Skip to main content

Return to Work of Sick-Listed People After Vocational Rehabilitation in Germany

  • Chapter
  • First Online:
Occupational Health and Rehabilitation

Part of the book series: FOM-Edition ((INTSE))

  • 429 Accesses

Abstract

Societal participation of persons with disabilities is one central concern of modern welfare states. The integration into the labor market is one important aspect. Vocational rehabilitation for people with disabilities or (occupational) health limitations is a key societal instrument in order to achieve (sustainable) labor market reintegration. However, there is a lack of empirical evidence on how successful vocational rehabilitation is in terms of reintegration rates and sustainability of labor market reintegration. The following contribution presents the specifics of the German system of vocational rehabilitation and its particular relevance related to demographic changes in Germany. Furthermore, a study on return to work after vocational rehabilitation is presented. The results are based on a panel survey of vocational rehabilitants, who completed various labor market programmes at the German Federal Employment Agency in 2006. The survey was first carried out in 2007 and continued in two additional waves in 2008 and 2010. Event history analyses are applied to investigate (1) the reintegration into the labor market and (2) the sustainability of employment. Two thirds of the rehabilitants reintegrate quickly into the labor market. They are employed for almost three years on average. Younger age, mobility, access to occupational social networks and good subjective general health condition are positively associated with a faster labor market reintegration. On the other hand, individuals with a disability of the internal organs or psychological disabilities exit employment faster. These results show that reintegration into the labor market seems to be based on social selection processes and indicates exclusion mechanisms. Vocational rehabilitation is a key intervention in promoting and enhancing social and labor market participation. The findings of this study suggest that vocational rehabilitation seems to have an effect on labor market integration. However, the results also emphasize the heterogeneous nature of vocational rehabilitants and future investigations should attempt to systematically take this factor into account.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 49.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Bjørner, J. B., Kristensen, T., Orth-Gomér, K., Tibblin, G., Sullivan, M., & Westerholm, P. (1996). Self-rated health, a useful concept in research, prevention and clinical medicine. Swedish Council for Planning and Coordination of Research.

    Google Scholar 

  • Blossfeld, H.-P., Rohwer, G., & Golsch, K. (2007). Event history analysis with Stata. Lawrence Erlbaum Associates.

    Google Scholar 

  • BMAS. (2013). Teilhabebericht der Bundesregierung über die Lebenslagen von Menschen mit Beeinträchtigungen (p. 474). BMAS.

    Google Scholar 

  • Bundesarbeitsgemeinschaft für Rehabilitation (BAR). (2014). Geschäftsbericht 2014. Frankfurt/Main.

    Google Scholar 

  • Dony, E., Gruber, S., Jasim, A., Rauch, A., Schmelzer, P., & Schneider, A., et al. (2012). Basisstudie zur Evaluation von Leistungen zur Teilhabe behinderter Menschen am Arbeitsleben. In: BMAS (Ed.), Berufliche Rehabilitation. Evaluation von Leistungen zur Teilhabe behinderter Menschen am Arbeitsleben. Zwischenbericht. Teil A.

    Google Scholar 

  • Eberwein, F. (1996). Sozialpsychologische Untersuchungen zur Stigmatisierung und Diskriminierung sowie zum Selbstkonzept sogenannter Lernbehinderter. In: H. Eberwein (Ed.), Handbuch Lernen und Lern-Behinderungen – Aneignungsprobleme Neues Verständnis von Lernen Integrationspädagogische Lösungsansätze (pp. 192–211). Weinheim und Basel: Beltz Verlag.

    Google Scholar 

  • Ekert, S., Frank, W., Gericke, T., Matthes, S., & Sommer, J. (2012). Implementationsstudie 1 zur Evaluation von Leistungen zur Teilhabe behinderter Menschen am Arbeitsleben. Zusammenfassender Bericht (Teil B). Evaluation von Leistungen zur Teilhabe behinderter Menschen am Arbeitsleben No 427. Forschungsbericht Berufliche Rehabilitation Berlin.

    Google Scholar 

  • Federal Ministry of Labor and Social Affairs. (2014). Social security at a glance. http://www.bmas.de/SharedDocs/Downloads/DE/PDF-Publikationen/a998-social-security-at-a-glance-total-summary.pdf?__blob=publicationFile. Accessed 10 Feb 2020.

  • Fuchs, J., & Söhnlein, D. (2013). Projektion der Erwerbsbevölkerung bis zum Jahr 2060. IAB-Forschungsbericht. IAB.

