Pampus I
Rehabilitation (Stuttg). 1979 May;18(2):51-5.
According to 5 Sect. 3 of the Act on the Standardisation of Rehabilitation Services (Rehabilitations-Angleichungsgesetz) an individual rehabilitation plan must be set up if several rehabilitation measures, e.g., medical, vocational and social measures are necessary, or, if different rehabilitation agencies are financially responsible for these procedures. This applies, as a rule, to the rehabilitation efforts for the severely brain-injured. The case history of a young brain-injured patient is used to demonstrate that an overal improvement can be achieved if a close co-operation between the hospital, rehabilitation centre, attending doctor, rehabilitation agencies and employers is ensured. The different measures must be adapted to the individual degree of work tolerance of the patient. Out-patient measures should be carried out -- and this not only because of the lower costs involved. The so-called "Anschlussheilverfahren" which means a treatment programme following the acute phase, initiated by the responsible agencies for the pension insurance scheme, does not seen to be the appropriate routine treatment to be carried out in the rehabilitation of the brain-injured, as they require more comprehensive and long-term therapy.