good prospects2011

Neurological hospital and rehabilitation centre for children, adolescents and young adults

Hegau-JugendwerkGailingen am Hochrhein

The Hegau-Jugendwerk GmbH in Gailingen, Germany, encompasses a neurolo- gical hospital and rehabilitation centre offering comprehensive rehabilitation services and care for children, adolescents and young adults with diseases, trauma or disorders of the central and/or peripheral nervous systems. Founded in 1972 as a model facility for children and adolescents in Germany, the Hegau-Jugendwerk receives financial support from the German federal and state governments and social insurance organisations. Since its opening, patients from other countries have also been treated in our facility. The Hegau Jugendwerk Gailingen operates in co-operation with the Hegau-Bodensee-Hochrhein-Kliniken GmbH and the non-profit, community association Jugendwerk Gailingen e.V.The Hegau-Jugendwerk GmbH has 197 beds. The Neurological Hospital has 35 beds (in accordance with legal regulations set forth in §39 of the Sozial- gesetzbuch (SGB), Part V). The Rehabilitation Centre offers 165 beds (in accor- dance with legal regulations set forth in §40 of the SGB, Part V).

Hospital (in accordance with §39 of the SGB V)Early rehabilitation Neurology

Rehabilitation Centre (in accordance with §40 of the SGB V)Special rehabilitation for patients with severe illnesses and/or disabilitiesRehabilitation

The Hegau-Jugendwerk offers a wide spectrum of services and fully meets the standards for patient care for rehabilitation phases A,B,C, D and E (as outlined by the Bundesarbeitgemeinschaft für Rehabilitation). In addition, it provides services for continuing rehabilitative care.

Hegau-JugendwerkGailingen am HochrheinHegau-JugendwerkGailingen am HochrheinHegau-JugendwerkGailingen am Hochrhein

for young peopleThe Hegau-Jugendwerk offers parents or relatives the possibility to reside on-site with their in-patient children. Additional accommodations for par- ents are also available on the prem-ises.

Children up to the age of about 15 years reside in family-like groups in the spe- cially designed ”Children’s House”, which is suited to the special needs of this age group.

Hegau-JugendwerkGailingen am Hochrhein

Admission to the Hegau-Jugendwerk depends on the type and the date of occurrence of

the patient’s injury or onset of illness, his/her current condition, and the special goals to be achieved in the respective rehabilitation units. We offer a full spectrum of diagnostic and ther-apeutic services. This allows us to ensure that our patients receive comprehensive and continu- ous rehabilitative care, from the time they are dis- charged from hospitals providing acute patient care up until they are reintegrated into community education, occupational and social areas of life.

Thus, the important features of the Rehabilita-tion Centre include the on-site, state-accredited school (Wilhelm-Bläsig-Schule) and the depart-ment for occupational and vocational therapy.

We admit children, adolescents and young adults. Patients requiring daytime care are also admitted.

here with us at the Hegau-Jugendwerk

here with us at the Hegau- Jugendwerk

Indications for admission

Acquired brain damage and resulting conditions due to: - Trauma - Cerebral vascular disorders - Brain tumour - Cerebral hypoxia - Inflammatory/immunological diseases of the nervous system (especially multiple sclerosis)

Spinal cord injury

Congenital/perinatal/early childhood damage to the (central) nervous system (also spina bifida)

Seizure disorders

Diseases/injuries to the peripheral nervous system (e.g., Guillain-Barré Syndrome or plexus lesions)

(Neuro-)muscular diseases

Degenerative and metabolic-related diseases of the nervous system

Reduced or impaired school performance due to neuropsychological deficits

Attention deficit disorders (e.g., ADS/ADHS)

Exclusion criteria for admission

Endogenous psychoses, manifest substance abuse and alcohol/drug addictions

Acute suicidal behaviour, uncontrollable aggressive behaviour to self or others

the rehabilitation concept

Individually tailored for each patient

Upon admission to the Hegau-Jugendwerk, an individual therapy plan is developed for each patient. This plan is tailored to address the patient’s

special health problems and individual therapeutic needs and goals. Such goals may include improving or regaining physical and cognitive abilities, attaining independence in self-care at home and dealing with activities of daily living. Other equally important goals for many of our patients include becoming reintegrated in school life, continuing or pursuing vocational training or returning to the workforce. In order to achieve these goals, we follow a systematic, progressive approach in de-veloping the therapy plan for each patient.

