Support for the Integration of Disabled People into the Labour Market
Transcrição
Support for the Integration of Disabled People into the Labour Market
WALTER BLUMBERGER “Arbeitsassistenz” Support for the Integration of Disabled People into the Labour Market Walter Blumberger, Johannes Kepler University Linz Abstract The number of registered persons with disabilities as well as the number of unemployed people with severe handicaps has been increasing since 1990. Persons with a mental health disability in particular are concerned. Therefore the experimental project “Arbeitsassistenz” (job-assistance) was established in Austria in 1992. After a successful pilot-phase job-assistance was enlarged to all Austrian provinces. In 1997, the year of reference of this study, 3.517 persons took advantage of this service, in 1998 7.997 and in 1999 approx. 9.000 persons. In 1997 68,55 employees worked in Arbeitsassistenzprogrammes(converted into a 40-hours week), in 1998 93,13 and in 1999 154,8. Job-assistance is mostly organised by private non-profit organisations, which are financed by the disabled persons compensation funds (Ausgleichstaxfonds), the Public Employment Service (Arbeitsmarktservice) and the provincial governments. Since 1995 the European Social Fund (ESF) has financed the job-assistance programme to 50 percent. A study about job-assistance in Austria documented its activities in 1997 and 1998/99, analysed the costs of the programme and assessed its outcomes. According to the results of the study in 1997 the cost per person who participated in the programme amounted to 1.806 EURO and 41,6% of jobassistance interventions were successful. In this study and in the labour market statistics evidence was found that Arbeitsassistenz is an effective programme to bring unemployed people with disabilities, especially with mental health problems, back to work and to promote their employability. January, 2001 Peer Review „Arbeitsassistenz“ – Support for the Integration of Disabled People into the Labour Market, Austria 1 WALTER BLUMBERGER Part A: Description of the main elements of the “Arbeitsassistenz” (“Job Assistance”) Preface In 1992 the Austrian Ministry of Labour, Health and Social Affairs (now: Ministry of Social Security and Generations, BMSG) started two pilot-programmes to bring people with mental health problems1 back to work. The evaluation of these programmes showed that the Arbeitsassistenz-approach (job assistance approach) was very efficient and sustainable. Between 43% and 50% of the people who asked for advice and support succeeded in finding a job or staying in their job because personal problems could be solved. Compared to the costs of unemployment the benefits which came out of the programme turned out to be higher than the costs2. Therefore it was decided to enlarge this programme to a regular return-to-work service for people with disabilities. In 1998 a critical review of the programme was carried out by the Institute for Vocational and Adult Education Research at the Johannes Kepler University Linz on behalf of the Austrian Ministry of Social Security and Generations3. The results published in the year 2000 form the basis of this report. Instead of the terms ‘emotionally impaired’, ‘emotionally disabled’which are used in The Disability Concept of the Austrian Federal Government (Federal Ministry of Labour, Health and Social Affairs in Co-operation with Österreichische Arbeitsgemeinschaft für Rehabilitation. Vienna 1998) we use the term ‘persons with a mental health disability’. See: A Way with Words. Human Resources Development Canada. 2 Blumberger, W./Gsaxner, I./Heilbrunner, C.: Evaluierung des Modellprojekts Arbeitsassistenz in Oberösterreich und Niederösterreich. Endbericht. Institut für Berufs- und Erwachsenenbildungsforschung an der Johannes Kepler Universität Linz, Linz 1994. 3 Blumberger, W./Heilbrunner, C./Moser, C.: Aktivierende wissenschaftliche Begleitung des Aufbaues der Arbeitsassistenz in Österreich. Projektbericht des Instituts für Berufs- und Erwachsenenbildungsforschung an der Johannes Kepler Universität Linz. Teilbericht 1 (5 Bände), Teilbericht 2, Projektabschlußbericht. Linz 1999. January, 2001 2 Peer Review „Arbeitsassistenz“ – Support for the Integration 1 of Disabled People into the Labour Market, Austria WALTER BLUMBERGER Graph 1: Number of registered people with disabilities in Austria (1st January of each year) 90000 80000 70000 60000 50000 40000 30000 men women total 20000 10000 0 1980 1985 1990 1995 1996 1997 1998 1999 2000 year A.1: Background In Austria, improvement of employability, career development and transition to work were particularly concentrated on vocational rehabilitation for people with physical handicaps until the mid 80s. But new initiatives were taken towards the end of the 80s and the beginning of the 90s and more attention was paid to the problems of people with mental health disabilities and to people who were intellectually impaired as well as to persons with multiple disabilities. Nevertheless the number of registered persons with disabilities4 has increased significantly since 1995 (see graph 1) as well as the number of unemployed who are disabled5 (see graph 2). There were 14,476 more persons with disabilities (23%) registered in 2000 (77,839) than in 1995 (63,363). Approximately 10% of registered persons with disabilities are registered unemployed and about 25% are not employed. The employment rate is about 65% (1997) and decreasing since the mid 80s. On an average 80% of these unemployed people are physically handicapped, and 15% suffer from mental diseases. ‘Registered persons with disabilities are men and women who are at least 50% impaired in comparison to a ‘normal’ worker. They have to be Austrian citizens or citizens of the EU or EWR or refugees as long as they are allowed to stay in Austria. Persons who are older than 65 or draw a disability or an old age pension cannot be registered. (See: Disabled Persons Employment Act. 1999). 