Dr. Zdenka WltavskyUniversity Rehabilitation Institute, Republic of Slovenia

May, 2017

Institute VR CentreNumber of employees > 500 50Number of clients/Year 15000 700

Budget 20 mio € 2 mio €

Rehabilitation programs

•Clinical hospital for physical

medicine and rehabilitation

(several departments)

•Vocational rehabilitation centre

•Centre for prosthetic and orthotics

•Outpatient rehabilitation service

•Rehabilitation engineering

Vocational evaluation

programs

Training and employment

programs

•Department of rehabilitation of amputees

•Department of rehabilitation of persons after bone fractures,

with rheumatoid diseases and peripheral nerve lesions

•Department of rehabilitation of persons after traumatic brain

injury, with multiple sclerosis and neuromuscular diseases

•Department of rehabilitation of persons after cerebral stroke

•Department of rehabilitation of persons with spinal cord

lesions

•Department of (re)habilitation of children

Medical doctor

Social worker

Psychologist

Occupational therapist

Vocational assessment specialist:

Other: special teacher for blind and partially

sighted

Members of Vocational rehabilitation teams

Persons with physical and combined disabilities –part of comprehensive rehabilitation programs in the Institute (health insurance)

Persons with disabilities that are going to be assessed by the pension board (pension anddisability insurance)

Unemployed person s with physical disabilities, visual impairments and mental health problems(employment agencies)

Others

700 clients per year in all

units and programs

650 clients in vocational

evaluation programs

100 clients in vocational

training programs

37%

10%

53%

Employment service

Pension insurance

Medical insurance

Service A: Counselling, encouraging and motivating an active role

Service B: Preparing an expertise on the level of work ability, knowledge, work habits and vocational interests

Service C: Assistance at accepting own disability and learning about possibilities of participating in training and work

Service D: Assistance at choosing appropriate vocational goals

Service E: Developing of social skills

Service F: Assistance at looking for a suitable work and employment

Service G: Workplace and work environment analysis

Service H: Preparing a plan for work place and work environment accommodations

Service I: Preparing a plan of necessary work equipment and aids

Service J: Training in a workplace or chosen profession

Service K: Follow-up and professional support at training and education

Service L: Follow-up after employment

Service M: Continuous evaluation of rehabilitation process

Service N: Assessment of workplace efficiency during training and employment

1. Description and aim

2. Time frame

3. Target group

4. Expected results

5. Methods and techniques

6. Implementation and professional competences

7. Reporting scheme

1. Assessment of health factors

2. Assessment of educational, vocational and work

experience factors

3. Assessment of social and environmental factors

4. Assessment of abilities, cognitive and learning

abilities

5. Assessment of personality and behaviour;

acceptance of disability, interests and goals

5. Assessment of work functioning

6. Defining a potential area of work or education

7. Team report: Individualised vocational rehabilitation plan:

◦ ICD coding (International classification of disease)

◦ ICF coding (Body Functions)

◦ Employment problem assessment scale

◦ Degree of employment problem

◦ Summary of assessments, holistic assessment of work abilities and functioning, summary of relevant social and environmental factors

◦

LEVEL OF MOTIVATION

LEVEL OF KNOWLEDGE/ COMPETENCES

LEVEL OF WORK EXPERIENCE

LEVEL OF ACQUIRED SKILLS

CAPACITY LIMITATIONS (RELATED TO WORK)

PROBLEMS AND BARRIERS IN EFFICIENCY (WORK-RELATED)

PROBLEMS AND BARRIERS IN ACCEPTING AND

ACKNOWLEDGIN OWN DISABILITY

CHOOSING CAREER GOALS

LEVEL OF SOCIAL SKILLS

LEVEL OF SUPPORT IN SOCIAL NETWORK

LEVEL OF ACTIVE JOB SEEKING

LEVEL OF LIMITATIONS (MOBILITY, COMMUNICATION ETC.)

NEED FOR WORKPLACE ANALYSIS

NEED FOR WORKPLACE AND WORK ENVIRONEMNT

ADAPTATION

NEED FOR A PLAN OF WORKPLACE/ WORK

ENVIRONMENT ADAPTATIONS

LEVEL OF INDEPENDENCE IN TRAINING AND EDUCATION

LEVEL OF INDEPENDENCE AT WORK AFTER EMPLOYMENT

Elements:

◦ Definition

◦ Description

◦ Grading (0-4)

◦ Referral to VR services

◦ Comments

Standardisation process◦ VR outcome measure

General data

Initial/ overall IVRN

◦ Initial Employment problem assessment scale

Interim IVRN-s/ VR process follow-up

◦ Interim reports (unified scheme)

◦ Interim Employment problem assessment scale

Final evaluation of VR process

Final Employment problem assessment scale

Outcome

Proposal of further activities

Information about:

Employer◦ Area of work, size, status, on-the-job training/

employment opportunities, workplaces, contact persons, experience …

Employee/ client◦ Experience and information from on-the-job training/s at

different employers…

On-the-job trainings◦ Opportunities, workplaces, support, adjustments…

Contacts