Psychiatrische Rehabilitation – von der Stufenleiter zur unterstützten Inklusion

Zusammenfassung

Hintergrund: Die psychiatrische Rehabilitation folgt seit längerer Zeit zu weiten Teilen einem Stufenleiterprinzip.

Methode: Aktuelle Entwicklungen aus dem Umfeld der Rehabilitation (UN-Behindertenrechtskonvention, Theorie der Rehabilitation, Rehabilitationsforschung) werden beschrieben.

Ergebnisse: Den aktuellen Entwicklungen gemeinsam sind die Prinzipien der Wahlfreiheit und Autonomie für die Klienten sowie die soziale Inklusion, welche dem Stufenleiterprinzip widersprechen.

Schlussfolgerungen: Das Stufenleiterprinzip der Rehabilitation sollte durch die unterstützte Inklusion ersetzt werden.

Abstract

Background: For many decades, psychiatric rehabilitation in the German-speaking countries is following a conventional linear continuum approach.

Methods: Recent developments in important fields related to psychiatric rehabilitation (UN Convention on the Rights of People with Disabilities, theory of rehabilitation, empirical research) are reviewed.

Results: Common to all developments in the reviewed fields are the principles of choice, autonomy and social inclusion. These principles contradict the conventional linear continuum approach.

Conclusions: The linear continuum approach of psychiatric rehabilitation should be replaced by the “supported inclusion”-approach.

Schlüsselwörter

psychiatrische Rehabilitation - Inklusion - UN-Behindertenrechtskonvention - Wahlfreiheit

Keywords

psychiatric rehabilitation - inclusion - UN Convention on the Rights of Persons with Disabilities - choice

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