We Believe in You - The Clubhouse Journey to Employment

Presented By Lisa Soucie, Director of High Hopes Clubhouse, Waterville, ME at the 14th International Clubhouse Seminar October 13th through the 18th 2007 in Milwaukee

I will be speaking to you today from the staff perspective about the Importance of Work and How as Staff we support members to use TE and SE as stepping stones to Independent Employment.

When I was asked to do this presentation three things crossed my mind. The first was “What can the director of a smaller rural clubhouse tell the clubhouse world about work’, The second was “I need to live up to the great clubhouse presenters of the past and present” and the third was “Ok, the topic of why work is important is easy, I have seen work improve peoples lives, I have done this for 10 years and I believe that a strong Transitional Employment and Supported Employment opportunities lead to independence, good mental health, and a better world for clubhouse members.”

After 50 years or so of clubhouse doing TE and SE’s it is not a new concept to anyone in this room, however, sometimes it is easy to get so involved in the important issues of Relationships, Work Ordered Days and getting lunch served that sometimes staff take the idea of members going to paid employment for granted or for something to strive for in the future.

Strong Transitional and Supported Employment sites are one of the most important cornerstones of a successful clubhouse. Members often come to the clubhouse after a hospitalization, or after long periods of isolation, they are often struggling with symptoms of their illness, they come to the clubhouse with low self-esteem, and anxieties about fitting into the community and the workforce. Most often members come to the clubhouse with no work history, a poor work history, legal histories, and a fear of losing their benefits.

This is where clubhouse really kicks it up a notch. One of the most important things we as a clubhouse community can do is believe in each other’s ability to go to work and to be successful. We as a clubhouse community embrace the Transitional Employment Standard #22 , we live it day in and day out and we truly believe in it.  

As a society we often look at what “we as people do for work as defining who we are in the world.” It is imperative that every member of every clubhouse have the opportunity to be part of the working world. I can truly say that in my travels to conferences, clubhouses, trainings and presentations I have never met one member of a clubhouse that has no desire to work.

Transitional Employment placements have a very specific role in a member’s career path. TE’s are not meant to be the end of work opportunities or someone’s career, but a stepping-stone to gainful employment. TE’s are entry-level jobs to give members a chance to work immediately when they are ready. TE’s give members a chance to work on the basics of employment, gaining skills like: keeping work schedules, building co-working relationships, having good habits of hygiene, taking supervision, and staying focused. These are all skills that everyone works on in their first jobs. Now imagine doing this with the added barriers of stigma, side effects of psychotropic medications or dealing with symptoms. That is why the support given by a clubhouse is so important.

So how does a clubhouse staff person support members in TE positions? That is a big question and comes with many answers. Clubhouse staff are the most dedicated people I have ever met and it should not be overlooked that everyday they go above and beyond to help members be successful in meeting a variety of goals. Everyone going to work is different and will indeed need different supports. In the interest of time I will only hit on a few. 

#1. It is essential that we as staff, never put limits on our members abilities to go to work. Making assumptions that Mary can’t ever work, or can only do a one-day a week job, is unacceptable.

#2. We as staff have the responsibility to instill in our members and each other that all work is important, rather it be janitorial, foodservice, retail or clerical. All TE work is needed and important.

#3. We as staff have to build positive employer relationships initially and maintain those relationships throughout the partnership of TE placements. Sometimes this takes daily contact, continued education with the employer, advocacy and at times very creative problem solving. We have found that the more you can get any employer involved with the clubhouse the more opportunities that open for the members. As part of having good employer relationships staff need to ensure that they are doing what we guaranteed the employer that we will do. Providing coverage is essential to keeping a TE site. Sometimes the employer will graciously says, “Oh you don’t have to cover the position today.” Staff just need to work it. The employer should never be put in that position of deciding if a TE is covered or not. Staff or member placement managers just need to do the job. No questions asked.

#4. Staff support members in transportation to and from work: this can obviously vary from city clubhouses to the rural clubs. Drive, walk, use transits, buses, subways or horseback. It is essential that as staff we take away the worry of reliable transportation to and from work. We must always assist our members in securing and problem solving transportation for work.

#5 Staff need to assist members in a variety of situations. Staff may have to do wake up calls, repair bikes, scooters and cars, I have seen staff return the clubhouse bottles to buy a needed uniform for a member to go to work. These are just a few of the talents that a clubhouse staff need. It is important that staff always be able to think outside of the box to assist members in succeeding at work.

#6. Staff must not only serve as job coaches but as advocates, as confidants and as role models.

#7. It is our responsibility as staff to ensure that members are being treated like all other employees of the business, and that the TE sites are healthy work environments for our members to be in. Members should never feel that they are being treated different from other employees. Members should never be expected to work a job that staff would not do or could not do. I like to give you an example. Three years ago I was one of the co-placement managers at a greenhouse. We had two members working the site and it appeared to be a perfect TE. I learned the job, I did the job, I trained the members, I transported the 15 miles everyday, and everything was going great. Or so I thought. Still something did not seem right, after talking with the other placement manager, I decided to make an unexpected stop into the jobsite. What I found was a big surprise, the employer not only had changed the job, which by the way I could not do in his time frame, he was degrading, harassing, and what I would call abusive to the members working for him. It did not take another visit, or advocacy or more job coaching at this point. I praised the members for their good work, asked them to wrap up their jobs for the day. I then spoke with the employer telling him we would not be returning. I was not the director of the clubhouse then, The ICCD was coming in less than a month for certification, and I knew I would have to explain to my boss and others, including Jim Schmidt why I gave up 2 20-hour Te positions! But as a clubhouse staff person, I could not and would not jeopardize the members’ recovery, work experience and self esteem by working with this company. Now as the director, I expect no less from any of the staff. TE is to be a positive healthy experience, and as staff we need to ensure that, to the best of our ability.

#8. We as staff need to be educators to the employer and to the members about what TE is, why we do TE and opportunities TE’s offer the entire clubhouse membership and not just one member. You have all heard the golden questions:  “Why can’t I just keep this job, I am doing well.” Or from the employer: “Why can’t I just hire Mary for this job, we really like her and she does the job well.” These are constant and challenging questions that a clubhouse staff needs a ready answer for.  

#9Staff need to assist with reporting wages in regards to entitlements and working with members to understand that by working you always come out ahead of the game. Rather it be by money or being self sufficient.

#10 Staff need to be able to work with other providers, doctors, case managers, medication clinics, to accept, support and empower our members to be able to work. Med clinics and counseling sessions, support groups and visits by community support workers have to re arranged or sometimes reduced when a member goes to work. This is often more difficult for the providers to accept than the members. We need to work with these providers to look past the clinical view of our members as clients, patients and consumers to look at them as working people.

What does it take for staff to support SE placements- With the exception of guaranteed coverage, everything I just talked about and more. The “more” being to encourage the continued growth of a member in the working world. To look beyond their current SE job and to the possibilities in the workforce for full time employment.

The most important thing I would like you to take away from this speech today is this. TE’s and SE’s are only the stepping-stones in a member’s career path. As a clubhouse community we need to push the bar, SE’s are not the successful end to members working, we need to support, encourage and explore the next steps to independent full time employment for our members. Independence from benefits and freedom of the limits set by those benefits, is what we all need to be striving for. Always pushing the bar for continued education, more work experience, and bettering employment opportunities have to be our goals in the clubhouse world.

Thank you