Die Rehabilitation
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A protocol annexed to the Maastricht Treaty of 7 February 1992, the agreement on social policy is instrumental in upgrading European social policy and in making it an integral part of the policy of the European Union. It is on the one hand oriented toward appropriate provisions to protect workers in the various EU member countries against disadvantage arising from developments in the economic sector, but on the other also seeks to counter the high level of unemployment currently at hand by fostering concrete action. ⋯ The Commission's notions of European social policy development in the forthcoming 1995-1999 period have been presented in the White Paper "European social policy, a way forward for the Union". The proposals contained in this White Paper are to be embodied in 1995 in a work programme of the European Commission.
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The sociomedical statements given on the basis of Sociomedical Clinic apraisement of 103 patients were compared with those rendered at discharge from previous in-patient rehabilitation. Discrepant judgements and evaluation problems in describing functional capacity at work are pointed out, and their causes discussed. Proposals are submitted for enhancing more effective cooperation between rehabilitation clinics and the Sociomedical Services of the pension insurance administrations.
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A total of 50 patients with complete paraplegia (Reduction of Earning Capacity--MdE--100%; average age 25 years, 9 months) had been followed up annually over a period of 10 years post-onset (= Date 0), when discharged from hospital treatment and alive at the 10th, and final, follow-up year (= Date 10). 5 paraplegics died during the 10 year observation period. Hence, 447 questionnaires had been sent out for collecting pertinent information, all of which were returned. ⋯ Due to the considerable changes that had occurred over the entire observation period relative to the ability to stand and walk as well as to drive a car, the time-schedule quotas showed great variations, so that these quotas are stated here only in respect of the 10th, final, year of follow-up: Ability to stand 25.6% (10 affirmative replies of 39 in all); Ability to walk 13.9% (5 affirmative replies of 36 in all); Ability to drive a car 82.2% (37 affirmative replies of 45 in all). The conclusions to be drawn from these findings are discussed in some depth.
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A programme for rehabilitation of severely mentally impaired patients (mainly psychotic disorders) in local companies, industrial and municipal, is presented. Introduced in 1970 and extended since 1983, the programme is based on a theoretical model for social work practice, that centers around the concept of resources and interaction. Preliminary experiences with this on-the-job vocational rehabilitation approach are reported.