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
type: article
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'