1. Technical Workshop on Integrating Social Policies and Delivery of Social Protection Floors Siem Reap,Cambodia 29th – 31st May Title of presentation: Malaysia: Return to Work Program Speaker: En.Roshaimi bin Mat Rosely Organization: Social Security Organisation, Malaysia

2. Social Security Organisation of Malaysia Malaysia Population: 29,625,816 million as at 5 March 2013 (http://www.statistics.gov.my) Area: 329,847 km² Social Security Organisation Over 13million registered workers Over 700,000 registered employers Over 55,000 accidents Over 13,000 permanently disabled Over ≈ 3000 certified invalid Investing in People

3. SOCSO’s RTW Program This program is established with the objective of assisting SOCSO’s Insured Persons with employment injury as well as those claiming for invalidity pension to be able to return to work. Social Security Organisation of Malaysia

4. Return To Work Process: Current Approach Medical Board /Doctors Employers Plan Implement Monitor Review Evaluate Acute Stage / Hospitalization Rehabilitation Prosthetics & Orthotics Workplace Modification Job Placement Vocational Training

5. Return To Work Process: Future Approach Plan Implement Monitor Review Evaluate Acute Stage/Hospitalization Rehabilitation Prosthetics & Orthotics Workplace Modification Job Placement Vocational Training Medical Board /Doctors Employers

6. SURPRISING RESULT Why? And where have we gone wrong?

7. Introduction: SOCSO’s Disability Benefits Financial Aid Physical Rehabilitation Vocational Rehabilitation Disability Case Management Early Intervention Successful Rehabilitation and RTW

8. Successful aspects Transformation on rehabilitation The biopsychosocial approach The socio-economic aspect Social Integration Moving from the perspective of disability to ability

9. Successful aspects

11. Impact?

12. Results (RTW) N = 8977

13. BeforeAfter Skills 5.126.42 Career Goals 5.106.45 Independence 6.007.20 Self Esteem 5.937.10 Self Confidence 6.037.47 Health Condition 5.566.86 Pain Tolerance 6.047.15 VAS – 100mm Returns (Psychosocial)

14. BeforeAfter Depression14.648.21 Anxiety13.217.04 Stress14.938.75 Returns (Psychosocial)

15. Cost Analysis Average Program Cost per Insured PersonRM3,239.38 Average Possible ReturnsRM7,884.06 Net Benefit of (RM7,844.06 – RM3,239.38) = RM4,644.68 DM program benefits outweigh costs by a 1.43 : 1 ratio. N = 1008 Other Social (qualitative) Benefits + Cost vs. Returns

16. Weaknesses?  Change Management Educating employers to look at the ability and not disability There is hope after disability Eary Intervention adoption  Integration of Stakeholders Commitment and integration by stakeholders to reach common goal Identifying facilities provided by various agencies to reduce overlap of services/create synergies  Capacity Building Training of Disability Managers Quality Rehabilitation Centres  Legal Mandate on Employment Retention Employment Retention for Workplace Injuries  Increasing Efficiency in Managing Cases To achieve the international benchmark of 59.4 days to finalise a case

17. Lessons learnt All parties need to be involved (from the worker, family members, employers, co-workers to medical fraternity, allied health services, etc) Legal Mandate is important Implementation varies from jurisdiction to jurisdiction Not a 100m dash but a “Marathon“ – such programmes take time to establish and deliver visible results

18. Thank you Roshaimi bin Mat Rosely roshaimi.rosely@perkeso.gov.my Employment is the best form of social protection!