Monetary cost-benefit analysis of specialist services for people with mental impairments on the general job market
The question/aim of this cost-benefit analysis was which monetary costs and benefits arise altogether and for whom, in the placement of people with mental disabilities onto the general job market.Investigation object was six integration specialist services commissioned by the district organisation Westphalia-Lippe/main welfare office from the end of 1994, with regard to the concept of "supported employment" for placing people with mental disabilities onto the first job market.
The investigation period spread over the first year following the completion of an introductory phase of seven months taken into account for each integration specialist service The results are briefly summarised in the following:
According to the underlying cost-benefit-model, the placement of a client on average pays off after approx. 2, 8 years. After five years the cumulative cost advantages for the mainly involved supporters realised the amount of approx. 61.000,-DM. The costs of a placement are mainly carried by the main welfare office and the work administration. Profits are gained mainly by the superregional or local social welfare supporters.The placements are the basis of the economic efficiency of a specialist service.
The sum of the proceeds gained or the degree of cost advantages are important but dependent on further factors:
- the vocational status of the client before the placement through the integration specialist service,
- the accomodation situation of the client,
- the support conditions (wage cost contributions and benefits according to paragraph 27 of the severely disabled law equalisation expense regulations),
- from the investment costs and the costs for extra job coaches,
- from the wages of the client,
- whether the employer has had to pay the equalisation costs.
In summary, the analysis shows that the integration specialist services not only allow access to the general job market for a considerable number of people with disabilities, thus opening a new life perspective but also pay off economically.