In safe hands? Evaluating employment pathways for ESA claimants with mental health problems
Why are work assessments and employment support services failing people with mental health problems?Article
This short briefing shines a spotlight on welfare-to-work pathways that are 'far from satisfactory' for people with mental health and behavioural problems.
It is estimated that 1.9 million people are receiving ESA, rising to 2.4 million in 2015. However, people with mental health problems, who make up 40 percent of those going through the work capability assessment (WCA) process, are being let down by a system that appears to be neither effective nor accurate in determining the appropriate level of financial or employment support for claimants with mental health problems. Equally, the system fails to provide the kind of support for claimants that is adequate or appropriate for people with mental health problems.
This paper makes recommendations focusing on:
- collecting additional information and evidence about people who might be disadvantaged by the level of self-reporting that the WCA requires
- additional training for assessors and decision-makers before they are allowed to handle applicants with mental and behavioural health problems
- continuous monitoring of how the WCA is conducted to mitigate negative effects on the wellbeing of participants with mental health problems.
Beyond these specific areas of improvement, we propose two principles for wider reform of employment assessment and support.
- The WCA should be about assessing support needed for a person to work, not policing a gateway to benefits: despite the rhetoric, the WCA is still a test of what people can't do, focused on benefits rather than employment.
- Work support services should be about pursuing 'supported employment' strategies, not just supported job search: the current regime is too focused on labour market attachment, but other approaches are available, like the 'place, train and retain' approach used in Norway and Sweden.
Related items
Taken to heart: Inequalities in heart disease in Scotland
More than 7.6 million people across the UK live with cardiovascular disease (CVD), around twice as many as live with Alzheimer’s disease and cancer combined.Skills passports: An essential part of a fair transition
This month, government will publish its Clean Energy Workforce Strategy. This plan covers two aims. First, filling the growing demand for skills in clean energy industries is essential to keep on track to reach the government’s clean power…Fixing the leak: How to end the £22 billion annual taxpayer losses at the Bank of England
The Bank of England increased its interest rates over recent years, aimed at reducing inflation. But this has also had an unintended effect on the Bank of England’s massive government bond buying – ‘quantitative easing’ – programme.