individuals.

Large Urban

7

Provincial Ministry of Health - Fraser and Vancouver Coastal Health Authorities Number of Clients Served Per Year:

300

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Coast Mental Health

Coast Clubhouse Supported Employment Program

Working with the on-staff Supported Employment counsellor, members are assisted in identifying areas of employment they wish to work in and the members skills are marketed to suitable employers. The counsellor then attempts to secure a placement for the member. Assistance with interviewing, training, job coaching and on-going support from the SEP counsellor enables Coast members to ease into permanent employment. As well, members who are interested in training programs leading to employment can be assisted to access funding through provincial and federal

government sources.

Services include:

Employment Counselling, career exploration, skills building, life skills - use PSR, strengths based and holistic

approach to employment counselling. Offering job shadows, job trials, on the job training, job carve with an employer, accommodation with employer, group based work support and peer lead training and peer leadership and coaching.

Persons with a mental illness

Number of different participants attending daily Number actively involved monthly

Number engaged in work order day of running of Clubhouse

Number engaged in education within the clubhouse and community based education

Number working in Transitional Employment, Supported Employment, Social Enterprise & Competitive employment Waiting Lists:

N/A

Peer/staff co-facilitated groups (social, life skills, health, food planning, budgeting, social planning, etc.) Region Program Located In:

Large Urban

10.11 FTE

Vancouver Coastal Health/BC Provincial Number of Clients Served Per Year:

Up to 400 annually

Comox Valley

A. Comox Valley Mental Health and Addiction Service (MHAS) vocational rehabilitation program has several

components: supported work (work crew), supported employment (job coach), peer support worker program, and the Peppermill frozen food program, all of which are supported by staff and funding resources.

Referrals are forwarded by case managers and those that require specialized assessment are first screened by an Occupational Therapist. In the supported work program (work crew), work is performed in small groups and is supervised by the work crew leader, (examples: park maintenance, landscaping). Fees charged help finance the program. Participants receive a training allowance or stipend. People learning new skills and who may have less work experience are encouraged to work in this program. They will develop transferable skills, commit to a regular routine and/or build transferable skills, commit to a regular routine or build confidence in working with others, prior to entry into the supported employment program with the job coach.

The job coach (supported employment program) assists individuals in identifying and determining job readiness. Work experiences with a training allowance are coordinated by the job coach. Participants receive support as determined by the participant, work supervisor (from the work placement , i.e., Wal-Mart, Canadian Tire, and other community businesses), and job coach. Some stipends are covered 100% by MHAS and some training allowances are financed 50/50, half by the market employer and half by our program. Peer support workers are individuals with firsthand experience of the recovery process and are on contract with Viha; they receive a stipend and are supported by a mental health and addiction rehabilitation worker. The Peppermill frozen meal program is supported by three mentors (peers), a rehab worker, the job coach and a trainer cook.

B. Part of our larger Mental Health and Addictions Rehabilitation Program is prevocational/employment readiness programs. The Peer Support Program might be considered a supported employment program.

The job-coach position supports individuals to explore vocational goals and plan around how to reach those goals (may involve upgrading, prevocational skill development, or accessing community employment or volunteer

programs.) We do have some in-house programs (ie library, recycling, plant program) that people can participate in to practice pre-employment skills and increase confidence. A training stipend is paid to program participants. The job coach position also supports our contracted Peer Support Workers.

The work-crew leader position works with a group of people to provide community landscaping services. This is considered a prevocational rehab program. Participants receive a training stipend.

A. Adults, ranging from 19 to early 60’s with serious and persistent forms of mental illness. Diverse population that includes those with little or no work experience to some with considerable employment histories but have become psychiatrically disabled due to the onset of mental illness.

B. Adults with mental health and/or addiction concerns who are referred through Campbell River Mental Health and Addiction Services.

Progress is monitored in several ways depending on the level of functioning, abilities and aspirations of the participants. Some graduate to market employment, others earn training allowances that provide additional economic resources to supplement their disability benefits. Outcomes are closely aligned with the client’s vocational goals and are reviewed with the participants and case managers. We track program participation. We also have clients fill in consumer surveys.

Waiting Lists:

The job coach has currently three referrals on the waitlist and the waiting period could take up to several months (15 clients currently receiving services). The Peppermill program has a waitlist and spaces become available as people graduate the program, usually 4 to 6 months. Participants are required to complete 200 hours of training before grad- uating (7 trainees). The work crew has 24 participants dispersed throughout the week’s shifts and there is no waitlist.

The peer support worker program has 6 peers on contract and there is no waitlist.

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The Peppermill program has two mentors-peers (graduates of the program) and one previous consumer to help support trainees and are paid a stipend and are part of the Peppermill team (rehab worker, sales-peer worker and cook).

The peer support worker program is a vocational training program that includes a training period, employment experience, and a stipend to peer workers who are/have received mental health and addiction services.

Mental Health and Addiction Services does contract with Peer Support Workers who are supported in their work by the job coach.

Urban/Rural

4.5 Full Time Employees (FTE) Program is Funded by:

Health Authority and also cost recovery for contracts i.e. we cut grass for the parks, who pay a nominal fee.

150

Fraser Health Authority Individual Placement and Support

IPS Supported Employment (Individual Placement and Support) is an evidence-based program (international model) that helps people with a mental illness find and keep competitive employment. The program includes time-unlimited support.

IPS includes continuous and comprehensive assessment, attention to client preferences, integration of rehabilitation and clinical services, rapid job search, and time-unlimited support.

Adults with mental illness, and co-occurring conditions, who have a case manager at a local Mental Health & Substance Use (MHSU) Centre. The IPS Vocational Rehabilitation Counsellors work directly out of the MHSU Centres to ensure integration of work in the recovery journey.

