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Zusammenfassung Ziel der Studie Aus Perspektive verschiedener Expertengruppen, die in der Versorgung onkologisch Erkrankter tätig sind, werden Barrieren bei der Antragstellung zu onkologischen Rehabilitationsmaßnahmen identifiziert. Darauf aufbauend werden Handlungsempfehlungen zur Optimierung abgeleitet. Die Studie wurde von der Deutschen Rentenversicherung Bund (DRV) gefördert. Methodik Auf Basis einer Interviewstudie (N=61) wurde ein Fragebogeninstrument mit 55 Items zu möglichen Barrieren im Antragstellungsprozess konzipiert und online eingesetzt. Teilnehmer mit mehr als 33% fehlenden Werten wurden von den Analysen ausgeschlossen. Mittelwertanalysen wurden zur Identifikation der bedeutsamsten Relevanz angewendet. Um übergeordnete Dimensionen zu identifizieren, wurde eine exploratorische Faktorenanalyse durchgeführt. Ergebnisse Insgesamt wurden 606 Experten aus dem onkologischen Bereich in die Auswertung eingeschlossen. Darunter waren 249 Ärzte, 194 Sozialarbeiter, 105 Pflegefachkräfte / Medizinische Fachangestellte, 55 Psychologen / Psychoonkologen und 3 sonstige Berufsgruppen. Die befragten Experten waren im Mittel 51 Jahre alt (SD=10,4) und seit 17 Jahren (SD=9,8) im onkologischen Bereich tätig. Die Barrieren konnten folgenden 7 faktoranalytisch bestimmten Inhaltsbereichen zugeordnet werden: Krankheitsverarbeitung, Antragsverfahren, Rehafähigkeit, Koordination, soziale Verpflichtungen, Patientenwünsche und Stellenwert der Reha. Die Experten gaben an, dass insbesondere der Wunsch des Patienten nach Normalität, die zu starre Frist für die Anschlussrehabilitation (AHB) und das für Patienten mit Migrationshintergrund schlecht verständliche Antragsverfahren einer Antragstellung entgegenstehen kann. Außerdem wurde darauf hingewiesen, dass die Vermittlung von multimorbiden Patienten in die Rehabilitationseinrichtungen schwierig sei. Schlussfolgerung Aus der Expertenstudie können folgende Handlungsempfehlungen für einen erleichterten Rehabilitationszugang abgeleitet werden: Optimierung der Koordination zwischen verschiedenen Expertengruppen; Einrichtungen und mit den Kostenträgern, Flexibilisierung der AHB-Frist, Vereinfachung der Antragstellung, Bereitstellung von Anträgen / Informationsmaterialien in weiteren Sprachen, Ausrichtung der Reha-Kliniken auf spezifische Patientengruppen.

ZusammenfassungDer Beitrag setzt sich aus Teilnehmendensicht mit dem Modellprogramm „Karrierewege FH-Professur“ auseinander, das 2016 bis 2020 in NRW durchgeführt wurde und gibt Anregungen zu dessen Fort- und Weiterentwicklung.

OBJECTIVE The goal of this study was to investigate barriers to utilisation of cancer rehabilitation by querying a large sample of various professionals in health care with a comprehensive set of barriers. METHODS We developed a questionnaire comprising 55 barriers to utilisation of cancer rehabilitation and administered it to four different types of medical, care and social work experts involved in the referral to cancer rehabilitation. An exploratory factor analysis was conducted and the extracted factors were ranked by mean values. Additionally, ANOVAs were calculated to test for group differences. RESULTS Our sample (N = 606) consisted of 249 physicians, 194 social workers, 105 nurses and 55 psychologists in Germany. We identified seven barrier-dimensions: low appreciation of rehabilitation by professionals, insufficient coordination, insufficient application procedure, rehabilitation requirements not met, patients' unfulfilled demands, patients' social responsibilities and patients' coping style, with the latter being rated as the most obstructive thereof. Furthermore, we found statistically significant group differences for six of these factors with small- to medium-sized effects. CONCLUSION Our results support previous publications implicating the patients' coping style as a barrier. We furthermore found evidence for barriers relating to processes and organisational issues, thereby expanding on the scope of patient-oriented publications. Suggestions for improving patients' health services accessibility are made.