An interdisciplinary team of experienced rehabilitation professionals works in collaboration with and under the supervision of specialist phy-sicians in our hospital to develop and oversee this plan throughout the entire rehabilitative process.

In regularly scheduled team conferences (”case management” meetings), the team members exchange information about the patient’s progress – also in co-operation with the patient and his or her family – and review the content, scope and goals of the therapeutic plan. The team may revise the plan so that the patient receives all necessary medical treatments, therapies and optimal educational and occupational training.

Hegau-JugendwerkGailingen am Hochrhein

criteria for admission

Comatose/apallic patients (without increased brain pressure and stable vital functions) and patients who are in the early stages of remission

following brain damage and still require intensive medical monitoring and treat-ment are admitted to the Rehabilitation Unit for Intensive Care (Frühreha- bilitation). We also treat patients requiring respiratory assistance.

When patients no longer require intensive medical care and are able to actively participate in therapies for at least short periods of time, they may be admitted to the Rehabilitation Unit for Severely Disabled Patients (Schwerrehabilita- tion). In addition, we admit patients with less recent injuries but whose resulting dis-abilities necessitate intensive medical and therapeutic care.

The General Rehabilitation Unit (Allgemeine/Anschlussrehabilitation) admits patients who are largely self-sufficient in carrying out most everyday activities. Wheelchair-bound patients are also admitted.

Patients requiring vocational rehabilitation should be physically and cognitively able to participate in the training programs.

The setting in the Children’s House offers therapeutic and nursing services for children who require an increased amount of care and supervision due to physical and cognitive impairments.

criteria for admission

health care coverageThe Hegau-Jugendwerk GmbH meets the standards and requirements for hospitals and rehabilitation facilities in Germany (as specified by the SGB V, §107). Coverage of medical and hospital costs is regulated by contractual agreements with various funders.

Health care coverage Health insurance companies Pension companies Accident and disability insurance providers German Federal Employment Agency State welfare agencies Private resources

diagnostics

Examinations and treatment are provided by general and specialist physicians in the following fields:

Neurology and psychiatry/psychotherapy Neuro-paediatrics Neurosurgery Anaesthesiology/intensive care medicine Rehabilitation medicine

For other areas, we consult specialist physicians working in our co-operation hospitals (Hegau-Bo-densee-Klinikum Singen and Kliniken Schmieder) as well as others in private practices.

Differentiated neuropsychological examinations and testing

Neuropsychological assessment of cognitive abilities and memory performance Computer-assisted examinations of attention Special examinations of visual information-

processing abilities Testing and observation of action planning in

co-operation with the school and vocational therapy departments, assessment of school/ academic performance abilities and learning potential Diagnostic and psychometric testing of

personality and social behaviour

Technical diagnostic examinations performed on site:

Electroencephalography (EEG) Evoked potentials (AEP, VEP, SEP) Motor-evoked potentials (MEP) Electromyography (EMG) and electroneurography Electrocardiography (ECG) Sonography of inner organs Bronchoscopy Videoendoscopic diagnostics of swallowing functions Gastrological diagnostics, including percutaneous

endoscopic gastrostoma (PEG) placement X-ray diagnostics Lumbar punctures to assess cerebrospinal fluid pressure

and chemistry Pulmonary function testing

Diagnostic examinations performed in co-operation with the nearby general hospital (Hegau-Bodensee-Klinikum Singen):

Laboratory testing Computerised tomography (CT) Magnetic resonance imaging (MRI) Special x-ray examinations Intra- and extracranial Doppler sonography

Educational/ neuropedagogical diagnosticsFunction-related diagnostics in special therapeutic areas

