Individual Placement and Support (IPS) model of Supported Employment
Center of Excellence: The IPS Employment Center at RFMH, Inc.
Summary
The Individual Placement and Support (IPS) model of Supported Employment supports members living with significant behavioral health needs to find and maintain competitive employment in the community. Participation in IPS supports improved employment outcomes as well as improved self-esteem, independence, sense of belonging, and overall health and wellbeing.
Clinical Appropriateness
Appropriate for: Adults who have serious mental illness (SMI) or substance use disorders (SUD) and who require assistance to attain or maintain competitive employment.
Age
16 years or older
Other Considerations
May not be appropriate for: Individuals who are not legally eligible for work in the United States.
Factors such as individual presentation, behavioral health symptoms, job readiness, or treatment engagement have no impact on the medical necessity for the service.
IPS helps individuals with competitive, integrated employment and may also be assisted with education or training that is related to a career goal. This model is a community-based service, highly individualized, and utilizes a team-based approach.
IPS model is characterized by the following principles:
- Competitive, integrated employment.
- Systematic job development.
- Rapid job search.
- Integrated with mental health services.
- Benefits planning.
- Zero exclusion.
- Time-unlimited supports.
- Worker preferences.
IPS teams are typically composed of two employment specialists and an employment supervisor who supports up to five IPS teams.
A typical IPS team will support a caseload of 35–40 members. Any behavioral health practitioner may serve as an employment specialist if they are trained in the IPS model.
A bachelor’s degree is preferred for IPS specialists, and a bachelor’s degree is strongly preferred for IPS supervisors.
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- 1.5 Day Site-Based Training: 10.5 hours.
- Virtual Synchronous and Asynchronous Training: 2.5 – 3 hours.
- Follow-Up Meetings with IPS Trainer:
- IPS Supervisor/training call once monthly for nine months to discuss program outcomes and goals.
- One-day site visit (three and six months after site-based training).
- Agency leadership meetings with trainer occur twice per year until fidelity is reached, and annually thereafter.
- Bi-monthly virtual participation in vocational team meetings (for three months), followed by monthly meetings for six months.
- IPS Steering Committee:
- Meet quarterly until good fidelity is achieved and twice annually thereafter.
- Ideally, the first committee meeting will occur within the first nine months (before fidelity).
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- Early training will be site-based (at the county’s IPS program location if one exists).
- Training can also be provided to multiple IPS teams together on a regional basis.
- Follow-up meetings with IPS Trainer may be virtual or in-person during a site visit.
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- 1.5 Day Site-Based Training
- EBP Kickoff (two hours): IPS Practice Principles for IPS staff, agency leaders, Department of Rehabilitation (DOR) counselors, and mental health practitioners.
- Career Profile Development (gathering information about a person’s work and education history, goals, living situation, supports, etc.).
- Building Relationships with Employers.
- Making Employer Contacts.
- Individualized Job Searches.
- Virtual Synchronous Training
- IPS for Individuals with Criminal Justice System Involvement.
- Individualized Job Supports.
- Virtual Asynchronous Training (optional – recommended to teams as appropriate)
- IPS for Co-Occurring Conditions.
- Follow-Up Meetings with IPS Trainer
- One-Day Site Visits:
- Sitting in on a mental health treatment team meeting to support integrated services and zero exclusion criteria.
- Reviewing client records with the supervisor to compare services provided to the Supported Employment Fidelity Scale.
- Reviewing team outcomes for employment with the supervisor and helping the supervisor consider goals for the team.
- Going with IPS Specialists/Supervisor to make employer contacts (help the team refine their skills).
- Meeting one or two clients who are having difficulty achieving their goals with the IPS Specialists.
- Agency Leader Meetings:
- Outline program accomplishments, the last four quarters of program outcome data, and the last overall fidelity score.
- Review a problematic area or two and ask leadership for help with that issue.
- Bi-Monthly Virtual Meetings:
- Discuss implementation problems and foster learning from peers.
- One-Day Site Visits:
- IPS Steering Committee:
- Required for each program to develop and includes IPS Supervisor, a mental health supervisor, family member(s), client(s), local DOR counselors or supervisor, and employers. The IPS COE will provide documents about steering committees with supervisors, as well as materials for the steering committee. The IPS Supervisor will develop an agenda and invite participants. Steering committees should meet at least once in the nine months preceding the fidelity review.
- Ongoing Training
- Tailored according to areas implemented and challenges encountered.
- Annual regional trainings (optional).
- 1.5 Day Site-Based Training
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Continuing education credits are not provided, but trainers can share an agenda for each training along with learning objectives so that participants can apply for post approval to their licensing board(s).
Upcoming Related Events
- November 11 @ 10:00 am – Fidelity Scale Overview – Integration Through Team Assignment, Integration thru Frequency of Team Contact, and Coordination with Vocational Rehabilitation
- November 11 @ 1:00 pm – IPS 101 – Practice Principles
- November 11 @ 3:00 pm – IPS COE Office Hours
- November 18 @ 10:00 am – Fidelity Scale Overview – Vocational Unit, Role of the IPS Supervisor, and Zero Exclusion
- November 18 @ 1:00 pm – IPS 101 – Practice Principles
- November 18 @ 3:00 pm – IPS COE Office Hours