(1) Data is collected on factors such as time to find employment, percentage of clients who find employment, demo- graphic data on clients and employers, and satisfaction surveys on clients’ response to the program, such as engagement and confidence.

(2) The “Fidelity Scale” is a tool that measures the level of implementation of this evidence-based program, and defines the critical ingredients of supported employment to ensure good employment outcomes and reduce “program drift”.

Waiting Lists:

Generally no, but occasionally a wait list develops up to 40 days. Staff are expected to initiate service quickly to reduce the incidence of discouragement when clients have to wait for employment services.

None

Large Urban & Urban

3.0 FTE (not including funded positions coordinated through community agencies, or employment services for MHSU youth/young adults)

Fraser Health, Community Mental Health Services Number of Clients Served Per Year:

IPS is now offered to 5 Fraser Health MHSUs, and is new to four Fraser Health MHSUs. In the older contract, 1.8 FTEs provided services in 2010/11 to 104 clients/year.

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Gastown Vocational Services

Support Employment and Education Program (SEEP)

GVS provides a comprehensive range of vocational services for youth and adults with mental health disabilities- to help each person achieve their educational, vocational and /or employment goal.

The Supported Employment and Education Program (SEEP) is a customized job search and education program that provides individualized job search assistance, marketing, job coaching and support, and educational assistance and support.

Together, the Job Developer and client develop an Individualized Job Search Plan or Educational Plan depending on the client’s needs and skills. The plan may include:

• resume and cover letter writing

• interview preparation, telephone scripts and skills

• direct job marketing and placement

• negotiating accommodations with employers, and support to disclose

• job coaching; support once in job placement

• job search workshops

• evening support groups

• educational guidance

• assistance in accessing funding for education

The SEEP Job Developer uses a number of strategies to help the client find work. Business partnerships with local companies, professional and personal contacts, cold calling, the internet and job postings are sources of possible jobs.

Once employment is found, there is ongoing job coaching and support. Coaching sessions allow the client to discuss successes and address areas of concern. With the help of the Job Developer, a client will problem-solve and put successful work place strategies into practice.

Clients may require assistance in researching, enrolling and accessing funding for educational opportunities/

certifications to enhance an individual’s employability. Some clients may access our Supported Education program to assist in academic upgrading and GED.

Services include:

Psychological/Vocational assessment Work readiness skill development programs Career exploration

Disability management groups WRAP for employment Work experience placements Job coaching

Peer support

Job search workshops and computer labs Training for employment related skills Supported education

On-going support Client Population Served:

Clients range in age from 16 to 65 years old and have a wide range of mental health disabilities /conditions from, for example, eating disorders, personality disorders, anxiety/panic disorders, Asperger’s to clients with serious psychotic conditions and/or mental illness.

Outcome measures are tracked and include: Volunteerism, work experience, employment, and supported education.

Waiting Lists:

Varies in terms of program:

Adult program: Average wait time 60 - 90 days

Youth and Young Adult program: Average wait time is 180 days Peer Support Components in Program:

Peer support is offered in each program/service. It is designed to support clients in helping clients to engage in services, as needed, pre-employment/life skills support to clients in volunteer work or employment. Peer support, for example, may help clients with information on GVS services, engagement strategies, transportation skills, social skills, and connecting to resources.

Large Urban

17.0 full-time staff not including Peer support workers as they are contract staff.

Funding from provincial ministries including: Ministry of Health, Ministry of Social Development, Ministry for Children and Families, and private funding.

350 - 400 clients per year

The Kettle Friendship Society: SEED Employment Program

Skills, Esteem and Employment Development (SEED) Employment Program

The SEED Employment program assists individuals with chronic mental health issues to build the vocational skills, confidence and stamina necessary to make the transition from unemployment to satisfying work opportunities.

SEED works with the larger community – creating innovative partnerships, providing skilled workers to local businesses, and breaking down stigma about mental illness.

Services include:

- On-job training - Basic sewing classes

- Motivate, lead, instruct clients in their work

- Offer conflict resolution, crisis intervention and advocacy with employers and the community.

Mental health consumers usually with other barriers, ESL, such as addiction, learning disabilities, Hep C, diabetes, HIV or AIDS, and other physical disabilities.

United Way’s Epact measuring system.

Waiting Lists:

None

Peer Support in Program:

The street cleaning crew trains their new co-workers themselves with guidance from the support worker. Also, monthly crew meetings offer peer support.

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Large Urban

5 FTE Supported Employment Worker and one FTE Program Coordinator.

Funding Information:

Funding: Annual funding from Vancouver Coastal Health’s SMART Fund and Commercial Drive Business Society. The balance must be raised with grant applications.

72

Northern Health

Terrace Mental Health and Addictions Services

Employment Support Services

Services include specialized assessments, career planning, pre-vocational skills training, transitional employment services, supported employment services, work experience, self-employment support and consumer-run businesses or co-operatives.

Club House

A Club-House is a membership driven drop-in and vocational program. Individuals and staff work side-by-side to manage all aspects of the operation of the Clubhouse, including clerical services, food services, program activities and outreach services. Some Clubhouses provide on-site supported employment and work experiences.

Community and residential clients who have a serious and persistent mental illness often compounded with substance use issues.

We have evaluations originally created by our Occupational Therapist, and create short and long-term goal plans when reviewing work history/assessment.

Waiting Lists:

We try to accommodate clients as they are referred. There is no wait list but there may be a small wait time before first appointment is booked.

None, but it occurs on an informal basis.

