[Discontinuities in Vocational Rehabilitation: Institutional Frameworks and Biographical Trajectories in Vocational Training Centers (BTZ) and Vocational Rehabilitation Centers (BFW)].

IF 2.3 4区 医学 Q3 REHABILITATION
Rehabilitation Pub Date : 2026-04-15 DOI:10.1055/a-2821-0529
Niklas Tibbe, Nathalie Glamann, Verena Kakuschke, Stefan Dreßke, Regina Weißmann, Ernst von Kardorff, Joachim Thomas, Heike Ohlbrecht
{"title":"[Discontinuities in Vocational Rehabilitation: Institutional Frameworks and Biographical Trajectories in Vocational Training Centers (BTZ) and Vocational Rehabilitation Centers (BFW)].","authors":"Niklas Tibbe, Nathalie Glamann, Verena Kakuschke, Stefan Dreßke, Regina Weißmann, Ernst von Kardorff, Joachim Thomas, Heike Ohlbrecht","doi":"10.1055/a-2821-0529","DOIUrl":null,"url":null,"abstract":"<p><p>This article examines discontinuities that occur within measures related to vocational rehabilitation services (Leistungen zur Teilhabe am Arbeitsleben, LTA). It explores how these discontinuities are experienced and managed by rehabilitation participants, and how service providers - such as Vocational Training Centers (Berufsförderungswerke, BFW) and Vocational Training Centers for Mental Health (Berufliche Trainingszentren, BTZ) - respond to such disruptions. The study identifies individual and organizational patterns of interpretation and coping strategies and derives recommendations for a biographically sensitive rehabilitation practice.This article is based on findings from two research projects that addressed the issue of discontinuities in vocational rehabilitation using mixed-methods designs and different methodological perspectives. Data collection methods included qualitative interviews with rehabilitation participants, expert interviews, focus groups, standardised surveys, and routine monitoring. The analyses were conducted using qualitative content analysis (Kuckartz, Mayring), Grounded Theory (Glaser & Strauss), and descriptive statistical methods.Discontinuities in the rehabilitation process occur frequently and in various forms. These included pre-existing experiences brought into the program, such as episodes of illness, psychological crises, premature termination of previous measures, or changes in internships. While BFW had to rely more heavily on continuous and standardised procedures due to their institutional mandate, BTZ responded with greater flexibility. Participants perceived these discontinuities ambivalently, viewing them both as obstacles and as opportunities for reorientation.Discontinuities reflect heterogeneous forms of individual coping with life and illness before, during, and after participation in vocational rehabilitation programs. Rather than being regarded as deviations from expected standard trajectories, they should be seen as challenges that call for a constructive, biography-oriented approach to dealing with setbacks, breaks, and detours. This approach can create space for individual development processes, which may contribute to more successful vocational rehabilitation outcomes.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2821-0529","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0

Abstract

This article examines discontinuities that occur within measures related to vocational rehabilitation services (Leistungen zur Teilhabe am Arbeitsleben, LTA). It explores how these discontinuities are experienced and managed by rehabilitation participants, and how service providers - such as Vocational Training Centers (Berufsförderungswerke, BFW) and Vocational Training Centers for Mental Health (Berufliche Trainingszentren, BTZ) - respond to such disruptions. The study identifies individual and organizational patterns of interpretation and coping strategies and derives recommendations for a biographically sensitive rehabilitation practice.This article is based on findings from two research projects that addressed the issue of discontinuities in vocational rehabilitation using mixed-methods designs and different methodological perspectives. Data collection methods included qualitative interviews with rehabilitation participants, expert interviews, focus groups, standardised surveys, and routine monitoring. The analyses were conducted using qualitative content analysis (Kuckartz, Mayring), Grounded Theory (Glaser & Strauss), and descriptive statistical methods.Discontinuities in the rehabilitation process occur frequently and in various forms. These included pre-existing experiences brought into the program, such as episodes of illness, psychological crises, premature termination of previous measures, or changes in internships. While BFW had to rely more heavily on continuous and standardised procedures due to their institutional mandate, BTZ responded with greater flexibility. Participants perceived these discontinuities ambivalently, viewing them both as obstacles and as opportunities for reorientation.Discontinuities reflect heterogeneous forms of individual coping with life and illness before, during, and after participation in vocational rehabilitation programs. Rather than being regarded as deviations from expected standard trajectories, they should be seen as challenges that call for a constructive, biography-oriented approach to dealing with setbacks, breaks, and detours. This approach can create space for individual development processes, which may contribute to more successful vocational rehabilitation outcomes.

[职业康复的不连续性:职业培训中心(BTZ)和职业康复中心(BFW)的制度框架和传记轨迹]。
本文研究了与职业康复服务(Leistungen zur Teilhabe am Arbeitsleben, LTA)相关的措施中出现的不连续性。它探讨了康复参与者如何经历和管理这些不连续性,以及服务提供者——如职业培训中心(Berufsförderungswerke, BFW)和精神卫生职业培训中心(Berufliche Trainingszentren, BTZ)——如何应对这种中断。该研究确定了个人和组织的解释和应对策略模式,并为传记敏感的康复实践提出了建议。本文基于两个研究项目的发现,这两个研究项目使用混合方法设计和不同的方法观点来解决职业康复中的不连续性问题。数据收集方法包括康复参与者的定性访谈、专家访谈、焦点小组、标准化调查和常规监测。分析采用定性内容分析(Kuckartz, Mayring)、扎根理论(Glaser & Strauss)和描述性统计方法进行。康复过程中的不连续性经常以各种形式发生。这些包括加入该项目的先前经历,如疾病发作、心理危机、先前措施的过早终止或实习的变化。由于其机构任务,BFW不得不更多地依赖于连续和标准化的程序,而BTZ则采取了更大的灵活性。与会者对这些不连续性感到矛盾,认为它们既是障碍,又是重新定位的机会。不连续性反映了个人在参加职业康复计划之前,期间和之后应对生活和疾病的异质形式。它们不应被视为偏离预期的标准轨迹,而应被视为挑战,需要以建设性的、以传记为导向的方法来处理挫折、中断和弯路。这种方法可以为个人发展过程创造空间,这可能有助于更成功的职业康复结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Rehabilitation
Rehabilitation REHABILITATION-
CiteScore
0.90
自引率
11.10%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Die Zeitschrift Die Rehabilitation richtet sich an Mitarbeiterinnen und Mitarbeiter in Einrichtungen, Forschungsinstitutionen und Trägern der Rehabilitation. Sie berichtet über die medizinischen, gesetzlichen, politischen und gesellschaftlichen Grundlagen und Rahmenbedingungen der Rehabilitation und über internationale Entwicklungen auf diesem Gebiet. Schwerpunkte sind dabei Beiträge zu Rehabilitationspraxis (medizinische, berufliche und soziale Rehabilitation, Qualitätsmanagement, neue Konzepte und Versorgungsmodelle zur Anwendung der ICF, Bewegungstherapie etc.), Rehabilitationsforschung (praxisrelevante Ergebnisse, Methoden und Assessments, Leitlinienentwicklung, sozialmedizinische Fragen), Public Health, Sozialmedizin Gesundheits-System-Forschung sowie die daraus resultierenden Probleme.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信
小红书