Type of Project: In-house project
Description / Topics
Objective:
A tool for determining the rehabilitative needs and the prognosis for reintegration in persons applying for disability pension is developed. This tool is to be used during medical examinations in the course of expert testimonies. It is thought as a list of indicators.
The list of indicators:
- shall allow to determine the prognosis for regaining the full or at least part-time functional capacity to work.
- shall also differentiate between claimants with low, moderate and good chances to improve through rehabilitative measures offered by the statuary pension insurance. It will also describe which treatments or rehabilitative measures outside the responsibility of the statuary pension insurance are necessary for improvement.
The indicator list will refer to the International Classification of Functioning (WHO).
Background:
Background of this project is a lack of unified principles in assessing the prognosis for mentally ill persons applying for a disability pension. Often the options for rehabilitative treatment are not systematically discussed. These shortcomings became obvious during an analysis of expert testimonies (Hesse 2001).
Due to changes in law, which now allow partial disability pensions, the improvement of functional working capacity to a part-time level becomes a possible target for rehabilitative measures and has to be considered in the expert testimony. Besides the new SGB IX clearly stresses the precedence of checking the need of rehabilitation in claimants of disability pensions.
Method:
Considering the available evidence and practical experience indicators are identified, operationalized and ranked by a small group of experts. (They are employed by the statuary pension insurance or rehabilitative facilities).
Each indicator of prognosis is (as far as possible) matched with a suitable rehabilitative measure or treatment.
At several times during the development the results of the small group are mirrored to a larger group of experts, who are asked to comment the results and express their degree of consent (Delphi-Method). These responses will be taken into consideration by the small group. In a final consensus-conference with all experts (small and big group) the indicator list will be confirmed.
Finally the indicator list will be used in a field trial to judge practicability and benefit.
Results:
A manual was developed, which describes 10 indicators out of three categories (functioning, course of disease and treatment, ressources). The rating for each indicator is visualised in a profile and connected with treatment options. Case studies are added to illustrate the application rules.
The manual in pdf-format is available on request.
A tool for determining the rehabilitative needs and the prognosis for reintegration in persons applying for disability pension is developed. This tool is to be used during medical examinations in the course of expert testimonies. It is thought as a list of indicators.
The list of indicators:
- shall allow to determine the prognosis for regaining the full or at least part-time functional capacity to work.
- shall also differentiate between claimants with low, moderate and good chances to improve through rehabilitative measures offered by the statuary pension insurance. It will also describe which treatments or rehabilitative measures outside the responsibility of the statuary pension insurance are necessary for improvement.
The indicator list will refer to the International Classification of Functioning (WHO).
Background:
Background of this project is a lack of unified principles in assessing the prognosis for mentally ill persons applying for a disability pension. Often the options for rehabilitative treatment are not systematically discussed. These shortcomings became obvious during an analysis of expert testimonies (Hesse 2001).
Due to changes in law, which now allow partial disability pensions, the improvement of functional working capacity to a part-time level becomes a possible target for rehabilitative measures and has to be considered in the expert testimony. Besides the new SGB IX clearly stresses the precedence of checking the need of rehabilitation in claimants of disability pensions.
Method:
Considering the available evidence and practical experience indicators are identified, operationalized and ranked by a small group of experts. (They are employed by the statuary pension insurance or rehabilitative facilities).
Each indicator of prognosis is (as far as possible) matched with a suitable rehabilitative measure or treatment.
At several times during the development the results of the small group are mirrored to a larger group of experts, who are asked to comment the results and express their degree of consent (Delphi-Method). These responses will be taken into consideration by the small group. In a final consensus-conference with all experts (small and big group) the indicator list will be confirmed.
Finally the indicator list will be used in a field trial to judge practicability and benefit.
Results:
A manual was developed, which describes 10 indicators out of three categories (functioning, course of disease and treatment, ressources). The rating for each indicator is visualised in a profile and connected with treatment options. Case studies are added to illustrate the application rules.