    Google Scholar 

  • Gruber, S., Rauch, A., & Reims, N. (2016). Wiedereingliederung von Rehabilitanden der Bundesagentur für Arbeit – Zeitpunkt, Nachhaltigkeit und Einflussfaktoren für den Wiedereinstieg. In: A. Zoyke & K. Vollmer (Eds.), Inklusion in der Berufsbildung: Befunde – Konzepte – Diskussion. Berichte zur beruflichen Bildung AG BFN (pp. 143–160). Bielefeld: Bertelsmann.

    Google Scholar 

  • Hetzel, C. (2015). Mehrebenenanalysen zu Arbeitsmarkt und Wiedereingliederung nach beruflichen Bildungsleistungen. Die Rehabilitation, 54(1), 16–21.

    Article  Google Scholar 

  • Hofmann-Lun, I. (2011). Förderschüler/innen im Ãœbergang von der Schule ins Arbeitsleben. Beruflich-soziale Integration durch gesonderte Förderung? Forschungsschwerpunkt Ãœbergänge im Jugendalter.

    Google Scholar 

  • Idler, E. L., & Kasl, S. (1991). Health perceptions and survival: Do global evaluations of health status really predict mortality? Journal of Gerontology, 46(2), 55–65.

    Article  Google Scholar 

  • Jahoda, M. (1982). Employment and unemployment: a social-psychological analysis. Cambridge University Press.

    Google Scholar 

  • Johansson, P., & Skedinger, P. (2005). Are objective, official measures of disability reliable? No. 643: The Research Institute of Industrial Economics.

    Google Scholar 

  • Marten, U. (2015). Ãœber 10 Millionen behinderte Menschen im Jahr 2013. In: Statistisches Bundesamt (Ed.), Pressemitteilung. Wiesbaden: Statistisches Bundesamt.

    Google Scholar 

  • Nürnberger, I. (2013). Das Rehabilitationssystem in Deutschland: was gut läuft, wo es hakt und was sich ändern muss. Soziale Sicherheit, 4, 125–131.

    Google Scholar 

  • Pfaff, H. (2012). Lebenslagen der behinderten Menschen – Ergebnisse des Mikrozensus 2009. In: Statistisches Bundesamt (Ed.), Wirtschaft und Statistik. Wiesbaden: Statistisches Bundesamt.

    Google Scholar 

  • Rauch, A., & Dornette, J. (2010). Equal rights and equal duties? Activating labor market policy and the participation of long-term unemployed people with disabilities after the reform of the German welfare state. Journal of Social Policy, 39(1), 53.

    Article  Google Scholar 

  • Reims, N., & Gruber, S. (2014). Junge Rehabilitanden in der Ausbildung am Ãœbergang in den Arbeitsmarkt. Die Rehabilitation, 53(6), 376–383.

    Article  Google Scholar 

  • Riedel, H.-P., Schmidt, C., Ellger-Rüttgard, S., Karbe, H., Niehaus, M., Rauch, A., et al. (2009). Die Zukunft der beruflichen Rehabilitation Erwachsener gestalten: acht Handlungsfelder als Ausgangspunkt für einen akteursübergreifenden Innovationsprozess. Die Rehabilitation, 48(6), 375–382.

    Article  Google Scholar 

  • Singh-Manoux, A., Martikainen, P., Ferrie, J., Zins, M., Marmot, M., & Goldberg, M. (2006). What does self rated health measure? Results from the British Whitehall II and French Gazel cohort studies. Journal of Epidemiology and Community Health, 60(4), 364–372.

    Article  Google Scholar 

  • Slesina, W., Rennert, D., & Patzelt, C. (2010). Prognosemodelle zur beruflichen Wiedereingliederung von Rehabilitanden nach beruflichen Bildungsmaßnahmen. Die Rehabilitation, 49(4), 237–247.

    Article  Google Scholar 

  • Wocken, H. (1983). Am Rande der Normalität. Untersuchungen zum Selbst- und Gesellschaftsbild von Sonderschülern. Schindele.

    Google Scholar 

  • Wuppinger, J., & Rauch, A. (2010). Wiedereingliederung in den Arbeitsmarkt im Rahmen beruflicher Rehabilitation: Maßnahmeteilnahme, Beschäftigungschancen und Arbeitslosigkeitsrisiko. http://doku.iab.de/forschungsbericht/2010/fb0110.pdf. Acessed 10 Feb 2020.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nancy Reims .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 The Author(s), under exclusive license to Springer Fachmedien Wiesbaden GmbH, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Reims, N. (2021). Return to Work of Sick-Listed People After Vocational Rehabilitation in Germany. In: Johansen, T., H. Dittrich, W. (eds) Occupational Health and Rehabilitation. FOM-Edition(). Springer Gabler, Wiesbaden. https://doi.org/10.1007/978-3-658-33484-0_7

Download citation

Publish with us

Policies and ethics