CPG for Psychosocial Interventions in Severe Mental ... - GuíaSalud

Social protection systems
Pursuant to our Constitution, our country is a Social and Legal State that assures, through its
protection systems, certain guarantees to its citizens through basic structures that guarantee basic
rights, such as health, employment or housing, through solidarity redistribution processes, based
on work revenues and the contributions of each one of the people. This process is carried out
through the structures that are based on the National Social Security Institute, which, directly or
by competence transfers to the autonomous communities, is responsible for distributing these
benefits.
The National Social Security Institute is a Managing Entity attached to the Ministry of Work
and Immigration, with its own legal personality and whose job it is to manage and administer
the economic benefits of the public Social Security system and recognise the right to healthcare,
regardless of the fact that the applicable legislation has a national or international nature.
Its competences include the recognition, management and control of benefits, which, in the
case of a person affected by Several Mental Illness, could be subject to the following:
• Retirement: If the person in question has made the specific, contributions and amounts
required in agreement with their working life.
• Permanent disablement: as with retirement, but in this case, not having surpassed retirement
age and when specific difficulties combine to hold a job that adapts to their education
and training, in the event that it is for the normal work, or for all types of work, in
the event that the person cannot carry out an adequate working role.
• Death and survival (widow/widower, orphans, in favour of family members and aid for
death): in those cases when the person loses a family member and the situation whereby
the applicable legislation gives the right to orphans’ benefit, regardless of the age, is recognised.
• Temporary disablement: if a person is working and needs to temporarily interrupt their
employment due to the concurrence of an illness.
• Maternity.
• Risk during pregnancy.
• Family benefits (dependent child, birth of third or successive children and multiple birth
(contributory and non-contributory level).
• Economic compensations derived from non-disabling permanent lesions.
• The recognition of the right to healthcare.
Each one of the benefits described must be understood as complementary processes to those
established in health care and that permit certain protection guarantees for the person affected by
a Severe Mental Illness, to permit a certain degree of autonomy and social solvency.
It is important to point out the implicit possibility of recognising the condition of disability
for a person with a mental health problem if their capacity to act, their ability and autonomy is
reduced. These difficulties can be recognised through the acquisition, through the Specialised
Social Services of each one of the autonomous communities, of the relative disability certificate.
This condition is reflected procedurally in the Law on Social Integration of the Disabled, and
which as a basic process for its acquisition would be:
1. Existence of a disabling illness, of acknowledged chronic nature.
2. Mandatory report of the illness by a physician who will perform a diagnostic appreciation
and indicate the specific difficulties.
3. Mandatory report from Social Work referring to the difficulties and needs for social concurrence
or support of a third person, who will assess the environment of the person and the social
consequences of the specific pathology that affects the person.
128 CLINICAL PRACTICE GUIDELINES IN THE SPANISH NHS