Urban: Less than 20,000 people regionally Rural: Much of the outlying area is considered rural Remote - situated in the Northwest

Northern

No full- time staff for Vocational Support Services 1 permanent part-time

Northern Health

Stat is not available but based on monthly estimate of client load; approximately 70 clients are proactive at any given time.

Options Community Services The Roost/New Frontier

Ours is a psychosocial rehabilitation day program for adults, and includes both a structured Therapeutic Volunteer Program (TVP), as well as several supported work opportunities including a catering contract, lawn maintenance program, a seasonal City of Surrey street cleaning contract, and a member-run entrepreneurial venture in our photo and picture framing studio.

Apart from support in the above listed program areas, clubhouse supported work staff are available to help members design and build resumes, develop job-searching skills, explore job interest and aptitude, as well as discussions around the necessary prerequisites for competitive work (appropriate dress and communication, travel to and from work, job applications, etc.).

Our program serves adults, 19+ who have been diagnosed with a mental illness and referred to Options’ Clubhouse program by the local Mental Health and Substance Use Services office, a GP, or a psychiatrist.

Our primary outcome measure is a 15-item quality of life survey designed by our contractors at Fraser Health. It taps into areas of an individual’s life such as self-worth, family and friends, work aspirations and recreation. The survey is completed upon intake into the program, and again on a yearly basis following.

Waiting Lists:

None

Urban: Located just outside the major urban center of Vancouver, BC, Surrey covers a large area with 6 major “city centers”. The program has two locations, one each located in 2 of the most population-dense of these city centers.

8

Fraser Health Authority (Provincial Gov’t), Private Donors through fundraising efforts, and BC Gaming association contracts.

350

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Stepping Stone Community Services Society Employment Program

Employment Services is a specialized program for clients of Stepping Stone Community Services Society. The program is designed to assist individuals who have experienced barriers to employment due to mental illness gain and maintain employment in the community.

The goals of the program are to:

• Assist individuals to find employment

• Provide on-going support to individuals

• Develop partnerships with the Langley business community

• Provide education and support to employers

• Provide vocational options and assist individuals to connect with community resources.

The Employment Service program includes the following components:

Intake

• Individualized

• Informal process with an emphasis on relationship building Goal Setting and Action Plan

• Competitive employment as the goal

• Desired work can be full-time or part-time

• Process includes consideration of individual preferences and skills, prior work experience and desired work environment

Job Marketing

• The search for competitive employment starts rapidly after individuals have defined their employment goals

• Assistance with resume writing and interview preparation

• Employment Specialist will assist with contacting employers either directly or in a supportive role On-going Support

• On-going supports are provided to individuals and may include interview support and on the job support

• On-going supports are provided to employers On-going Job Maintenance

• For those already employed, individualized support and assistance can be provided on an as needed basis Client Population Served:

Adults living with a mental illness Outcome Measures for Clients/Programs:

No formalized outcome measures. Track statistical and anecdotal outcomes.

Waiting Lists:

None

Urban (Population of 130,000) Number of Full Time Equivalent Staff:

1 Full-time Employment Specialist

Non-profit organization. Funding for the program is from fundraising and BC Community Gaming Grant.

50-75 individuals each year

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manitoba

Employment Dimensions

We are a rehabilitation program. If participants choose to pursue employment we offer supported employment.

Services include:

Career Exploration (Choose) Jose Search Supports (Get)

Functional Assessment (Keep/Job Retention) Client Population Served:

Persons with a mental health diagnosis Outcome Measures for Clients/Programs:

Change in employment status Length of job retention Change in income Waiting Lists:

90 days for group information session (first step) 90 days for a space once person is accepted Peer Support Components in Program:

Not Formally

Large Urban

9 Rehabilitation workers 1 Employment Developer 2 Skill Coaches

Winnipeg Regional Health Authority Province of Manitoba

Family Services

Approximately 160

new brunswick

Built Network Moncton Inc.

Delivery of an eight-week tuition-free Skills Development Program. Seven weeks of in-class instruction in a workplace setting with week eight

reserved for job search and graduation.

BUILT Network provides services to persons with low self-esteem, low self-confidence, experienced depression, anxiety disorders, schizophrenia,

bi-polar disorder and other mental health issues who are at a level of wellness to return to the workforce.

Participant evaluations, testimonials and successful sustainable return to work.

Waiting Lists:

Depends on program, but can be anywhere from 1-8 weeks.

The truly powerful component of the program is the peer support and self-empowerment program participants gain from one another.

Our catchment area is broad and encompasses Greater Moncton Area and rural Westmorland, Kent and Albert Counties.

3

Province of New Brunswick - Departments of Health, Social Development and Post-Secondary Education, Training &

Labour, United Way, City of Moncton and Fundraising.

Up to a maximum of 60 clients per year. Six programs per year, 8 weeks (maximum 8 to 10 individuals/program).

CMHA Fredericton

The program provides support in these ways:

• Pre-employment services, Employment Search & Job Development.

• Assisting employees in making adjustments to reentering the workforce which includes assistance with daily schedule and relationships with co-workers.

• Coaching the employee on the job. This is adjusted to suit both the employer and the employee and is only available when an individual discloses to an employer and asks for our support.

• Providing monitoring and follow-up support of the employee and employer when the active phase of support has diminished.

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Target Population includes individuals who reside the Fredericton and

surrounding area and who demonstrate that they have persistent and recurrent psychiatric problems, an inability to enter the job market through existing services and resources and a stated vocational interest.

The program is measured by the outcome of the interventions. Success of the program is achieved when all target goals have been achieved or exceeded each year as set by the funder. Success for the clients is determined based on their ability to get and maintain regular mainstream employment. Clients must remain in their unsubsidized job for a minimum of 12 weeks to be counted as employed. Clients may achieve many successes without obtaining employment as long as progress is being made. Some clients may have a plan to return to school for further education and so a separate education goal would be achieved in this instance.