Hegau-JugendwerkGailingen am Hochrhein

Care provided by specialised physicians

Neuropsychological therapy Computer-assisted training of attention and visual information processing Memory training and action planning

Psychotherapy/counselling Behaviour therapy aimed to improve social competence Behavioural and systemic-based psychotherapy Person-centred therapy/talk psychotherapy or systemic support in coping with the illness

(coping strategies) Crisis intervention

Rehabilitative nursing Intensive medical nursing Encouragement/motivation of patient to become independent in self-care Achievement of specific nursing goals in everyday nursing care situations

Social-pedagogical care Training of social skills and in performing activities of daily living (ADLs) Care of patients with behavioural problems Group activities aimed to help patients learn how to cope with illness Leisure time activities and supervision Animal-assisted educational therapy

our therapy services

Speech and language therapy Therapies for language, speech and swallowing disorders Treatment of language development disorders Facio-oral therapy and management of swallowing disorders (dysphagias) Provision of and instruction in using communication-support devices Intensive training for aphasic patients, e.g. Constraint-Induced

Aphasia Therapy (CIAT) and Intensive Speech Training for Aphasic Children (ISKA)

Ergotherapy (occupational therapy) Functional motor activity training for pareses, movement and

co-ordination disorders Assistance with and training in activities of daily living (ADLs) Sensory integration (SI) treatment to promote development of

visual/perceptual skills Neuropsychologically-oriented perception training Handwriting training Group-based activities to help patients learn and practice

everyday activities

Music therapyfor the treatment of: Motivation and awareness dysfunctions Sensorimotor disorders Pain and muscular tension Perceptual disorders Cognitive disorders Psychosocial difficulties

Art workshop Activities to increase motivation, improve coping with illness and

promote creative and artistic talents ”Closlieu” painting atelier for accompanied painting Art projects (also in public settings)

fit for new paths

Physiotherapy Functional movement exercises for the treatment of pareses and altered muscle tone Diagnostic testing and treatment of motor development disorders Locomotive therapy and training with the mechanical gait-trainer ”LokoHelp” Serial casting to reduce muscle tone Provision and assistance in use of ortheses, prostheses and adaptive devices/equipment Functional therapy for (accompanying) orthopaedic disorders Repetitive, task-oriented training of hand and arm movement functions, also in combination

with ”forced-use” conditions (e.g., constraint-induced motor training, CIMT) Psychomotor training Wheelchair training Galileo vibration therapy

Additional therapies Massages Lymph drainage Therapeutic baths Foot reflex zone therapy Electrotherapy Inhalation therapy fit for

new paths

Swimming and sports therapy Individual therapeutic exercises in our on-site, indoor swimming pool Therapeutic swimming (aquatherapy) Water gymnastics and group games Aquarider Mototherapy Trampoline therapy Athletics and games Exercise and fitness training Training using fitness equipment and devices (e.g., stationary bicycles) Psychomotoric training and children’s groups Wheelchair training Coordination and balance training ”Terrain-training” (walking, jogging, bicycle riding)

fit for

at school, on the job and in the community

Vocational rehabilitation Medical services:

- General work training (not job-specific) - Evaluation of abilities and stamina needed for specific vocations - Work therapy Pre-vocational preparation:

- Selection of appropriate vocations - Trial work periods in specific vocational areas - Vocational training programs (Berufsvorbe- reitende Maßnahmen, BvB) supported by the German Federal Employment Agency - Preparation for employment in special facilities for the physically challenged (Werkstatt für be- hinderte Menschen, WfbM)

Recreational and leisure activities Pedagogically supervised activities and excursions Creative/artistic group projects Athletic activities (e.g., swimming, bowling,

table tennis, table soccer, billiards, darts) Own indoor swimming pool on premises, athletic field,

gymnasium and volleyball court Recreation club with various games, rock concerts, disco Film presentations Internet café

at school, on the job

and in the community

Social services/rehabilitation counselling Support in social/legal matters Counselling in school-related matters, assistance in vocational

planning and retraining Organisation of regular consultations with employment and vocational

advisors as well as employment agencies, including follow-up Co-ordination of vocational training programs, assistance in voca-

tional selection and in securing on-the-job training positions, and accompaniment of patient during these activities Co-operation with authorities and other institutions or organisations

providing further care/supervision after rehabilitation Co-ordination of transition from hospital to home after discharge Post-discharge counselling and care

