Forschungsprojekt
Projektart: Gefördertes Projekt Modellprojekt
AktiVoReha – Aktiv vor Reha

The project "AktiVoReha" is an offer for people in receipt of benefits from the MYK Job Center with
- expected or incipient rehabilitation needs
- psychological impairments and/or
- complex health support needs

The aim is to focus on maintaining and/or restoring the earning capacity of these customers*. Through the use of innovative services with a primarily preventive character, a (sometimes) premature transition to a reduced earning capacity pension or the need to apply for integration assistance is to be avoided or reduced in cooperation with a multi-professional team. In concrete terms, the participants are coached by qualified specialists over a period of up to 6 months. Methodologically, the interventions are curative, clinical-rehabilitative, pedagogical-work-integrative or work- and/or organizational-psychological. In this way, these units contribute to strengthening the resilience and self-esteem of the clients and/or to qualifying them for sustainable job participation through labor market integration measures.
The above-mentioned target group gains access to the project through a case discussion between the integration specialist and a clinical psychologist and an occupational physician (so-called analysis tool). In the course of subsequent intensive support, individually significant measures are worked out and documented in an assistance plan. The services offered include psychological coaching in individual and group settings, qualification modules and individual follow-up support.

Key project data:

Project duration: 1.11.2021 - 31.10.2026
Participants for the analysis tool: 1,500 customers
Network partners: AktiVoReha is offered in cooperation with the Barmherzige Brüdern in Saffig, which provides coaches for participating customers over 25 years of age. In addition, there is close cooperation with the Eichenberg Institute in Koblenz. They generate medical and psychological specialists to carry out the analysis tool as well as the coaching sessions.

AktiVoReha - a project within the framework of the federal program "Innovative ways to participate in working life - rehapro" funded by the BMAS. It is implemented by the Jobcenter Mayen-Koblenz together with another partner: The partner "Barmherzige Brüder Trier gGmbH" is a recognized partner in the region when it comes to people with handicaps. It is a partner with whom the Jobcenter MYK cooperates very closely in REHA issues.
The Jobcenter MYK is an approved municipal carrier which is ISO and AZAV certified. The job center houses its own project area. Currently, the job center is working on the participation of the aid recipients. Needs are developed in workshops with the help recipients, which are also included in this project.
The innovations for the Jobcenter MYK are that (a) the help recipients are considered regardless of where they are, (b) a holistic support is offered, (c) the coordination is centrally controlled from the Jobcenter, (d) a comprehensive assessment is established at the beginning of the assistance. Core elements 2, 5 and 8 are put out to public tender. The Mayen-Koblenz Job Center is both the tendering body and the client for the service put out to tender. The remaining core elements are ensured by the planned last recipients as well as the Jobcenter.

Core elements of the project are:
(1) Acquisition of the participants
(2) Analysis of the individual linked with an individual goal planning (diagnostic
Entrance procedure)
(3) Individual outpatient intensive support offers in the help system
(4) Aftercare
(5) Individual Coaching-Offers on the curative level
(6) Individual (qualification) - modules
(7) Project coordination network work in the region/ public relations
(8) Scientific monitoring
The measure modules 1 to 8 are designed as follows:

1) Acquisition of participants
The responsible specialists at the JC will assign the individual participants to the project in personal counseling sessions. The necessary pre-notification lists are kept and controlled centrally. The acquisition work package will operate throughout the project. The job center is in charge. The individual partners will work hand in hand. A coordination group will ensure the continuous improvement of operational processes in these work packages. The coordination group meets at the invitation of the job center every two months and as needed. The scientific supervisor is also a member of the coordination group.
All participants are kept on a common list and are assigned to the diagnostic entry procedure.

2) Analysis of the individual linked with an individual goal planning (diagnostic initial procedure)
For the identification of the present problem situations concerning the project participant interdisciplinary (right-spreading) case discussions with the respective participation of the supervising strength, a clinical psychologist and/or a work psychologist and a specialist (e.g. general practitioner, psychiatrist, social physician) are accomplished. The clinically relevant as well as the subclinical and socio-educationally classifiable developmental obstacles should be discussed together in their interaction. These case discussions can be conducted individually with or without the project participant. As a result, the diagnostic initial procedure provides a quick guideline for further interdisciplinary (cross-jurisdictional) case management. In order to differentiate which participants receive intensive support and which do not, and which intervention modules should be assigned to which participants according to their needs, a special assessment procedure is used that evaluates the following psychological dimensions for each participant individually: Resilience, Acquisition-Related Change Motivation, Personal Initiative, Subjective Stress Experience, the Psychological and Physical Health, and the Prediction of Success based on the Competence Profile. Differentiation is made by means of specific cut-off values.

