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Mental Health and Work: Achieving Well-integrated Policies and Service Delivery

Listed author(s):
  • Iris Arends

    (University of Groningen)

  • Niklas Baer

    (Psychiatrie Baselland)

  • Veerle Miranda


  • Christopher Prinz


  • Shruti Singh


Mental ill-health can lead to poor work performance, high sickness absence and reduced labour market participation, resulting in considerable costs for society. Improving labour market participation of people with mental health problems requires well-integrated policies and services across the education, employment, health and social sectors. This paper provides examples of policy initiatives from 10 OECD countries for integrated services. Outcomes and strengths and weaknesses of the policy initiatives are presented, resulting in the following main conclusions for future integrated mental health and work policies and services: More rigorous implementation and evaluation of integrated policies is necessary to improve labour market outcomes. Implementation cannot be left to the discretion of stakeholders only; Better financial incentives and clearer obligations and guidelines need to be provided to stakeholders and professionals to participate in integrated service delivery; Each sector has a responsibility to assure integrated services in line with client needs, in turn requiring much better knowledge about the needs of clients with a mental illness; More integrated provision of services within each sector – e.g. through employment advice brought into the mental health system and psychological expertise brought into employment services – appears to be the easiest and most cost-effective approach. La mauvaise santé mentale peut conduire à une moindre performance au travail, une forte incidence de l’absentéisme pour maladie et un taux d’activité réduit, ce qui entraîne des coûts considérables pour la société. Améliorer la participation sur le marché du travail des personnes ayant des troubles mentaux exige des politiques et des services intégrés dans les domaines de l’éducation, l'emploi, la santé et les secteurs sociaux. Ce rapport propose des exemples d'initiatives politiques provenant de 10 pays de l'OCDE pour des services intégrées et présente leurs résultats ainsi que les points forts et les faiblesses. Les principales conclusions pour l'avenir des politiques et des services intégrés dans les domaines de santé mentale et de l’emploi sont les suivantes: Une mise en oeuvre et une évaluation plus rigoureuse des politiques intégrées sont nécessaires pour améliorer les résultats du marché du travail. La mise en oeuvre ne peut pas être laissée à la discrétion des parties concernés seulement ; Le renforcement des incitations financières et des obligations et des lignes directrices plus claires doivent être fournis aux parties concernés et aux professionnels pour participer à la prestation de services intégrés ; Chaque secteur a la responsabilité d'assurer des services intégrés en fonction des besoins des clients, ce qui exige à son tour une meilleure connaissance des besoins des clients avec des troubles mentaux ; Plus de prestations de services intégrés au sein de chaque secteur – par exemple des conseils de l'emploi incorporés dans le système de santé mentale et de l'expertise psychologique incorporé dans les services de l'emploi – semble être l'approche la plus simple et la plus rentable.

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Paper provided by OECD Publishing in its series OECD Social, Employment and Migration Working Papers with number 161.

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Date of creation: 20 Nov 2014
Handle: RePEc:oec:elsaab:161-en
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