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Improving Disability Employment Study
Insights from the IDES study
Ms Stefanie Dimov
Project Manager
University of Melbourne
Monday 5th September 2018#DEA2018
Prof Anne Kavanagh, Dr Allison Milner, Prof Tony La Montagne, A/Prof Bec Bentley, Dr Cathy Vaughan, Alexandra Devine
Today’s Presentation
1. Disability and employment research background
2. Improving Disability Employment Study (IDES)
a) Design
b) Recruitment
c) Challenges
3. Preliminary findings
4. Nested studies
5. Youth Cohort: Improving Disability Employment Services
6. Next steps for the IDES study
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Disability, Health and Employment
What we know so far
Source(s): Survey of Disability, Ageing and Carers, 2015
Disability and Employment: Australia
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Disability, Employment and Health
• Emerging evidence poorer health of people with disability partly due to disadvantaged circumstances 1, 2, 3
• Employment is a key pathway to improving the health and wellbeing of people with disability
• People with disabilities are more vulnerable to job loss4 and experience barriers that prevent them from graining/re-gaining employment5
1Honey, A., Emerson, E., & Llewellyn, G. The mental health of young people with disabilities: Impact of social conditions. Social Psychiatry and Psychiatric Epidemiology 2011; 46(1), 1-10. 2Emerson, E. Deprivation, ethnicity, and the prevalence of intellectual and developmental disabilities. Journal of Epidemiology and Community Health 2012; 66; 218-224. 3Emerson, E., & Baines, S. Health inequalities and people with learning disabilities in the UK. Tizard Learning Disability Review 2011; 16(1); 42-48. 4Schuring, M., Burdorf, L., Kunst, A., & Mackenbach, The effects of ill health on entering and maintaining paid employment: Evidence in European Countries. Journal of Epidemiology and Community Health 2007; 61(7); 597-604. 5Hernandez, B., Cometa, M. J., Velcoff, J., Rosen, J., Schober, D., & Luna, R. D. Perspectives of people with disabilities on employment, vocational rehabilitation, and the Ticket to Work Program. Journal of Vocational Rehabilitation 2007; 27(3) 191-201.
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Disability, Employment and Mental Health
• Adverse psychological effects associated with unemployment6
• Significant impact of underemployment on mental health7
• Reduced job quality impacts on mental health of people with disability8,9
• When employed, people with disabilities have better mental health10
6Milner A, LaMontagne T, Aitken Z, Bentley R & Kavanagh AM. Employment status and mental health among persons with and without a disability: evidence from an Australian cohort study. J Epidemiol Community Health, 2014; 68: 1064-1071. 10.1136/jech-2014-2041477Milner A, King TL, LaMontagne AD, Aitken, Z, Petrie D & Kavanagh AM. Underemployment and its impacts on mental health among those with disabilities: evidence from the HILDA cohort. J Epidemiol Community Health 2017; 71:1198-1202. 10.1136/jech-2017-2098008Milner A, Aitken Z, Kavanagh AM, LaMontagne A, Pega F, Petrie D. Combining fixed effects and instrumental variable approaches for estimating the effect of psychosocial job qualityon mental health: Evidence from 13 waves of a nationally representative cohort study. J Public Health (Oxf.) 2017 Jun 23:1-9. 10.1093/pubmed/fdx0709LaMontagne AD, Milner A, Krnjacki L, Schlichthorst M, Kavanagh AM, Page K & Pirkis J. Psychosocial job quality, mental health, and subjective wellbeing: a cross-sectional analysis of the baseline wave of the Australian Longitudinal Study on Male Health. BMC Public Health 2016, Oct 31; 16(Suppl 3):1049. 10.1186/s12889-016-3701-x10Milner A, Krnjacki L, Allisey A, LaMontagne AD. Entry into work and changes in mental health among young workers: a fixed effects regression analysis using 12 waves of annualdata. Scand J of Work and Environment. 43, 50-58. doi: 10.5271/sjweh.3608
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Disability Employment Service Providers
• Previous challenges
• Funding model
• Jobseekers with complex needs
• Recent changes
• DES reforms
• Choice and control
• Want to conduct research getting insights from jobseekers with disability
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The Improving Disability Employment Study
A study on access to Disability Employment Service providers
Study Aims
Provide evidence on how people with disability obtain and sustain long-term employment
1. What are jobseekers’ aspirations and expectations of employment services and workplaces
2. What are individual and service-related characteristics supporting jobseekers in gaining and maintaining employment
3. What are the characteristics of workplaces, jobs and employment services that contribute to sustained and meaningful employment
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Partners
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Questionnaire Development
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• 30 minutes long
• Some questions from routine Australian population based survey (e.g., ABS, HILDA)
• Input from partners
