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Vocational rehabilitation for young persons
A legislative amendment enacted on 1 January 2019 has improved access for young people to vocational rehabilitation services. Under the amendment, young persons between 16 and 29 whose functional status is significantly decreased and who are found to need rehabilitation can get vocational rehabilitation without a formal diagnosis.
Vocational rehabilitation services for young persons are aimed at supporting and promoting their ability to function, cope with life events, study and find employment. A cash rehabilitation allowance is provided for the duration of rehabilitation. Vocational rehabilitation for young persons can be provided in the form of low-barrier NUOTTI coaching, vocational rehabilitation assessments, vocational rehabilitation supporting the integration into work (TEAK), and training try-outs. More information on vocational rehabilitation services for young persons.
Kela evaluates on an ongoing basis the ability of young persons to access vocational rehabilitation and investigates the impact of various changes made in the rehabilitation system. This brief overview focuses on young persons who received vocational rehabilitation services and rehabilitation allowance payments under a provision of the 2019 legislative amendment which lifted the requirement of having a formal diagnosis to qualify for rehabilitation.
First published in 2019
Focusing on the years 2019 and 2020, this overview looks at the number of recipients of vocational rehabilitation services for young persons and the cash rehabilitation allowance paid during rehabilitation. In addition, it shows the cumulative number of recipients of vocational rehabilitation services and rehabilitation allowance payments from the beginning of 2019 to the end of April 2021. Finally, the overview includes an analysis of the number of recipients according to region and age group, as well as a number links to publications dealing with vocational rehabilitation services for young persons.
Updated editions of this overview have been published since the end of 2019. The 2019—2020 editions showed cumulative data on vocational rehabilitation services for young persons between January 2019 and April 2020, and for 2019, included a more detailed look at rehabilitation allowance recipients. The earlier editions contain a more extensive list of literature on such issues as the take-up of rehabilitation and disability benefits among young people.
Recipients of vocational rehabilitation services for young persons in 2019 and 2020
The number of recipients of vocational rehabilitation services for young persons has increased significantly since the beginning of 2019, rising from 2,619 in 2019 to 5,186 in 2020 Part of the increase is due to the fact that some rehabilitation measures may have started in 2019 and continued into 2020. There are slightly more men than women among the recipients. From 54.0% in 2019, the share of men among the recipients declined to 52.4% in 2020. (Figure 1).
The low-barrier NUOTTI coaching was by far the most common form of rehabilitation service provided to young people, with 2,169 recipients in 2019, increasing to 4,588 in 2020. It was followed by vocational rehabilitation assessments (551 recipients in 2020) and vocational rehabilitation supporting the integration into work (347 recipients in 2020). Only two young persons underwent a training try-out in 2020.
Figure 1. Number of recipients of vocational rehabilitation services for young people in 2019 and 2020. (*Some received more than one type of service.)
Figure 2. Number of recipients of vocational rehabilitation services for young people on a monthly basis, 01/2019—04/2021
(*Recipients are recorded in the statistics based on the time of payment, which involves a short administrative delay. This means that the rehabilitation may have been provided earlier than when it is recorded in the statistics.)
From 1 January 2019 to 30 April 2021, a total of 7,731 young persons received vocational rehabilitation services. The most common form of rehabilitation by far was NUOTTI coaching, with 6,947 recipients between January 2019 and April 2021. A total of 1,208 young persons underwent a vocational rehabilitation assessment, vocational rehabilitation supporting the integration into work, or a training try-out.
The number of young rehabilitation allowance recipients has increased alongside participation in vocational rehabilitation
In 2019, a total of 2,342 young people received rehabilitation allowance payments for vocational rehabilitation, compared to 4,309 in 2020. The share of those who received the allowance during participation in rehabilitation was 84.0% in 2019 and 82.8% in 2020.
The distribution of rehabilitation allowance recipients according to age and sex is consistent with that seen generally among those undergoing rehabilitation. The prevalence of vocational rehabilitation and allowance recipiency is highest among those between 20 and 24, and a little over a half of the recipients are men.