The spread of the COVID-19 pandemic had a wide range of impacts on living conditions, opportunities and mental health. As discussed by society and supported by some studies, young people were particularly affected. The aim of this review was to provide an overview of research that explicitly addressed the mental health outcomes of adolescents’ and young adults’ transition. A systematic literature search in PubMed, PsycInfo, PSYNDEX, Embase and LIVIVO was conducted in February 2022. 42 of 2562 screened publications from industrialized/high-income countries were included and analyzed. All included publications show that the mental health of young people worsened during the pandemic. Several studies suggest(ed) that youths with less education and low socioeconomic status were affected most. Regarding different stages of adolescence, study results are heterogeneous. Evidence indicates that schools as institutions are important settings for everyday lives, personal development and education of young people. The review shows that there is a need for research and scientifically validated recommendations for practice. Further consideration should focus on the implementation of sustainable structures on the local level to strengthen resilience, minimize risk factors for young people’s mental health and create opportunities for valuable transitions.

Relational Evidence in Preventive Child Protection: Evaluation of a Manual Based Group Intervention "Strengthening Resources of Mentally Ill and Addicted Parents" This article describes results of the evaluation of the manual-based group intervention programme "Strengthening Resources of mentally ill and addicted Parents". This intervention's objective is to encourage parents in mentalization, emotional regulation, coping with stress and social support competencies. Strengthening these reflexive competencies aims at promoting parents' recourses and minimizing risks for child abuse. Therefore, the evaluation design is based on data triangulation: combining standardised instruments and qualitative interviews of participants and professional providers. Besides intervention effects, this design aims to analyse aspects by parents' and professionals' subjective perspectives, which promote the interventions in it's effect. 160 parents participated. The results show, that parents feel statistical significant less overwhelmed by the responsibility of being a parent, recognise more capacity to act and support in everyday. Qualitative data analysis reinforces these results and shows how the manual's concept supports parents' benefit from the intervention in their every day life.

From the perspective of various expert groups involved in the care of oncological patients, barriers to the application process of oncological rehabilitation programs will be identified. The study was funded by the German Pension Insurance Association (DRV).Based on an interview study (N=61), a questionnaire instrument with 55 items describing possible barriers in the application process was designed and implemented online. Participants with more than 33% missing values were excluded from the analyses. Mean value analyses were used to identify the most significant relevance. To identify overall dimensions an explorative factor analysis was conducted .A total of 606 experts from the oncological field were included in the analyses. Among them were 249 doctors, 194 social workers, 105 nurses / medical assistants, 55 psychologists / psycho-oncologists and three other professional groups. The queried experts were on average 51 years old (The following recommendations for action to facilitate access to rehabilitation can be derived from the expert study: optimization of the coordination between different expert groups, institutions and the cost units, flexibilisation of the deadline for follow-up, simplifying the application process, providing applications/information material in additional languages, orienting rehabilitation clinics towards specific patient groups.Aus Perspektive verschiedener Expertengruppen, die in der Versorgung onkologisch Erkrankter tätig sind, werden Barrieren bei der Antragstellung zu onkologischen Rehabilitationsmaßnahmen identifiziert. Darauf aufbauend werden Handlungsempfehlungen zur Optimierung abgeleitet. Die Studie wurde von der Deutschen Rentenversicherung Bund (DRV) gefördert.Auf Basis einer Interviewstudie (N=61) wurde ein Fragebogeninstrument mit 55 Items zu möglichen Barrieren im Antragstellungsprozess konzipiert und online eingesetzt. Teilnehmer mit mehr als 33% fehlenden Werten wurden von den Analysen ausgeschlossen. Mittelwertanalysen wurden zur Identifikation der bedeutsamsten Relevanz angewendet. Um übergeordnete Dimensionen zu identifizieren, wurde eine exploratorische Faktorenanalyse durchgeführt.Insgesamt wurden 606 Experten aus dem onkologischen Bereich in die Auswertung eingeschlossen. Darunter waren 249 Ärzte, 194 Sozialarbeiter, 105 Pflegefachkräfte / Medizinische Fachangestellte, 55 Psychologen / Psychoonkologen und 3 sonstige Berufsgruppen. Die befragten Experten waren im Mittel 51 Jahre alt (SD=10,4) und seit 17 Jahren (SD=9,8) im onkologischen Bereich tätig. Die Barrieren konnten folgenden 7 faktoranalytisch bestimmten Inhaltsbereichen zugeordnet werden: Krankheitsverarbeitung, Antragsverfahren, Rehafähigkeit, Koordination, soziale Verpflichtungen, Patientenwünsche und Stellenwert der Reha. Die Experten gaben an, dass insbesondere der Wunsch des Patienten nach Normalität, die zu starre Frist für die Anschlussrehabilitation (AHB) und das für Patienten mit Migrationshintergrund schlecht verständliche Antragsverfahren einer Antragstellung entgegenstehen kann. Außerdem wurde darauf hingewiesen, dass die Vermittlung von multimorbiden Patienten in die Rehabilitationseinrichtungen schwierig sei.Aus der Expertenstudie können folgende Handlungsempfehlungen für einen erleichterten Rehabilitationszugang abgeleitet werden: Optimierung der Koordination zwischen verschiedenen Expertengruppen; Einrichtungen und mit den Kostenträgern, Flexibilisierung der AHB-Frist, Vereinfachung der Antragstellung, Bereitstellung von Anträgen / Informationsmaterialien in weiteren Sprachen, Ausrichtung der Reha-Kliniken auf spezifische Patientengruppen.

