Neue Ansätze zur arbeitsplatzbezogenen Rehabilitation

Abstract

Stressors and demands related to changes in work environment may result in impairments of employees' health and ability to work. In the context of the German statutory pension insurance's inpatient medical rehabilitation, these aspects are increasingly taken into account within the concept of vocationally oriented medical rehabilitation (VOMR). Nonetheless, a comprehensive implementation of diagnostic and therapeutic concepts in rehabilitative practice has not yet been realized. In this article, a profile of requirements for VOMR which has been developed by the German pension insurance is introduced that shall contribute to aligning rehabilitative measures for patients with work-related problems with occupational demands. Moreover, approaches for implementing vocationally oriented measures in diagnostics (e.g., screenings) and therapy (e.g., job training) as well as good practice examples are presented. In addition, user-oriented media (handbook, homepage) which enable researchers and clinicians to learn about the current state of research in this area are highlighted. Starting points for further development of vocational orientation in rehabilitation are discussed.

Fragebogen zur Erfassung der medizinisch-beruflichen Orientierung der Rehabilitation aus der Perspektive der Rehabilitanden (MBOR-R): Querschnittsstudie zum Vergleich der Kurz- und Langversion

“…Medizinische Rehabilitation durch die Rentenversicherung ist -in Abgrenzung zur Akutversorgung -im gegliederten System der Sozialleistungsträger immer auch auf die Förderung der Erwerbsfähigkeit ausgerichtet [1]. Die Einbeziehung arbeitsweltlicher, beruflicher und motivationaler Probleme gilt seit längerem [2,3] als wichtiger Bestandteil für einen erfolgreichen Eingliederungserhalt bzw. beruflichen Wiedereinstieg.…”

Evaluation of a transdiagnostic psychodynamic online intervention to support return to work: A randomized controlled trial

“…Inpatients of psychosomatic rehabilitation reported not only higher stress, but also fewer resources to cope with work stress when compared to the general German population [6]. Therefore, various work-related interventions have been adopted during inpatient rehabilitation treatment in order to improve vocational reintegration [7]. In previous studies we could show that vocational training during inpatient psychosomatic rehabilitation could improve return to work in the long run [8].…”

Evaluation of an internet-based aftercare program to improve vocational reintegration after inpatient medical rehabilitation: study protocol for a cluster-randomized controlled trial

“…Approximately one third of the patients in medical rehabilitation are reporting significant work-related stress in Germany [6-8]. Therefore, various job-related interventions have been adopted during inpatient treatment to improve vocational reintegration after rehabilitation [9,10]. Whereas the positive effects of job-related interventions on treatment satisfaction and the intention to return to work could be confirmed in short-term analyses [11-15], transfer to patients’ daily work remains to be demonstrated, especially following prolonged work disability [16,17].…”