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Mental health, social inclusion and the development of vocational services in the NHS – what can be learnt?

Mental health, social inclusion and the development of vocational services in the NHS – what can... PurposeThe purpose of this paper is to describe the learning from a historical NHS vocational service development that focused on: mental health, employment and social inclusion – in an inner city area – involving service users, staff and commissioners.Design/methodology/approachIt is a descriptive case study. A range of historical documents was content analysed and described through a first-person narrative: service user consultations, service specifications, audit records, outcome frameworks, internal service evaluations and published literature.FindingsWhen vocational NHS service developments are grounded in what service users say helps them (person-centred, networked and co-ordinated approaches) the evidence indicates people can achieve their vocational goals.Research limitations/implicationsThe range of documents described is factual, although the learning insights from some of the service developments are based on personal judgements. The author was the responsible manager – personal bias is high. There is not enough robust evidence to warrant generalisation.Practical implicationsWhen employment and social inclusion are prioritised, as core business in NHS, outcomes and health impact can increase. Greater detail is needed from healthcare policy makers – focusing on who exactly should undertake this work and what the key commissioning social inclusion performance indicators are.Originality/valueThe bulk of literature on employment support focuses on promoting evidence from one model: individual placement and support. Evidence here indicates a broader range of activity (education, training and volunteering) can have value and health impact. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Mental Health Review Journal Emerald Publishing

Mental health, social inclusion and the development of vocational services in the NHS – what can be learnt?

Bertram, Mark
Mental Health Review Journal , Volume 24 (2): 11 – Jul 2, 2019
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Publisher
Emerald Publishing
Copyright
Copyright © Emerald Group Publishing Limited
ISSN
1361-9322
DOI
10.1108/MHRJ-09-2018-0027
Publisher site
See Article on Publisher Site

Abstract

PurposeThe purpose of this paper is to describe the learning from a historical NHS vocational service development that focused on: mental health, employment and social inclusion – in an inner city area – involving service users, staff and commissioners.Design/methodology/approachIt is a descriptive case study. A range of historical documents was content analysed and described through a first-person narrative: service user consultations, service specifications, audit records, outcome frameworks, internal service evaluations and published literature.FindingsWhen vocational NHS service developments are grounded in what service users say helps them (person-centred, networked and co-ordinated approaches) the evidence indicates people can achieve their vocational goals.Research limitations/implicationsThe range of documents described is factual, although the learning insights from some of the service developments are based on personal judgements. The author was the responsible manager – personal bias is high. There is not enough robust evidence to warrant generalisation.Practical implicationsWhen employment and social inclusion are prioritised, as core business in NHS, outcomes and health impact can increase. Greater detail is needed from healthcare policy makers – focusing on who exactly should undertake this work and what the key commissioning social inclusion performance indicators are.Originality/valueThe bulk of literature on employment support focuses on promoting evidence from one model: individual placement and support. Evidence here indicates a broader range of activity (education, training and volunteering) can have value and health impact.

Journal

Mental Health Review Journal – Emerald Publishing

Published: Jul 2, 2019

References

  • What does social inclusion mean?
  • Employment status and occupational care planning for people using mental health services
  • From surviving to thriving: how does that happen
  • Introduction to the special issue on individual placement and support
  • From therapy to vocation