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- Title
מסורת מתחדשת: מערכת הבריאות והתפתחות התעסוקה של אנשים עם מוגבלות נפשית בישראל, 1970– 2.
- Authors
אפרת קידר
- Abstract
This article examines the Israeli health system’s role in developing employment services for people with mental disability. This role began with the establishment of the Ministry of Health and its Mental Health Services Division, which started developing employment settings for people with mental disability, both within and outside psychiatric hospitals. The deinstitutionalization trend of the 1970s was supposed to liberate the health system from this role, and have it transferred to the Ministry of Welfare, given its responsibility for occupational rehabilitation for people with all disabilities. In practice, however, available services were not suited for this population, and it was not included therein. This led the Ministry of Health to provide its own employment settings in the community, starting in 1972 with the Occupational Transition Units, and in 1985 with the establishment of sheltered workshops. These services were limited, which eventually led to a bill on occupational rehabilitation. The bill was subsequently expanded to include other areas such as housing and leisure, culminating in the 2000 Community Rehabilitation of Persons with Mental Health Disability Law. The law authorized the Ministry of Health to develop rehabilitation services in a variety of areas, particularly employment. These services were subsequently outsourced to private companies and NGOs, under the ministry’s regulation. The article uses the case study approach. Its data are taken from 25 interviews with policymakers, professionals, service providers, and academics in the mental health areas, as well as documents from the Israeli State Archives and the Knesset Archive. It explains the preservation and transformation of this traditional role using the institutional approach to policy revisions. Finally, it explains how the concept of occupation and its historical importance have motivated the legislation of a comprehensive rehabilitation law, that entitled people with mental disabilities to the occupational rehabilitation services previously denied to them.
- Subjects
PEOPLE with intellectual disabilities; MENTAL health services; SERVICES for people with disabilities; OCCUPATIONAL rehabilitation; MENTAL health laws; BOYCOTTS; DEINSTITUTIONALIZATION; OCCUPATIONAL science
- Publication
Social Security / Bṭḥwn Swṣy'Iy: Journal of Welfare & Social Security Studies (0334-231X), 2023, Issue 120, p1
- ISSN
0334-231X
- Publication type
Article