Disability, Work and Inclusion in Italy

Disability, Work and Inclusion in Italy

This report reviews the effectiveness of the social protection system for people with disability in Italy and summarises the results of a pilot carried out in four regions testing an alternative disability assessment.

Detalles Bibliográficos
Formato: Libro electrónico
Idioma:Inglés
Publicado: Paris : Organization for Economic Cooperation & Development 2023.
Edición:1st ed
Ver en Biblioteca Universitat Ramon Llull:https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009786728106719
Tabla de Contenidos:
  • Intro
  • Foreword
  • Acknowledgements
  • Executive summary
  • 1 Assessing social protection needs for people with disability in Italy
  • 1.1. Poverty risks of people with disability are relatively low in Italy
  • 1.2. Employment prospects of people with disability may not allow for economic self-sufficiency
  • 1.3. Disability benefits provide income to many but may lower their employment
  • References
  • 2 Disability status assessments and needs assessments in Italy
  • 2.1. Introduction
  • 2.2. A highly fragmented legal landscape
  • 2.3. Several disability status assessments exist in parallel
  • 2.3.1. Medico-legal commissions and assessments
  • Assessment for civil invalidity, blindness, and deafness
  • Handicap assessment
  • Disability assessment for employment support
  • 2.3.2. Reassessments and appeals
  • 2.3.3. Trends in disability status assessments
  • 2.3.4. Other disability status assessments
  • 2.4. Needs assessments at the regional level vary considerably
  • 2.4.1. Fragmented access to regional and municipal services and benefits
  • Entry points into the local system
  • 2.4.2. Disability assessments as a starting point
  • 2.4.3. A multitude of needs assessments exist in parallel
  • Multidisciplinary and multidimensional needs assessment
  • References
  • Notes
  • 3 Social protection for people with disability in Italy
  • 3.1. The national disability benefit system
  • 3.1.1. The contributory disability pension system
  • 3.1.2. The civil invalidity disability system
  • Civil invalidity pensions
  • Attendance allowance
  • In-kind benefits
  • 3.1.3. Descriptive statistics
  • Civil invalidity claims are key to the disability pension system in Italy
  • Regional differences uncover large financial incentives to claim disability benefits
  • 3.2. Employment integration measures.
  • 3.3. Meeting the needs of people with disability by regional and local supports
  • 3.3.1. Residential and homecare services
  • 3.3.2. Social services
  • Employment integration
  • Social inclusion
  • References
  • 4 The effectiveness of support for people with disability in Italy
  • 4.1. The coverage of the social protection system for people with disability
  • 4.1.1. People with severe disability receive social benefits in most cases
  • 4.1.2. Home assistance coverage is high, but social services seem underdeveloped
  • 4.2. The adequacy of the social protection system for people with disability
  • 4.3. The equity of the social protection system for people with disability
  • 4.4. The efficiency of the social protection system for people with disability
  • 4.4.1. The poverty alleviating effect of the social protection system
  • 4.4.2. Duplications and missing links in the Italian disability system
  • References
  • 5 Piloting a new disability assessment in four regions of Italy
  • 5.1. Pilot sample and WHODAS responses and distributions
  • 5.1.1. Sample characteristics
  • 5.1.2. WHODAS response frequencies
  • 5.1.3. WHODAS score distribution
  • 5.2. Psychometric properties of WHODAS applied in Italy
  • 5.3. Comparing WHODAS scores and civil invalidity ratings
  • 5.3.1. Meaningful cut-off points
  • 5.3.2. Sample characteristics according to cut-off points
  • 5.3.3. Pathologies, WHODAS scores and civil invalidity ratings
  • 5.3.4. Comparing WHODAS scores and civil invalidity ratings
  • 5.4. Including functioning elements into the assessment of civil invalidity
  • 5.4.1. General considerations on the inclusion of functioning
  • 5.4.2. Options for including functioning into civil invalidity assessment in Italy
  • 5.5. The impact of different policy options including functioning elements
  • 5.5.1. Using an averaging algorithm.
  • 5.5.2. Using a flagging algorithm
  • 5.5.3. Using a scaling algorithm
  • 5.6. Reflections and conclusions
  • References
  • 6 Disability policy challenges in Italy: Conclusions and recommendations
  • 6.1. Conclusions and policy recommendations on disability assessment
  • 6.1.1. Main issues for disability assessment in Italy today
  • 6.1.2. Policy recommendations for a more accurate and fairer disability assessment
  • 6.2. Conclusions and policy recommendations on social protection
  • 6.2.1. Key issues for social protection for people with disability in Italy today
  • 6.2.2. Policy recommendations for more effective and efficient social protection
  • Improving the evidence base by implementing better data sharing practices
  • Promoting co-operation across institutions and levels of government
  • Decreasing territorial differences in access to benefits and services
  • Making employment integration of people with disability a policy priority.

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