Type of Project: In-house project Model project
MBOR Collaborations

Medical-occupationally oriented rehabilitation (MBOR) represents a specific form of medical rehabilitation, which concentrates in diagnostics and therapy throughout the entire rehabilitation process on the concrete work and job environment of rehabilitants with special occupational problem situations (BBPL). This further development of the traditional rehabilitation program has two basic functions. The primary objective is the substantial improvement or restoration of the significantly endangered or already reduced earning capacity. If this goal cannot be achieved, i.e. if it becomes apparent during the course of rehabilitation that the previous workplace cannot be resumed despite the core MBOR services, the focus is on transitioning as seamlessly as possible to any subsequent services for participation in working life (LTA) that may be required. The project "MBOR Cooperations" aims at improving the second basic function of MBOR. By optimizing the cooperation between the rehab facility and the rehab counseling as well as the service provider, a better dovetailing of medical and vocational rehabilitation is to be achieved. The question arose as to whether a corresponding action process has positive effects on the duration as well as the approval rate of LTA applications from medical rehabilitation as well as the further decisions in the course of LTA. The action process was defined as follows: If the interdisciplinary MBOR team in the rehabilitation facility identified a potential need for LTA in a rehabilitation patient, the rehabilitation counseling service was informed. In the case of a positive vote by the rehab counseling service, the attending physician filled out the newly created form "Ärztlicher Zwischenbericht(MBOR)" ("Medical Interim Report(MBOR)"), which contains, among other things, information about the course of rehab to date, functional limitations in the workplace, and the educational and vocational background of the rehab patient. On the basis of this information, the German Pension Insurance Association (Deutsche Rentenversicherung Bund) - if the underlays were complete - decided on the need for LTA within a two-day period and informed the rehabilitation facility and the rehabilitation counselor of the result. The aim was to discuss the further career with the rehabilitants concerned already during the medical rehabilitation and to develop a clear job perspective.