Rehabilitation ( Latin rehabilitatio , "restoration"), or rehabilitation for short , generally describes reintegration and specifically (especially under insurance law) measures for medical restoration , professional re-qualification and social reintegration. According to the German Social Code, rehabilitation is a social benefit for the reintegration of a sick, physically or mentally handicapped person or person at risk of disability into professional and social life ( SGB IX).
In legal language , rehabilitation refers to the restoration of the injured honor of a person and the restoration of former rights. Examples are certain de-Stalinization measures in the USSR from 1953/1954, the reparation of state injustices that were perpetrated in the Soviet occupation zone or the GDR through the Criminal Rehabilitation Act of 1992 or the repeal of judgments of the National Socialist People's Court through the National Socialist Law Unjust judgments in criminal justice from 1998.
The concept of rehabilitation for long-term follow-up care after serious illnesses or injuries or operations as well as the care and support of the chronically ill or physically disabled has been demonstrable since the Middle Ages. A modern definition of rehabilitation can be found in Technical Report 668/1981 of the World Health Organization (WHO). There it says: "Rehabilitation includes the coordinated use of medical, social, professional, educational and technical measures as well as influencing the physical and social environment to improve functioning to achieve the greatest possible personal activity for the greatest possible participation in all areas of life, so that the person affected is free in his life as possible. ”From 2016, a new framework for rehabilitation aftercare in the statutory pension scheme will apply. "All in all, an active approach by the rehabilitation facilities is necessary in the preparation of the rehabilitation aftercare." After 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. Tele-rehab aftercare has been available since 2017 . In the rehabilitation report 2018, the German pension insurance announced that tele-rehabilitation aftercare is increasingly being offered. In order to guarantee the quality of such offers, corresponding requirements have been formulated for tele-rehabilitation aftercare.
Carriers and measures
The Ninth Book of the Social Code (SGB IX) contains general regulations for the right to rehabilitation and the participation of disabled people .
According to health insurance companies , the Federal Employment Agency , the statutory accident insurance , the statutory pension insurance , the providers of war victims ' and war victims' welfare, the public youth welfare providers and social welfare providers .Book IX of the Social Code, rehabilitation providers can be the statutory
Which provider is responsible for which service in each individual case depends on the reason and goal of the respective rehabilitation measure. Additional provisions can be found in the other books of the Social Security Code. If, for example, outpatient medical treatment is not sufficient, the health insurance company provides benefits for outpatient or inpatient rehabilitation in accordance with accident at work , the statutory accident insurance is responsible for benefits for participation in working life or for participation in community life ( SGB VII). In order to counteract the effects of illness on the ability to work, the statutory pension insurance provides benefits for medical rehabilitation and benefits for participation in working life ( SGB VI).Social Code Book V. After an
Rehabilitation measures are only provided if the person in question is in need of and capable of rehabilitation. Both are determined by socio-medical assessment.
Need for rehab
There is a need for rehabilitation if, above all, the personal requirements for a rehabilitation measure by the provider in question are present.
In the case of pension insurance, this is the case if the insured person cannot meet the professional requirements due to disability, i.e. This means that the requirement profile of the relevant occupation does not correspond to the performance profile of the insured person. In health insurance there is a need for rehabilitation in particular when the multidimensional and interdisciplinary approach of medical rehabilitation is required in addition to curative care. Rehabilitative medicine differs in principle from curative medicine, the task of which is to heal diseases. This is also clear from the different systematics of the respective classifications. The disease diagnostic classification: International Classification of Diseases (ICD) from 1903 and the International Classification of Functioning, Disability and Health (ICF) from 2001.
The rehab ability says something about the likely success of a rehab measure. The rehabilitation ability requires sufficient resilience and motivation for the measure in question. Sometimes there is a lack of suitable criteria for this.