Waiting Lists:

None. Clients have historically not had to wait to receive services once a referral for services has been received by the program manager

Not specific to the employment program. However there are many opportunities for peer support through our other programs and services.

Urban

The program has 2 fulltime staff and one part-time staff.

Department of Post Secondary Education Training and Labour ( NB Government) Number of Clients Served Per Year:

Goals are to serve approximately 120 clients per year.

nova scotia

CMHA Colchester/East Hants TREES|

Psycho/social/rehabilitation model; job planning, job preparation, job maintenance, job searching, job coaching, supported education, supported employment, volunteer placements, work placements, placements in community programs, enrolment in post secondary education, and short term training, paid supported employment, pre- intervention, work place interventions, follow up.

Clients 19 years of age and up; specifically for mental health consumers with Schizophrenia and Bipolar. The client must have an awareness in regards to mental health issues.

Referrals, intake process, return to work action plans, Psycho/social/rehabilitation model, WRAP, LakeCity policies and procedures specified by the board of directors, LakeCity work, volunteer program agreements. Interventions and follow ups whenever required.

Waiting Lists:

There is no wait list in my area.

My program partners with various community services and works closely with CMHA.

Urban, Rural, and Remote

1 Full-Time Contract Position Program is Funded by:

Department of Health

200 caseload; currently active 70

LakeCity Employment Services Association

• One-to-one Employment Counselling

• Developing a plan

• Job preparation

• Job search and job development

• Setting up Work Experiences with a stipend either as a skills builder or as a foot-in-the-door with an employer who is not yet looking to hire

• Assisting with applying for training or higher education

• Systems navigation and on-site placements (production woodworking shop, computer refurbishing/recycling or a 16-weekcourse in ceramics and/or fused glass product creation)

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Work with a mandate to provide employment services to any adult living with a Mental Illness in Halifax Regional Municipality (HRM).

We have adopted the Psychosocial Rehabilitation Model that includes the belief in Recovery and Supported Employment.

Measured each month:

• Satisfaction surveys

• Number of paid employment achieved

• Job maintenance level

• Number of intake interview Waiting Lists:

None (their policy is to contact a new Referral within 2 weeks of them being assigned to an Employment Counsellor and we meet once a week to divide up the new referrals)

None

Large Urban

8

Funding:

• On-site production woodworking generates over a million dollars in gross sales

• The Department of Community Services funds 5 of the Employment positions plus the shop instructors in the wood shop

• Provincial Government (fairly recent) - used to be Service Canada, now called Employment Nova Scotia Number of Clients Served Per Year:

422

ontario

CMHA Brant County Branch

Vocational Support Services assist employment disadvantaged persons with a serious mental illness to obtain and maintain employment, education and volunteer opportunities.

Vocational Support Workers in the Works for Me and Sustainable Employment Initiative programs, are available to help clients establish and pursue their vocational goals, using the psychosocial rehabilitation and recovery approach.”

Services Include:

• Flexible support (short or long-term)

• Assessment and individual goal-setting

• Development of return-to-work action plans

• Linkage to other community resources

• Advocacy

• Support work opportunities--work placements

• Group sessions Client Population Served:

• Persons 16 years and over

• Residents of Brant County

• Persons who have a serious mental illness, and may or may not have a diagnosis Outcome Measures for Clients/Programs:

Number who have returned to school, started volunteering or found a job Waiting Lists:

MTCU funded program is 30 days. MOHLTC funded program is 240 days.

None

Urban

1.8

Funding: Ministry of Health & Long-Term Care and Ministry of Training, Colleges & Universities Number of Clients Served Per Year:

60

CMHA Champlain East Branch

Job readiness objectives

Access to community employment resources Networking with existing employment services

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• At least 16 years of age

• Having SMI or concurrent disorder

• Reside in Champlain East region

• Clients who are unable to secure employment using other services and resources

• Clients who have identified goals of where they would like to work or what they would like to do Outcome Measures for Clients/Programs:

None Waiting Lists:

None

Their transportation program is connected to their Peer Resource Centres employs consumers receiving Intensive Case Management. Participants also benefit from peer support groups or initiatives offered at the Peer Resource Centres.

Urban & Rural

Do not have a designated staff to offer supportive employment; vocational specific interventions addressed by Intensive Case Managers. 24 FTE

Ministry of Health and long term care Number of Clients Served Per Year:

50

Additional Info:

SE Program Objectives:

1. To explore client’s interest, abilities, skills, strengths, and carriers in order to develop vocational goal 2. To help clients access existing employment and educational resources within the community 3. To help client obtain job-related skills they need to prepare for today’s competitive work force

4. To assist in finding an appropriate match between the client’s needs and abilities with community employment

CMHA Durham Region Branch

Our Supported Employment program is based on evidence based Best Practices and includes: client focus, integrated competitive employment in the community, rapid job search, & time unlimited on the job support. Our Employment Specialists offer an integrated approach and work with clients on an individual basis to obtain employment in a timely manner. Involvement of family members, case managers, psychiatrists/physicians & Employment Specialists all enable successful community employment.

Services included (from IPS model):

• Focus on competitive employment

• Rapid job searches

• Jobs tailored to individuals

• Time unlimited follow along supports

• Integration of SE and mental health services

• Zero exclusion criteria Employment Resource Centre

• Access to computers, fax machine, telephone, job postings, etc.

• Weekly “Doors Open” days to access Employment specialist support

• Groups available in areas including interview skills, employer expectations, time management Client Population Served:

Clients over 16 with mental health issues in Durham Region, Ontario.

Track when clients are employed and how long they are employed.

