An evaluation of an employment pilot to support forensic mental health service users into work and vocational activities

Abstract

Background: Few employment programmes exist to support forensic service users with severe mental health problems and a criminal history. Little is known about how best to achieve this. The Employment and Social Inclusion Project (ESIP) was developed and piloted to support forensic service users into employment and vocational activities.

Aims: This pilot service evaluation aimed to assess the number of service users who secured employment/vocational activities and explored services users’ and staff experiences.

Method: Quantitative data were collected to record the characteristics of participating service users and how many secured employment and engaged in vocational activities. Eighteen qualitative interviews were conducted with service users and staff.

Results: Fifty-seven service users engaged with the project, most were men (93.0%) and previously employed (82.5%). Four service users (7.0%) secured paid competitive employment. Eight (14.0%) gained other paid employment. Tailored one-to-one support to increase skills and build confidence was an important feature of the project. Creation of a painting and decorating programme offered training and paid/flexible work.

Conclusions: This exploratory project achieved some success in assisting forensic service users into paid employment. Further research to identify what works well for this important group will be of great value.

• Forensic mental health
• service users
• paid employment
• one-to-one support
• social inclusion

Acknowledgements

We would like to thank all service users and staff who participated in this evaluation and to the project team for their patience in providing data and supporting the data collection process. We also thank the funders of the pilot and its service evaluation.

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.

This pilot service and its evaluation was funded by the Maudsley Charity, South London and Maudsley NHS Foundation Trust [Grant No: 646].

Notes

¹ CPA meetings assess, plan, coordinate and review the service someone with mental health problems is receiving.