States may alter vocational rehab rules.
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This paper presents the hypothesis that the mentally ill (and impaired) can be successfully and permanently restored to the general job market, if a given region provides specific functions and institutions and develops styles and structures of interaction that take into account the specific needs of persons with psychosis. Twelve hypotheses are presented as to which factors enhance the chances of successful and long-term job-integration. The concept presented here appears to draw its advantage over others from its strictly regional as well as its interactionally oriented approach.
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The effect of a professional workload test was assessed in a longitudinal study with 80 patients psychosomatic rehabilitation during and following their. In a second study indication criteria were tested with 358 consecutive patients. Participants in the workload program show an improvement of their work ability and job performance according to self-appraisal, superior appraisal and medical assessment. Work ability was still maintained 7 months after treatment. Patients with lasting work disability and unemployment not only show negative work-related attitudes, but also elevated psychological symptoms and a reduced quality of life. The program participants show high levels of psychological strain but also a stronger disposition to change the professional situation. Negative work-related and psychological consequences of lasting disability and unemployment deserve more attention in inpatient psychosomatic treatment.
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