Type of Project: Funded project Model project
Service Point Health and Work (S.P.G.)

Model project rehapro S.P.G. (Service Point Health) of the Jobcenter Holzminden, Jobcenter Hamel-Pymont, Jobcenter District Northeim and Jobcenter District Siegen-Wittgenstein.

"Service-Point Gesundheit und Arbeit" (S.P.G.) is a project of the job centre network Jobcenter Holzminden, Jobcenter Landkreis Northeim, Jobcenter Hameln-Pyrmont and Jobcenter Kreis Siegen-Wittgenstein for people with not only temporary health restrictions who are benefit recipients according to Book II of the Social Code (SGB II). The common goal is to maintain or restore the earning capacity of people with not only temporary health restrictions who are benefit recipients under Book II of the Social Code (SGB II) and to improve their social and occupational participation in accordance with the principles of "prevention before rehabilitation" and "rehabilitation before retirement" through innovative services and innovative organisational measures. With the establishment and testing of a target group-specific service point (S.P.G.) at a total of four locations in Holzminden, the district of Northeim, Hameln-Pyrmont and the district of Siegen-Wittgenstein, the job centres are implementing an innovative and comprehensive range of services for health, social and occupational participation in addition to their regular business.

The central innovative approach of our model project S.P.G. lies in the close organisational and interdisciplinary networking of the most important actors for health, social and occupational participation under one roof and the complementary use of modern digital technologies.

What is new and innovative in the S.P.G. model project, compared to usual practice and with regard to the scope of the innovation, are in particular:
● The service point as an organisational innovation for service provision and the associated networking of central actors for health, social and professional participation under one roof.
● The increase in the speed of the process to initiate medical and therapeutic assistance such as benefits for participation in working life through closely coordinated cooperation with the DRV.
● Joint case conferences to effectively support the interdisciplinary cooperation of the actors and to quickly initiate tailor-made assistance for those affected.
● The use of modern digital services:
o Telemedicine and teleconsultation as well as digital health and prevention services (including psych and health apps), online signposts, ensuring a digital 24-hour counselling service to be available at all times, especially in emergency situations (call centre with video chat option).
● An ICF-oriented needs assessment will also be novel and innovative.

As a result, we hope for a significant gain in knowledge on the effect and generalisability as to whether and to what extent institutionalised interdisciplinary cooperation can help to provide (priority) assistance faster, more targeted and more effectively in the future, whether the methods of the "ICF" and the "health-oriented interdisciplinary team" for personal goal development have a positive effect on persons with health impairments and in particular on their health impairments per se, and whether digital services can effectively support or even replace face-to-face care or medical counselling, as well as overall: Whether stronger, possibly bundled activities will have more impact in the future, especially in the field of prevention. In the future, stronger, possibly bundled activities can have more impact with the goal of occupational and social participation as well as in the context of "prevention before rehabilitation".

During the five-year project period, a total of 3,375 clients from the entire Job Centre network are expected to benefit from this offer (of which about 675 participants in the Holzminden Job Centre, about 844 each in the Northeim and Hameln-Pyrmont Job Centres and about 1,013 participants in the Siegen-Wittgenstein Job Centre). We expect the S.P.G. pilot project to bring about the following improvements for the target group in relation to the funding policy goals: At the end of the project, at least 30% of the participants should have increased their earning capacity, at least 20% should have been integrated into employment subject to social security contributions or part-time employment, at least 80% should have participated in health-promoting services offered by the Service Point or in treatments that go beyond this, and 70% should have improved their social participation.

We intend to maintain established formats in the cooperation between the actors of the Service Point and to make them binding in the joint case work. Positive effects and findings on the effects of the innovative services are to be integrated into tenders/measures according to §45 SGB III in the future and the tested possibilities of combining more municipal integration services according to §16a SGB II in measures according to §45 SGB III are to be taken into account permanently.