Supported Employment for people with mental disabilities in South Africa : cost calculation of service utilisation

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dc.contributor.authorEngelbrecht, Madrien_ZA
dc.contributor.authorVan Niekerk, Lanaen_ZA
dc.contributor.authorCoetzee, Zeldaen_ZA
dc.contributor.authorHajwani, Zerinaen_ZA
dc.date.accessioned2019-03-08T10:36:01Z
dc.date.available2019-03-08T10:36:01Z
dc.date.issued2017
dc.descriptionCITATION: Engelbrecht, M., et al, 2017. Supported Employment for people with mental disabilities in South Africa : cost calculation of service utilisation. South African Journal of Occupational Therapy, 47(2):11-16, doi:10.17159/231-3833/1017/v47n2a3.
dc.descriptionThe original publication is available at http://www.sajot.co.za
dc.description.abstractIntroduction: Supported Employment (SE) is a strategy that facilitates positive employment outcomes for people with mental disabilities in open labour market settings. SE’s cost-effectiveness has been established internationally, but not in South Africa. This paper reports on the cost and affordability of SE services offered to people with mental disabilities in South Africa. Method: A longitudinal descriptive study was used to determine the cost of SE service components utilised by people with mental disabilities, from two programmes in the Western Cape. The utilisation of service elements was captured in 15-minute time units. Data collection continued for 12 months, commencing when a job had been identified and preparation for placement had ensued. Time utilisation data were used to calculate cost, using a government sessional salary (R189/hour) and a medical aid reimbursement rate (R367/hour) of occupational therapists acting as job coaches. Findings: The findings show SE services to be less than 10% of the cost of a monthly disability grant, and 10% - 21% lower than the current subsidy per consumer in a protective workshop. Conclusion: Evidence from the study thus reflects the cost of SE services to people with mental disability as substantially lower than the current government investment in disability grants and protective workshops subsidies.en_ZA
dc.description.urihttp://www.sajot.co.za/index.php/sajot/article/view/406
dc.description.versionPublisher's version
dc.format.extent6 pages
dc.identifier.citationEngelbrecht, M., et al, 2017. Supported Employment for people with mental disabilities in South Africa : cost calculation of service utilisation. South African Journal of Occupational Therapy, 47(2):11-16, doi:10.17159/231-3833/1017/v47n2a3
dc.identifier.issn2310-3833 (online)
dc.identifier.issn0038-2337 (print)
dc.identifier.otherdoi:10.17159/231-3833/1017/v47n2a3
dc.identifier.urihttp://hdl.handle.net/10019.1/105535
dc.language.isoen_ZAen_ZA
dc.publisherOccupational Therapy Association of South Africa
dc.rights.holderOccupational Therapy Association of South Africa
dc.subjectPeople with mental disabilitiesen_ZA
dc.subjectRehabilitationen_ZA
dc.subjectPeople with mental disabilities -- Rehabilitationen_ZA
dc.subjectPeople with mental disabilities -- Employmenten_ZA
dc.titleSupported Employment for people with mental disabilities in South Africa : cost calculation of service utilisationen_ZA
dc.typeArticleen_ZA
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