The total expenditure on rehabilitation allowance paid in respect of vocational rehabilitation services from 1 January 2019 to 30 April 2021 was 32,668,061 euros. During that period, 6,844 young people received rehabilitation allowance payments for vocational rehabilitation. In 2019, rehabilitation allowance expenditures totalled 8,561,248 euros, compared to 17,922,233 euros in 2020.
NUOTTI coaching was the largest category of rehabilitation allowance expenditure, totalling 9,304,073 euros. It was followed by vocational rehabilitation assessments at 1,220,282 euros. Rehabilitation allowance expenditures associated with vocational rehabilitation measures supporting the integration into work totalled 887,159 euros, while 2,461 euros was spent on training try-outs.
Besides the expenditure on rehabilitation allowances, we can look at the cost of delivering rehabilitation services to clients. We find that a total amount of 9,563,994 euros was spent on vocational rehabilitation services for young people in 2020. This can be broken down to 7,63,223 euros for NUOTTI coaching, 937,800 euros for vocational rehabilitation assessments, 762,641 euros for vocational rehabilitation supporting the integration into work, and 330 euros for training try-outs.
Take-up vocational rehabilitation services differs according to region and age group
There are regional differences in the take-up of vocational rehabilitation services (see map). Of the population aged 16 to 29, 0.66% received vocational rehabilitation services for young people. As a proportion of the relevant age group, the largest share of recipients was seen in Pohjois-Karjala (1.17%) and in Etelä-Pohjanmaa (1.04%), the two regions where the share of vocational rehabilitation recipients exceeded one percent. In mainland Finland, Uusimaa (0.34%) and Pohjanmaa (0.44%) had the smallest shares of vocational rehabilitation recipients among young people. (Figure 3.)
Vocational rehabilitation services for young people are available to 16—29-year-olds. The participation rate is highest in the age group 20 to 24, where NUOTTI coaching is the most common form of rehabilitation. Among those aged 25 and over, vocational rehabilitation supporting the integration into work and vocational rehabilitation assessments are more common than in other age groups. (Figure 4.)
Figure 3. Recipients of vocational rehabilitation services for young people as share of population aged 16-29, by region, in 2020.
Figure 4. Recipients of vocational rehabilitation services for young people, by age group, in 2020.
Kela also carries out longitudinal research on vocational rehabilitation services for young people, which looks at how improved access to vocational rehabilitation is reflected in the take-up of various income security benefits and in the transition to benefits. This overview will be updated with information obtained from the longitudinal research.
Legislative amendment improving access to vocational rehabilitation services for young people
Vocational rehabilitation for young persons Academic theses focusing on NUOTTI coaching
Takala P. NUOTTI-valmennuksen hyödyllisimmät kokemukset - Nuorten ja valmentajien näkökulmia. (Most useful experiences of NUOTTI-coaching - Perspectives of youth and coaches. JAMK University of Applied Sciences 2020.
Mäki J, Ylä-Rautio A. ”Pääsi tavallaan siihen kiinni, että mitä mä tällä mun elämälläni haluan tehä”: NUOTTI-valmennuksen hyöty nuoren elämässä Etelä-Pohjanmaan alueella aikuissosiaalityötä tekevien näkökulmasta. (Adult social work’s perspective to the NUOTTI coachings benefits in South Ostrobothnia.) Seinäjoki University of Applied Sciences. 2020.
Mattson H, Merisalo A. Kohtaaminen ja vuorovaikutus etävalmennuksessa. (Encounter and interaction in remote coaching.) Diaconia University of Applied Sciences. 2020.
Research: Karoliina Koskenvuo,
Research Manager, tel. 050 5522157
Anni Haavisto, Research Trainee
Analytics and statistics: Johannes Turunen,
Data Scientist, tel. 050 4780067
Trainee Data Scientist;
Statistician, tel. 050 4363274
Rehabilitation: Marjaana Pajunen,
Coordinator, tel. 050 5516843
Rehabilitation allowance: Marjut Hevosmaa,
Senior Coordinator, tel. 050 5516386
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