Stengler K, Riedel-Heller S G, Becker T
Psychiatrische Institutsambulanz Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Leipzig, AöR Semmelweisstr. 10, 04103, Leipzig, Deutschland,
Nervenarzt. 2014 Jan;85(1):97-105; quiz 106-7. doi: 10.1007/s00115-013-3846-0.
Work and employment are basic human rights. Work therapy has a long-standing tradition in mental health care. Integrating people with severe mental illness into jobs has always been considered indispensable. Germany has a good legal framework for work rehabilitation and there is solid evidence of effectiveness for a range of interventions. International models of work integration have not been implemented to a sufficient degree and this may be one of the reasons for limited success in work rehabilitation for people with mental illnesses. The need for work rehabilitation measures and the available evidence are outlined. Social legislation, conceptual and organizational aspects of rehabilitation are described. International comparisons suggest that the care system will have to integrate prevention, curative treatment, rehabilitation and long-term care in a better way.
工作和就业是基本人权。工作疗法在精神卫生保健领域有着悠久的传统。将重症精神疾病患者纳入工作一直被视为不可或缺的。德国拥有良好的工作康复法律框架，并且有一系列干预措施有效性的确凿证据。国际工作整合模式尚未得到充分实施，这可能是精神疾病患者工作康复成效有限的原因之一。文中概述了工作康复措施的必要性及现有证据。描述了康复的社会立法、概念和组织方面。国际比较表明，医疗体系必须更好地整合预防、治疗、康复和长期护理。
