BenediktushofMaria Veen

1. Introduction

Working:Vocational training centerSheltered work shop

Benediktushof:

Living:Children, adolescents, adults, seniors

Vocational Training Center

Preparation:5 weeks to 18 months

310 trainees (physical, learning, mental disabilities – age: 16-26)

Apprenticeship35 professions (bureau, metal, wood, housekeeping, …)

Work, school and living in one hand

Vocational Training Center

Professions:

•Vocational trainer•Social worker (living, case management, trainings)•Teacher•Psychologist•Medic, physiotherapist …

BenediktushofMaria Veen

2. ICF core set

An ICF core set should be used in team meetings (team: a participant with his vocational trainer, teacher, social worker, psychologist etc).

Meetings of the team may not take longer than 45 min.

Every important aspect must be considered.

Staff must be able to handle the system easily – it should not be a system for experts only.

Participants must be able to understand the system.

Demands on a core set:

ICF: 1400 items – too many to handle

Questions, leading to a conclusion:1. Which competences and skills are necessary for an

apprenticeship and for getting and keep hold of a job?2. Which competences and skills are necessary for daily

living at a boarding center?3. Which items of ICF can be used to describe these

competences and skills?4. Which environmental factors have to be accounted for

apprenticeship and open labour market?

Result: about 50 items

Mental functions: General tasks and demands General interpersonal interactions b 117 intellectual functions d 210 undertaking a single task d 710 basic interpersonal interactionsb 1262 conscientiousness d 2101 undertaking a complex task d 7203 interacting according to social

rulesb 1266 confidence d 220 undertaking multiple tasks d 740 formal relationshipsb 1267 trustworthiness d 2309 carrying out daily routine Major life areasb 130 energy and drive functions d 2400 handling responsibilities d 825 vocational trainingb 1301 motivation d 2401 handling stress Community, social and civic lifeb 1304 impulse control d 2402 handling crisis d 920 recreation and leisureb 140 attention functions Conversation and use of communication Natural environmentb 144 memory functions devices and techniques e 250 soundb 147 psychomotor functions d 345 writing messages Support and relationshipsb 1640 abstraction d 350 conversation e 310 immediate familyb 1641 organisation d 360 using communication techniques e 355 health professionalsb 1642 time management and devices Attidudesb 1643 cognitive flexibility Selfcare e 465 social norms, practices and b 1644 insight d 540 dressing ideologiesLearning and applying knowledge d 570 looking after one‘s health Services, systems and policiesd 115 listening Domestic life e 585 education and training servicesd 155 acquiring skills d 620 acquisition of goods and services systems and policies d 166 reading d 630 preparing mealsd 170 writing d 640 doing houseworkd 172 calculating d 660 assisting othersd 175 problem solvingd 177 making decisions

Core set – vocational rehabilitation

Problem: How to understand ICF?

Staff members didn‘t understand the explanations of the items. The explanations are:

- Too abstract- Contain too many technical terms- Are not always consistent.

Solution: The definitions were operationalized, i.e. ‚translated‘ into everyday language, incl. examples und assistance how to differ between similar items.

Operationalization of explanations - example

d 2400 Handling responsibilities

ICF explanation:Carrying out simple or complex and coordinated actions to manage the duties of task performance and to assess the requirements of these duties.

Maria Veen operationalization:Being able to handle responsibilities covers several aspects:- Being able to feel responsible- Knowing one‘s responsibilities, concerning people, animals or things to do- You do not only know your responsibilities, but you know your obligations and you can fulfil them.There are clues how to find out, that someone is not able to handle responsibilities:- A person doesn‘t feel responsible for anybody or anything- A person feels responsible for everybody and everything- A person doesn‘t meet his obligations.Be careful: Do not mix up the ability of handling responsibilities with trustworthiness. Trustworthiness is a question of ethical attitude – handling responsibilities is a cognitive and social skill.

Rating Scale

0 Problem not existing – in everyday life there are no important problems to record.1 Problem slightly existing – in everyday life there are

existing slightly but not serious problems.2 Problem considerably existing – caused by a deficit,

important problems are existing in everyday life.3 Competence almost or complete missing – there are

very serious problems in everyday life.8 The item cannot be evaluated.9 The item is not applicable.

ICF-core set: assessment sheet with attached rating scale

BenediktushofMaria Veen

3. Using the ICF core set

ICF-based individual service planning in Maria Veen

Preparation

Meeting / Planning

Working

Evaluation

Every trainee has got his team: trainee himself, vocational trainer, teacher, social worker, psychologist etc.During every vocational training and apprenticeship there are at least three meetings. During the meeting the team communicates about resources and deficits of the trainee: the rating scale of the core set ist fulfilled. A profile is created. On the base of the profile the next phase of the training is planned: targets, assistance, responsibilities, time limit. After this next phase a new meeting takes place. Again the core set is used and the team members can evaluate whether the targets have been achieved.

Service-planning is IT-based

Service planning takes place in IT-Network.There is a file for every participant. Every member of the team can always see:- The state of service planning at the moment.- The state of service planning at every stage of

rehabilitation.

BenediktushofMaria Veen

4. Implementation of ICF- based service-planning

2008 - ICF-based service planning for every participant of preparation courses

2005 – Work group for implementation of ICF in Maria Veen

2008 - Construction of a core set for preparation courses

2008 – Translation of ICF explanation into everyday language

2008 – Staff training (preparation courses)

2008 – reflexion and revision by users

2009 – training for every staff member of the center

2009 – Construction of a short list for the apprenticeship

2009 – ICF-based service planning for every participant of the center

Implementation of ICF-based Serviceplanning

TIM

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BenediktushofMaria Veen

5. Benefits of using the core set

Benefits of ICF-based service planning

• Effective management of rehabilitation• Clear task sharing• Reliability for participants and staff• High quality of communication in a multiprofessional team• Transparency for participants and staff• Reports and statistical analysis are possible

Seggebaeing, Bernd – Selting, Andreas – Soggeberg, Claudia