5 ‘Registered persons with disabilities’are not identical with people who are ‘unemployed and disabled’. The latter includes also persons with a less than 50% degree of disability and impairments which cannot be registered. January, 2001 3 Peer Review „Arbeitsassistenz“ – Support for the Integration 4 of Disabled People into the Labour Market, Austria WALTER BLUMBERGER Graph 2: Number of unemployed disabled people in Austria 45000 40000 men women total 35000 number 30000 25000 20000 15000 10000 5000 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 year Looking at the ratios of registered unemployed men and women with physical and mental health disabilities one can see that the rate of women with mental health disabilities has increased significantly (+7%). Table 1: Impairment by sex of registered unemployed persons 1995 - 1997 - 1999 impair- 1995 ment men physical 15,277 64% 1995 women 8,663 36% 1997 men 18,987 63% 1997 women 11,025 37% 1999*) men 20,409 63% mental 3,257 1,350 3,811 1,833 3,798 health 71% 29% 68% 32% 64% Source: BMSG, IBE *) estimation by IBE on AMS-data because of a change in the database January, 2001 Peer Review 1999*) women 11,877 37% 2,116 36% „Arbeitsassistenz“ – Support for the Integration of Disabled People into the Labour Market, Austria 4 WALTER BLUMBERGER Mental health disabilities as a main reason for unemployment grew by 28,4% (+1,307) from 1995 to 19996. The growth of physical impairments amounted to 34,9% (+8,346). Statistics show a stronger increase of women with mental health problems by 57,7% (+766) in this period of time than men (16,7%, +541). Regarding physical impairments the increase rate for women (37,1%, +3,214) was also higher than that for men (33,6%, +5,132). In 1995 the unemployment rate of registered persons with disabilities was nearly double the general unemployment. However it decreased from 1995 to 1999 by 0,8% whereas the general rate stayed nearly at the same level. Table 2: Unemployment rates for registered persons with disabilities year Economically active registered persons with disabilities 1995 44,977 1997 47,241 1999 52,333 Source: AMS, IBE *) Austrian method of computation Unemployed registered Unemployment rate persons with disabilities for registered persons with disabilities 6,394 12,5% 6,677 12,4% 6,925 11,7% Unemployment rate in Austria*) 6,6% 7,1% 6,7% The low proportion of women in all unemployed registered persons with disabilities (see table 3) does not indicate that they are less unemployed. It may be supposed that many women with disabilities have not registered as unemployed and that the number of undetected cases is rather high. Table 3: Unemployment rates of registered women with disabilities Year Unemployed registered Unemployed registered women with disabilities women with disabilities in % of all unemployed persons with disabilities 1995 1,463 22,9% 1997 1,787 26,8% 1999 1,872 27,0% Source: AMS, IBE *) Austrian method of computation Women’s proportion in the unemployment rate of persons with disabilities 2,9% 3,3% 3,2% Unemployment rate of women in Austria*) 6,8% 7,4% 6,9% The number as well as the rate of registered unemployed - as mentioned before they are not identical with registered persons with disabilities - have increased since 1995. But in 1999 the number of persons was 204 less than in 1998 (see table 4). In general nearly 8% of long-term absent employees are persons with mental health problems. Blumberger, W./Eckersdorfer, P./ Niederberger, K.: RETURN. Improving return to work strategies for long term absent employees. (Austrian Report I). Linz, June 2000. Project founded by the European Commission. Research Directorate-General. Directorate F – Human potential and Mobility. Project No. HPSE-CT-1999-00011. Partners: D. McAnaney, University College Dublin, Ireland; R. Wynne, Work Research Centre, Dublin, Ireland; F. Niehuis, University of Maastricht, The Netherlands; G. Rueckemann, University of Applied Science Heidelberg, Germanys; G. Ricciardi, University of Cassino, Italy; J. Jorma, University of Lapland, Finland; A. Talvi, FORTRUM, Finland. January, 2001 5 Peer Review „Arbeitsassistenz“ – Support for the Integration 6 of Disabled People into the Labour Market, Austria WALTER BLUMBERGER Table 4: Rate of registered unemployed persons with disabilities (1995 – 1997 – 1998 (1999)) Year Registered unemployed persons with disabilities Registered unemployed persons with disabilities in % of all unemployed Registered unemployed women with disabilities 1995 30,068 13,9 10,556 1997 37,473 16,1 13,549 1998 40,540 17,1 14,791 1999*) 39,824 18,0 14,587 *) estimation by IBE on AMS-data because of a change in the database Ratio of registered unemployed women with disabilities in % 35,1% 36,2% 36,5% 36,6% Due to medical, legal7 and economic reasons mental health policy in Austria