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