3) Individual outpatient intensive care services (case management) in the help system
The project has four intensive care workers. One of them is responsible for the transition between school and job. This specialization is necessary because of the need to work together with other agents (school social work, youth welfare, etc.). At its core, intensive support represents individualized needs orientation and service provision. This support covers all issues related to health, leisure, education and work. The focus is on people who, due to their physical/mental impairments or illnesses, have difficulties gaining a permanent foothold in the 1st labor market. Due to their unemployment and/or their psychological stress, these people often experience social isolation. Because of this, they often overestimate or underestimate their own health or performance. For many of these people, "transitions" such as, for example, illness into health from prolonged unemployment into employment are a considerable difficulty.

The individual intensive support includes the planning and initiation of suitable preventive measures that are intended to uncover these misperceptions and bring about a comprehensive change in the individual life situation of the participants. Through this intensive individual support, the participants should regain a realistic idea of their possibilities and abilities, but also of their limitations and need for help, and regain a fundamental interest in actively shaping their own lives. The fourth pillar of the health care system is firmly anchored in the coaching process. Empowering people to help themselves is a central task in coaching. Self-help groups will be set up as needed, initiated in consultation with the state working group of self-help contact points and self-help support in Rhineland-Palatinate. Participants who have not yet taken advantage of preventive health and counseling services for various reasons should be enabled to take responsibility for their own physical and mental health. The intensive care is characterized by timely and sustainable socio-pedagogical support. The preventive orientation of this support can prevent problems from becoming entrenched or new problems from arising and becoming obstacles to placement that are difficult to overcome.

A support plan is drawn up with all those involved on the basis of the diagnostic initial procedure. This plan describes in detail which changes are to be targeted by when and with which support. This assistance plan is reviewed and modified at regular intervals. This simultaneous support with a view to placement in work and dealing with social and health problems can reduce the length of time spent in the respective benefit system or, at best, prevent people from slipping into it.

4) Aftercare
The aim is to support clients and employers by providing advice and guidance in pursuing and securing employment in the general labor market on as permanent a basis as possible. It is important that the client does not perceive the transition to employment as the last step in his or her own development, but rather faces further development needs in the company's daily routine and continues to accept health-promoting offers. In this part, the employer counseling is to be emphasized, which comprises two focal points:
- Company support, e.g. through moderation of employee discussions or conflict management
- Company counseling, e.g. about possible support services and how to apply for them

5) Individual psychological coaching services at the curative level / business consulting
a) Work-integrative outpatient individual and group psychotherapy exclusively
In order to break the vicious circle of treatment and placement barriers, a cross-jurisdictional work-integrative treatment infrastructure is to be established. Psychologists are available to the project for this service. The psychotherapists have many years of experience in psychotherapeutic cooperation with the target group. The psychotherapeutic strategies used are based on recognized behavioral therapy, depth psychology, systemic, trauma therapy and hypnotherapy approaches and are also specifically work-integrative overall.
b) Destigmatizing and therapy-motivating individual and group coaching
To improve therapy motivation and destigmatization of psychological impairments, illnesses and psychological-psychiatric intervention options, innovative individual and group interventions will take place to improve participants' interest in and access to such strategies. Innovative playful group concepts, such as a psychological experiment show in the sense of the well-known Knoff-Hoff show on physical experiments, will also be applied. The services are provided by Dipl. / M.Sc. psychologists.
c) Business consulting, specialized lectures, workshops and coaching for employers in the region Many employers have reservations and fears about hiring mentally impaired people. Expert lectures, workshops and a coaching offer for employers should contribute to a reduction of fears, reservations and stigmatizing attitudes towards mentally impaired people. All modules will be offered online after the experience of the Corona pandemic.