changed in the late 80s and early 90s: Hospitals were forced to reduce long-term stays for patients with mental disabilities and public authorities had to arrange extra-mural accommodation, treatment and social integration. Special institutions started to provide appropriate services but they soon faced limitations in integrating people with mental health problems outside sheltered workshops or short-term employment programmes8. On the other hand more and more people with mental health problems lost their jobs and became long term unemployed. These developments forced non profit organisations in the field of mental health and the Austrian Ministry of Labour, Health and Social Affairs (now: Ministry of Social Security and Generations) to take action to bring people with mental health problems back to work or to find a first job for them. As mentioned before two Arbeitsassistenz projects started in Upper Austria and in Lower Austria in 1992. 7 8 Idem, p 64. Idem, p 35. January, 2001 Peer Review „Arbeitsassistenz“ – Support for the Integration of Disabled People into the Labour Market, Austria 6 WALTER BLUMBERGER A.2 Goals and groups of the Arbeitsassistenz – programme The implement of the Arbeitsassistenz as an important tool to integrate persons with disabilities into the regular labour market was an objective of the Austrian Operational Programme for 1995 - 1999. Its aim was also to offer this service all over Austria especially in less developed regions and to target groups which were not included in the pilot projects. Basically there is one main target group for the Arbeitsassistenz-programme: unemployed persons with disabilities or persons who are in danger of loosing their job because of an impairment. At the very beginning of the programme only people with mental health problems could ask for this service, but with time the target groups were enlarged (1995) and special Arbeitsassistenz-projects were established for the following groups of persons with: § persons with a mental health disability § persons with an intellectual disability § persons with a physical disability § persons who are deaf or hard of hearing § persons who are blind or visually impaired § persons with a multiple disability The specific goals of the Arbeitsassistenz-programme are: § to support people with disabilities to stay in their jobs § to bring people back to work in their original job or in a new job § to support them to find a first job § to promote integration in the workplace § to influence employers and the public to give people with disabilities equal opportunities in the workplace and to support integration The target groups and the specific goals of the Arbeitsassistenz-programme directly address the employment strategy created in Luxembourg 1997 to integrate people with disabilities into the labour market. Furthermore they fully fit into the Vienna amendments (1998) to the employment guidelines to improve integration of persons with disabilities as well as into the employment guidelines 1999 to fight the unemployment of young people and to avoid long-term unemployment. January, 2001 Peer Review „Arbeitsassistenz“ – Support for the Integration of Disabled People into the Labour Market, Austria 7 WALTER BLUMBERGER A.3 Legal and financial provisions to implement the policy The basic legal provision for the Arbeitsassistenz is given in the Disabled Persons Employment Act (Behinderteneinstellungsgesetz, BEinstG)9, the aim of which is § to integrate disabled people into the labour market, § to provide special protective regulations for employees with disabilities § to protect persons with disabilities against dismissal as well as § to establish a representative in a company to protect the interests of these employees. Paragraph 6 (2) lit. d says, that the ‘costs for actions to support [ registered persons with disabilities]in the workplace, especially Arbeitsassistenz’10 are to be subsidised. Guidelines for Arbeitsassistenz The tasks and target groups of the Arbeitsassistenz, financial matters, refundable costs and the reporting system are regulated in special Guidelines11. Non-profit organisations can be commissioned to support persons with disabilities in the workplace and these organisations can be subsidised by financial means out of the disabled persons compensation fund. Arbeitsassistenz services have to offer open access to the target groups, and actions, especially psycho-social advice, have to be taken by professional staff to fulfil the goals. Registered persons with disabilities or people who can prove, e.g. by medical report, that they are at least 50% disabled are allowed to demand Arbeitsassistenz. However they must be able to work in a sheltered workshop or workplace. On average, one job-assistant (Arbeitsassistent) has to care for 20 persons and the term of consultation should not go beyond one year. Due to special reasons these criteria can be changed. If necessary special (vocational) training, technical aids etc. can be granted to improve the employability of persons with disability. The first precursor to the modern Disabled Persons Employment Act passed in 1920. Only veterans of World War I were beneficiaries of this act. After World War II victims of accidents at work and political persecution as well as civilian disabled people were included as beneficiaries. In 1973 the principle of finality was fully embodied in the Invalids Employment Act of the time, which meant that from that time onwards, benefits applied to all disabled persons regardless of the cause of their disability. (See: The Disability Concept of the Austrian Federal Government. Vienna 1998, p 37). 