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Active inclusion of young people
 with mental health problems or
     intellectual impairment
                   Robert Anderson
      Head of Living Conditions and Quality of Life Unit
                     Eurofound, Dublin

  European Economic and Social Committee, LMO
Conference ‘Labour market participation of people with
    intellectual impairment or relational problems’
              Brussels, 6 November 2012
Active inclusion – promoting social
                 and labour market activation

Active Inclusion – or, at least variations on the theme – is a strategy
introduced in many countries. Several EU countries already have advanced
models of joint working among various actors.

Some key observations:
• Activation takes place at the intersection of employment policy and other
  services such as social protection, education, healthcare services
• ‘Core’ welfare services can support activation by creating the conditions to
  favour individuals’ activation.
• Careful attention should be paid to the sustainability of activation policies
  to ensure that people remain active beyond the duration of a particular
  programme to avoid the risk of marginalisation and exclusion.
• Effective working relationship between different services is pivotal for the
  active inclusion of vulnerable people.
EU policy context

European Council on tackling youth
unemployment – Jan 2012
Focus on those not in employment, education and training


Social Protection Committee (February 2012)
Fighting unemployment through activation measures challenged by low
job creation and insufficient implementation of active inclusion
measures

Joint Report of the Council and the EC (Sep 2012)
on the implementation of the renewed framework for
the European cooperation in the youth field –
emphasis of social inclusion of youth
Eurofound research


• Objectives: to examine active inclusion measures and developments
  for employment of young people particularly those with long-
  standing health problems or disabilities in 11 selected Member
  States.
• Focus - young people (for the purpose of this research from school
  leaving age up to age 30)
       with health problems;
       who are not in employment;
        in receipt of benefits, (including incapacity or other social security
        benefits, for instance unemployment benefits depending on the social
        security scheme in different countries).

•   Countries covered: DK, UK, FI, NL, PL, SK, IE, FR, DE, ES, PT
Key results from the first phase
•   Demonstrated significant increase in the number of young people on
    incapacity benefits in a range of diverse countries

        Netherlands - inflow in 2008 tripled compared to 10 years ago
        UK – increase from 21% to 33% (over the last 8 years)
        Bulgaria - 32% increase in 2008 compared to 2004

•   Trend of long-term disability entry coupled with low outflows
    (passive nature of the systems)

•   Nature of illness changing towards psychological problems or mental illness
        Denmark – 46% of claimants compared with 26% in 1999
        Sweden – 40% of claimants compared with 15% in 1990
•   Young people with health problems face a dual disadvantage.
        They are young
        They must overcome personal, health, and environmental challenges
•   The cost projections relating to the rise should it continue indicate that action
    needs to be taken (Netherlands)
Example of good practices
           NL - Case studies – De Overstap – Transition

•   Beneficiaries – young people with disabilities (18 to 30 mostly with
    mental health problems)
•   Key features – vocational training, support for the transition from
    school to work, job maintenance
      Personal support for those who are in open employment (hiring
        a job coach)
•   Outcome – every year 200 new clients accepted, out of 250 clients
    100 are in open employment, each coach has about 20 pupils
•   Success rate – over 50% of clients stay in open employment for
    longer than 6 months
•   Active inclusion element – role of the job coach who provides
    various services both to the youngster but also to employer.
    Assistance does not stop at the moment of employment.
Good practices

              Denmark case study – The Specialist
• Beneficiaries –young people (16-24) with Autism Spectrum
  Disorder including Asperger's syndrome
• Key features – private IT company employing almost exclusively
  people with ASD (recognising their attention to details, high
  learning ability, patterns spotting etc)
• Outcome
        Direct employment - the company employs 50 consultants with autism.
        The Specialist Foundation – providing training for young people with
         ASD, youth 3 year education programme, facilitating job placement
         with other IT companies
•   Active inclusion element – providing education for young people
    but also highlighting the opportunities for other companies based on
    its own commercial success
Good practices
                              Finland – Job Bank
•   Beneficiaries
       Vulnerable groups (long-term unemployed, young people, immigrants, people with
         disabilities) employed directly by Job Bank, 80% have some health problems or
         learning difficulties, 50% are under age of 30.
       Companies in need for temporary, seasonal staff
•   Key features – people are first employed at Job Bank’s premises and as their skills
    improve they move to client companies. Training and up-skilling is offered when
    business is slow.
•   Outcomes – in 2009, 176 people found placement; in 2010, 189 people moved to
    employment.
•   Active inclusion element – full-time employment relationship for the employees,
    training during times of low demand and at least collectively agreed wage. Individual
    pathways to the open labour market.
    For companies risk-free and flexible workforce during peak times. Programme is
    answering to the Ministry of Employment and Ministry of Social Affairs.
Good practices

     Poland case study – Doors to the labour market
• Beneficiaries – young people with physical and mental disabilities
• Key features
       Project undertaken by the Polish Organisation of Employers of People
        with Disabilities (sheltered and open employment)
       Providing job placement and support for people with disabilities in
        finding employment
       Supporting other employers, awareness raising
• Outcome – local branches provide services to 400-500 people every
  year, out of them 30% find employment
• Active inclusion element – implementation lies directly with the
  organisation of employers
Case study lessons


•   Principles of approach
       Skills development, training and job placement – an integrated
        approach is needed to these essential steps to employment
       After training ensure rapid placement in a real job if momentum is to
        be maintained and skills are to remain relevant
       Empowering the individual to take control of their career path –
        individuals should be able to make real choices in this area
       Employers may need support with the recruitment, training and
        retention of some young people, e.g. those with disabilities
       Good projects evolve over time to conform to the Active Inclusion
        approach
Thank you

