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Advancing State Policy Integration for Recovery and Employment (ASPIRE) | U.S. Department of Labor
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<nav role="navigation" aria-labelledby="system-breadcrumb"> <span id="system-breadcrumb" class="visually-hidden">Breadcrumb</span> <ul class="breadcrumbs usa-breadcrumb__list"> <li> <a href="/agencies/odep" class="usa-breadcrumb__link">ODEP</a> </li> <li> <a href="/agencies/odep/initiatives" class="usa-breadcrumb__link">Initiatives</a> </li> </ul> </nav> </div> </div> <div id="block-pagetitle-2"> <div class="basic-title-banner-title-container"> <h1> <span>Advancing State Policy Integration for Recovery and Employment (ASPIRE)</span> </h1> </div> </div> <div data-drupal-messages-fallback class="hidden"></div> <div id="block-gtmpixeldolbahcontainer"> <noscript aria-hidden="true"> <iframe src="https://www.googletagmanager.com/ns.html?id=GTM-5VM7ZD" height="0" width="0" style="display:none;visibility:hidden"></iframe> </noscript><!-- End Google Tag Manager (noscript) --> </div> </div> <main role="main" class="cd-main-content odep-content standard"> <div id="page-title-area"> <div 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class="paragraph paragraph--type--row paragraph--view-mode--default row" style="background-color:;"> <div class="field field--name-field-bundles field--type-entity-reference-revisions field--label-hidden clearfix"> <div> <div class="paragraph paragraph--type--text-block paragraph--view-mode--default"> <div class="field field--name-field-p-text field--type-text-long field--label-hidden clearfix"><h2>ASPIRE</h2><p>Studies have consistently found low rates of employment for people with mental health conditions. Though many people with mental health conditions want to work, they lack access to effective employment services.</p><h3>The Purpose of the ASPIRE Initiative</h3><p>To support and expand <a href="/agencies/odep/program-areas/integrated-employment">competitive integrated employment (CIE)</a> for people with mental health conditions, ODEP launched the Advancing State Policy Integration for Recovery and Employment (ASPIRE) initiative. From 2021 – 2024, ASPIRE provided tailored and targeted technical assistance to selected states to integrate state policy, program and funding infrastructures to expand evidence-based employment services for people with a disability resulting from mental health conditions. Particular emphasis was placed on expanding best practices such as the Individual Placement and Support (IPS) model of supported employment. Lessons from ASPIRE will help other states, federal agencies and service providers adopt proven methods to increase gainful employment for people with mental health conditions.</p><h3>Overview of IPS & Technical Assistance Resources</h3><p>IPS is an evidence-based supported employment model for people with serious mental health conditions. IPS supported employment helps people living with behavioral health conditions work at regular jobs of their choosing. Mainstream education and technical training are included as ways to advance career paths. To learn more, review the below resources:</p><ul><li><a href="https://www.dol.gov/sites/dolgov/files/ODEP/ASPIRE/ASPIRE-Implementing_IPS_in_Rural_Communities-508.pdf">Implementing IPS in Rural Communities: Barriers and Strategies</a> — This issue brief describes barriers that program leaders in states face implementing IPS in rural communities and the range of strategies used to eliminate these hurdles.</li><li><a href="https://www.dol.gov/sites/dolgov/files/ODEP/ASPIRE/ASPIRE-Funding_Crosswalks-508.pdf">Funding Crosswalks: Coordinating and Leveraging Resources to Increase CIE</a> — This report describes how to create and use a funding crosswalk to leverage resources effectively to increase CIE for people with disabilities, including mental health conditions, using IPS as an example.</li><li><a href="https://www.dol.gov/sites/dolgov/files/ODEP/pdf/IPS-ForPeopleWithCo-Occurring-SUD.pdf">IPS for People with Co-Occurring Substance Use Disorder</a> — This issue brief examines challenges and effective strategies for helping jobseekers with mental health conditions and co-occurring substance use disorders.</li><li><a href="https://www.dol.gov/sites/dolgov/files/ODEP/topics/pdf/Cost-Effectiveness_of_Individual_Placement_and_Support.pdf">Cost-Effectiveness of IPS</a> — This issue brief explores whether the benefits of IPS are worth its costs. The brief provides a nontechnical description of several types of economic analyses, statistics on the direct costs of IPS services, a summary of published economic analyses of IPS and a discussion of key areas of IPS impact on costs.</li><li><a href="https://www.dol.gov/sites/dolgov/files/ODEP/topics/pdf/Employment_and_Education_Services_for_Young_Adults_with_Mental_Health_conditions.pdf">Employment and Education Services for Young Adults with Mental Health Conditions</a> — This issue brief summarizes findings from a systematic review of seven randomized controlled trials showing substantially better employment outcomes for young adults with mental health conditions receiving IPS compared to those receiving standard employment services and suggests several specific strategies for IPS teams working with this population.</li><li><a href="https://www.dol.gov/agencies/eta/RRW-hub">Recovery-Ready Workplace Resource Hub</a> — Developed in collaboration with various federal agencies, this resource hub provides employers, individuals and service providers with information and tools to foster an environment that supports recovery within the workplace.</li><li><a href="https://us06web.zoom.us/rec/play/8Rd71Yr59R2W8Oy8n9NKWZy1z0-wAlNk2ojVyyRzg6qixqhbGG4xp81UpMdUU_rBR4yin9lC69rS7dM.5CsnEtChgsB1L51c?startTime=1654109886000&_x_zm_rtaid=OPMbWDbBRtW64RMU7XC-dA.1654633898316.3c9949d319931cfed85be19080ba14bb&_x_zm_rhtaid=986">Funding for CIE Support Services for People with Mental Health Conditions</a> — This webinar provides an overview of the ASPIRE initiative and how CIE programs to support people with mental health conditions are developed and funded in Iowa, Wisconsin and Florida.