10 Disabled Persons Employment Act § 6 (2) lit. d 1999. 11 Richtlinien für die Förderung begleitender Hilfen gem. §6 Abs. 1 BeinstG aus den Mitteln des Ausgleichtaxfonds. 9 January, 2001 Peer Review „Arbeitsassistenz“ – Support for the Integration of Disabled People into the Labour Market, Austria 8 WALTER BLUMBERGER Commissioning of Arbeitsassistenz projects Organisations which want to establish Arbeitsassistenz have to be commissioned by the Federal Office for Disability Affairs (Bundesamt für Soziales und Behindertenwesen, BSB) according to the guidelines. A special contract (Förderungsvertrag) has to be made which not only regulates the subsidises but also details of the target group and the workload as well as criteria of efficiency. For example: The number of persons with an intellectual disability for whom one Arbeitsassistent has to care is lower than the number of persons who are physically impaired or hard of hearing. Financial provisions The Arbeitsassisstenz projects are financed by the § Disabled persons compensation fund (ATF) § Public Employment Service (AMS) § Regional governments § European Social Funds (ESF) 42,78% of the costs of projects in objective 3 regions and 50% in the objective 1 region Burgenland were financed by the ESF. It was intended that the remaining 57,22% should be provided in equal proportions by the ATF, AMS and regional governments. But in some provinces either the AMS or the regional government did not contribute to the projects. In these cases the Federal Ministry of Social Security and Generations (Federal Office of Disability Affairs) paid for the missing shares. In most of the years since 1995 the budgets for Arbeitsassistenz have been higher than the real costs of the projects. Graph 3: Real costs of the Arbeitsassistenz programme 6000000 5000000 Euros 4000000 3000000 2000000 1000000 0 costs (Euros) 1995 200000 1996 1997 1998 1999 1497851 3557295 4837916 5552556 year estimated January, 2001 Peer Review „Arbeitsassistenz“ – Support for the Integration of Disabled People into the Labour Market, Austria 9 WALTER BLUMBERGER A.4 Institutional arrangements and procedures of implementation Spreading Arbeitsassistenz in Austria The two pilot projects for Arbeitsassistenz in Upper and Lower Austria were initiated by locally based non-profit organisations (Pro mente and Psychosoziales Zentrum) which have been working together with psychiatric hospitals. To some degree Arbeitsassistenz projects in Germany were models for the Austrian activities. Many other organisations were interested in the outcome of the evaluation. After Arbeitsassistenz turned out to be successful12 more and more organisations applied for financial means to offer Arbeitsassistenz in other regions. First projects started in Burgenland, Lower Austria, Upper Austria and Vienna in 1995; projects in other provinces followed in 1996. While in 1995 only nine projects existed there are 83 working in 1999. Table 5: Number of Arbeitsassistenz projects in Austria year 1992 1995 1996 1997 1998 1999 Number projects 2 9 27 28 35 83 of Between 43% and 50% of the persons who asked for support found a job or could keep their job after they faced problems in the company. January, 2001 10 Peer Review „Arbeitsassistenz“ – Support for the Integration 12 of Disabled People into the Labour Market, Austria WALTER BLUMBERGER Chart 1: Districts provided with Arbeitsassistenz (August 2000) January, 2001 Peer Review „Arbeitsassistenz“ – Support for the Integration of Disabled People into the Labour Market, Austria 11 WALTER BLUMBERGER The staff Corresponding to the number of projects which where established the number of people who worked in the projects grew (see table 6). Table 6: Number of employees 1995 – 1999 year number 1997 116 1998 127 1999 174 Source:IBE; *) not available equivalent in fulltime employment 68,55 93,13 *) In 1997, the year of reference of the study on the development of the Arbeitsassistenz in Austria13, 40 of the 116 persons (34%) who were employed in projects fulfilled administrative tasks. 66% of the whole staff were women, 34% men. 40 out of 76 job-assistants (53%) were academics (psychologists or pedagogues), 30 (39%) held a social-workers’degree. 30% of the job-assistants had qualified in further training for psychotherapies, advice and a few in management sciences. Eight job-assistants knew sign language. Concepts and methods The conceptual idea of Arbeitsassistenz is 1. to keep these persons in their actual jobs, 2. to bring back to work people with disabilities, especially persons with mental health problems as soon as possible, 3. to avoid unemployment or expensive vocational rehabilitation processes, 4. to allow especially women with mental health problems to benefit from Arbeitsassistenz. Herewith Arbeitsassistenz should play a § preventive role (keeping jobs), § an integrative role (job finding and promotion of employment), § a communicative role (to advise employers, colleagues in the workplace, authorities), § role in promoting the equality of women. Job-assistants work within the framework of casework methodology and a systemic approach. The ideal path of consultation follows