1. Active inclusion for people with health problems Czech Presidency Conference on Social Services Prague, 23 April 2009
Robert Anderson
European Foundation for the Improvement of
Living and Working Conditions
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2. The general orientation to ‘active inclusion’
A global approach based upon:
Active linkages to the labour market +
An adequate level of income support
Access to quality social services =
Decent living standards for all, including those who can not be in employment.
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3. Focus upon participation in employment for those who can work:
Recruitment +
Retention
Reintegration
Addressing multiple and multifaceted needs – housing, basic education, debt, family difficulties, substance abuse, care
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4. Health and employment Complexity illustrated by people with LSHPD
Increasing attention to ill-health as a cause of exclusion
from employment, especially for:
Older workers
People with disabilities
Carers of people with ill-health or disability
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5. Causes of LSHPD: all countries Source: Eurostat, 2003
A majority of workers with a disability have developed this during
the course of working life – and many disabilities are not visible.
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6. Major causes of early retirement
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7. Employment ratio among disabled and non-disabled people Source: European Commission, 2005
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8. Health challenges for policies and services to promote inclusion
Ageing of the workforce
Increasing rates of work disability, especially due to mental illness
Big differences between countries in duration of sick leave
Attitudes of workers, health professionals and employers
Coverage of occupational health services, particularly for SMEs
Processes are complex and demand coordinated approaches
from services in and outside the workplace.
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9. Recruitment to employment on open labour market
Services:
Employment services
Vocational rehabilitation
General health and social services
Income maintenance/management
Incentives:
Anti-discrimination measures
Quotas and levies
Quality of work
Security of employment
Most responses depend upon social services and medical /
vocational rehabilitation, training and employment guidance /
placement services outside the workplace.
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10. The disability management model – main pillars
Promoting employee health to create a healthy working environment
Managing identified risks through proactive responses to emerging conditions
Intervening early when an employee suffers an injury or illness
Case managing or coordinating return to work for long-term absent employees
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11. Challenges for effective implementation of “active inclusion” measures
Engaging and maintaining participation in activation programmes and decent employment
Changing negative attitudes to employment among and towards excluded groups; combat discrimination
Effective coordination of policies and services at local, but also regional and national levels
Development of tailored quality services and trained providers/professionals
Provide incentives for workers and employers to promote insertion and retention
Develop continuing support for active and coordinated integration measures, including both employment guidance and social services
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