Die Rehabilitation
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Multicenter Study Controlled Clinical Trial
[Occupational therapy in vocational rehabilitation of adults with mental illness].
This publication presents a study that analyses the effectiveness of client-oriented Occupational Therapy methods in Austria concerning improvement of the occupational performance of persons with mental illness. The central research issue had been the question how far client-centred OT treatment enables improvement in the occupational performance of mentally ill persons. ⋯ It could be shown that applying client-centred Occupational Therapy methods in vocational reintegration work can contribute considerably to improving the performance, satisfaction, quality of life, and social skills of persons with mental illness.
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Until now, training programmes on shared decision-making (SDM) have been designed exclusively for medical decision-making and predominantly for physicians. How-ever, interprofessional treatment, such as in medical rehabilitation, is very important in the treatment of chronic diseases. This requires an extended understanding of shared decision-making. Therefore the aim of the study is to develop an interprofessional training (IPT) for implementation of shared decision-making (SDM) in rehabilitation clinics. ⋯ The interprofessional training programme "Fit for SDM" was developed on the basis of these results, and consists of 2 modules for the implementation of shared decision-making in medical rehabilitation. Module 1 focuses on external participation (provider-patient interaction), Module 2 on internal participation (team interaction). Module 2 was additionally used for preparing executives in their role as multipliers in the team. The training is currently being evaluated in a cluster-randomized multicentre study.