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Active inclusion of young people with mental health problems or intellectual impairment

  • 1. Active inclusion of young people with mental health problems or intellectual impairment Robert Anderson Head of Living Conditions and Quality of Life Unit Eurofound, Dublin European Economic and Social Committee, LMO Conference ‘Labour market participation of people with intellectual impairment or relational problems’ Brussels, 6 November 2012
  • 2. Active inclusion – promoting social and labour market activation Active Inclusion – or, at least variations on the theme – is a strategy introduced in many countries. Several EU countries already have advanced models of joint working among various actors. Some key observations: • Activation takes place at the intersection of employment policy and other services such as social protection, education, healthcare services • ‘Core’ welfare services can support activation by creating the conditions to favour individuals’ activation. • Careful attention should be paid to the sustainability of activation policies to ensure that people remain active beyond the duration of a particular programme to avoid the risk of marginalisation and exclusion. • Effective working relationship between different services is pivotal for the active inclusion of vulnerable people.
  • 3. EU policy context European Council on tackling youth unemployment – Jan 2012 Focus on those not in employment, education and training Social Protection Committee (February 2012) Fighting unemployment through activation measures challenged by low job creation and insufficient implementation of active inclusion measures Joint Report of the Council and the EC (Sep 2012) on the implementation of the renewed framework for the European cooperation in the youth field – emphasis of social inclusion of youth
  • 4. Eurofound research • Objectives: to examine active inclusion measures and developments for employment of young people particularly those with long- standing health problems or disabilities in 11 selected Member States. • Focus - young people (for the purpose of this research from school leaving age up to age 30)  with health problems;  who are not in employment;  in receipt of benefits, (including incapacity or other social security benefits, for instance unemployment benefits depending on the social security scheme in different countries). • Countries covered: DK, UK, FI, NL, PL, SK, IE, FR, DE, ES, PT
  • 5. Key results from the first phase • Demonstrated significant increase in the number of young people on incapacity benefits in a range of diverse countries  Netherlands - inflow in 2008 tripled compared to 10 years ago  UK – increase from 21% to 33% (over the last 8 years)  Bulgaria - 32% increase in 2008 compared to 2004 • Trend of long-term disability entry coupled with low outflows (passive nature of the systems) • Nature of illness changing towards psychological problems or mental illness  Denmark – 46% of claimants compared with 26% in 1999  Sweden – 40% of claimants compared with 15% in 1990 • Young people with health problems face a dual disadvantage.  They are young  They must overcome personal, health, and environmental challenges • The cost projections relating to the rise should it continue indicate that action needs to be taken (Netherlands)
  • 6. Example of good practices NL - Case studies – De Overstap – Transition • Beneficiaries – young people with disabilities (18 to 30 mostly with mental health problems) • Key features – vocational training, support for the transition from school to work, job maintenance  Personal support for those who are in open employment (hiring a job coach) • Outcome – every year 200 new clients accepted, out of 250 clients 100 are in open employment, each coach has about 20 pupils • Success rate – over 50% of clients stay in open employment for longer than 6 months • Active inclusion element – role of the job coach who provides various services both to the youngster but also to employer. Assistance does not stop at the moment of employment.
  • 7. Good practices Denmark case study – The Specialist • Beneficiaries –young people (16-24) with Autism Spectrum Disorder including Asperger's syndrome • Key features – private IT company employing almost exclusively people with ASD (recognising their attention to details, high learning ability, patterns spotting etc) • Outcome  Direct employment - the company employs 50 consultants with autism.  The Specialist Foundation – providing training for young people with ASD, youth 3 year education programme, facilitating job placement with other IT companies • Active inclusion element – providing education for young people but also highlighting the opportunities for other companies based on its own commercial success
  • 8. Good practices Finland – Job Bank • Beneficiaries  Vulnerable groups (long-term unemployed, young people, immigrants, people with disabilities) employed directly by Job Bank, 80% have some health problems or learning difficulties, 50% are under age of 30.  Companies in need for temporary, seasonal staff • Key features – people are first employed at Job Bank’s premises and as their skills improve they move to client companies. Training and up-skilling is offered when business is slow. • Outcomes – in 2009, 176 people found placement; in 2010, 189 people moved to employment. • Active inclusion element – full-time employment relationship for the employees, training during times of low demand and at least collectively agreed wage. Individual pathways to the open labour market. For companies risk-free and flexible workforce during peak times. Programme is answering to the Ministry of Employment and Ministry of Social Affairs.
  • 9. Good practices Poland case study – Doors to the labour market • Beneficiaries – young people with physical and mental disabilities • Key features  Project undertaken by the Polish Organisation of Employers of People with Disabilities (sheltered and open employment)  Providing job placement and support for people with disabilities in finding employment  Supporting other employers, awareness raising • Outcome – local branches provide services to 400-500 people every year, out of them 30% find employment • Active inclusion element – implementation lies directly with the organisation of employers
  • 10. Case study lessons • Principles of approach  Skills development, training and job placement – an integrated approach is needed to these essential steps to employment  After training ensure rapid placement in a real job if momentum is to be maintained and skills are to remain relevant  Empowering the individual to take control of their career path – individuals should be able to make real choices in this area  Employers may need support with the recruitment, training and retention of some young people, e.g. those with disabilities  Good projects evolve over time to conform to the Active Inclusion approach