title: 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.
  
  
  OBJECTIVE
  This pilot service evaluation aimed to assess the number of service users who secured employment/vocational activities and explored services users' and staff experiences.
  
  
  METHODS
  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.
authors.affiliation: a Informed Thinking , London , UK.|b Institute of Psychiatry, Psychology and Neuroscience, King's College London , London , UK.
authors.forename: Chiara
authors.initials: C
authors.lastname: Samele
authors.affiliation: b Institute of Psychiatry, Psychology and Neuroscience, King's College London , London , UK.|c Department of Forensic Psychiatry , South London and Maudsley NHS Foundation Trust , London , UK , and.
authors.forename: Andrew
authors.initials: A
authors.lastname: Forrester
authors.affiliation: d Vocational Services (Lambeth), South London and Maudsley NHS Foundation Trust , London , UK.
authors.forename: Mark
authors.initials: M
authors.lastname: Bertram
mesh_terms: D000328:Adult; D057237:Criminals; D016832:Employment, Supported / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D008605:Mental Health Services / Q000592:standards*; D008875:Middle Aged; D055815:Young Adult
keywords: Forensic mental health; one-to-one support; paid employment; service users; social inclusion