Viktoria Susanne Arling

Aus-, Fort- und Weiterbildung „Psychologie in der Rehabilitation“

The commission for vocational training, training and further education of the German Society of Rehabilitation Science tends to discuss and to give recommendations for various professions in rehabilitation. The working group, which is led by J. Bengel/Freiburg and M. Morfeld/Magdeburg-Stendal created an inventory of Rehabilitation Psychology. The training programs for Rehabilitation Psychology at universities and universities of applied science in Germany are based on a job profile of psychologists in medical and vocational rehabilitation. The different universities have diverse priorities focusing on Rehabilitation Psychology. The offer changes because of the adaption of requirements and implementation of Bologna Reform. The training and further education offers are specific and available for large indication areas. Finally outstanding issues and problems are pointed out.

Assessment, training and quality: Evaluation of some vocational rehabilitation programmes

Aim of this contribution is to illustrate some topics of recent research in the vocational rehabilitation domain. First, three evaluation studies of new vocational rehabilitation programmes in vocational rehabilitation centers are described. These studies concern individually tailored educational programmes and tele-tutoring. This is followed by the presentation of a study concerned with the development and validation of an instrument for diagnosing planning competence. Thirdly, the development of an objective, standardized tool for monitoring the quality of rehabilitation processes during vocational training will be presented.

Berufliche Rehabilitation in Deutschland

Angesichts des demografischen Wandels in der Gesellschaft ist die Bedeutsamkeit von beruflicher Rehabilitation unmittelbar einsichtig. Menschen werden alter und mussen langer im Arbeitsleben verbleiben. Nicht jeder kann jedoch z. B. krankheitsbedingt den ursprunglich erlernten Beruf bis zum regularen Renteneintrittsalter ausuben. Laut SGB IX haben Betroffene ein sozialgesetzlich geregeltes Anrecht auf Leistungen, die ihre Teilhabe am Leben in der Gesellschaft fordern bzw. entsprechende Benachteiligungen vermeiden. Der Erfolg solcher Reintegrationsmasnahmen wird durch Umweltfaktoren (z. B. Arbeitsmarkt) wie personenbezogenen Faktoren (Personlichkeit und Motivation) beeinflusst.

RehaFuturReal®: Evaluation der Implementierung und Umsetzung – Ein Ergebnisüberblick

BACKGROUND Due to prevailing future challenges in vocational rehabilitation, development process RehaFutur (BMAS) was initiated. In this context, recommendations were made to secure a future-oriented, innovative vocational rehabilitation in Germany. Deutsche Rentenversicherung (DRV) Westfalen transferred these recommendations into a new and applicable counseling concept RehaFutuReal(®). Rehabilitation managers (RM) are central protagonists in counseling process. Therefore, RehaFuturReal(®) focused on optimization of counseling performance. To achieve this aim, rehabilitation managers were taught to work with a case management (CM) based approach. RWTH Aachen supported RehaFuturReal(®) from an academic point of view and conducted a formative and summative evaluation. Primary aim of RWTH Aachen was to support DRV Westfalen during implementation of RehaFuturReal(®) into their organizational structure. Additionally, RWTH Aachen controlled whether transfer of RehaFutuReal(®) in counseling process was successful. METHOD From 04-01-13 until 12-31-14, RehaFuturReal(®) was tested by DRV Westfalen in the intervention district Dortmund with 10 RM. There were 3 selection criteria for the overall sample of N=320 insurants: participants were required to have an active employment status, suffered from integration issues and were in need of support to achieve vocational integration. Evaluation of RehaFuturReal(®) was realized summative (pre-post-comparison) and formative (process-orientated). Evaluative judgment regarding implementation in organizational structure and counseling process was performed by using three-stage-concept of Donabedian (quality of structure, process and results). Thereby, feedback of RM, insurants and employers was taken into account. RESULTS Analysis of evaluation results revealed a positive overall impression. Implementation into organizational structure was successful on all 3 quality stages: concept of project and CM-training were an adequate basis and appropriately put into practice by fulfilling prescribed objectives, topics and schedule (quality of structure). Rehabilitation managers identified themselves with the implementation process into DRV Westfalen (grading of CM training: M=1,67; SD=0,65; quality of process). Analogous, consultants reported a high level of satisfaction during implementation of new counseling process (possible span: 1-4; M=3,11; SD=0,33; quality of results). Regarding implementation of counseling process, sample fitted into 3 selection criteria wherefore the correct insurants were picked in RehaFuturReal(®) (quality of structure). CM-orientated counseling approach was properly implemented into everyday work of RM by using CM-instruments for documentation (quality of process). RM were highly satisfied (possible span: 1-4) with counseling performance (M=3,43; SD=0,77). Employers also rated counseling performance positively (M=3,38; SD=0,85). By contrast, surveying insurants revealed a heterogeneous impression of satisfaction (M=2,97; SD=1,03) (quality of results).

Erwerbstätigkeit und Familie

Das Wechselspiel von Erwerbstatigkeit und Familie lasst sich auf der Ebene des Alltagshandelns sowie auf der Ebene (gesellschaftlich gepragter) individueller Leitbilder und Ziele konzeptualisieren. Unter Bezug auf ausgewahlte empirische Studien werden entsprechend dieser Betrachtungsebenen stress-, ressourcen- und tatigkeitsspezifische Ansatze beleuchtet sowie anschliesend eine biographieorientierte Lebensspannenperspektive hinsichtlich des Zusammenspiels von Beruf und Familie eingenommen und anhand verschiedener Beispiele diskutiert (z. B. Auswirkungen der Erwerbstatigkeit der Eltern auf die Kinder, beruflicher Aus- und Wiedereinstieg nach der Geburt von Kindern, Bedeutung der Groselternschaft fur ruhestandsbezogene Einstellungen). Zusammenfassend lasst sich feststellen, dass das Ausbleiben von Konflikten zwischen Beruf und Familie eine verkurzte Sichtweise eines gelungenen Zusammenspiels zwischen den Lebensbereichen darstellt, vielmehr sind auch positive Transferprozesse und synergetische Aspekte zu betrachten. Methodisch dominieren quer- gegenuber langsschnittlichen und experimentellen Studien. Entsprechend eingeschrankt sind gegenwartig Aussagemoglichkeiten uber Wirkzusammenhange. Daruber hinaus sollte eine intra- aber auch intergenerational ausgerichtete systemisch orientierte Betrachtung des Zusammenspiels von Erwerbstatigkeit und Familie noch starker Eingang in die Forschungsmethodik finden.