1. Social Medical Assessment of Work Capacity (Sociaal Medisch Beoordelen van Arbeidsvermogen: SMBA) (Dutch Social Security Agency UWV) Annette de Wind, MD Ljubljana 10 th June 2016

2. A new assessment method (SMBA), why? Evolutions in society call for a method that is more focused on the integration of people with disabilities in labour Development from a medical model towards an integrated bio-psycho-social model, including participation

3. What does the supporting tool (MOI) offer? MOI offers possible connections between the three components of functioning and environmental factors: Body function and structures (impairments) Activities (limitations) Participation in work and work environment (restrictions) Environmental factors: offer a solution to barriers affecting participation in work and working environment

4. Which selection is included in MOI? MOI contains a selection of the items from the ICF which are relevant for the analysis of (work) capacity 75 Activities 231 Body Functions 756 possible connections between Body Functions-Activities 530 possible Participation and Environmental Factors (conditions and solutions in work and work environment)

5. How does MOI support? the Insurance Physician: Suggests connections between Body Functions and Activities and vice versa Helps the IP argue the limitations (Activity) resulting from impairments (Body Functions) the Labour Expert: Suggests connections between Activities, Participation and Environmental Factors Invites LE to consider whether limitations are a bottleneck in work and work environment Helps the LE argue the possible solutions

6. MOI impairments in functionslimitations in activities related factors in participation and environmental factors

7. MOI impairments in functions limitations in activities related factors in participation and environmental factors

8. MOI impairments in functions limitations in activities related factors in participation and environmental factors participation environmental factors

9. Further development MOI is a ‘living tool’ which must be improved continuously and further developed with the experiences of IP and LE Ambition: validate the contents through scientific research Import knowledge - Users are challenged to make an active contribution to the connections that have been set up in this tool

10. Professional choices MOI does not think does not decide does not calculate does not reflect MOI is a mere tool: it only suggests The IP and LE make a professional choice with every selection, every ‘click’ in MOI-SMBA

11. Hvala