This KCMHSAS Supported Employment project transforms and elevates the system implementation of evidence-based supported employment. The population of focus is individuals age 16 and older with Serious Emotional Disturbance SED), Serious Mental Illness (SMI) and/or co-occurring substance use disorder (COD) in Kalamazoo County. A subpopulation of focus is Youth/Young Adults (YYA) aged 16-25 years old with SMI, SED, or COD.
Population of Focus: This population has low employment rates (14%), is racially diverse (28% Black vs 11.6% for general population) and experiences housing difficulty (17% are homeless), and COD (30%). Population of focus demographics include: a) Gender: 49.5% female, 50.4% male, 0.73% transgender/other; b) Race: 62.28% White/Caucasian, 28.14% Black/African American, 9.58% Other; c) Ethnicity: 4.36% Hispanic/Latinx; d) Age: 20.32% 16-25; 12.34% 26-30; 42.47% 31-50; 24.87% 51+; e) Language: 1.5% other than English at home; f) sexual orientation: 3.76% LGBQ. Veterans make up 1.47% of the population and 78.62% are not employed or in school. YYA subpopulation (20% of the population) differs slightly from the broad population of focus with more females (52.33%), transgender (1.58%), LGBQ (5.68% ages 16-25 and 7.32% ages 18-25) and racial and cultural diversity (53.31% white/Caucasian and 5.99% Hispanic/Latinx). 27% of the sub-population is ages 16-17. Homeless rates for the subpopulation are 9.5% (12.07% of ages 18-20).
Strategies and intervention: This project implements supported employment services through the Individual Placement and Support (IPS) model enhanced by Motivational Interviewing (MI) evidence-based strategies. The project will increase Employment Specialist staff capacity and foster closer integration with mental health treatment teams.
Goal 1: Increase access to evidence based supported employment. Objective 1: The number of adults (26+) with SMI who received SE will increase to 1200 by the end of year 5. Objective 2: The number of YYA (16-25) with SED/SMI who received SE will increase to 200 by the end of year 5. Objective 3: The average amount of services individuals receive while participating in SE will increase by 100% to 12 hours per episode of care by the end of year 5. Goal 2: Integrate supported employment with comprehensive mental health services. Objective 1: Executive leadership in KCMHSAS and partner organizations will promote supported employment as outlined in Memoranda of Understanding (MOU). Objective 2: 100% of mental health workforce serving target population will receive training to increase knowledge and support of competitive employment. Objective 3: Employment Specialists will be active members of clinical teams consistent with IPS standards, based on independent fidelity reviews. Goal 3: Improve competitive employment outcomes for people enrolled in the project. Objective 1: 50% of SE participants (Adults 26+ with SMI) will obtain and remain in competitive employment for 90 days. Objective 2: 30% of SE participants (YYA 16-25) will obtain and remain in competitive employment for 90 days. Objective 3: 350 individuals will receive benefit specialist services by end of Year 5.
A total unduplicated count of 1400 individuals will be enrolled in the project over 5 years; Year 1 = 200, Year 2 = 300, Year 3 = 350, Year 4 = 350, and Year 5 = 200.