SoFAjuly2010[1]

A resource to support mental health service users in achieving their vocational aspirationsSally BramleyConsultant Occupational Therapist Sally Bramley. Neil Mayne 2009The Elizabeth Casson Trust

sallybramleymelbourne2010SHEFFIELD; population @500,000 4.5% unemployment

sallybramleymelbourne2010

sallybramleymelbourne2010Economic profilePre 1970s. Steel, coal construction, manufacturingPost 1980s. Public administration, service sectors, finance, IT, health education, tourism


sallybramleymelbourne2010Service user experts and health professionalsleading developments together


The User Support and Employment ServiceUser expert ledin a senior management roleIt facilitates and supports the recruitment of service user experts into the NHSProvides ongoing support in employment post recruitmentPre employment support for individuals and groupsMentored, progressive work experiencebased on preferenceProvides training, resources and advice to mental health workers on employment and retention issuesMelbourne July 2010

The service user expert brings..their own storyexperiential knowledge about what works (and what doesn't)motivationdeterminationhoperealismpragmatismThe health professional brings.others storiestheoretical knowledgetrainingcuriositycan do attitudeopennessskillsSally Bramley Melbourne July 2010

sallybramleymelbourne2010Our learning from service user employment.


Challenge and change attitudesConfront undermining, stigmatising responses and behaviours Provide opportunities to explore the meaning and impact of the concepts of well and illChallenge the health professionals monopoly on knowingness

Facilitate awareness raising in other areas of the organisationEncourage acceptance of service users rights and capacities for employmentDemonstrate consumer expertise through their recruitment to paid jobs

Sally BramleyMelbourne July 2010

New ways of working, new relationships and rolesSharing power and responsibility through joint decision making. Challenging the norms of distancing and non-involvementDevelopping authentic, trusting relationships which are mature enough to tolerate conflict-no more us and them !

Demonstrates to others the value of sharing power.Models communication styles and behaviours which acknowledge the reality and possibility of multiple relationships Contribute to policy and practice developments in service user involvement

Sally BramleyMelbourne July 2010

Develop new ways of delivering servicesPutting the service user perspective into deliveryIntegrating been there wisdom into service options for other service usersDevelopping workforces which reflect the communities they serve

Encouraging workers to acknowledge user experts unique capacity for instilling hope, modelling recovery strategies and providing felt support.Promoting REAL user involvement at every opportunity

SallyBramleyMelbourne July 2010

Sally Bramley Melbourne July 2010Successful co-working is an exploratory journey during which the common ground is found, shared understandings and values formed and new visions created.(Ref. Bramley,S . Cockshutt,G (2005)Listening not just talking. Occupational Therapy News May. (24)

sallybramleymelbourne2010Sally Bramley Neil Mayne


sallybramleymelbourne2010Grew out of a user expert led employment support workshop programmeIn response to health professionals confidence, resource and information needsTo develop a way for service users and workers to conceptualise and connect with vocational aspiration irrespective of diagnostic or service considerations


sallybramleymelbourne2010Key development principlesAccessibility and friendliness of resourceUser expert paid participation throughout developmentA resource common to service users and workers, the service user as expertA development process which grew contributors skills and mastery


sallybramleymelbourne2010A resource to support you in achieving your employment ambitions.ssFunded By the Elizabeth Casson TrustSally Bramley.Neil Mayne


*Thank you to Caroline and SOFA who have given me a tremendous taste of social firms here in Victoria Here to learn about services in Victoria had opportunity to visit a no of firms, meet and work with mental health practitioners and othersHave been very struck by the profile mental health has in the current election campaigns in contrast to UK where I am yet to see mental health be a campaign issueBefore I start something about language.mental health and ill health UKservice users in mental health, customers in employment services

*From a northern city, apparently the greenest in Europe with more trees per capita than anywhere else contrary to the image you may expect of a city once a world leader in steel production.

*A city characterised for a century or more as a steel town the 70s saw a rapid demise captured in the film the Full Monty which some of you may be familiar with.not that the men of sheffield regularly take their clothes off in public but the film did portray something of the alienation and despondency that the male population in particular experienced at the end of the last century. Many unemployment and deprivation challenges remain including sizeable somali and other refugee communitiesSheffield is however arising from the crucibles ashes and is now as a vibrant economy with jobs in different sectors to before..we also put on a good snooker show!!! Sheffield people are also strongly yorkshire folk with a tradition of grit , determination, plain speaking and calling a spade a spade..perhaps as a consequence it is a city with a strong, dynamic and vocal service user lobby which has helped shape service provision **I was personally inspired by Rachel Perkins, a well known and powerful advocate and campaigner in the field of mental health and employment in the UK. A mental health service user herself but also a director of central london mental health trust she has used her lived experience to powerfully persuade government and practitioners of the centrality of paid employment to recovery. She developed an initiative called User Employment in her London mental health service which I unashamedly copied with her encouragement in Sheffield and that is where by collaboration with user expert colleagues began*My role..specialist in an NHS provider TrustThree foldMy discipline and education was as an OT 20 years ago but in many ways my real education in mental illness did not truly begin until I began working about 10 years ago with service user experts as colleagues, not as a therapist but as colleagues I am the member of the team who is lucky enough to be here but the work I am talking about is entirely a team effort and I will introduce you to those of them who wanted feature as I go along and I have their consent to disclose what I do about them **Service set up back in 1998 to persuade our mental health service to lead by example and actively recruit and employ people for which their lived experience, use of services were qualifying criteria for the job in the person specification.in addition to all the other required competencies, skills and experienceIn our mental health service we have people in roles from senior management to housekeeping, support work to IT who were recruited in this way and many still receive ongoing support. Compete and secure employment on equal basis, disclosure is a personal choice but where individuals want to the fact that experience is being actively sought gives people the scope to use it **This way of working brings many of the benefits I have seen in the social firms I have visited here ***A vehicle for challenging and changing attitudes*New ways of working, new relationships and roles**The development of new ways of delivering services****

SoFAjuly2010[1]

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