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.
Table of contents:
Acronyms and abbreviations 9 List of the Swiss cantons 11 Executive summary 13 Assessment and recommendations 15 Chapter 1. Mental health and work challenges in Switzerland 23 -Definitions and objectives 24 -Key trends and outcomes 28 -Description of the Swiss social protection system 32 -Conclusion 34 -References 35 Chapter 2. Working conditions and sickness management in Switzerland 37 -Working conditions and mental ill-health 38 -Addressing psychosocial risks at work 41 -Sickness management at the workplace 43 -Financial responsibility of the employer 45 -Conclusion 50 -References 53 Chapter 3. From payments to interventions: a decade of Swiss disability reforms 55 -Mental disorders have been a key factor driving the rise in disability benefit claims 56 -Who are the “new” claimants 58 -Addressing the high number of new benefit claims 61 -Benefit adequacy and work incentives 75 -Addressing the high benefit caseload 80 -Conclusion 89 -References 93 Chapter 4. Swiss co-operation efforts to tackle long-term unemployment and inactivity 97 -The relevance of different benefit schemes 98 -Frequent transitions from one benefit to another 100 -No identification of unemployed with mental health problems 103 -Better awareness of mental health problems in welfare offices 106 -Improved co-operation between cantonal and local key actors 108 -What is known about the effectiveness of IIZ? 110 -Making services effective for clients with mental ill-health 114 -Conclusion 116 -References 122 Chapter 5. Making more of the potential of the Swiss mental health care system 125 -Characteristics of the mental health care system 126 -Organisation and responsibilities of mental health care 137 -Employment has a large impact on treatment outcomes 140 -Mental health care is not yet prepared for treating work problems 143 -Conclusion 145 -References 147 Chapter 6. The capacity of the Swiss education system to manage mental ill health 151 -Comprehensive service provision in schools 152 -Smooth transition from school to work except for low-skilled youth 155 -Rising flow of youth onto disability benefits 158 -Supporting the transition into the labour market 162 -Conclusion 163 -References 166