</li><li><a href="https://www.dol.gov/sites/dolgov/files/ODEP/topics/pdf/ASPIRE-IssueBriefState-LevelBarriers.pdf">State-level Barriers and Facilitators to IPS Implementation</a> — This issue brief uses findings from a 2019 national survey of state mental health and vocational rehabilitation (VR) leaders to help state leaders identify common barriers and facilitators to implementing IPS supported employment and strategies to overcome the barriers leading to successful implementation, maintenance and growth of IPS programs.<br> </li></ul></div> </div> </div> </div> </div> </div> <div> <div class="paragraph paragraph--type--row paragraph--view-mode--default row" style="background-color:;"> <div class="field field--name-field-bundles field--type-entity-reference-revisions field--label-hidden clearfix"> <div> <div class="paragraph paragraph--type--whd-map paragraph--view-mode--default" data-hide="AS GU CNMI PR VI"> <h2 class="table-header-field">Participating ASPIRE States</h2> <div id="map-select"></div> <div class="field field--name-field-whd-map field--type-text-long field--label-hidden clearfix hidden-on-mobile"><div id="map-wrapper"> <div id="whdmap"> <p> </p> </div> </div></div> <div class="margin-top-3 margin-bottom-3" id="map-legend"> </div> <div class="field field--name-field-regions field--type-entity-reference-revisions field--label-hidden clearfix"> <div> <div class="paragraph paragraph--type--region paragraph--view-mode--default"> </div> </div> <div> <div class="paragraph paragraph--type--region paragraph--view-mode--default"> </div> </div> <div> <div class="paragraph paragraph--type--region paragraph--view-mode--default"> </div> </div> <div> <div class="paragraph paragraph--type--region paragraph--view-mode--default"> </div> </div> <div> <div class="paragraph paragraph--type--region paragraph--view-mode--default"> </div> </div> </div> </div> </div> </div> </div> </div> <div> <div class="paragraph paragraph--type--row paragraph--view-mode--default row" style="background-color:;"> <div class="field field--name-field-bundles field--type-entity-reference-revisions field--label-hidden clearfix"> <div> <div class="paragraph paragraph--type--text-block paragraph--view-mode--default"> <div class="field field--name-field-p-text field--type-text-long field--label-hidden clearfix"><h3>State Selection Factors</h3><p>From 2021 – 2024, ASPIRE helped a total of ten states strengthen and scale evidence-based practices for people with mental health conditions. These states included Florida, Indiana, Iowa, Louisiana, Minnesota, Montana, New York, Oklahoma, Virginia and Wisconsin. ODEP selected these ten states because of their state agencies' commitment to advancing CIE for persons with mental health conditions. Though selected states did not receive direct funding from the ASPIRE initiative, ASPIRE states received between 100 and 300 subject matter expert (SME) hours of support.</p><h3>Consultation, Technical Assistance and Support to ASPIRE States</h3><p>ODEP contracted with Westat, a private research firm, to implement the ASPIRE initiative. Westat worked with its SMEs to provide support and ongoing policy consultation to state agencies, community mental health sites and local providers in each of the selected ASPIRE states.</p><h3>Technical Working Group</h3><p>ASPIRE convened a Technical Working Group (TWG) that provided information and expertise, and updates on respective and prospective agency-led initiatives and policies that support the goals of ASPIRE. The TWG included representatives from national mental health stakeholder organizations, experts in the field and key federal partners. Federal partner agencies included:</p><ul><li>Department of Education — Rehabilitation Services Administration</li><li>Department of Health and Human Services — Centers for Medicare and Medicaid Services, Administration for Community Living, Office of the Assistant Secretary for Planning and Evaluation and the Substance Abuse and Mental Health Services Administration.</li><li>Department of Veterans Affairs — Veterans Health Administration</li><li>Social Security Administration</li></ul><p>National mental health organization partners include:</p><ul><li>Bazelon Center for Mental Health Law</li><li>Council on State Administrators of Vocational Rehabilitation</li><li>Mental Health America</li><li>National Governors Association</li><li>National Association of State Mental Health Program Directors</li></ul><h3>ASPIRE Learning Community</h3><p>Strong learning communities share results and metrics to determine what works best. They are also a highly targeted and effective way to expand evidence-based practices to a larger audience. The ASPIRE learning community involved collaboration between many partners, including ODEP, Westat, the TWG, states, providers and other key stakeholders. Their goal was to expand evidence-based employment services like IPS and increase CIE for people with mental health conditions.</p></div> </div> </div> </div> </div> </div> </div> </div> </article> </div> </div> </div> </main> <footer class="odep-footer usa-footer usa-footer--big" role="contentinfo"> <div class="usa-footer__return-to-top container"> <a href="#" class="footer-scroll-to-top"><span>Scroll to Top</span> <i class="fa fa-arrow-circle-o-up" aria-hidden="true"></i></a> </div> <section class="dol-footer-nav"> <div> <div class="panel"> <ul block="block-menu-block-odep-footer-menu" class="clearfix dol-footer-nav-menu container"> <li> <a href="/agencies/odep/topics" class="dol-footer-nav-link">Program Areas</a> </li> <li> <a href="/agencies/odep/state-policy" class="dol-footer-nav-link" data-drupal-link-system-path="node/148090">State Policy</a> </li> <li> <a href="/agencies/odep/research-evaluation" class="dol-footer-nav-link" data-drupal-link-system-path="node/149343">Research 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