Counselling for parents and relatives Regular group conversations Parents’ café and breakfasts Athletic and fitness activities Excursions Creative projects Library Relaxation offerings

Educational services at our on-site school (Wilhelm-Bläsig-Schule) One-to-one or small-group instruction Remedial instruction in basic academic subjects (reading, writing,

mathematics) in special groups according to individual needs Instruction also for patients with serious physical disabilities Group instruction at all school levels (primary school, high school, etc.)

in all basic subjects, according to age and ability Special group tutoring in German and mathematics for patients

with occupationally-related training needs Nursery school and kindergarten for physically and mentally

challenged children Provision of and training in the use of communication-assisting

devices (”assisted communication”) School-related follow-up

Hegau-Jugendwerk at a glance

1 Admissions/Information 2 Dining room 3 Hospital administration

H Heliport P Parking

Patient accomodations 4 House B 5 House C 7 ”Children’s House”

Services/Therapy Buildings 6 Guest house 8 Medical director Hospital school Vocational therapy Recreational facilities Lecture room 9 Gymnasium (sports hall)10 Athletic/sports field11 Vocational therapy/Ergotherapy12 Physiotherapy13 Indoor swimming pool

Gailingen is located on the Rhein River in south- ern Gemany, in the vicinity of Lake Constance and close to the border to Switzerland. It is easily reached by car (e.g., from Stuttgart, follow the National Highway A81 southbound, exit at the highway’s end in Bietingen, then follow signs to Gailingen), by national railway (nearest station: Singen Main Station, with contin-ued travel by city bus no. 7351 to Hegau-Jugendwerk Gailingen), or by plane (nearest airports: Stuttgart and Zürich/Kloten).

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Information2 Speisesaal3 Klinikverwaltung

die Bettenhäuser

4–7 Haus B8 Haus C10 Kinderhaus

9 Gästehaus11 - Ärztliche Leitung

- Krankenhausschule(mit Bereichen der Berufs-therapie und Freizeithaus)

12 Turnhalle13 Sportplatz14 Berufs-/Ergotherapie15 Krankengymnastik16 Schwimmbad

H HubschrauberlandeplatzP Parkplatz

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Publisher Hegau-Jugendwerk Gailingen GmbH Kapellenstr. 31, 78262 Gailingen

Managing Director Dipl.-Kfm. Peter Fischer

Medical Director Dr. med. Klaus Scheidtmann

Chairman of the Roland Sing supervisory board

Title photo Frank Müller, Photodesign, Hilzingen

Photos Jörg Rinninsland, Andrea Jagode, Marzanna Syncerz - Fotolia.com

Design/Layout Patric Schmidt, Gesundheitsverbund HBH-Kliniken

Printer Druckerei Zabel, Radolfzell

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The most important telephone numbers/contact information

Telephone (central) +49 (0) 77 34/939-0Fax (central) +49 (0) 77 34/939-206info@hegau-jugendwerk.de

Patient admissions +49 (0) 77 34/939-220 -221aufnahme@hegau-jugendwerk.de

Medical DirectorSecretarial office +49 (0) 77 34/939-341Fax +49 (0) 77 34/939-277klaus.scheidtmann@hegau-jugendwerk.de

Hospital schoolSecretarial office +49 (0) 77 34/939-362 Fax +49 (0) 77 34/939-366

Social servicesSecretarial office +49 (0) 77 34/939-338Fax +49 (0) 77 34/939-277

Hospital address Hegau-Jugendwerk Gailingen GmbH Kapellenstr. 31, 78262 Gailingen www.hegau-jugendwerk.de

Neurological hospital and rehabilitation centre for children, adolescents and young adults

good prospects2011

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