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Supported Employment: Training Frontline Staff - SAMHSA Store ...

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In addition to engaging José, you may also find it<br />

helpful to meet with José’s family. José’s parents<br />

are concerned that the stress of working may<br />

cause him to have a relapse. You could explain<br />

how appropriate job selection and support could<br />

minimize the stress to which José is exposed and<br />

could even reduce his stress level by giving him<br />

something meaningful to do with his time.<br />

To reinforce that work is an important goal for<br />

José, the meetings with José’s relatives may be most<br />

effective if they take place in their home and if they<br />

include José. Before speaking with his parents, ask<br />

José to sign your agency’s Release of Information<br />

Form.<br />

Finally, inform team members of each step in<br />

the engagement process, including the initial<br />

meeting, contacts with family or other supporters,<br />

and possible job interests. If you encounter<br />

difficulties engaging José or addressing his parents’<br />

concerns, elicit feedback and advice from other<br />

team members. Teamwork ensures that everyone<br />

is supportive of José’s goals and has input into<br />

pursuing them.<br />

In summary, establishing a relationship with<br />

consumers creates a foundation for the rest of<br />

your work. It is critical to connect with consumers,<br />

family and other supporters, and treatment team<br />

members to create an environment that supports<br />

consumers’ work interests and goals.<br />

Benefits counseling<br />

Fear of losing benefits (for example, Social Security<br />

income or health insurance) is a major reason<br />

that consumers do not seek employment. For this<br />

reason, it is important for all consumers to know<br />

how work may affect their benefits.<br />

All consumers who are interested in working should<br />

receive benefits counseling to guide their plan<br />

for starting work. Once consumers are working,<br />

benefits counseling helps consumers manage their<br />

benefits and health care coverage as they increase<br />

hours and earnings. Some evidence shows that<br />

consumers who received benefits counseling earn<br />

more than consumers who did not.<br />

You are responsible for ensuring that consumers<br />

access benefits counseling when they start SE<br />

services and when changes occur in their work<br />

status. Typically, a benefits specialist who has<br />

comprehensive information about benefits and<br />

work incentives provides benefits counseling. If<br />

your agency does not employ a benefits specialist,<br />

ask your SE leader to find one in your area. For<br />

more information, see Building Your Program in<br />

this KIT.<br />

As an employment specialist, you should be able<br />

to communicate basic information about how work<br />

affects consumers’ benefits. Expect to participate<br />

in additional training to become familiar with the<br />

following terms:<br />

• Medicaid and 1619B Medicaid;<br />

• Medicaid for the Working Disabled;<br />

• Medicare;<br />

• Supplemental Security Income (SSI);<br />

• Social Security Disability Income (SSDI);<br />

• Plan for Achieving Self-Support (PASS);<br />

• Impairment-Related Work Expense;<br />

• Substantial Gainful <strong>Employment</strong> (SGA);<br />

• Ticket to Work;<br />

• expedited reinstatement for benefits; and<br />

• The Department of Housing and Urban<br />

Development (HUD) mandatory earned income<br />

inclusion.<br />

Module 2 6 Referral, Engagement, and Benefits Counseling

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