• Covers a broad range of topics
• Working with 10 Employment Service Providers
• Various locations
• Two recruitment routes:
– Employment consultant (EC) recruitment
– Email link
Recruitment procedure
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Study Design
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Pilot Study
• Conducted in November 2017
• Recruited n= 32
• What we learnt:
• Survey was too long
• Initial appointment not feasible
• Cognitive testing
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Challenges: Recruitment so far
• Changes to DES and compliance framework
• Slower recruitment
• Have since implemented email link and incentives
• Seen a boost and contemplating extending recruitment phase
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Age:
Mean = 41.10
(SD=15.77)
18-64
Findings: Participants
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Gender:
Male = 41.5%
Female = 58.5%
Findings: Participants
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Findings: Disability
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Findings: Disability
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Findings: Health
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Findings: Mental Health
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Findings: Employment
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Findings: Job aspirations
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• Two thirds referred by Centrelink and 20% of those that weren’t, had a choice of the provider they wanted to attend
• What participants wanted from their ESPs:
• Most important: Experience with their kind of disability; good reputation; easy to get to
• Less important: Use of the computer and internet; makes them feel welcome; having the same consultant each time
Findings: ESPs
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• What participants were satisfied and dissatisfied with:
• Most satisfied: Discussed ways to find a job; discussed or organised activities; gave them a job plan
• Less satisfied: Worked on resume; discussed or organised to attend a course of training
Findings: ESPs
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Youth Cohort: Improving Disability Employment Study
A study of young people
Background
• Estimated 140,700 young people (15-24 years) living with disability
• Lowest labour force participation rates
• Participation in the workforce will give young people with disability income, social mobility, and a sense of wellbeing and personal development
• Research suggests employment transition can cause considerable stress for young people
• None of our previous work has specifically focused on the role of employment among young people with disabilities. Based on the evidence above, we believe that the employment status of young Australians with a disability is critical to their later health and social outcomes.
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Funding and Partners
• Received $800,000 from the National Health and Medical Research Council (NHMRC) Partnership Project (2018-2021)
• Collaboration between the University of Melbourne, Deakin University and Monash University
• Partner organisations include: The Brotherhood of St Laurence, National Disability Services, VicHealth and Disability Employment Australia
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Design
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Next Steps
• Collaborating with partners to finalise questionnaire and procedure
• Will begin recruitment and data collection in the coming months
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Nested Studies
Off-shoot projects within IDES
PhD Study: Job seekers with Psychosocial Disability
• PhD student working with Ostara
• Exploring life circumstances of job seekers with psychosocial disability
• Influence of DES program in the context of July 2018 reforms
• Interviews with 25-30 jobseekers
• Divided into two cohorts – pre and post reforms
• Participate in 2 interviews, approx. 6 months apart
• Asked about their lives, health, work, engagement with DES, perspectives on ‘choice and control’
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Nested Study: Intellectual Disability
• Large amount looking at employment outcomes for people with ID
• ID under-represented in IDES
• Wanting to conduct interviews with people with ID looking for work
• Learn more about their employment aspirations and experiences accessing DES
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Nested Study: Employment Consultants
• Employment consultants opinions and experiences finding work for jobseekers with disability
• Working with the research study
• Experiences with changes to DES system
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Next Steps
What's next for the IDES study
IDES: Next Steps
• Finalise recruitment phase
• Analysis results
• Feedback to linkage partners
• Wave 2 begins early next year
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Get in touch
• Website – www.ides-study.org.au
• Newsletter
• Email – [email protected]
• Want to be involved?
Handouts:
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