Relevance of mental disorders among of expertise examinations on working incapacity at the Executive Administration of National Institute of Social Security (INSS) in Juiz de Fora – Minas Gerais - Brasil

Authors

  • Adriana Kelmer Siano UFJF
  • Luiz Cláudio Ribeiro UFJF
  • Aline Evangelista Santiago UFJF
  • Marco Antônio Aguirre
  • Mário Sérgio Ribeiro UFJF

Keywords:

Transtornos Mentais, Seguro por Incapacidade, Previdência Social

Abstract

Abstract

One of the tasks of the Forensic Medicine Division of the INSS is to evaluate a secured person’s labor capacity. To accomplish this task, subjective problems, such as Mental Disorders, represent one of the most complex medical categories to be evaluated and often appear as the reason for labor disability. To assess the relative frequency of mental disorders as main reason for the claiming of disability benefit among INSS facilities of the Executive Administration of Juiz de Fora and to discuss the relevance of these disorders on the process of expertise evaluations on working disability, considering the employment status of claimers. Retrospective study analyzing data recovered from an official data bank derived from expertise evaluations concluded between July/2004 and December/2006. Mental disorders were the third most frequent reason for presumed incapability registered, increasing from 13% to 19% from the first to the last trimester evaluated. Secured persons without formal working situation represented 66% of those that received a mental disorder diagnose and their requirements were denied more frequently than those of secured citizens who were employed at the time of the examination (38% and 26%, respectively). The frequency of grant of requirements in expertise evaluations for mental disorders decreased from 69% to 44% between the first and last trimesters evaluated. The increase of unfulfilled requests suggests a greater rigidness for the granting of health benefits by the Forensic Medicine Division of the INSS to secured individuals with a diagnosis of mental disorders during the evaluated period.

 

Keywords: Mental Disorders; Disability Insurance; Social Security.

 

 

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Author Biographies

Adriana Kelmer Siano, UFJF

Psiquiatra, mestranda em Saúde Brasileira pela UFJF

Luiz Cláudio Ribeiro, UFJF

Engenheiro Civil, Professor Adjunto da UFJF, Doutor em Demografia

Aline Evangelista Santiago, UFJF

Acadêmica de Medicina da UFJF, bolsista do PIBIC

Marco Antônio Aguirre

Epidemiologista, Supervisor Médico Pericial do INSS

Mário Sérgio Ribeiro, UFJF

Psiquiatra, Professor Associado da UFJF, Doutor em Filosofia Endereço para correspondência: Mário Sérgio Ribeiro – Rua Severino Meireles, 325/902, CEP 36.025-040, Juiz de Fora - MG; Telefax: (32) 3211-3833; e-mail: mariosribeiro@acessa.com

Published

2009-04-11

How to Cite

1.
Siano AK, Ribeiro LC, Santiago AE, Aguirre MA, Ribeiro MS. Relevance of mental disorders among of expertise examinations on working incapacity at the Executive Administration of National Institute of Social Security (INSS) in Juiz de Fora – Minas Gerais - Brasil. HU Rev [Internet]. 2009Apr.11 [cited 2024Nov.24];34(4). Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/120

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