6) Individual (qualification) modules
In consultation with the personal contacts at the Job Center, the intensive caregivers have access to all labor market integration benefits of SGB II in conjunction with SGB III, as well as the municipal integration benefits of § 16a SGB II. A detailed list of the offers used in the regular business are named in the form "Individual measures in the project". Basically, it can be said that the qualification modules offered in the regular business complement the preventive offers provided in the project. For people with additional addiction problems, a preventive low-threshold offer is made in cooperation with the local clinical area. Through the cooperation with the Rhineland-Palatinate State Center for Health Education, the preventive offers available there will also benefit the project participants via the project "Dovetailing Work and Health Promotion".

7) Project coordination Networking in the region / Public relations / Sustainability
The JC have had excellent experience with professional networking. A full-time networker is to take on the coordination of networking in the region / public relations work in addition to the "acquisition" work package. This network office will be the engine of the project. This is where all the important information comes together. The network coordinator leads the coordination group. The project coordination takes care of the financial and administrative aspects of the project.

a) Networking in the region
The responsible persons want to establish the project in the economic networks within the region. The best results will be achieved through a professional networking strategy. The project leans against the developed proceeding of Professor rice university Frankfurt, which is suggested by the networks ABC.
Beside existing networks of the partners new structures are demand-oriented developed, in order to establish in the first step information networks.
Communication outward in addition, inward is of crucial importance.
Key topics for internal communication:
- Informing about the work of the project
- Demonstrating added value
- Harnessing innovative power Key topics for external communication:
- Raising awareness of the advantages for the agents
- Publicizing the project
- Helping to shape the image and change in awareness in the region in line with the project
In particular, employers in the region are to reduce their fears, reservations and stigmatizing attitudes toward mentally impaired people through specialist presentations, workshops and coaching by experts.
The network work is organized by the job center. The work package is offered and carried out throughout the entire project period. The work package "networking" will work closely with the work package "evaluation".

b) Public relations
A public relations campaign is indispensable for the success of the project. The focus here should be on the work but also on the target group. In addition to the digital distribution channels, it should also serve the traditional print media. A website will provide information about the work and the opportunities. An APP and a podcast can help to reach the target group(s) accurately.
The public relations work is the task of the job center in coordination with the network and cooperation partners.

c) Sustainability through in-process monitoring
Ensuring the sustainability of the project results requires its own effort and networking skills. For this reason, the task of sustainability is mapped here. The sustainability concept plays a crucial role throughout the project. Project personnel will follow the methods described within the phases, but these are not dogmatic and must be repeatedly adapted in each case to the specific project content, internal and external conditions, scheduling, implementation possibilities, and internal and external networking.

Phase 1: Developing the sustainability strategy and the sustainability concept
- Analysis of the individual target groups with their level of interest in the specific project objectives and results;
- Comparison of the levels of interest with the partial results produced in the project, final results (e.g. concepts, knowledge, technologies, systems);
- Discussion and definition of the optimal transfer paths and instruments to the known target groups (e.g. Newsletter, offline and online media, test phase);
Phase 2: Exploitability of project results
- Adapt internal project results accordingly to the interests of other external user structures and stakeholders (e.g. other target groups, stakeholders);
- design of handbooks, guides, manuals, presentations, flyers (in foreign languages) offline, online;
- design of web platforms to share results
Phase 3: Dissemination and mainstreaming of project results
- informing internal and external structures about project processes and results and how to use them during and after the project lifetime;
- using ICT (information and communication) tools according to the possibilities and frameworks of potential users and after-users (e. g.E.g. offline and online media, newsletters, mailings);

8) scientific monitoring
The scientific monitoring in the model project creates a basis for the verifiability of the results. In addition to the data from the analysis tool, supplementary qualitative and quantitative data is collected at various measurement points, making progressions and project successes visible. Qualitative data originate from group discussions and telephone interviews with all agents involved (JC, education and implementation providers, regional partners, etc.). Data on the 1,500 participants will be collected quantitatively with the help of an online or written survey (depending on better accessibility) (see work package "scientific support"). Results from the scientific monitoring will flow into the project in the sense of a formative evaluation. In this way, the scientific monitoring supports the implementation of the projects and serves quality assurance and sustainability. It gives indications on the possibilities of a continuation of the selected project approaches. The scientific support is provided by the ISM in Mainz. The range of services includes the scientific monitoring and evaluation of funding programs and pilot projects. The main focus of scientific support research and evaluation projects is on support programs at the state and federal level, projects and pilot projects in the field of education and the labor market, including in the area of inclusion and vocational rehabilitation.