Two major barriers prevent people with psychiatric disabilities from becoming employed: disincentives within the health care and social insurance systems; and lack of access to Individual Placement and Support (IPS). Overcoming these barriers will require major policy changes. This chapter suggests several principles for policy makers. First, for long-term illnesses, consider a life span perspective, including primary, secondary, and tertiary prevention to minimize disability. Second, unlink health insurance and disability status. Third, make certain that disability regulations reinforce recovery rather than continued disability. Fourth, fund evidence-based recovery services rather than ineffective segregated services. Fifth, reduce societal stigma by increasing incentives for schools to educate people with disabilities and for employers to hire them.
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