Need for help from people with disabilities

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The procedure for the need for assistance of people with disabilities (HMB) according to Metzler - also shortened to the Metzler procedure - is a needs assessment procedure in the field of disabled assistance .

The Metzler method is used in eight federal states in the Federal Republic of Germany for billing the payers and is therefore the most widely recognized among the needs assessment methods for working with people with disabilities.

Emergence

After the end of the 1990s, various quality management and needs assessment procedures such as " System of service description, quality description, quality check and payment calculation ", " Design of care for people with disabilities (GBM)" or " Quality of life in homes for adults with intellectual disabilities (LEWO)" were developed by the professional associations for disabled people, commissioned in 1997 as part of the reform of the Federal Social Welfare Act (BSHG)

  • the association for anthroposophical curative education, social therapy and social work,
  • the association of evangelical institutions for people with mental and emotional disabilities,
  • the Association of Catholic Institutions and Services for Learning and Mentally Handicapped People and
  • the federal association for people with intellectual disabilities

the University of Tübingen with the preparation of an expert opinion based on its procedures in order to develop a model that meets the legal requirements.

The result of the report was “A model for the formation of 'groups of help recipients with comparable need for help' in accordance with Section 93a BSHG”, which was created by Heidrun Metzler from the research center “Lebenswelten Disabled People” and for the development of the “Metzler method” for the determination of the individual need for help.

"Help needs of people with disabilities (HMB)" is available in the versions HMB-W for the living area and HMB-T for the day structure area (day care centers and workshops for people with disabilities).

target

In the course of a further reform step of the BSHG towards the Social Security Code (SGB), the professional associations were called upon to "... jointly and uniformly with the associations of the organizations responsible for the institutions at the state level on the performance, remuneration and examination agreements according to Section 93 (2) BSHG in the version applicable from January 1, 1999 onwards ...

In accordance with the legal requirements raised, the HMB aims to record the need for help in such a way that it can be assigned to case groups (also referred to as “group of need for help” or “type of service”) on the basis of which the payroll with the insurance provider takes place.

For this purpose, the need for help is recorded using a questionnaire, which is divided into seven areas, which are further subdivided into individual items as a statement about the skills of the person concerned:

  1. "Everyday lifestyle" (with 7 items )
  2. "Individual basic care" (with 6 items)
  3. "Design of social relationships" (with 3 items)
  4. "Participation in cultural and social life" (with 5 items)
  5. "Communication and Orientation" (with 4 items)
  6. "Emotional and psychological development" (with 4 items)
  7. “Health promotion and maintenance” (with 5 items).

The various items are recorded with an “activity profile of the person” in the sense of “can”, “can with difficulty” or “cannot”, as well as in a gradation from A – D, which help is required.

Since the responsibility of the cost bearers is organized differently depending on the federal state in Germany, there are different framework agreements. In Baden-Württemberg, for example, this was signed with the Local Authority for Youth and Social Affairs (KVJS).

application

In order to correctly assess the need for help of a person with a disability, his life situation and his self-help possibilities should be clear so that goals of the support can be agreed. This requires the involvement of the person concerned or their representatives (relatives, legal guardians). Other people who know the person with a disability well can also be included, which is particularly recommended for people with severe disabilities.

In Baden-Württemberg, the cost bearer receives the completed questionnaire or a summary of the data, whereby, for example, a development report should show “which type and which measures of help are recommended with regard to the problem situation of the person concerned and the stated objectives. If additional or different help measures are recommended, these should be described in more detail under 'Other measures'. "

Help planning

Since the Metzler method is limited to simply assessing needs, there is no separate application for help planning . "... no goals can be set using the HMB procedure and thus the services and measures actually associated with them cannot be determined ..." The type, execution and organization of the help is therefore solely the responsibility of the professional competence of the supervising staff of an institution, including under Using other procedures.

In some federal states, for example, the “Individual Help Planning” (IHP) procedure comes into play. Even the software developers of the above-mentioned GBM process have provided an interface to the Metzler process, although the GBM process itself includes an even more differentiated needs assessment.

criticism

Although the Federal Ministry for Family, Seniors, Women and Youth (BMFSFJ) states that this is only a procedure for recording the need for help, it is described in the “First Report on the Situation of the Homes and the Care of the Residents” in Chapter on quality assurance in inpatient assistance for the disabled. In technical discussions, too, the procedure is often brought into connection with quality assurance instruments.

