2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'Background: Mental illness is the prime reason for the inflow into
|
|
|
|
|
|
|
|
|
|
disability insurance in many countries. The integration of persons with
|
|
|
|
|
|
|
|
|
|
a disability into the regular labor market is costly and in the case of
|
|
|
|
|
|
|
|
|
|
mentally ill persons, particularly difficult. Supported Education and
|
|
|
|
|
|
|
|
|
|
Employment - a rehabilitation method that directly places patients in a
|
|
|
|
|
|
|
|
|
|
realistic work environment - has been shown to be effective in
|
|
|
|
|
|
|
|
|
|
increasing competitive employment. However, it has not yet been widely
|
|
|
|
|
|
|
|
|
|
implemented.
|
|
|
|
|
|
|
|
|
|
Aims of the Study: We evaluate ex-ante the willingness to participate in
|
|
|
|
|
|
|
|
|
|
Supported Education and Employment and the barriers to do so from the
|
|
|
|
|
|
|
|
|
|
employer''s perspective.
|
|
|
|
|
|
|
|
|
|
Methods: We conducted a discrete choice experiment implemented in an
|
|
|
|
|
|
|
|
|
|
online survey. The survey was carried out among all Swiss companies
|
|
|
|
|
|
|
|
|
|
which provide standard dual-track vocational education and training for
|
|
|
|
|
|
|
|
|
|
commercial occupations in Eastern Switzerland. We presented respondents
|
|
|
|
|
|
|
|
|
|
(employees who are responsible for vocational training and/or for the
|
|
|
|
|
|
|
|
|
|
selection of applicants) with a sample of five hypothetical profiles.
|
|
|
|
|
|
|
|
|
|
These profiles vary along different medical diagnoses, different illness
|
|
|
|
|
|
|
|
|
|
related (dys-)functions, and other characteristics that may be
|
|
|
|
|
|
|
|
|
|
associated with a company''s willingness to accept the candidate (such as
|
|
|
|
|
|
|
|
|
|
school performance, motivation, and illness related absences).
|
|
|
|
|
|
|
|
|
|
Respondents were asked whether or not they would train this person.
|
|
|
|
|
|
|
|
|
|
Results: 22\% of the profiles are accepted. However, our results
|
|
|
|
|
|
|
|
|
|
demonstrate that the hypothetical bias - which is the difference between
|
|
|
|
|
|
|
|
|
|
individual saying what they would do in a hypothetical setting and what
|
|
|
|
|
|
|
|
|
|
they will do when they have the opportunity - is severe. Correcting for
|
|
|
|
|
|
|
|
|
|
this bias using follow-up scales ({''''}Are you sure?{''''}) reduces the
|
|
|
|
|
|
|
|
|
|
overall acceptance in our sample to 9\%. Keeping in mind the response
|
|
|
|
|
|
|
|
|
|
rate to our survey of 35\%, overall acceptance may be as low as 3\%.
|
|
|
|
|
|
|
|
|
|
Non-cognitive dysfunctions (e.g. non-adherence to regulations,
|
|
|
|
|
|
|
|
|
|
difficulties with contacts with others) that are related to mental
|
|
|
|
|
|
|
|
|
|
disorders, are the main deterrents. Patients with psychotic disorders
|
|
|
|
|
|
|
|
|
|
are particularly disadvantaged.
|
|
|
|
|
|
|
|
|
|
Implications for Health Policy: Although there are no direct costs to
|
|
|
|
|
|
|
|
|
|
the employer, a wide introduction of Supported Vocational Education and
|
|
|
|
|
|
|
|
|
|
Training is likely to fail at the current stage with the unwillingness
|
|
|
|
|
|
|
|
|
|
of companies to train people with special needs. There may be additional
|
|
|
|
|
|
|
|
|
|
incentives needed, for example in form of subsidies or legal
|
|
|
|
|
|
|
|
|
|
requirements. Even though our experiment has been tailored to the Swiss
|
|
|
|
|
|
|
|
|
|
system, our results may also be relevant in other countries with similar
|
|
|
|
|
|
|
|
|
|
dual-track education systems.'
|
|
|
|
|
affiliation: 'Deuchert, E (Corresponding Author), Univ St Gallen, Ctr Disabil \& Integrat,
|
|
|
|
|
Rosenbergstr 51, CH-9000 St Gallen, Switzerland.
|
|
|
|
|
|
|
|
|
|
Deuchert, Eva; Kauer, Lukas, Univ St Gallen, Ctr Disabil \& Integrat, Dept Econ,
|
|
|
|
|
CH-9000 St Gallen, Switzerland.
|
|
|
|
|
|
|
|
|
|
Zannol, Flurina Meisen, Univ Appl Sci St Gallen, Dept Social Work, Rorschach, Switzerland.'
|
|
|
|
|
author: Deuchert, Eva and Kauer, Lukas and Zannol, Flurina Meisen
|
|
|
|
|
author-email: eva.deuchert@unisg.ch
|
|
|
|
|
author_list:
|
|
|
|
|
- family: Deuchert
|
|
|
|
|
given: Eva
|
|
|
|
|
- family: Kauer
|
|
|
|
|
given: Lukas
|
|
|
|
|
- family: Zannol
|
|
|
|
|
given: Flurina Meisen
|
|
|
|
|
da: '2023-09-28'
|
|
|
|
|
files: []
|
|
|
|
|
issn: 1091-4358
|
|
|
|
|
journal: JOURNAL OF MENTAL HEALTH POLICY AND ECONOMICS
|
|
|
|
|
keywords-plus: 'WILLINGNESS-TO-PAY; LABOR-MARKET OUTCOMES; NONCOGNITIVE SKILLS;
|
|
|
|
|
|
|
|
|
|
HYPOTHETICAL BIAS; DISABILITY STATUS; EMPLOYERS; HEALTH; WORK;
|
|
|
|
|
|
|
|
|
|
REHABILITATION; EMPLOYMENT'
|
|
|
|
|
language: English
|
|
|
|
|
month: JUN
|
|
|
|
|
number: '2'
|
|
|
|
|
number-of-cited-references: '44'
|
|
|
|
|
orcid-numbers: Kauer, Lukas/0000-0003-1754-6942
|
|
|
|
|
pages: 67-80
|
|
|
|
|
papis_id: 4da76490afe9144299119a7f43c79ed0
|
|
|
|
|
ref: Deuchert2013wouldyou
|
|
|
|
|
researcherid-numbers: 'Deuchert, Eva/IXD-1412-2023
|
|
|
|
|
|
|
|
|
|
'
|
|
|
|
|
times-cited: '7'
|
|
|
|
|
title: Would You Train Me with My Mental Illness? Evidence from a Discrete Choice
|
|
|
|
|
Experiment
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000321080200003
|
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
|
usage-count-since-2013: '27'
|
|
|
|
|
volume: '16'
|
|
|
|
|
web-of-science-categories: Health Policy \& Services; Psychiatry
|
|
|
|
|
year: '2013'
|