nine steps: See: Blumberger, W./ Heilbrunner, C., Moser.C.: Aktivierende wissenschaftliche Begleitung des Aufbaues der Arbeitsassistenz in Österreich. Projektbericht des Institut für Berufs- und Erwachsenenbildungsforschung an der Johannes Kepler Universität Linz. Teilbericht 1(5 Bände), Teilbericht 2, Projektabschlußbericht. Linz 1999. January, 2001 12 Peer Review „Arbeitsassistenz“ – Support for the Integration 13 of Disabled People into the Labour Market, Austria WALTER BLUMBERGER Chart 2: Ideal path of consultation Clearing Career planning Intervention planning Intervention in the company Training for job interviews*) (by vocational training institutions) Vocational training*) Consultation with other advice centres*) (e.g. debtor advice centre) Co-operative job-search Active job-interview support*) Follow-up care (including information in the workplace) Control of success *) optional Attracting persons with disabilities Persons with disabilities find their ways to the Arbeitsassistenz mostly by information from § the Federal Office for Disability Affairs, § psychiatric hospitals, § other psychiatric health services, § disabled persons organisations, § advice centres, Labour Market Service (AMS) § physicians, lawyers, § official agents, § public relations. January, 2001 Peer Review „Arbeitsassistenz“ – Support for the Integration of Disabled People into the Labour Market, Austria 13 WALTER BLUMBERGER Part B: Results of the Arbeitsassistenz programme B.1 Quantitative results The study of the job assistance programme in Austria, mentioned above14, is focussed on the years 1997 and 1998/1999. The outcome of this study has been the basis for restructuring the programme. This report on the results of the Arbeitsassistenz project mainly refers to these data. B.1.1 Persons in care of the Arbeitsassistenz The number of advised persons with disabilities and persons in care of the Arbeitsassistenz developed differently depending on the year of establishing the project, the regional psychiatric health infrastructure, the labour market etc. 42% of the clients are persons with mental health impairments, 16% do have intellectual and 15% physical impairments. Table 7: Advised persons and persons in care of the Arbeitsassistenz by impairment (average 1997/1998/1999) Mental health hard of visually disabilities hearing impaired 42% 13% 2% Source: IBE, *) double counting possible intellectual disabilities*) 16% physical disabilities 15% multiple disabilities*) 11% Compared to registered unemployed people with disabilities one can see, that persons with physical disabilities are less often clients of the Arbeitsassistenz but persons with mental health disabilities, persons who are hard of hearing or visually impaired as well as persons with intellectual disabilities are to a much higher ratio advised by or in care of the Arbeitsassistenz. This has to be regarded as a very positive result, especially in the case of people with intellectual disabilities, because these persons are normally excluded from the labour market. On the other hand one has to admit, that Arbeitsassistenz, as it was designed originally, does possibly not meet the close demands of this persons, e.g. the transition from school to work phase (career planning) or support necessities at the work place (job coaching). But in practice Arbeitsassistenz fulfils mostly these demands. Regarding the results of the programme one has to distinguish between ‘persons with disabilities in care of the Arbeitsassistenz’(PICs) and advised persons with disabilities (APs): § In the case of PICs the task of Arbeitsassistenz is to support persons with disabilities to stay in their job, to bring them back into their job or to find a new job and § ‘advised persons’(APs) who receive advice only for a short term. 14 Blumberger, W./Heilbrunner, C./Moser, C., Linz 1999. January, 2001 Peer Review „Arbeitsassistenz“ – Support for the Integration of Disabled People into the Labour Market, Austria 14 WALTER BLUMBERGER Table 8: Registered unemployed persons by impairment (average 1997/1998) mental health hard disabilities hearing 15,1% 0,8% Source: AMS of visually impaired 0,4% intellectual disabilities 4,6% physical disabilities 80,3% The number of people supported by Arbeitsassistenz amounted to 3,517 in 1997, to 7,997 in 1998, and according to the IBE 2nd data capture approx. 9,000 in 1999. There was a significant increase in total, however the proportion of supported women decreased from 46% to 33%.(See table 9.) It has to be acknowledged that the three data-sources referred to in table 6 (see below) do not absolutely correspond because of different data collecting methods and data levels. In this report we refer to the IBE-data captured initially if no other data basis is especially quoted. Table 9: Advised persons with disability and persons in care 1997 – 1999 men 1997 Aps PICs Total 1998 Aps PICs Total 199915 Aps PICs Total women total Total (IBE-1st Data (IBE-2nd capture) Date capture) 831 1067 1898 54% 814 805 1619 46% 1645 1872 3517 100% 3705 1354 5059 63% 1820 1118 2938 37% 5525 2472 7997 100% 4515 1374 5889 67% 1676 1249 2925 33% BMSG-Data 1940 1656 2921 2879 6191 2623 8814 100% 3279 For the study of Blumberger, W./Heilbrunner, C./Moser, C., (Linz 1999) data on the outcome of the Arbeitsassistenz projects were captured twice (in 1998 – IBE-1stdata capture – and 1999/2000 – IBE-2nd data capture) for the