Type of Project: Scientific Work
Dimensions of Quality Control in Vocational Rehabilitation

New German legal Context of Participation for persons with handicaps (SGB XI) considers the international classificatory context of functioning (ICF). ICF, on the other hand contains extended dimensions of participation in multifactorial issues including interaction with various environmental conditions. These aspects touch all levels of "coping" with daily life problems as well as the handicap creation process. Therefore different socio-ecological systemic aspects are analysed and presented. To assure quality in the process of participation by vocational rehabilitation all these dimensions are to be respected, which until now is not done neither in out-come-documentation nor in any evaluation. The following proposals for theoretical, methodical and practical dimensions are developed to assure participation and especially sustainable vocational integration: (1) IPI as Integration-Prognosis-Index to account levels and social-systemic dimension; (2) IMBA as global-profile levels for documenting work-place conditions within an interactive-system; (3) KODI as communication-diagnosis assessment documenting behavioural items of interaction to assure attention, endurance and empathic reactions (beside MELBA); (4) a scoring based also on FIM gives hints toward a severity-algorithm in analogy to DRG/FRG-systems. These screening instruments provide a necessary "Minimal-Standard" to assure quality of vocational rehabilitation within the dimensions of ICF (and provide FRGs in relation to DRGs of ICD-10 in respect to a severity algorithm). These basic data and scoring allow epidemiological, rehabilitative aid adjustment as well as inter-institutional comparisons to provide social equality for severely "handicapped" persons. They should be enlarged and deepened for special aid and socio-therapeutic aspects in rehabilitation.