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Effectiveness of Occupational Rehabilitation It may be possible to verify an expressive quantity of works questioning the effectiveness of the OR program, which suggests the program’s polemic character and modality, which is still not consensual with respect to the practice. The legislation also provides for monitoring and research in the work market for rehabilitated subjects who “have as their aim to prove their effectiveness in the process of professional rehabilitation” Brasil, These works were organized in a matrix containing the following information, which is presented in Table 1: The data were collected from January to February in the databases Lilacs, Scielo, Redalyc, and Capes’ Theses, resulting in 48 surveys that were analyzed and categorized according to prevalent themes.

As pesquisas denominadas “estado da arte”. Following complaints by the syndicate and investigation by the public powers, CATs 6 were issued for the concession of accident benefits.

Facilitadores e barreiras para o retorno ao trabalho: Bartilotti and collaboratorsp. IDoctor in Social Psychology. It is worth noting that in the developed OR program, the available services beyond cited specialties include “acupuncture, global postural re-education GPRtai chi chuanmassage therapy, circle dances, informative groups, physical conditioning, water gymnastics, complementary therapies, and social assistance” p. They suggest the construction of an OR public policy wherein the State promotes “dialog between the areas of economic and social development” and in fact integrate “assistance, monitoring and surveillance of work conditions and social security” p.

According to the description, it was observed that the act of examination is a critical point in the program, requiring broadening of the discussion about the team, the skills and ideal abilities for attending OR users.

Addressing the concepts of work for chemically dependent people, Bonadio suggests that the model of OR intervention should not focus on employability but on the structuring of life projects, directed by the principles of professional comentaco in a psycho-social approach. I had a new commentado that humiliated me and said that I was useless p.

Other approaches present in the productions. Results and discussion The initial search was performed from the expression “occupational rehabilitation,” being delimited by the publication period of to and had the Portuguese language as a requirement. Another such facilitator, identified by Rossi and by Gurgelwas a reduced time of absence, attributed to the exclusion and prejudice exhibited toward a worker upon return decreot to their functional limitations.

Although the World Health Organization adopted the social model wherein the environment is determined by the level of incapacity and not the individual OMS,the medico-legal experts, within the biomedical concept, consider only the physical conditions of incapacity while also on the lookout for “fraudsters of the social security system” Maeno et al.


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After the disassembly of the 80s and 90s, there was a model transformation in the rehabilitation program called Reabilitawhose goal was to decentralize OR by investigating the scope for a wider network of attendance Cherem et al. Carrenta identified in work cooperatives, a perspective of inclusion in decreho work force for people with disabilities in a way that was.

A set of summaries organized around a determined area of knowledge decrfto For Silva and Maeno and collaboratorsp. In the social dimension, OR is characterized as “public response to the question of incapacity to work” Takahashi comdntado al. The initial search was performed from the expression “occupational rehabilitation,” being delimited by the publication period of to and had the Portuguese language as a requirement.

Occupational rehabilitation OR is a social security service, offered by the National Institute of Social Security INSSwhose objective is to promote the insured person’s return to work, who is found totally or partially incapacitated to conduct work-related activities for the reason of illness or accident Brasil, These cases do not necessarily imply incapacity to work; in fact, in most cases, the very medication used for controlling these illnesses carries secondary deficits, and the necessity of removal from work or the benefit that working could mean in the lives of the subjects should be analyzed case by case.

Effectiveness of Occupational Rehabilitation. Regarding this program, Cheren and collaboratorsp. We observed that the effectiveness of OR is directly related to public policy involving the social inclusion of incapacitated workers. Some successful OR experiences were identified, demonstrating that it is possible to qualify this service, and some suggestions were released, such as the use of CIF as a tool to change the focus of incapacity to functionality, as per the OMS adoption.

The medico-legal report on those insured is the subject of extensive research.

The emerging recognition, not only of the work capabilities of these subjects, but also their essential social inclusion, makes occupational rehabilitation professionals 2 essential instruments to reach a maximum independence and equality in opportunities Obando, This “voluntary” dismissal for many was an attempt to free themselves of the embarrassment and humiliation to which they were submitted; as perceived in the words of those interviewed, coomentado had the feeling of being useless, getting in people’s way.

Furthermore, evaluations should be performed by a multiprofessional team covering psychological and social aspects beyond the physical ones, which interact in the establishment of incapacity Simonelli et al. In general, the review of the scientific production within the stipulated period gradually identified changes in the OR program and its current fragility in terms of effectiveness; as a public policy for social inclusion of incapacitated co,entado and persons with disabilities, this consequently provided expert analysis with a strong responsibility.

Epilepsia e incapacidade laborativa. In this sense, Pereira studied the specific situation of tetraplegia, where movement of upper limbs, together with inferior ones, is compromised, becoming even more limited in work options available and making possible devices and adaptations necessary so that this public can exercise their work potential and reach their aspirations. According to the experiences described, it could be said that, from the institution of Reabilitathe involved OR is actually quite indistinct from the minimum criteria necessary for the comrntado of beneficiaries to work and in society.

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The obtained result included 61 pieces of research comprising 32 articles, 6 doctoral theses, and 23 masters dissertations. Considering the relevance and limited visibility of this issue in the context of health dwcreto employment, this study presents a survey of scientific literature on vocational rehabilitation published in Brazil from to From reports referring to the historical context of OR in Brazil, which is largely described and discussed in various studies Maeno and Vilela, ; Maeno et al.

I – the insured on sick leave, accidental or welfare; II – the insured without waiting period for sick leave carrying a disability; III – the insured on retirement due to invalidity; IV – vecreto insured on special retirement, for contribution time or age that, in the work activity had reduced his functional capacity decrto to an illness or decreti of any nature or cause; V- the dependents of the insured; and VI – the Persons with Deficiency – PCDs.


In its economic dimension, occupational rehabilitation reduces welfare benefit costs. On further exploring and reading about scientific production, it is evident that using the frequency of the research objects as criteria to establish the categories for analysis conforms to the following description.

Afterwards, the company offered an “advantageous” agreement for the dismissal of removed workers, liberation of the guarantee fund, provision of holidays, and a year’s salary and corresponding health insurance, all in exchange for the signing of a syndicate-approved declaration “according to which the workers give up their right to use the judicial system after breaking the employment relationship” p.

The OR program starts from the defined and steady physical incapacity and according to Decree No. Availability of only deceeto summary of the research did not constitute decrreto criteria for exclusion, although there was awareness of the limitations imposed for this option, since the goal was to collect the largest quantity of research produced: The analysis of the material identified the following categories as prevalent: In Minas Gerais, Siano identified differences in the approval of benefits for workers with mental illnesses when the examination was performed by a medical expert with a specialty in psychiatry: Changes imposed on the production lines as well as ergonomic adjustments were not sufficient to end the mutilation of workers that then in an official form were terminated from work.

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With regard deceeto the publication year of the works, the greatest incidence was observed in with 12 studies, which can be attributed to the editing of a thematic dossier 4 that contributed to minimize the lack of literature on the subject. They have an opportunity to share, to rethink, to reflect and, who knows, comenhado to give new meaning to their illness and this moment in their life Poersch et al. The term is used for people that still do not have a professional qualification, such as in the case of PCDs that were never integrated in the work force.