Waiting Lists:

None

Large Urban

2

N/A

60

Additional Info:

Services: What employment support services does the program provide?

Resume and cover letter writing, job searching, interview techniques and practice, job coaching ie: cold calling, approaching employers, networking opportunities etc., employment workshops.

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CMHA Hastings and Prince Edward Counties Branch

Career counselling

Resume, cover letter, interview thank letters Interview preparation

Job coaching Job shadowing Employer education

Transportation for job search and interviews Client Population Served:

Individuals who are mentally ill

None Waiting Lists:

None

N/A

2

Employment Ontario

52

CMHA Lampton County Branch

Intake & assessment, Employment Action Plan, Resume development, Interview Preparation, job trials, job coaching, competitive employment placement, job retention

People living with severe and persistent mental illness Outcome Measures for Clients/Programs:

None Waiting Lists:

120 days for clients referred through Service Canada No wait list if referred by ODSP ES

Job maintenance group is comprised of clients who are currently working or actively looking for work. Clients assist each other in dealing with workplace issues as well as share successes.

Large Urban

10

HRSDC - Project Hope and ODSP Employment Supports Number of Clients Served Per Year:

300

CMHA Niagara Branch

Intake, assessment, counseling, case management, life skill instruction, and job coaching.

Mental health issues and serious mental illness Outcome Measures for Clients/Programs:

# of new admissions

# of paid employment positions

# of incidental placements

# of pre-employment placements

# of prospective participants Waiting Lists:

None

Urban & Rural

5.4 FTE’s

MTCU / Region of Niagara

Approx 400

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CMHA Peel Branch North Clubhouse

Employment and Education:

Career Centre provides opportunities and resources for the clubhouse members in their employment goals and/

or return to school, including a weekly Literacy program. Furthermore, opportunities for gainful employment are provided through:

1. Group Employment (GE)

A group of PAR members work, with support of a staff member, on a time-limited job to complete one-time or on-going projects, i.e., inserting flyers and assembling the local community newspaper;

2. Transitional Employment (TE)

Members can work in a temporary time-limited part-time job for a competitive wage. These particular jobs belong to the clubhouse and are supported according to each individual member’s needs.

Other employment supports include:

Supportive Employment (SE) and Independent Employment (IE), where members working can receive required but flexible support.

People with chronic & persistent Mental Illness, mental health problems Outcome Measures for Clients/Programs:

Statistics on the employment program Waiting Lists:

None

Members volunteering in the Clubhouse are always supporting those working in the community.

Large Urban

4 FTE’s

Ministry of Health and Long Term Care for Ontario, Canada Number of Clients Served Per Year:

180 for PAR north Additional Info:

A clubhouse model rehabilitation/prevocational program which offers Transitional Employment, which is supported by staff, members and the clubhouse as a whole

While a member is working a usual 6 month TE placement they will receive as much support on the job as they require.

The support might be 1 hr. per week or every two weeks. Usually the support is needed more at the start of a TE or during the training period. We actually go to the employer’s location to lend support and encourage members to come into the Clubhouse when not working, in this way receiving additional support. We also encourage attendance &

participation at monthly employment dinners where we recognize and celebrate our members working.

CMHA Peel Branch Partnership Place

We offer Transitional Employment (TE) placements that are time-limited, part-time jobs in the community that are fully supported by Clubhouse staff. We also offer Supported Employment (SE) placements that are non-time-limited jobs in the community, where Clubhouse staff assists the client in securing the position and provides minimal support.

We also offer assistance to clients seeking Independent Employment (IE), where the Clubhouse staff provides support on issues such as skills identification, job matching, job search, interview techniques, and other issues related to prevocational and vocational support.

We serve clients 16 years of age and older with a serious mental health problem, who are in need of on-going support to maintain their mental health. We also serve clients with a concurrent disorder and clients with a dual diagnosis.

We track statistics including the number of days and hours worked, and dollars earned per client.

Waiting Lists:

There is no waiting list to enter the program. Due to the limited number of TE and SE placements, there can be a wait for job placement into one of those positions.

Clients working a TE placement are often involved in training their replacement, in partnership with Clubhouse staff.

Clients also provide peer support to each other at the Clubhouse, on such issues as resume writing, job search, and other prevocational issues.

Large Urban

1.0 Job Developer

7.6 Community Support Worker staff 1.0 Manager

Ontario Ministry of Health and Long Term Care Number of Clients Served Per Year:

For fiscal year 2010-2011, we served 378 clients.

CMHA Sudbury Branch

Employment specialist meets with the person to determine readiness for employment goal and helps set the goal using rehabilitation tools within 30 days and then refers to an employment broker in the community who sets up the placement and employment opportunities identified by the person through our program. The person has choice and efficiently proceeds to an agency that can get them the experience they are seeking.

The Employment specialist will assist the broker and person in providing support as long as the person would like support. Our agency completes the ‘choose’ part of the Choose - Get - Keep model of supported employment. People meet with the Employment specialist a minimum of twice a week for 6 weeks, then exits them from the program to make room and accept new people into the program. Exited people can receive ongoing brief service/support from the Employment specialist.

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Persons 16 and up living with a mental illness Outcome Measures for Clients/Programs:

We measure timeline to achieve readiness for change, rehabilitation readiness, setting an overall rehabilitation goal, and achieving valued roles by assessing needed skills and supports to get and keep goals.