The manual in pdf-format is available on request.
Start:
1 Jul 2002
End:
31 Dec 2004
Funded by:
- Verein zur Förderung der Rehabilitationsforschung e. V. Norderney (VfR)
Project Management:
- Hesse, Bettina, Dr.
Institutions:
Institut für Rehabilitationsforschung Norderney
Abteilung Sozialmedizin
Gartenstr. 194
48125 Münster
neue Anschrift Frau Dr. Hesse:
Deutsche Rentenversicherung Westfalen
Abteilung Sozialmedizin
Gartenstraße 194
48147 Münster
Telephone:
0251 238-0
E-Mail:
bettina.hesse@drv-westfalen.de
Hesse, B. (2001): Rehabilitation und Frühberentung bei jüngeren Antragstellern mit psychischen Erkrankungen. Gesamtbericht. Unveröffentlichter Projektbericht. Institut für Rehabilitationsforschung Norderney, Abteilung Sozialmedizin Münster.
Hesse, B. & Gebauer, E. (2004): Entwicklung einer Indikatorenliste zur sozialmedizinischen Bewertung der Reintegrationsprognose und des Rehabedarfs bei Rentenantragstellern mit psychischen Erkrankungen (IREPRO). In: Verband Deutscher Rentenversicherungsträger (VDR)[Hg]: 13. Rehabilitationswissenschaftliches Kolloquium. Selbstkompetenz - Weg und Ziel der Rehabilitation vom 8. - 10. März 2004 in Düsseldorf. wdv Gesellschaft für Medien und Kommunikation mbH & Co. OHG: Bad Homburg. 338-340.
Hesse, B. & Gebauer, E. (2004): Erfassung der Reintegrationsprognose und Rehabilitationsbedürftigkeit in der psychiatrischen Begutachtung von Rentenantragstellern. Das Gesundheitswesen, 66, 8/9, 578-579.
Hesse, B. & Gebauer, E. (2005): Erfassung der Reintegrationsprognose im psychiatrischen Rentengutachten. In: Verband Deutscher Rentenversicherungsträger (VDR)[Hg]: 14. Rehabilitationswissenschaftliches Kolloquium. Rehabilitationsforschung in Deutschland - Stand und Perspektiven - vom 28. Februar bis 2. März 2005 in Hannover. wdv Gesellschaft für Medien und Kommunikation mbH & Co. OHG: Bad Homburg. 154-156.
Hesse, B. & Gebauer, E. (2004): Entwicklung einer Indikatorenliste zur sozialmedizinischen Bewertung der Reintegrationsprognose und des Rehabedarfs bei Rentenantragstellern mit psychischen Erkrankungen (IREPRO). In: Verband Deutscher Rentenversicherungsträger (VDR)[Hg]: 13. Rehabilitationswissenschaftliches Kolloquium. Selbstkompetenz - Weg und Ziel der Rehabilitation vom 8. - 10. März 2004 in Düsseldorf. wdv Gesellschaft für Medien und Kommunikation mbH & Co. OHG: Bad Homburg. 338-340.
Hesse, B. & Gebauer, E. (2004): Erfassung der Reintegrationsprognose und Rehabilitationsbedürftigkeit in der psychiatrischen Begutachtung von Rentenantragstellern. Das Gesundheitswesen, 66, 8/9, 578-579.
Hesse, B. & Gebauer, E. (2005): Erfassung der Reintegrationsprognose im psychiatrischen Rentengutachten. In: Verband Deutscher Rentenversicherungsträger (VDR)[Hg]: 14. Rehabilitationswissenschaftliches Kolloquium. Rehabilitationsforschung in Deutschland - Stand und Perspektiven - vom 28. Februar bis 2. März 2005 in Hannover. wdv Gesellschaft für Medien und Kommunikation mbH & Co. OHG: Bad Homburg. 154-156.
Keywords:
Reference Number:
R/FO2699
Last Update: 8 Apr 2013