SciELO - Scientific Electronic Library Online

 
vol.47 issue2Convergent validity of the Occupational Therapy Adult Perceptual Screening Test (OT-APST) with two other cognitive-perceptual tools in a South African contextVisual perception of five-year-old English-speaking children in Bloemfontein using the Beery VMI-6, DTVP-3 and TVPS-3 author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Article

Indicators

Related links

  • On index processCited by Google
  • On index processSimilars in Google

Share


South African Journal of Occupational Therapy

On-line version ISSN 2310-3833
Print version ISSN 0038-2337

Abstract

ENGELBRECHT, Madri; VAN NIEKERK, Lana; COETZEE, Zelda  and  HAJWANI, Zenina. Supported Employment for people with mental disabilities in South Africa: cost calculation of service utilisation. S. Afr. j. occup. ther. [online]. 2017, vol.47, n.2, pp.11-16. ISSN 2310-3833.  http://dx.doi.org/10.17159/231-3833/1017/v47n2a3.

INTRODUCTION: 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.

Keywords : psychiatric disability; intellectual disability; vocational rehabilitation; reasonable accommodation; return to work.

        · text in English     · English ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License