Waiting Lists:

42 days (6 weeks)

None

Urban & Northern

1

LHIN

35

CMHA Thunder Bay

Employment Counseling, Job Development, Job Coaching, Job Maintenance, Skills Training, Vocational Assessments, Individualized Clinical Supports, Vocational Peer Support

Clients with a serious mental health challenge Outcome Measures for Clients/Programs:

# of clients who have:

- Received employment counseling

- Completed a vocational treatment/employment plan

- Achieved their employment/productivity goal or goal’s which could include:

community employment

alternative employment within the social enterprise training placement

volunteer placement education

referral to other skills training or employment program in the community Waiting Lists:

10 days

We have 2 Vocational Peer Support Specialists who have been certified through OPDI (Ontario Peer Development Initiative). All clients during the intake process are made aware of the services and support the specialists can provide with respect to Peer Support.

The program also has a close working relationship with the Peer Council (Consumer Survivor Organization) and Persons Advocating for Consumer Empowerment (Consumer Survivor Initiative). Clients of the program can access the Peer Support services offered by both organizations.

Northern and Urban (population 120,000) Number of Full Time Equivalent Staff:

8 FTE

Ministry of Health

100

CMHA Toronto Branch

Intake & assessment, Employment Action Plan, Resume development, Interview Preparation, job trials, job coaching, competitive employment placement, job retention

People living with severe and persistent mental illness Outcome Measures for Clients/Programs:

None Waiting Lists:

120 days for clients referred through Service Canada No wait list if referred by ODSP ES

Job maintenance group is comprised of clients who are currently working or actively looking for work. Clients assist each other in dealing with workplace issues as well as share successes.

Large Urban

10

HRSDC - Project Hope and ODSP Employment Supports Number of Clients Served Per Year:

300

(19)

CMHA Windsor-Essex County

The Employment Support Services (ESS) program provides help and continuing support to people with a serious mental illness who are interested and seeking employment in the community as part of their recovery process. The supported employment program is integrated with the Case Management Services at the Branch to ensure that their employment goals are consistent with their individualized recovery plan. The direct involvement of the individual is critical in identifying employment goals. Services are tailored to the individual’s needs and include but are not limited to the following:

• Community market value employment is the goal

• Job readiness and job search training are provided

• Employment goal planning and job finding based on individual preferences and qualifications

• Ongoing supports to maintain employment including job coaching

• Computer training, resume development, and skill building training modules Client Population Served:

Windsor-Essex County

Individuals with an axis I and II mental illness aged 16-65

Involved in intensive case management services with CMHA-WECB Outcome Measures for Clients/Programs:

• Employment rate

• Job duration

• Income improvement

• Crisis support rates

• Program completion rates

• Employer contacts

• Number served

• Wait time for service

• Length of service Waiting Lists:

45 days

Participant speakers to prospective employers and participants, alumni support group Region Program Located In:

Urban

4

Ministry of Health and Long Term Care Number of Clients Served Per Year:

119 in fiscal year 2009-2010 Additional Info:

It has been in operation since the mid 1990’s

Crest Support Services

Crest Support Services adapts its resources and utilizes community contacts to organize activities and respond to requests for consumer directed supports. Specific initiatives include: Employment and career support

Other services include: Vocational skill development and work experience (ex. house cleaning, lawn care, and snow removal)

Crest Support Services Vocational services provide services to people with a serious mental illness and dual diagnosis.

None Waiting Lists:

None

Rural

3

Funding and Budget Information:

receives funding from the Ministry of Health and Long Term Care (LHIN) Number of Clients Served Per Year:

23-26

Frontenac Community Mental Health Services

Employment Support and Vocational Counseling

Friendship Enterprises is an agency sponsored business offering competitive employment opportunities in a supported employment setting. Individuals work in paid jobs with continuous individual support and on the job training.

Services include:

Mental health support Vocational counselling

Assessment and career exploration Job development

Job retention

Ontario Disability Support Program (Employment Supports) provider Vocational resource centre

Vocational Workshops Skills Development Training

Ready-Set-Go: Moving to-wards Employment (A cognitive Behavioural Program) Supported Education

Friendship Enterprises: an agency sponsored business Client Population Served:

A person with a serious mental illness and or addictions in effectively managing the illness.

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Has an established Continuous Quality Control program in place. Each service identifies indicators and outcomes.

Waiting Lists:

Currently the program has a wait list of 28 individuals waiting for Vocational Services Peer Support in Program:

Have built in two shift leader positions which are considered peer support positions Region Program Located In:

Urban

11

Ministry of Health and Long Term Care

Ministry of Community and Social Services – Ontario Disability and Support Program – Employment Supports Number of Clients Served Per Year:

150

Lakehead Psychiatric Hospital: Employment Options Program

• Development of an individualized vocational treatment plan that connects the client to the clinical and community support required to meet his or her employment/productivity/educational goal.

• Situational assessment and work placements in a supported work site.

• Employment Counseling

• Ongoing job coaching and job maintenance.

• Community job development and placement supports.

• Opportunities for membership in the Team Works Coop.

• Opportunity to progress through a continuum of individualized services and supports Client Population Served:

Adults with severe and persistent mental illness Outcome Measures for Clients/Programs:

Number of clients receiving employment counselling Number of clients receiving situational assessment Number of clients receiving a work placement Number of clients placed in competitive employment Waiting Lists:

None

A consumer volunteer provides vocational peer support. Has peer support between members within our consumer led social enterprise.

Urban

8

Global Hospital Budget (LHIN funded) Number of Clients Served Per Year:

100

Mental Health and Addiction Services in Grey Bruce

Self-discovery work, job search/resume writing/cover letters, support to problem solve issues that come up on the job, ODSP reporting/requesting.

The support is individualized and looks different for each client. As an example, one client may work with staff to prepare a resume, while another is doing some self-discovery work with staff to determine interests. Some clients have a rich work history and others have never worked. Some who have jobs talk with staff about any job related concerns.

We serve individuals who live with serious mental illness.

