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LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...

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lVr-KlINIKUM DÜSSelDOrF – HOSPItal OF tHe HeINrIcH-HeINe UNIVerSItY DÜSSelDOrF<br />

Rehabilitation includes various activities to prepare for transferring to <strong>the</strong> jobs market, including assistance with computer training and improving cognition.<br />

Products from <strong>the</strong> candle workshop are sold in <strong>the</strong> <strong>LVR</strong>-<strong>Klinikum</strong>.<br />

Outpatient and day clinic schemes<br />

In July 1996, staff members <strong>of</strong> <strong>the</strong> <strong>LVR</strong>-<strong>Klinikum</strong> <strong>Düsseldorf</strong>,<br />

<strong>the</strong> <strong>LVR</strong> and committed citizens established <strong>the</strong> non-pr<strong>of</strong>it<br />

association “arbeit & integration” (a&i), which has <strong>the</strong><br />

primary objective <strong>of</strong> allowing people with mental disorders<br />

to find a way back into employment and <strong>the</strong>ir former<br />

pr<strong>of</strong>essional lives. The association arranges vocational<br />

integration courses and pr<strong>of</strong>essional orientation courses to<br />

establish each patient’s individual capacity to deal with <strong>the</strong><br />

pressures at work and his existing skills, i.e. to what extent<br />

he can be retrained. It also actively seeks employment<br />

opportunities in so-called “integration companies”<br />

(commercial enterprises that make it a point to hire people<br />

with disabilities). For this purpose, individuals may, for<br />

a maximum period <strong>of</strong> 12 months, undergo a vocational<br />

integration course with <strong>the</strong> support <strong>of</strong> <strong>the</strong> Federal Job<br />

Agency and <strong>the</strong> social insurance authority. This course is<br />

based on <strong>the</strong> “place and train” approach, which also provides<br />

<strong>the</strong> foundation for <strong>the</strong> American Supported Employment<br />

programmes (SE). The placement <strong>of</strong> people into such work<br />

experiences/internships on <strong>the</strong> primary employment market<br />

does not require long periods <strong>of</strong> preparation in a secure<br />

environment, provided <strong>the</strong> patients are sufficiently motivated<br />

and clinically stable.<br />

At <strong>the</strong> same time, medical doctors, psychologists and<br />

educationists work closely toge<strong>the</strong>r with <strong>the</strong> individual<br />

patients to develop strategies, on <strong>the</strong> basis <strong>of</strong> a behaviour<br />

<strong>the</strong>rapy concept, for solving problems that may emerge in<br />

connection with <strong>the</strong>ir mental disorders and disabilities.<br />

The target group consists <strong>of</strong> mentally ill individuals who<br />

require outpatient care for <strong>the</strong> foreseeable future (medium<br />

40<br />

or long term), specifically those who have been diagnosed<br />

with one <strong>of</strong> <strong>the</strong> following disorders:<br />

s Schizophrenia<br />

s Affective disorders<br />

s Neurotic and stress disorders<br />

s Eating disorders<br />

s Personality disorders<br />

Currently, 25 places are available in two teaching groups.<br />

Pr<strong>of</strong>essional orientation course<br />

Since February 2004, a&i has been conducting threemonth<br />

orientation courses (on behalf <strong>of</strong> <strong>the</strong> associations<br />

that provide <strong>the</strong> funding) to assess <strong>the</strong> extent to which<br />

patients are actually capable <strong>of</strong> coping with <strong>the</strong> pressures<br />

and stress factors in an employment situation. The threemonth<br />

diagnostic course is intended to benefit people whose<br />

pr<strong>of</strong>essional qualifications need to be checked, extended<br />

or changed in order to match <strong>the</strong> requirements <strong>of</strong> <strong>the</strong><br />

primary employment market. Following this course, both <strong>the</strong><br />

funding association and <strong>the</strong> individual can be provided with<br />

a reasonably reliable assessment <strong>of</strong> <strong>the</strong> pr<strong>of</strong>essional and<br />

integrative prospects.<br />

Integration company “a&i”<br />

The cafeteria in <strong>the</strong> social centre <strong>of</strong> <strong>the</strong> <strong>LVR</strong>-<strong>Klinikum</strong><br />

<strong>Düsseldorf</strong> is operated by <strong>the</strong> a&i association. It has seven<br />

staff members, four <strong>of</strong> whom are suffering from a mental<br />

disorder; <strong>the</strong>se include people with a difficult and complex<br />

case history who have not been actively engaged in <strong>the</strong><br />

employment market for years. The cafeteria has no sponsor.<br />

It relies on <strong>the</strong> revenue generated by its sales and occasional<br />

or temporary subsidies.

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