Teaching psychosocial risk factors at work in the process of Vocational Rehabilitation Metka Teržan, MD, specialist of occupational medicine Teja Bandel, MS, psycologist Aleksandra Denša, social worker Vocational Rehabilitation Centre

Vocational rehabilitation centre Service provision; Development and research and Education Referral agencies Health insurance (HI); Pension and disability insurance (PDI) and Employment service (ES) Employers

Vocational rehabilitation team Medical doctor , spec. of occupational medicine; Social worker; Psychologist , spec. of clinical psychology; Occupational therapist; Rehabilitation technologist/ instructor; Special teacher (learning disabilities, blind and partially sighted) and Others

BIO-PSYHO-SOCIAL MODEL Factors: biological psychological social

Standards of vocational rehabilitation by all members of the team, individually or in group of clients Service A: Counselling, encouraging and motivating an active role of disabled persons Service B: Preparing an expertise on the level of work ability, knowledge, work habits and vocational interests

Service B: development of the individual rehabiltiation plan Assessment of health factors Assessment of educational, vocational and work experience factors Assessment of social and environmental factors Assessment of abilities, cognitive and learning abilities Assessment of personality and behaviour; acceptance of disability, interests and goals Assessment of work functioning Defining a potential field of work or education Team report: ICD coding(International classification of disease), ICF coding (Body Functions), summary of assessments, holistic assessment of work abilities and functioning, summary of relevant social and environmental factors, vocational rehabilitation plan  

Standards of vocational rehabilitation - 2 Service C: Assistance at accepting own disability and learning about possibilities of participating in training and work Service D: Assistance at choosing appropriate vocational goals Service E: Developing of social skills

Standards of vocational rehabilitation - 3 Service F: Assistance at looking for a suitable work and employment Service G: Workplace and work environment analysis Service H: Preparing a plan for work place and work environment accommodations Service I: Preparing a plan of necessary work equipment and aids

Standards of vocational rehabilitation - 4 Service J: Training in a workplace or chosen profession Service K: Follow-up and professional support at training and education Service L: Follow-up after employment Service M: Continuous evaluation of rehabilitation process Service N: Assessment of workplace efficiency during training and employment

Vrij Baan Questionnaire Self-assessment instrument 60 items, 6 components of empowerment: competence, self-determination, meaning, impact, positive identity, group orientation At the (1)beginning and at (2)the end of the program (1) basis for individual rehabilitation plan (2) Measurement instrument

Prepared by Andreja Švajger, occ.th., EPR Annual Conference 2014 QUOLIS Prepared by Andreja Švajger, occ.th., EPR Annual Conference 2014

Case management -1 Every member of the team is case manager. Duties: Presentation of the programe, rules, signed consent Assisting in administration log Assisting and coordination of job seeking Contact with employers, workplace analysis (with other members of team)

Case management -2 Preparing of documentation for on the job training Preparing and coordination of workplace adjustments and special working equipment Follow up and contact with mentor on the workplace, weekly Reporting on team meetings every 14 days, monthly report to Employment Sevice

Work with employer-1 Presentation of clients functional abilities Presentation of legal possibilities and advantages of employment Job description Restrictions on work Workplace adjustments and special equipment Support during on the job training

Work with employer-2 Equipment rental Assessment of workplace efficiency Advice and support during employment procedure, realization of incentive benefits After employment folow-up

Students in our programme Involved in every day work of the team – team work Emphasis is on bio-psycho social model Supported in independent activities Be able to report to other members of team and on morning doctors‘ meetings

metka.terzan@ir-rs.si