While a clear recording of the need for help is certainly a component of quality management , the Metzler method can only be one of many instruments for this purpose; it does not contribute to the further development of the support, because it does not set standards in terms of content or organization - although it does not make this claim itself. However, the procedure appears to be geared towards the cost bearer's need for a reliable, but more general than individual and differentiated billing basis.

See also

Web links

Individual evidence

  1. ↑ Download ( Memento from August 12, 2014 in the Internet Archive ), Lebenshilfe homepage, Housing Committee of the Bundesvereinigung Lebenshilfe eV: “Comparison of existing assistance requirements assessment procedures status” [of the document]: January 2013, page 3 (status: August 3, 2014).
  2. ↑ a b Download ( Memento from August 8, 2014 in the Internet Archive ) EBERHARD-KARLS-UNIVERSITÄT TÜBINGEN, Research Center “Living Worlds for Disabled People” Nauklerstrasse 37 A - D 72074 Tübingen, Dr. Metzler, Heidrun: A model for the formation of "groups of help recipients with comparable need for help" according to § 93a BSHG - requirements and methodical implementation - (report), Tübingen, Tübingen, February 1998 (as of August 5, 2014)
  3. ↑ Homepage of the Alsterdorf Advisory Center , Alsterdorfer Fachforum, there: User survey and subject orientation. Krüger, Carsten: "User survey and other methods in international comparison", p. 1 (as of August 3, 2014)
  4. ↑ Homepage Lebenshilfe , help needs groups / HMB procedure (as of August 3, 2014).
  5. ↑ Download , "Explanations of the associations of the independent welfare service on the federal recommendation according to § 93 d Abs. 3 BSHG for the inpatient sector from 02.15.1999", p. 2 (status: August 4th 2014).
  6. ↑ a b Download ( Memento of August 8, 2014 in the Internet Archive ), “Need for help from people with disabilities” © Questionnaire for the survey in the area of ​​life “Living” / Individual lifestyle - (HMB-W - Version 5/2001), © Dr. Heidrun Metzler, Research Center “Living Worlds for Disabled People”, University of Tübingen, Nauklerstraße 37a - 72074 Tübingen, (as of August 3, 2014).
  7. ↑ Download , homepage KVJS: “Framework contract according to § 79 Abs. 1 SGB XII of December 15, 1998, changed on January 1, 2005, September 20, 2006 in the updated version of November 22, 2012 on the performance, remuneration and Examination agreements according to § 75 Abs. 3 SGB XII for Baden-Württemberg for inpatient and semi-inpatient facilities and services ”, p. 12 (as of August 3, 2014).
  8. ↑ Download , Lower Saxony application notes on the HMB-W procedure, Annex 2, 2.3 (p. 68): Eberhard-Karls-Universität Tübingen: "Notes on understanding the questionnaire on the> Need for help <(HMB-W / Version 5/2001)" ( Status: August 4, 2014)
  9. ↑ Download , KVJS homepage: “Instructions and information on the creation of documentation for assistance planning within the framework of integration assistance for disabled people on form HB / A” Nov. 2009 p. 26 (as of August 3, 2014).
  10. ↑ Download , Hoffmann, Peter: “From the needs assessment to participation planning - aid planning in the Federal Republic of Germany”, Master's thesis, Department of Social Affairs at the University of Fulda, p. 21 (as of August 3, 2014).
  11. ↑ Homepage Wichernhaus ( Memento of the original from August 11, 2014 in the Internet Archive ) Info: The archive link was automatically inserted and not yet checked. Please check the original and archive link according to the instructions and then remove this notice. , Conception of "performance and test agreements" (as of August 3, 2014).  @1@ 2Template: Webachiv / IABot / www.wichernhaus.com
  12. ↑ Download ( Memento from July 16, 2004 in the Internet Archive ), product information TOPSOZ © -GBM © -Behindertenhilfe-Assistent, status: September 2003., p. 1 & p. 14 (status: August 3, 2014)
  13. ↑ Homepage Federal Ministry for Family, Seniors, Women and Youth ( Memento of the original from May 14, 2015 in the Internet Archive ) Info: The archive link has been inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. , (Status: August 3, 2014): First report of the Federal Ministry for Family, Seniors, Women and Youth on the situation of the homes and the care of the residents, chap. 7.7 (Status [of the report]: August 15, 2006)  @1@ 2Template: Webachiv / IABot / www.bmfsfj.de