Technical Workshop on Integrating Social Policies and Delivery

Technical Workshop on Integrating Social Policies and Delivery of Social Protection Floors Siem Reap, Cambodia 29 th – 31 st May Title of presentation: Malaysia: Return to Work Program Speaker: En. Roshaimi bin Mat Rosely Organization: Social Security Organisation, Malaysia

Social Security Organisation of Malaysia Investing in Peopl Malaysia • Population: 29, 625, 816 million as at 5 March 2013 (http: //www. statistics. gov. my) • Area: 329, 847 km² Social Security Organisation • Over 13 million registered workers • Over 700, 000 registered employers • Over 55, 000 accidents • Over 13, 000 permanently disabled • Over ≈ 3000 certified invalid

Social Security Organisation of Malaysia SOCSO’s RTW Program • This program is established with the objective of assisting SOCSO’s Insured Persons with employment injury as well as those claiming for invalidity pension to be able to return to work.

Return To Work Process: Current Approach Medical Board /Doctors Employers Acute Stage / Hospitalization Plan Implement Monitor Rehabilitation Prosthetics & Orthotics Review Evaluate Workplace Modification Job Placement Vocational Training

Return To Work Process: Future Approach Medical Board /Doctors Employers Acute Stage/Hospitalization Rehabilitation Plan Implement Prosthetics & Orthotics Monitor Review Evaluate Workplace Modification Job Placement Vocational Training

Why? And where have we gone wrong? SURPRISING RESULT

Introduction: SOCSO’s Disability Benefits Successful Rehabilitation and RTW Financial Aid Early Intervention Physical Rehabilitation Disability Case Management Vocational Rehabilitation

Successful aspects Transformation on rehabilitation The biopsychosocial approach The socio-economic aspect Social Integration Moving from the perspective of disability to ability

Successful aspects

Successful aspects

Impact?

Results (RTW) N = 8977 2. 4% 3% 4. 8% 4. 1% RTW Job Seeking On Rehabilitation Acute Stage Defaulted 70. 1%

Returns (Psychosocial) 8. 00 6. 03 5. 93 6. 04 5. 56 5. 10 5. 00 4. 00 3. 00 2. 00 Skills 5. 12 6. 42 5. 10 6. 45 6. 00 7. 20 5. 93 7. 10 Self Confidence 6. 00 7. 15 6. 86 After Self Esteem 5. 12 7. 10 Before Independence 6. 45 6. 42 7. 00 6. 00 7. 47 Career Goals 7. 20 6. 03 7. 47 Health Condition 5. 56 6. 86 Pain Tolerance 6. 04 7. 15 1. 00 ce an ol T in th al He Pa Co nf Co Se lf After er nd iti en id te Es lf Se Before on ce em e nc nd e de pe In Ca re er G Sk oa ill ls s 0. 00 VAS – 100 mm

Returns (Psychosocial) 16. 00 14. 93 14. 64 10. 00 8. 75 8. 21 7. 04 8. 00 6. 00 4. 00 2. 00 0. 00 Depression Anxiety Before Programme After Programme Stress After 14. 64 8. 21 Anxiety 13. 21 7. 04 Stress 12. 00 Before Depression 13. 21 14. 00 14. 93 8. 75

Cost vs. Returns N = 1008 Cost Analysis Average Program Cost per Insured Person RM 3, 239. 38 Average Possible Returns RM 7, 884. 06 $9, 000. 00 $8, 000. 00 $7, 000. 00 $6, 000. 00 DM program benefits outweigh costs by a 1. 43 : 1 ratio. $7, 884. 06 + $5, 000. 00 $4, 000. 00 Net Benefit of (RM 7, 844. 06 – RM 3, 239. 38) = RM 4, 644. 68 $3, 239. 38 $3, 000. 00 Other Social (qualitative) Benefits $2, 000. 00 $1, 000. 00 $0. 00 Average Program Cost Per Insured Person Average Returns to SOCSO

Weaknesses? q Change Management • Educating employers to look at the ability and not disability • There is hope after disability • Eary Intervention adoption q Integration of Stakeholders • Commitment and integration by stakeholders to reach common goal • Identifying facilities provided by various agencies to reduce overlap of services/create synergies q Capacity Building • Training of Disability Managers • Quality Rehabilitation Centres q Legal Mandate on Employment Retention • Employment Retention for Workplace Injuries q Increasing Efficiency in Managing Cases • To achieve the international benchmark of 59. 4 days to finalise a case

Lessons learnt • All parties need to be involved (from the worker, family members, employers, co-workers to medical fraternity, allied health services, etc) • Legal Mandate is important • Implementation varies from jurisdiction to jurisdiction • Not a 100 m dash but a “Marathon“ – such programmes take time to establish and deliver visible results

Employment is the best form of social protection! Thank you Roshaimi bin Mat Rosely roshaimi. rosely@perkeso. gov. my