For insured persons for whom the pension insurance is the service provider, the principle "rehabilitation before pension" applies, i. H. Before granting a pension due to reduced earning capacity , the rehabilitation providers should use suitable rehabilitation measures to avoid the occurrence of a disability including a chronic illness and thus retirement ( Book IX of the Social Code). For insured persons for whom the statutory health insurance is the service provider, the principle according to § 31 SGB XI is “rehabilitation before care”.
In Germany, in the Federal Rehabilitation Working Group (BAR) and the German Rehabilitation Association (DVfR), key players in the field of rehabilitation work together, such as social service providers , social and medical associations, rehabilitation facilities and self-help groups .
With Rehabilitation International, there has been an international network of experts and specialists since 1922 with the aim of creating a more open society that is accessible to the disabled. At the EU level, the major social insurance companies cooperate in so-called "Euroforums", including the "Euroforum Social Pension Insurance."
- Federal Ministry of Labor and Social Affairs : Rehabilitation and participation of disabled people Status: January 2015
- Pschyrembel Clinical Dictionary. Founded by Willibald Pschyrembel. Edited by the publisher's dictionary editor. 255th edition. De Gruyter, Berlin 1986, ISBN 3-11-007916-X , p. 1427.
- Rehabilitation duden.de, accessed on April 4, 2016
- Rehabilitierung duden.de, accessed on April 4, 2016
- Ulrich Koppitz et al .: Rehabilitation. In: Werner E. Gerabek , Bernhard D. Haage, Gundolf Keil , Wolfgang Wegner (eds.): Enzyklopädie Medizingeschichte. De Gruyter, Berlin / New York 2005, ISBN 3-11-015714-4 , p. 1227 (cited).
- WHO: Disability prevention and rehabilitation (PDF; 1.6 MB) . Technical Report Series 668. Geneva. 1981. page 9.
- Framework concept for rehabilitation aftercare of the German Pension Insurance, accessed on July 16, 2018 (  ) /
- German pension insurance, aftercare, accessed on November 13, 2017 (  ) /
- Requirements of the German pension insurance for tele-rehabilitation aftercare (information for medical rehabilitation facilities), accessed on July 16, 2018 (  ) /
- Rehabilitation report of the German pension insurance, accessed on September 21, 2018 (  ) /
- German Federal Pension Insurance : Guidelines on the need for rehabilitation for benefits for participation in working life October 25, 2005, p. 13
- § 8 Guidelines of the Federal Joint Committee on Medical Rehabilitation Services (Rehabilitation Guidelines) ( Memento from April 6, 2016 in the Internet Archive ) according to § 92 Paragraph 1 Clause 2 No. 8 SGB V in the version of March 16, 2004, published in the Federal Gazette No. 63 (p. 6769) of March 31, 2004
- The new rehabilitation guidelines (Part II). How to prescribe correctly ( Memento from April 6, 2016 in the Internet Archive ) Der Allgemeinearzt 13/2005, p. 64
- Bertillon J. Nomenclatures des maladies. Montevrain. Imprimerie typographique de l'école d'alembert, 1903
- ICF: International Classification of Functioning, Disability and Health (ICF), WHO, Geneva, 2001, original ICF: who.int/icf
- cf. e.g. § 9 guidelines of the Federal Joint Committee on Medical Rehabilitation Services (Rehabilitation Guidelines) ( Memento from April 6, 2016 in the Internet Archive )
- Binding criteria for determining the rehabilitation ability required Ärzteblatt , August 5, 2015
- Wolfgang Schütte: The priority of rehabilitation over pension and care Journal for Social Reform ZSR, 2004, pp. 473–492
- The principle of rehabilitation before pension Familienratgeber.de, accessed on April 4, 2016
- BAR website
- DVfR website
- Rainer Diehl , CM Diehl, C. Kreiner: Rehabilitation in an international context , in: Rainer Diehl, Erika Gebauer, Alfred Groner: Kursbuch Sozialmedizin , deutscher Ärzteverlag 2011, p. 318 ff.