Concession of sickness benefit to social security beneficiaries due to mental disorders

Siano, Adriana Kelmer; Ribeiro, Luíz Cláudio; Ribeiro, Mário Sérgio

doi:10.1590/s1516-44462011000400004

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…Long-term illnesses were more clearly defined, with studies collectively demonstrating a general shift towards using the ICF model when determining the eligibility of applicants. [48][49][50] However, 27 studies showed that degrees of incapacity remain challenging to categorise objectively, stating that criteria were often inconsistent and unclear. 22 51 legal protections against illness-induced poverty The majority of LMICs have policies stipulating varying levels of illness-related income protection for sickness, work-related injury or disability .…”

Section: Conceptualising Ill Healthmentioning

confidence: 99%

Income security during periods of ill health: a scoping review of policies, practice and coverage in low-income and middle-income countries

et al. 2020

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The COVID-19 pandemic is a reminder that insufficient income security in periods of ill health leads to economic hardship for individuals and hampers disease control efforts as people struggle to stay home when sick or advised to observe quarantine. Evidence on income security during periods of ill health is growing but has not previously been reviewed as a full body of work concerning low-income and middle-income countries (LMICs). We performed a scoping review to map the range, features, coverage, protective effects and equity of policies that aim to provide income security for adults whose ill health prevents them from participating in gainful work. A total of 134 studies were included, providing data from 95% of LMICs. However, data across the majority of these countries were severely limited. Collectively the included studies demonstrate that coverage of contributory income-security schemes is low, especially for informal and low-income workers. Meanwhile, non-contributory schemes targeting low-income groups are often not explicitly designed to provide income support in periods of ill health, they can be difficult to access and rarely provide sufficient income support to cover the needs of eligible recipients. While identifying an urgent need for more research on illness-related income security in LMICs, this review concludes that scaling up and diversifying the range of income security interventions is crucial for improving coverage and equity. To achieve these outcomes, illness-related income protection must receive greater recognition in health policy and health financing circles, expanding our understanding of financial hardship beyond direct medical costs.

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Section: Conceptualising Ill Healthmentioning

confidence: 99%

Income security during periods of ill health: a scoping review of policies, practice and coverage in low-income and middle-income countries

et al. 2020

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“…A large number of outpatient consultations and re-hospitalization rates [ 15 ], difficulty in maintaining a job [ 6 ], and claims for sickness/disability benefits at an early age [ 16 ] are some factors that place schizophrenia amongst the most costly illnesses in the world [ 17 ]. In Brazil, cost estimates for the public health system in the most economically developed State (São Paulo) indicate that schizophrenia costs correspond to 2.2% of its total expenditure on health [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Cognitive Training for Schizophrenia in Developing Countries: A Pilot Trial in Brazil

Pontes

Martins

Napolitano

et al. 2013

Schizophrenia Research and Treatment

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Cognitive deficits in schizophrenia can massively impact functionality and quality of life, furthering the importance of cognitive training. Despite the development of the field in Europe and in the United States, no programmes have been developed and tested in developing countries. Different cultural backgrounds, budget restrictions, and other difficulties may render treatment packages created in high income countries difficult for adoption by developing nations. We performed a pilot double-blind, randomized, controlled trial in order to investigate the efficacy and feasibility of an attention and memory training programme specially created in a developing nation. The intervention used simple, widely available materials, required minimal infrastructure, and was conducted in groups. The sample included seventeen stable Brazilians with schizophrenia. Sessions were conducted weekly during five months. The cognitive training group showed significant improvements in inhibitory control and set-shifting over time. Both groups showed improvements in symptoms, processing speed, selective attention, executive function, and long-term visual memory. Improvements were found in the control group in long-term verbal memory and concentration. Our findings reinforce the idea that cognitive training in schizophrenia can be constructed using simple resources and infrastructure, facilitating its adoption by developing countries, and it may improve cognition.

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Psychiatric legal investigation for sickness benefits due to disability at the Brazilian Federal Social Security Special Court in Florianópolis, capital city of the State of Santa Catarina, southern Brazil

Figueredo¹,

Damas²

2015

Trends Psychiatry Psychother.

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Objective: To describe the profile of insured individuals that filed claims for sickness benefits and compare the results of the administrative and legal investigations.Method: This case series included 114 insured persons that filed lawsuits against the Brazilian National Institute of Social Security (Instituto Nacional de Seguridade Social, INSS). They underwent psychiatric examinations required by the Brazilian Federal Social Security Special Court in Florianópolis from August to December 2010.Results: Mean age was 47 years, and participant age ranged from 24 to 64 years. Most insured individuals were women (79%), and most were employed (67.5%) and self-employed (26.5%) workers. Mean contribution time was 99.9 months, ranging from 8 to 352 months. Mean benefit duration was 20.4 months, ranging from 2 to 97 months. The most prevalent category of workers was service workers, store and supermarket salespeople (54.4%), followed by administrative workers (19.3%).Conclusions: Only 17 participants were found to be unable to work after benefit cessation, a 14.9% mismatch between administrative and legal investigations. The most frequent diagnoses were mood disorders (59.6%) and anxiety disorders (17.5%).

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Concession of sickness benefit to social security beneficiaries due to mental disorders

Cited by 3 publications

References 16 publications

Income security during periods of ill health: a scoping review of policies, practice and coverage in low-income and middle-income countries

Income security during periods of ill health: a scoping review of policies, practice and coverage in low-income and middle-income countries

Cognitive Training for Schizophrenia in Developing Countries: A Pilot Trial in Brazil

Psychiatric legal investigation for sickness benefits due to disability at the Brazilian Federal Social Security Special Court in Florianópolis, capital city of the State of Santa Catarina, southern Brazil

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