The national rehabilitation system consists of social, occupational and medical rehabilitation.
Social rehabilitation and occupational rehabilitation services cannot be provided simultaneously.
Social rehabilitation is meant for all disabled persons and persons with partial or no work capacity who need assistance in their everyday lives with restrictions arising from their disabilities or special needs. The purpose of rehabilitation is to teach and develop everyday skills, increase participation in social life, provide support in the study process and develop prerequisites to acquire or restore work ability to some extent. Social rehabilitation is provided by the Social Insurance Board.
How to apply for the social rehabilitation service
The following persons have the right to receive the social rehabilitation service:
- all children under 16 years of age who have been established to have a disability and determined the degree of severity of a disability for the first time and those children who have been established to have a disability and determined the degree of severity of a disability repeatedly and who have been granted the right according to a decision made by the Social Insurance Board;
- disabled children under 16 years of age;
- children from 7 to 18 years of age who have been referred to receive the rehabilitation service by a juvenile committee;
- persons who have a disability or permanent incapacity for work or from 1 July 2017 persons of working age who have partial work ability (from 16 years of age to pensionable age) and who do not work or study and are not registered as unemployed and whose need for the social rehabilitation service has been identified by the Social Insurance Board;
- persons of working age with no work ability (from 1 July 2017) whose need for the social rehabilitation service has been identified by the Social Insurance Board;
- persons of working age who have a disability and who receive early retirement pension or the allowance of a rescue servant waiting for the old-age pension and whose need for the social rehabilitation service has been identified by the Social Insurance Board;
- persons of pensionable age who have a disability and whose need for the social rehabilitation service has been identified by the Social Insurance Board.
NB! During the transitional period, i.e. 2016–2018, persons of working age who are occupationally active and have a valid rehabilitation plan that has been prepared before 1 January 2016 can use the social rehabilitation services until the plan expires but not for longer than 31 December 2018.
The following persons are not required to submit an application for social rehabilitation:
- children under 16 years of age who are provided with social rehabilitation services on the basis of an application for an examination establishing disability in relation to determining the degree of severity of a disability;
- children from 7 to 18 years of age for whom a decision including rehabilitation service as one of its sanctions has been issued by a juvenile committee and communicated to the Social Insurance Board.
- via the state portal eesti.ee
- by e-mail, if digitally signed, to email@example.com;
- by regular mail, if signed, to a regional customer service office of the Social Insurance Board
- at a regional customer service office of the Social Insurance Board.
Work rehabilitation is meant for persons of working age with decreased work ability i.e. persons who have a disability or permanent incapacity for work or partial work ability and who occupy a position (workers, students, entrepreneurs, conscripts) or are seeking for a job (registered as unemployed). Occupational rehabilitation is provided by the Unemployment Insurance Fund.
Work rehabilitation may be necessary to improve mobility or speech, learn to use technical aids or resolve psychological problems. Counselling may be necessary to find motivation, increase self-confidence and learn to cope with a disability or illness on a daily basis.
Work rehabilitation may include the following activities:
- occupational therapy and counselling,
- creative art therapy,
- speech therapy,
- help of a special needs educator,
- peer counselling,
- psychological counselling,
- nursing counselling,
- social counselling,
- counselling by a doctor (including a psychiatrist).
Work rehabilitation activities take place individually or in a group depending on your needs.
The rehabilitation service is provided by registered service providers who are licensed by the Social Insurance Board and amongst whom you may select a service provider suitable for you. Once you have agreed with a case manager on your participation in the service, you must register within seven days.
How does the service work?
- A case manager from the Unemployment Insurance Fund assesses your service needs;
- You and the case manager agree on the purpose of the rehabilitation;
- You select a suitable rehabilitation institution;
- You arrange a meeting with the service provider to prepare an action plan or participate in the rehabilitation programme;
- The Unemployment Insurance Fund confirms the action plan;
- You start participating in the rehabilitation service.
If you are employed but need support to continue working due to decreased work ability, contact an office of the Unemployment Insurance Fund and make an appointment with a case manager.
If necessary, you will be paid travel and accommodation benefits to participate in the rehabilitation service, regardless of whether you are registered as unemployed.
Read more about work rehabilitation from the website of the Unemployment Insurance Fund.
To receive medical rehabilitation or other health care services and sanatorium treatment, contact your family physician or a medical specialist.