5122-29-11 Employment Service RuleMindy VanceOhioMHAS

Transition Plan

• An overview highlighting changes• A frequently asked question section of the website• Two technical assistance calls with current IPS providers• A webinar• Post webinar teleconference• Technical assistance upon request

5122-29-11 Employment Service Rule

• The new OhioMHAS Employment Rule has 5 sections• Service Definition• Approved Employment Activities• Approved Employment Supports• IPS Qualified Provider Status• Provision/Supervision of Employment Services

5122-29-11 Employment Service Rule

• The purpose and intent of the employment service is to promote recovery through the implementation of evidence based and best practices which allow individuals to obtain and maintain integrated competitive meaningful employment by providing training, ongoing individualized support, and skill development that honor client choice.

Integrated Competitive Employment

• Integrated competitive employment is work in the competitive labor market that is performed on a full-time or part-time basis in an integrated setting and for which an individual is compensated at or above the minimum wage, but not less than the customary wage and level of benefits paid by the employer for the same or similar work performed by individuals without a disability in a setting found in the community in which consumers interact with individuals who do not have a disability (other than service providers)

Integrated Competitive Employment

• Key components of integration include: • A setting in the community where individuals with

disabilities and without disabilities interact with one another on a regular basis• A setting where individuals with and without

disabilities interact with customers at the same level• A setting where comparable positions earn the same

wage and perform the same duties• A setting where individuals with and without

disabilities spend comparable amounts of time with the public

5122-29-11 Employment Service Rule

• The expected outcome for an employment service is that individuals will obtain and maintain an integrated competitive job of their choosing through rapid job placement which will increase their self-sufficiency and further their recovery.

5122-29-11 Employment Service Rule• Employment services should be coordinated with mental

health services and substance use treatment and services when desired by the individual participating in services.

Evidence Based/Best Practices• Goals of both evidence based and best practices are to

incorporate expertise, scientific evidence and client perspective to ensure the delivery of high-quality services that are based in client choice. http://www.asha.org/members/ebp/

Umbrella of Supported Employment• Supported Employment is an evidence based

practices/activities that is used with many disability groups. • According to Rehab Works, “Supported Employment is a

unique employment service for individuals with the most significant disabilities who require ongoing support services to succeed in integrated competitive employment.” http://www.rehabworks.org/supported.shtml

• Supported Employment is delivered to many different populations including individuals with a physical disability, mental illness, traumatic brain injury, or intellectual/developmental disability

Umbrella of Supported Employment• IPS is falls under the umbrella of Supported Employment

but is a specialized practice for individuals with a severe and persistent mental illness or co-occurring substance use disorder• Some providers delivery evidence based Supported

Employment services and other providers deliver IPS services• Supported Employment services may include one or

more of the following services:

Approved Employment Activities • (1) Vocational planning (assessment);• (2) Training (work & personal);• (3) Job seeking skills training (JSST);• (4) Job development and placement;• (5) Job coaching;• (6) Individualized job supports, which may include regular

contact with the employers, family members, guardians, advocates, treatment providers, and other community supports;

Approved Employment Activities• (7) Benefits planning;• (8) General consultation, advocacy, building and maintaining

relationships with employers;• (9) Individualized placement and support supported

employment (IPS SE), in accordance with the requirements for qualified providers set forth in rule 5122-29-30 of the Administrative Code;

• (10) Rehabilitation guidance and counseling; or,• (11) Time unlimited vocational support.

Approved Employment Supports

• Any of the following employment supports may be provided in conjunction with at least one employment activity either that is listed in paragraph (B) of this rule or which has received prior approval from OhioMHAS:

• (1) Facilitation of natural supports;• (2) Transportation; or,• (3) Peer services.

Individualized Placement and Support

• IPS is falls under the umbrella of Supported Employment but is a specialized practice for individuals with a severe and persistent mental illness or co-occurring substance use disorder• IPS SE is an evidence based practice which is integrated

and coordinated with mental health treatment and rehabilitation designed to provide individualized placement and support to assist individuals with a severe and persistent mental illness or co-occurring mental illness and substance use disorder obtain, maintain, and advance within competitive community integrated employment positions.

IPS Qualified Provider Status

• Providers who chose to offer IPS SE employment service shall meet the following requirements to be OhioMHAS qualified providers:

IPS Qualified Provider Status

• (1) Provide the evidence-based practice of IPS SE;• (2) Have periodic fidelity reviews completed by an Ohio

department of mental health and addiction services (OhioMHAS) approved fidelity reviewer as required by the developer of the practice, and,• (3) Achieve the minimum fidelity score necessary to

maintain fidelity, as defined by the developer of the practice.

IPS Provisional Provider Status

• Providers implementing IPS SE may become a provisionally qualified IPS SE provider by participating in a baseline fidelity review. Providers may be provisionally qualified one time only and only between the baseline fidelity review and the next subsequent fidelity review. A provider must meet other requirements of this rule in order to receive provisional qualification.

Inability to Meet Fidelity

• In the event a provider fails to achieve the required minimum fidelity score, the provider will receive technical assistance to address areas recommended for improvement as identified in the fidelity review by an OhioMHAS approved fidelity reviewer. • If the subsequent fidelity review results in a score of less

than the required minimum, the provider will no longer by designated as a qualified IPS provider until their fidelity score again reaches the minimum.

Service and Supervisory Provision

• Have experience working with individuals that have a mental illness or substance use disorder.• To prevent job loss• To encourage individuals with clinical or non-

clinical skills to deliver employment services• To prevent unnecessary barriers for peer recover

supporters from working in employment or being promoted to employment supervisors

How do I Become a Qualified IPS Provider? 1) Contact the OhioMHAS approved fidelity reviewer. At this

time, Case Western Reserve University is the vendor.

2) Express your interest in learning more about the evidence based practice

3) Schedule a provider Readiness Assessment with a CWRU IPS trainer

4) Develop and implement a readiness plan

5) Participate in a baseline fidelity review

6) Participate in IPS training with your CWRU IPS trainer

7) Begin providing services

8) Participate in a fidelity review to become an OhioMHAS qualified IPS prove

Questions?

• Thank you for your commitment to helping individuals with a mental illness and/or substance use disorder enter/reenter in an integrated competitive job that is based on personal choice. • If interested in more information on integrated

competitive employment or technical assistance, please contact Mindy Vance mindy.vance@mha.ohio.gov • There will be a follow up technical assistance call on

2/24/2015 at 1:00 pm. The phone number is 1-614-644-1098