years 1997/1998/1999. However the captures produced different results. This report relates to the figures coming from the first data capture (IBE-1st data capture) if nothing else is mentioned. The data of the 2nd IBE-data capture are incomplete; until July 14th 2000 it was not possible to get detailed data from four projects. January, 2001 15 Peer Review „Arbeitsassistenz“ – Support for the Integration 15 of Disabled People into the Labour Market, Austria WALTER BLUMBERGER The relatively highest rate of persons with mental health problems were in care of the Arbeitsassistenz in Lower Austria, Upper Austria and in Styria. In Vorarlberg, the most western province of Austria, the majority of all persons in care had intellectual and/or multiple impairments. In Upper Austria and in Vienna many persons were hard of hearing (see table 10). Table 10: Persons in care by impairment 1997 Province Impairment mental hard health hearing total multiple intellec- physically impairtual dis- impaired ment ability Burgenland 28 10 4 33 30 21 126 22% 8% 3% 26% 24% 17% 100% Carinthia **) 48 4 1 11 33 31 128 38% 3% 0% 9% 26% 24% 100% Lower 249 44 0 1 0 28 322 Austria 77% 14% 0% 0% 0% 9% 100% Upper 164 91 19 13 33 17 337 Austria 49% 27% 6% 4% 10% 5% 100% Salzburg**) 72 16 0 69 51 38 246 29% 7% 0% 28% 21% 15% 100% Styria**) 145 28 17 63 61 33 347 42% 8% 5% 18% 18% 10% 100% Tyrol 36 9 3 22 28 45 143 25% 6% 2% 15% 20% 31% 100% Vorarlberg**) 78 8 5 83 54 21 249 31% 3% 2% 33% 22% 8% 100% Vienna 78 72 3 44 23 9 229 34% 31% 1% 19% 10% 4% 100% Österreich 898 282 52 339 313 243 2127 Total 42% 13% 2% 16% 15% 11% 100% st nd *) 1 line: absolute figures; 2 line: in percent. Please notice: Only people in care of the Arbeitsassistenz are counted. **) Multi-answers possible. of visual impaired Table 10 shows different concentrations of impairments within the provinces. One of the main reasons for that is on the one hand the institutional background of the projects, on the other hand the availability of alternative services. The number of persons with intellectual and/or multiple impairments increased significantly compared to past years. The resources in terms of ‘manpower’ provided by the Arbeitsassistenz projects differ between the target groups. January, 2001 Peer Review „Arbeitsassistenz“ – Support for the Integration of Disabled People into the Labour Market, Austria 16 WALTER BLUMBERGER Table 11: Number of Arbeitsassistenz employees by target groups Target groups mental health impairments physically and/ or intellectually impaired hard of hearing or visually impaired multiple target groups 1997 23,0 5,3 1998 28,5 7,0 7,8 9,7 32,4 48,0 There are agreements between the Federal Office for Social Affairs and the Arbeitsassistenz projects concerning the relation between job-assistants and persons in care. Table 12: Relation between job-assistants and persons in care Target groups mental health impairments intellectually impaired hard of hearing or visually impaired multiple impairments Relation 1:12 1:13 1:13 1:25 1:12 1:16 Looking at the human resources which were provided in the federal and regional budgets the highest resources were located in Lower Austria and in Upper Austria in 1997, in Styria and in Lower Austria in 1998. Regarding unemployment figures big regional discrepancies could be seen in 1997: Burgenland, Salzburg and Vorarlberg are provided best with Arbeitsassistenz, Carinthia and Vienna worst (see table 13). In the following years actions were taken to provide Arbeitsassistenz more equal in the Austrian regions to the same extent (see chart 1). Table 13: Number of persons per job-assistant 1997 Province Burgenland Carinthia Lower Austria Upper Austria Salzburg Styria Tirol Vorarlberg Vienna Austria January, 2001 Registered unemployed persons with disabilities per job-assistant 232.2 1041.2 296.5 361.8 128.6 442.6 368.5 332.6 1097.9 443.5 Peer Review Registered persons with disabilities per job-assistant 323.8 2,051.6 544.6 1,061.5 248.9 1,079.2 605.7 377.4 1,433.0 824,1 Employees per job-assistant 25,960 100,000 43,229 48,079 24,476 42,262 52,533 33,820 68,791 45,801 „Arbeitsassistenz“ – Support for the Integration of Disabled People into the Labour Market, Austria 17 WALTER BLUMBERGER Satisfaction with job-assistants Forty semi-structured interviews were carried out in 1998. One question was, how satisfied persons with disabilities are with the services provided by job-assistants. On a scale from 1 (very satisfied) to 5 (completely dissatisfied) the mean for satisfaction was 1.4. It has to be mentioned that only one person qualified her/his job-assistant with 4 but many pointed out in the interviews that they would not be able to find a job without the support of job assistants. Acceptance of Arbeitsassistenz by Companies As mentioned before Arbeitsassistenz projects have to do public relations work in order to improve equal employment chances and to establish Arbeitsassistenz as a service not only to support persons with disabilities but employers. A telephone survey of employers and personnel managers in companies (n = 536) showed that 48% of the interviewed persons knew the Arbeitsassistenz. The Arbeitsassistenz was better known in rural than in urban areas. However employers and managers did not very often have practical contact with it, 6% of them said that they were once in touch with Arbeitsassistenz. This means that almost 3% of Austrian companies had practical experiences with this programme. 