{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:14:52Z","timestamp":1771546492296,"version":"3.50.1"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Im Fallmanagement der Berufsorientierten Teilhabebegleitung in der\nRehabilitation von Abh\u00e4ngigkeitserkrankungen (BORA-TB) werden\nRehabilitand*innen f\u00fcr bis zu 12 Monate \u00fcber die Entw\u00f6hnungsbehandlung\nhinaus begleitet. Return-to-Work (RTW)-Erfolge konnten mit Daten aus der\nFragebogenerhebung nicht nachgewiesen werden. So stellt sich die Frage nach\nmethodischen Anpassungen zur Erfolgsbetrachtung und einer Neubeurteilung von\nOutcome-Kriterien. Der vorliegende Beitrag geht daher der grundlegenderen\nFrage nach, welche unterschiedlichen Verl\u00e4ufe und Erfolge f\u00fcr ein\nFallmanagement im Bereich Abh\u00e4ngigkeitserkrankungen identifizierbar sind und\ninwiefern diese durch individuelle und kontextuelle Faktoren bedingt bzw.\nverstanden werden k\u00f6nnen.<\/jats:p>\n                  <jats:p>F\u00fcr die Analyse von n=50 individuellen Verl\u00e4ufen der Teilhabebegleitung\nwurden erhobene Daten aus der Prim\u00e4rdatendokumentation \u00fcber Leistungen der\nTeilhabebegleiter*innen insbesondere mit statistischen Kennwerten sowie\nFreitextanmerkungen aus Selbstberichts-Frageb\u00f6gen der Teilnehmenden\nkombiniert und im Sinne der Grounded Theory einem st\u00e4ndigen Vergleich\ninnerhalb der F\u00e4lle und zwischen den F\u00e4llen unterzogen.<\/jats:p>\n                  <jats:p>Elf Verlaufs- und Erfolgstypen konnten unterschieden werden, die entsprechend\ndifferierender Ausgangslagen und Merkmalen der Person verschiedene Aufgaben\nund Arbeitsweisen des Fallmanagements sowie (m\u00f6gliche) Erfolge der\nIntervention und Prognosen zu einem geeigneten Krankheitsmanagement\naufweisen. So bewegen sich Aufgaben des Fallmanagements in einer Bandbreite\nzwischen Gespr\u00e4chen zur Reflexion selbst\u00e4ndig erarbeiteter Erfolge im Beruf\n\u00fcber sozialrechtliche Unterst\u00fctzung bis zur Arbeit an tiefliegenden\nEigenschaften der Person zur (Ver\u00e4nderungs-) Motivation. Erfolge sind je\nnach Lebenssituation und Bed\u00fcrfnis der Teilnehmenden unterschiedlich zu\nbewerten, wobei diese grunds\u00e4tzlich als Verbesserungen der beruflichen und\nsozialen Teilhabe definiert werden. Prognosen f\u00fcr jeden der elf Typen, die\nanhand von Verl\u00e4ufen und Erfolgen getroffen werden, betreffen berechtigte\nAnnahmen zu geeignetem Krankheitsmanagement.<\/jats:p>\n                  <jats:p>Alternative Zug\u00e4nge zur Bewertung von Erfolgen in der Rehabilitation und\nFallbegleitung von Abh\u00e4ngigkeitserkrankungen scheinen mit vorliegenden\nVerlaufsdaten m\u00f6glich und in Bezug auf die Heterogenit\u00e4t der Betroffenen\nangemessen. Eine Validierung des Ansatzes und eine quantitative Analyse der\nTypenverteilungen k\u00f6nnten k\u00fcnftig in besser geeignete Instrumente zur\nErfassung von Outcomes in der Suchtforschung m\u00fcnden.<\/jats:p>","DOI":"10.1055\/a-2624-8247","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T23:48:51Z","timestamp":1752796131000},"page":"50-59","source":"Crossref","is-referenced-by-count":0,"title":["Versorgungsverl\u00e4ufe und Erfolge eines berufsorientierten\nFallmanagements in und nach medizinischer Rehabilitation abh\u00e4ngigkeitserkrankter\nMenschen: Ein Werkstattbericht aus dem BORA-TB-Projekt"],"prefix":"10.1055","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5434-6213","authenticated-orcid":false,"given":"Helen","family":"Gissendanner","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Rehabilitationsmedizin, Martin-Luther-Universit\u00e4t\nHalle-Wittenberg, Halle (Saale)"},{"name":"Fakult\u00e4t f\u00fcr Gesundheitswissenschaften, Stiftungsprofessur\nRehabilitationswissenschaften, Rehabilitative Versorgungsforschung, Universit\u00e4t\nBielefeld"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thorsten","family":"Meyer-Feil","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Rehabilitationsmedizin, Martin-Luther-Universit\u00e4t\nHalle-Wittenberg, Halle (Saale)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,7,17]]},"reference":[{"key":"ref1","first-page":"695","volume-title":"Suchtrehabilitation. 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