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Mental Health and Work: Switzerland

image of Mental Health and Work: Switzerland

Tackling mental ill-health of the working-age population is becoming a key issue for labour market and social policies in OECD countries. OECD governments increasingly recognise that policy has a major role to play in keeping people with mental ill-health in employment or bringing those outside of the labour market back to it, and in preventing mental illness. This report on Switzerland is the fifth in a series of reports looking at how the broader education, health, social and labour market policy challenges identified in Sick on the Job? Myths and Realities about Mental Health and Work (OECD, 2012) are being tackled in a number of OECD countries. It concludes that the Swiss system is well resourced to address the challenges in various policy fields; that due the involvemnet of a large number of stakeholders much needed policy coordination across different sectors is a difficult task; and that a stronger mental health focus is required in Switzerland's health, social and labour market policies.

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From payments to interventions: A decade of Swiss disability reforms

In the past decade, the Swiss disability benefit system has undergone a series of far-reaching reforms with a strong focus on mental health in order to tackle a steep and steady rise of beneficiaries with mental disorders. This chapter gives an overview of the nature of these reforms, such as the introduction of medical services within the disability insurance which can overrule the assessments of treating physicians and the new focus on early intervention and vocational reintegration of disability beneficiaries, and a preliminary assessment of their impact to date. Beyond the reforms, changes in the legislation and an intense public debate seem to have supported the awareness of all actors leading to a significant decline in new claimants into disability benefits. However, important challenges remain.

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