50% of these contacts concerned employment of a person in care and 13% conflictual situations of employed persons with disabilities. Approximately one third of the interviewed would accept the services of Arbeitsassistenz but 4 out of 10 who know the Arbeitsassistenz would not like to take on further co-operation. To sum up one can say that three out of ten employers or managers would accept services provided by the Arbeitsassistenz. Efficacy of Arbeitsassistenz The crucial criterion of Arbeitsassistenz is the number of persons with disabilities who could stay in their jobs despite problems16 or who were unemployed and could find a job17. Efficacy ratios (proportion of positive interventions and employment of all persons with disabilities in care) vary between 25% and 52%. This efficacy ratios were mostly in line with the agreements laid down in the special contracts (Förderungsvereinbarungen) with the Arbeitsassistenz projects. Job-assistants were able to support 15,8% of the persons in care to stay at their workplace and 25,8% to find a job. They have to stay at least 6 months in their job to be registered as successful intervention. It has to be a regular job and it has to last longer as the person has to be for a longer term as the probation was legally agreed. January, 2001 18 Peer Review „Arbeitsassistenz“ – Support for the Integration 16 17 of Disabled People into the Labour Market, Austria WALTER BLUMBERGER Table 14: Efficacy ratios by persons in care and provinces (1997) Province Burgenland Carintha Lower Austria Upper Austria Salzburg Styria Tyrol Vorarlberg Vienna Total Persons in care (absolute figures) 126 81 322 337 102 316 143 216 229 1872 Positive interventions (absolute figures) 59 20 119 129 49 154 55 112 81 778 Positive intervention rate in percent 46,8 24,7 37,0 38,3 48,0 48,7 38,5 51,9 35,4 41,6 Looking at the figures of registered unemployed persons with disabilities who could find a job in the years 1995 to 1999 one can see a remarkable growth, especially in the year from 1998 to 1999. It is certain that not every unemployed person found its his or her job with the support of the Arbeitsassistenz but this table may be seen as a strong evidence for the efficacy of this programme. Table 15: Registered unemployed persons with disabilities finding a job 1995 total 27,198 compared to previous year Source: AMS January, 2001 1996 28,072 + 874 Peer Review 1997 29,546 + 1,474 1998 29,556 + 12 1999 33,940 + 4,384 „Arbeitsassistenz“ – Support for the Integration of Disabled People into the Labour Market, Austria 19 WALTER BLUMBERGER Results in relation to the baseline situation and to goals and targets Taking into account that we are dealing with a relatively small number of persons and that the Arbeitsassistenz programme is only one of Austria’s actions to promote employment and employability of persons with disabilities18 we have to acknowledge that § the number of unemployed registered persons with disabilities, the main target group of Arbeitsassistenz, has, for the first time since the early 90s, slightly decreased from 1998 to 1999 (125); § the rate of unemployed registered persons with disabilities decreased from 1995 (12,5%) to 1999 (11,7%) by 0,8%; § compared to the previous year in 1997 29,546 (+ 1,474), in 1998 29,556 (+12) and in 1999 33,940 (+4,384) registered unemployed persons with disabilities could find a job; § 25,8% (483) of the persons in care of the Arbeitsassistenz were able to find a job and 15,8% (295) could keep their job because of the activities of job-assistants in 1997. § in 1997 37,449 persons with disabilities were registered unemployed, in 1998 40,541 (+3,072), but in 1999 39,378 (-1,163); § persons with mental health problems are the main target group of the Arbeitsassistenz; § women with disabilities are equally represented (compared to registered women’s with disabilities proportion) as advised persons or persons in care in the Arbeitsassistenz programme; § Arbeitsassistenz is very well accepted by persons with disabilities. B.2 Other results and achievements of the policy One of the main, probably unintended, achievements of the Arbeitsassistenz programme in Austria was that it supported the very important discussion about ‘transition from work to school’, especially as young people with intellectual and multiple disabilities are concerned. In this context a variety of projects of were established which were successful in employing (young) people with severe handicaps in the regular labour market. Furthermore the idea of ‘supported employment’as well as ‘job coaching’and ‘personal assistance’became more relevant. Some new projects in the ‘field of supported employment’ were created and a lively discussion is going on not only among parents and organisations of persons with disabilities but also in the social administration systems at regional and federal level. Integration of pupils with disabilities into the secondary II- level (including vocational education and training), which until today is not fully practised in Austria, got additional arguments. Learning together makes working together a normal situation. Another crucial result is that alternative return-to-work strategies, besides more or less traditional (but necessary) vocational rehabilitation programmes, are discussed more broadly, for example special vocational pre-training and special apprenticeship-schemes (‘Qualifizierter Helfer’–‘qualified helper’). Related to ‘mainstreaming’ and ‘equal opportunities’ good progress was made in various projects in connection with the EU programmes EMPLOYMENT and ADAPT. Two out of many others should be mentioned: In 1997 there were approx. 