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New set of early intervention instruments for new disability benefit claimants

Country of implementation
Switzerland
General short description of the innovation
The 5th revision of the law on disability insurance, introduced in 2008, included various measures aiming to redefining the process of handling with new benefit claims to sustain the principle ?rehabilitation before pension?, encourage early registration of people with health problems, and secure job retention whenever possible. / The measures were the following: / - An early identification process, allowing for a low-threshold registration of persons at risk of becoming disabled by themselves, their employers, acquaintances or relevant social insurers and an early evaluation of disability benefit entitlement by disability offices. Early registration primarily concerns people absent from work for health reasons for at least 30 days or for shorter, but repeated time periods / - Several early intervention programmes targeted at every new benefit claimant with a potential for labour market integration. The measures, which take the form of short-term labour market programmes, are intended to help maintain the person at her workplace or find her a new job. They typically include measures of workplace adaptation, vocational guidance or placement activities, and generally last for 6 months. Participation in early intervention programmes does not entitle to financial income support. / - Entitlement to disability pension starts at the shortest six months after the benefit claim. The intention with the introduction of this waiting period was to encourage people with health problems to submit their benefit claim as soon as possible.
Target group
Total Population
Policy Field
  • employment
  • social
Type of Policy
  • public
Duration of the policy
Introduced in 2008
Scope of innovation
  • Scope: structural
  • Budgets: in 2007, annual costs (for the personnel and measures) were estimated at 86 mios CHF ? 70,75 million Euros
  • Number of intended beneficiaries: about 10?000 new benefit claimants each year according to estimations in 2007
  • Spatial coverage: national
General description of (intended) objectives and strategies
The main objective of the measures was to encourage a rapid detection of people at risk of becoming disabled and to avoid disability pensions being granted by securing job retention or helping people find a new job whenever possible.
Nature of the innovation-short-term perspective
moderate
Nature of the innovation-long-term perspective
moderate
Type of innovation
  • new policy, practice or measure
New outputs
  • benefit eligibility (introduction of a waiting period of at least 6 months in order to receive disability pensions)
  • job guidance, coaching and/or counselling
  • others (change in ?culture?, transforming the invalidity insurance from an annuity insurance to one of rehabilitation)
  • services (workplace adaptation measures)
  • training schemes
Intended target group
People with health problems, in employment or not
Actors involved in policy-making/implementation and/or evaluation
  • agency or national social insurance body (Cantonal disability offices)
  • central state
Clarification of the role of various actors
Cantonal disability offices as the main implementation actor
Intended output
  • benefit eligibility (uction of a waiting period of at least 6 months in order to receive disability pensions)
  • job guidance, coaching and counselling
  • others (change in ?culture?, transforming the invalidity insurance from an annuity insurance to one of rehabilitation )
  • services (workplace adaptation measures)
  • training schemes
Did the innovation have any outcome related to job quantity?
people with health problems are offered early solutions in order to not lose their jobsThrough this revision about 11?500 cases of professional rehabilitation have been successful in 2011, compared to about 5?800 in 2007.
Intended and unintended outcomes
an increase of about 8% has been observed in 2012 for people still in employment at their first contact with the invalidity insurance offices; while rehabilitation measures have increased by 13% and are taken earlier.
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