We have a satisfaction survey that is distributed to clients annually. Each client develops an employment goal that outlines the work that needs to happen.

Waiting Lists:

None

Rural

1

MOHLTC via SW LHIN

Our target for 2011-2012 is 25

Mental Health Centre Penetanguishene

Develop life skills for success Self-exploration...values & interests,

Job search tools: career planning, resumes writing, cover letter, development, mock interview skills, networking, job market knowledge, Health & Safety, links to education, computer training, job development, job coaching, and follow up support

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Individuals whose potential opportunities for competitive employment have been impacted by mental illness.

Number of clients competitively employed/Number of clients served Client satisfaction survey

Waiting Lists:

None

Not directly. We have a club that has Peer Support workers and resources related to employment.

Rural

6

Ministry of Health & Long Term Care Number of Clients Served Per Year:

150 clients

North Bay and District Hospital

CHOICE (Consumers Having Options in Choosing Employment)

Vocational testing and vocational supports are provided and the individual can obtain experience through community placements. A job club, job placement services and employment supports are available.

Services include:

Vocational counselling Occupational Therapy Recreational Therapy

Supported education and Employment Specialists Client Population Served:

Mental health consumers and those with addictions issues.

Collects a variety of statistics regarding referrals, discharges, assessments, job searches, jobs found, educational stats, transitions from one program to the next, health and safety, formal complaints

Waiting Lists:

From the point of initial contact with our Central Intake until they begin our assessment is about 10-14 days.

None

Northern

12

North Bay General Hospital Number of Clients Served Per Year:

235

Additional Info:

Currently reviewing their program and moving towards the Individual and Placement and Support (IPS) model.

North Bay and District Hospital HOPE Program

Résumé and cover letter support Mock interviews

One to one job searching Independent job searching

Benefit teaching and ongoing support Job coaching as needed

Training placements with job coaching Volunteer opportunities with job coaching Supported Academics and literacy

Ongoing collaboration with treatment team

Support with accessing and working with other community agencies and services Networking with community business to tap into the hidden job market is beginning Client Population Served:

Individuals who are living with a mental illness and are hospitalized for treatment. The program is a regional service so our support follows the patient until the patient is fully engaged in their community supports and/or in their employment.

Not at this time but has been identified that this needs to be implemented.

Waiting Lists:

None

No, but our program has access to peer support workers and we enroll their support for vocational service.

Consultation also occurs on a regular basis and encourages the patient to engage with the peer support worker. This is done so this support person can be included in the vocational plan and supports.

Rural Remote Northern

4 full-time staff

(22)

Ministry of Health

Average of 60 year

Regional Mental Health Vocational Service Alternative to Competitive Employment (ACE) Program

The vocational program at Regional Mental Health, St. Joseph’s Health Care, London -ACE (Alternatives to/and Competitive Employment) is committed to providing client centered vocational services to both inpatient and out patient populations. Its primary focus is to assist individuals in developing vocational skills, provide vocational training and educational opportunities, boost self-esteem and confidence, and maximize vocational opportunities.

ACE offers two different streams of service. The first is an onsite location where clients work in a supported competitive environment. The level of their involvement is self determined and remuneration is paid by hourly minimum wage or on a piece work system, which allows all participants the opportunity to participate in the program.

The other stream of service at ACE is the evidence based Supported Employment program, which is based on the model developed by the Substance Abuse and Mental Health Services Administration (SAMHSA), US Department of Health and Human Services. The approach used is also evidence based and has been built on the “Choose, Get, Keep”

PVR model from the Center of Psychiatric Rehabilitation at Boston University. The Supported Employment program provides the supports necessary to ensure success in the workplace, respects individual preference and tailors vocational services accordingly. The philosophy of this program is based on recovery and follows the core principals of Psychosocial Rehabilitation.

The employment support services that the program offers are as follows:

Assistance in identifying job goals Interest testing

Education/skill requirements ie: WHMIS, First-Aid, Food Handling Certificates/diplomas

Funding ie: OSAP

Resume and cover letter writing

Job search, interviewing skills and techniques Conflict resolution resolution/counseling/intervention On-going follow-up

The program services mental health consumers, 18 years and older.

Outcome Measures for Clients/Programs

The employment program uses process measures and outcome measures. They are as follows:

• The length of time from initial referral to the orientation meeting at which time we will discuss the program, highlight the benefits and identify challenges.

• The length of time from the orientation meeting to completing a patient profile and screening tools.

• The length of time from completing the patient profile to the initial individualized employment plan.

• We will track any education clients attend for job preparation.

• The length of time it takes to complete a job search for each individual client.

• The number of jobs each client applies to.

• The number of interviews a client attends.

• The length of time it takes for a client to obtain a competitive employment position.

• The number of hours each client works on a weekly basis.

• The length of time a client spends in a competitive employment position.

• The amount of staff time spent with each individual to support the employment process.

• Client satisfaction with job, self esteem and client self report of symptom status.

• Evaluate the supportive employment process at regular intervals to ensure that we are following the evidence based supportive employment model.

Waiting Lists:

There are no waiting lists for supported employment at this time. As this is a relatively new program, we are currently continuing with the development and marketing of our services.

We have implemented monthly meetings into the supported employment program for participants to discuss their experiences.

Rural

Full time equivalent staffing-one with an anticipation that more will be added as the program develops.

Funding is received through St. Josephs Health Care for staff dollars. Additional funding is provided by contract revenues earned through the ACE program.

Over the past 6 months, the program has serviced 25 people.