6,468, in 1999 7,789 persons with disabilities in training and employment programs of the Public Employment Service. (Source: Ministry for Economy and Labour, Umsetzungsbericht 2000 zum Nationalen Aktionsplan für Beschäftigung. Österreich. Mai 2000). January, 2001 20 Peer Review „Arbeitsassistenz“ – Support for the Integration 18 of Disabled People into the Labour Market, Austria WALTER BLUMBERGER The goal of the project ‘Ready to Start’in Tyrol is to give school-leavers with intellectual disabilities an initial vocational training to allow them integration into the labour market. Job-search is specially supported in this project as well as the initial working-phase. § The Styria based project ‘Job Allianz’establishes an efficient and sustainable network of all organisations involved in disability affairs, labour market, consultation and Arbeitsassistenz. Special emphasis is put on the co-operation with regional companies. § Regarding the Council’s Decision of May 20th 2000 in which strategies are supported to improve the employment situation of persons with disabilities and to promote their independence from the provision ofbenefits, Arbeitsassistenz fits very well into to concept of active and preventive measures. B.3 Assessment of obstacles and constraints encountered Obstacles have to be reported at least at two levels: the general labour market situation and the legal framework for employing people with disabilities. It becomes obvious that the employment of people with disabilities goes together with the general labour market developments. Whereas the labour market was very tense in the middle of the 90s it became better at the end of the 90s and especially in 2000: In November 2000 Austria’s unemployment rate was the lowest since 1990 (5,8% according to national computation, 3,1% according to Eurostat). In other words, bad news from the labour market means bad news for the employment situation of people with disabilities. Nevertheless the Arbeitsassistenz programme was successful even in these times. The Disabled Persons Employment Act give a special protection against dismissal to registered persons with disabilities. Employers tend to assume that it would mean that persons with disabilities are impossible to dismiss. However this is not the case - most conflicts are settled by mutual decisions – this law often becomes a barrier against employment19. There are discussions on how to get over this problem by limited casual work. Another point is that subsidising the workplace of a disabled person is not always efficient. Many companies do not want to employ a ‘disabled worker’but a ‘worker’who may have a certain impairment and estimate the social costs if they would hire a ‘disabled person’. The decision is sometimes not favourable for the person affected. On the other hand studies proved that subsidises for companies can motivate the employment of persons with disabilities especially in small enterprises and especially if they belong to the community of the person affected. Meanwhile (1999) an amendment of this law took place and the protection against dismissal became a little weaker but not substantially. 19 January, 2001 Peer Review „Arbeitsassistenz“ – Support for the Integration of Disabled People into the Labour Market, Austria 21 WALTER BLUMBERGER There are some more topics to be discussed in relation with the Arbeitsassistenz programme: First of all the limitation of age and employment status concerning persons with disabilities. In principle jobassistants are only allowed to care for unemployed persons and for persons with disabilities who are at least 18 years old. That means that school-leavers who have never worked cannot benefit from the programme. But to avoid exclusion and long term unemployment it would be necessary to bridge the gap between school and labour market. At present ‘Integration consultants’who accompany post-school careers are discussed to play this role. Another point of discussion, especially at the beginning of the Arbeitsassistenz project, was the professional background of most job-assistants who had hardly any practical experience in private companies. Therefore sometimes communication with employers was not effective. But this problem can be solved through experience and adopted recruitment strategies for job assistants. Part C: the policy debate In Austria there is not really a political debate on Arbeitsassistenz. Organisations of persons with disabilities and the people addressed are to a very high degree satisfied with this social service. The social partners accept Arbeitsassistenz as an efficient tool to support persons with disabilities in finding a job or managing a crisis at the work place. The main questions Arbeitsassistenz raises are the topics which were already discussed: transition from school to work, intensive career care by special job-assistants (integration consultants) and improvement of the employability of young persons with disabilities. January, 2001 Peer Review „Arbeitsassistenz“ – Support for the Integration of Disabled People into the Labour Market, Austria 22