Biomedical subjects
Publications and source records attributed to H Stroebel.
Business and industry, legislators, service providers, people with disabilities, all expect the facilities involved in rehabilitation to engage in quality management. What does this imply? Which regulations exist? How much does it cost? The issues involved in implementation of quality assurance systems in production and human service sectors are discussed on the example of the workshops for the disabled.
Rehabilitation in Germany falls within the purview of the various branches of the social security and public welfare system, a decentralized approach which has stood the test of time. Notwithstanding, deficits exist primarily due to a lack of up-to-date intersectoral alignment a shortcoming to be remedied by comprising rehabilitation in a separate book of the Social Code. The various social security schemes responsible for rehabilitation are attaching much importance in this context to the linkages with their specific fields of competence as well as their programming latitude being maintained. The demands to be made from an overall perspective relative to a "rehabilitation" book are set out inter alia on the example of social assistance and youth services, on terminological issues, benefit scope, needs coverage, rehabilitation principles and procedures, as well as on cooperation aspects, also clarifying differing views among the branches of our social security and welfare system. A Social Code book on "rehabilitation" should essentially be aimed at focussing the variety of rehabilitative measures in terms of a holistic rehabilitation approach, i.e., to respond to the person's overall needs by overall service provision.
The number of disabled persons worldwide being estimated to amount to more than 500 million, with over 30 million living in the European Community, the author deals with vocational integration of disabled persons in the programmes and recommendations of the United Nations, Rehabilitation International, the International Labour Organization, the Council of Europe, the European Community, as well as the International Social Security Association.
Rehabilitation in transitional facilities (transitional residential homes) is a possible approach for those persons with psychic disorders or handicaps who are not in need of institutional care but cannot be treated adequately on an outpatient basis either. The cost of such rehabilitative programmes is carried by the social welfare authorities in more than 85 percent of the total number of clients. From the point of view of those concerned, who previously had been contributing to social insurance schemes, referral to social assistance is deemed an incompatibility. A change to his situation could be achieved by extending the scope of medical or vocational rehabilitation to include these benefits by way of legal interpretation rendered by the courts, or by the legislator conferring responsibility for the social rehabilitation field on the agencies financially responsible for medical and vocational rehabilitation.