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St. Joseph’s Health Care Andrews Resource Centre (ARC)

ARC was established several decades ago to provide work conditioning and pre-vocational training for clients with persistent and serious mental illnesses. It operated in the form of a traditional, sheltered workshop on the grounds of our large institution. At present, we continue to accommodate a number of long-term clients in that traditional manner, but are also providing vocational assessments, skills training, return to work conditioning and psychosocial rehab. We are also preparing for the closure of our facility and our program in the next two years and are beginning the process of transition from the workshop to supported employment in the community.

Current:

Skills training & maintenance Return to work conditioning Social skills development Counseling & support Education

Future:

Job coaching

Cognitive remediation programs Resume refreshing

Liaising with employment agencies in the community Job Search

ARC serves only those clients registered with a clinical team at Regional Mental Health Care London. Clients must be 18 - 65 years of age and have expressed, vocational goals.

Outcome Measures for Clients/Programs At present, we track:

• of new referrals & reason for referral

• of hours worked by each client/month

• of discharges/discontinuations

• Hours staff are engaged in direct client care

• of clients who secure competitive employment

• Reason(s) for discontinuation Waiting Lists:

Can be 30 to over 120 days, depending on the reason for referral, the availability of job positions and the status of our work contracts.

We do operate a “Computer Training Program” that is exclusively staffed by peers, who tutor other clients in developing computer skills. In a less formal manner, new clients to the centre are paired with experienced peers, who will assist them with job training.

It would best be described as “large urban”, as London is a city of well over 300,000 people. We also serve clients in surrounding Middlesex County.

The program employs 6 full time staff. One Occupational Therapist and five Vocational Instructors.

Regional Mental Health Care London and its client programs are administered by St. Joseph’s Health Care London, with funding from the Ontario Ministry of Health &

Long-term Care.

Approximately 100 - 115 clients are registered at any one time.

STRIDE: Supported Training & Rehabilitation in Diverse Environment

• Employment Planning - developing a realistic employment goal.

• Administration and Interpretation of Career Choice Assessment Tools - to help you identify suitable career goals.

• Work Adjustment Training – to assess job readiness.

• Support Coordination - assisting individuals in making a successful transition to employment. Advice on funding supports to access training and employment opportunities.

• Travel Support Services – to assist with mobility issues.

• Computer Training – an essential for many jobs.

• Fork Lift Training – to increase your marketability in a variety of jobs.

• Good Manufacturing Training – essential training for individuals who wish to obtain employment in a packaging/

assembly production warehouse environment.

• Remedial and Vocational Life Skills Training – communications skills, teamwork skills, organization and coping skills.

• Employment Preparation - helping with resume updates, job searches, applications and interview skills.

• Job Placement - assisting in job searches by establishing contacts that can lead to employment, negotiating wage subsidies with employers.

• On-The-Job Training/Coaching - providing support to individuals while training on the job.

• Job Maintenance - providing ongoing follow-up to help maintain employment.

STRIDE is a community based vocational rehabilitation program aimed at providing individuals facing mental health issues with a range of services to address their employment goals.

KEC Aspiring Workforce Inventory SE Programs Canada ENG

The Aspiring Workforce

Inventory of Supported Employment (SE) Programs in Canada

Principal Investigator: Dr. Bonnie Kirsh

TABLE OF CONTENTS

introduction 4

Supported Employment Programs in Canada Serving People with Mental Illness (Only) 6

british columbia 7 manitoba 20 new brunswick 21 nova scotia 23 ontario 25 quebec 47 saskatchewan 51

Supported Employment Programs in Canada Serving

Multiple Groups (Including Persons with Mental Illness) 54 alberta 55

british columbia 59 manitoba 62

newfoundland 72 nova scotia 75

new brunswick 76 ontario 77

saskatchewan 83

quebec 94

introduction

We requested information on services provided, population

served, outcome measures utilized, waiting lists, inclusion of

peer support components, numbers of full-time staff, funding

and budget information, and number of clients served per

year. These data are catalogued in the following pages, and

serve as a Canadian Inventory of Supported Employment

Services.

Supported Employment Programs in Canada

Serving People with Mental Illness (Only)

british columbia

Capital Mental Health Association; NetWorks

Centennial Place

CMHA Prince George Branch

CMHA Vancouver Burnbary Branch

Coast Mental Health

Coast Clubhouse Supported Employment Program

Comox Valley

Fraser Health Authority Individual Placement and Support

Gastown Vocational Services

Support Employment and Education Program (SEEP)

The Kettle Friendship Society: SEED Employment Program

Northern Health

Terrace Mental Health and Addictions Services

Options Community Services The Roost/New Frontier

Stepping Stone Community Services Society Employment Program

manitoba

Employment Dimensions

new brunswick

Built Network Moncton Inc.

CMHA Fredericton

nova scotia

CMHA Colchester/East Hants TREES|

LakeCity Employment Services Association

ontario

CMHA Brant County Branch

CMHA Champlain East Branch

CMHA Durham Region Branch

CMHA Hastings and Prince Edward Counties Branch

CMHA Lampton County Branch

CMHA Niagara Branch

CMHA Peel Branch North Clubhouse

CMHA Peel Branch Partnership Place

CMHA Sudbury Branch

CMHA Thunder Bay

CMHA Toronto Branch

CMHA Windsor-Essex County

Crest Support Services

Frontenac Community Mental Health Services

Lakehead Psychiatric Hospital: Employment Options Program

Mental Health and Addiction Services in Grey Bruce

Mental Health Centre Penetanguishene

North Bay and District Hospital

CHOICE (Consumers Having Options in Choosing Employment)

North Bay and District Hospital HOPE Program

Regional Mental Health Vocational Service Alternative to Competitive Employment (ACE) Program

St. Joseph’s Health Care Andrews Resource Centre (ARC)

STRIDE: Supported Training & Rehabilitation in Diverse Environment