Intensified rehabilitation aftercare

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The intensified rehabilitation aftercare (short: IRENA ) is an aftercare concept of the German pension insurance that has been offered since 1999. The program can be used by those insured with the German Pension Insurance after inpatient or outpatient rehabilitation .

background

Following an inpatient or full-day outpatient service for medical rehabilitation , rehabilitation aftercare may be considered. This is intended to consolidate the rehabilitation success that has occurred. The rehabilitation patients should be able to stabilize and develop the compensation strategies and behavior changes that they learned in rehabilitation in everyday life through aftercare.

From 2016, a new framework concept for rehabilitation aftercare will apply in the statutory pension insurance. A transition period of three years from 2016 is planned for its implementation.

Basic principles of the "new" rehabilitation aftercare:

  • regardless of place of residence and pension insurance provider
  • close to home
  • needs-oriented

various offers for differentiated needs, d. H. multimodal rehab aftercare services and unimodal rehab aftercare services.

  • Intensified rehabilitation aftercare IRENA (multimodal)
  • Rehabilitation aftercare RENA (unimodal): Training-therapeutic rehab aftercare (T-RENA), rehabilitation aftercare for mental illnesses (Psy-RENA), rehabilitation aftercare for addiction disorders (addiction aftercare)
  • Rehabilitation sport and functional training according to Section 64 Paragraph 1 No. 3 and 4 SGB IX.

Tele-rehab aftercare has been available since 2017 .

Indication areas

aims

  • the further improvement of still limited skills
  • the perpetuation of lifestyle changes and self-efficacy effects
  • the sustainable and verifiable implementation of what has been learned in everyday life
  • the promotion of personal and social skills

execution

The indication-specific therapies are carried out under expert guidance in group therapies, with or without therapy devices. For this purpose, the doctor at the rehabilitation facility issues a recommendation of the appropriate measures for the patient. Depending on the indication, the participant is entitled to a maximum number of therapies:

  • 24 appointments for diseases of the musculoskeletal system, diseases of the cardiovascular system and metabolic diseases
  • 26 appointments for mental disorders
  • 36 appointments for neurological diseases

Duration of therapy

The duration of therapy depends on the area of ​​indication.

Musculoskeletal system, cardiovascular system, metabolism, mental disorders

  • Start of the aftercare measure within 3 months after discharge from rehab
  • End of aftercare up to 6 months after discharge from rehab

Neurological diseases

  • Start of follow-up care within 3 months after discharge from rehab
  • End of aftercare up to 12 months after discharge from rehab

Limitations of the IRENA

  • Spatial availability: limited (e.g. in rural areas)
  • Temporal availability: limited (e.g. opening times of the centers)
  • After medical rehabilitation there can be waiting times of 4–12 weeks until aftercare begins
  • Therapy carried out in groups, no individualized individual therapy

Due to the restrictions mentioned above, tele-rehabilitation aftercare is a useful addition to the range of aftercare services provided by the pension insurance.

Individual evidence

  1. ^ German pension insurance, aftercare, accessed on November 13, 2017 ( [1] ) /
  2. ↑ a b Aftercare - What happens after the medical rehabilitation services? ( Memento of the original from December 17, 2013 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. Retrieved December 11, 2013.  @1@ 2Template: Webachiv / IABot / www.deutsche-rentenversicherung.de
  3. ↑ Framework concept for rehabilitation aftercare of the German Pension Insurance, accessed on July 16, 2018 ( [2] ) /
  4. ↑ Rehabilitation aftercare of the German Pension Insurance - Current status, 8th symposium on all-day outpatient rehabilitation, May 11 and 12, 2017, Berlin, accessed on July 18, 2018 ( [3] ) /
  5. ↑ Requirements of the German pension insurance for tele-rehab aftercare (information for medical rehab facilities), accessed on July 16, 2018 ( archived copy ( memento of the original from July 16, 2018 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 note. ) / @1@ 2Template: Webachiv / IABot / www.deutsche-rentenversicherung.de
  6. ↑ a b Intensive rehabilitation aftercare (IRENA) . ( Memento of the original from December 17, 2013 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. Website of the German Pension Insurance Association. Retrieved December 11, 2013.  @1@ 2Template: Webachiv / IABot / www.deutsche-rentenversicherung.de
  7. ↑ Recommendations for the further development of rehabilitation aftercare in the pension insurance ( Memento of the original from December 17, 2013 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. (PDF). Retrieved December 11, 2013.  @1@ 2Template: Webachiv / IABot / www.deutsche-rentenversicherung.de

literature

  • J. Lamprecht, J. Behrens, W. Mau, M. Schubert: The intensified rehabilitation aftercare program (IRENA) of the German Federal Pension Insurance. In-service utilization and changes in job-related parameters. In: Die Rehabilitation, 50 (2011) 3, pp. 186–194.
  • J. Lamprecht, J. Behrens, W. Mau, M. Schubert: The intensified rehabilitation aftercare program (IRENA) of the German Federal Pension Insurance. Therapy events and one-year course of health-related parameters in rehabilitation patients with musculoskeletal diseases. In: Phys Rehab Kur Med, 2012; 22 (05): pp. 253-257.
  • E. Rohm, S. Brüggemann, K. Pfeifer: IRENA - Claim and Reality - A qualitative study on the implementation of the intensive rehabilitation aftercare IRENA for orthopedic indications. DRV Schriften Volume 88, 2010; Pp. 373-375.