Slesina W, Rennert D, Patzelt C
Sektion Medizinische Soziologie, Martin-Luther-Universität Halle-Wittenberg.
Rehabilitation (Stuttg). 2010 Aug;49(4):237-47. doi: 10.1055/s-0030-1261903. Epub 2010 Jul 30.
Vocational rehabilitation aims at vocational reintegration of disabled persons. Three different types of rehabilitative vocational training programmes - i. e., vocational retraining in Berufsförderungswerken (vocational rehabilitation centres), in-plant vocational retraining according to the German dual system of initial vocational training, and vocational continuation courses - were explored concerning subsequent vocational reintegration of the participants.
The rehabilitants were given standardized questionnaires at the beginning (T1) and 1 year after their vocational training (T5). Between 61% and 64% of those rehabilitants who had completed their vocational training took part in the final postal survey 1 year after the vocational rehabilitation (T5). Data of the T1-questionnaires were used for prediction models concerning successful vocational reintegration of the rehabilitants one year after their vocational training.
Important differences were found between the participants of the three rehabilitation programmes in socio-demographic, health-related and psychological characteristics, due to specific statutory criteria for assignment of disabled persons to the different forms of vocational rehabilitation. 1 year after the vocational training, 55% of the rehabilitants of both forms of vocational retraining (external, in-plant) and 31% of the participants of vocational continuation courses were employed in the first labour market. For all 3 forms of vocational rehabilitation programmes, 3 significant predictors were found concerning successful vocational reintegration of the rehabilitants: the local job market at the participants' residence, specific health complaints (pain or sleep disturbances) and social support. Other significant predictors were a number of psychological, sociological, and occupation-related biographical variables.
A set of variables proved to be relevant predictors for vocational reintegration of rehabilitants 1 year after the end of vocational retraining and continuation measures. Some of these variables could be used practically for specific interventions to increase chances of vocational reintegration for participants of vocational rehabilitation measures.
职业康复旨在使残疾人重新融入职业生活。本研究探讨了三种不同类型的康复职业培训项目,即职业促进中心(职业康复中心)的职业再培训、按照德国初始职业培训双元制进行的企业内部职业再培训以及职业进修课程,考察了参与者随后的职业再融入情况。
康复者在职业培训开始时(T1)和培训结束1年后(T5)接受标准化问卷调查。在完成职业培训的康复者中,61%至64%的人参与了职业康复1年后的最终邮寄调查(T5)。T1问卷的数据用于构建预测模型,以预测康复者职业培训1年后成功实现职业再融入的情况。
由于将残疾人分配到不同形式职业康复的特定法定标准,三种康复项目的参与者在社会人口统计学、健康相关和心理特征方面存在重要差异。职业培训1年后,两种形式的职业再培训(外部、企业内部)的康复者中有55%,职业进修课程的参与者中有31%在第一劳动力市场就业。对于所有三种形式的职业康复项目,发现了与康复者成功职业再融入相关的3个重要预测因素:参与者居住地的当地就业市场、特定的健康问题(疼痛或睡眠障碍)和社会支持。其他重要预测因素包括一些心理、社会学和与职业相关的个人经历变量。
一组变量被证明是职业再培训和进修措施结束1年后康复者职业再融入的相关预测因素。其中一些变量可实际用于特定干预措施,以增加职业康复措施参与者职业再融入的机会。