"For me, Pressure at School is the Most Relevant in my Life" - Empirical Based Implications for Life World Orientation in Health Promotion at School School is a key system that supports all processes of adolescent development. Next to qualification, as one part of personality development, all developmental tasks of adolescence can take place within the school environment, through close interplay. This interplay both influences, and is influenced by young people's health which is essential to promote adolescent development and foster wellbeing in everyday life for young people. On one hand, risk taking behaviour can impact health and developmental progress. On the other hand, biopsychosocial changes can emerge to challenge young people in terms of coping with life and managing the tasks of normal adolescent development. Experiencing ill health can further limit young people's access to systems and social interaction essential to promote development. In this instance, life world orientation in health promotion becomes one fundamental part of social work, especially school social work (Rademaker, 2017b). In this paper a holistic perspective on health is formulated, as an essential part of young people's daily life. The paper specifically focusses on social work's potential to empower young people to engage with their available resources to promote health related agency. A triangulated study (2013-2015) provides an empirical example. Based on a questionnaire with 500 pupils aged 15-16 years (N = 395), three health types could be identified, a healthy, an unhealthy and one in average, and prototypical cases (N = 12) were interviewed in focus group discussions. The interplay of resources and structural borders in the life world of the participants could be reconstructed to provide understanding of how health related agency emerges in the lives of young people and shape their option to health.

Relational Evidence in Preventive Child Protection: Evaluation of a Manual Based Group Intervention "Strengthening Resources of Mentally Ill and Addicted Parents" This article describes results of the evaluation of the manual-based group intervention programme "Strengthening Resources of mentally ill and addicted Parents". This intervention's objective is to encourage parents in mentalization, emotional regulation, coping with stress and social support competencies. Strengthening these reflexive competencies aims at promoting parents' recourses and minimizing risks for child abuse. Therefore, the evaluation design is based on data triangulation: combining standardised instruments and qualitative interviews of participants and professional providers. Besides intervention effects, this design aims to analyse aspects by parents' and professionals' subjective perspectives, which promote the interventions in it's effect. 160 parents participated. The results show, that parents feel statistical significant less overwhelmed by the responsibility of being a parent, recognise more capacity to act and support in everyday. Qualitative data analysis reinforces these results and shows how the manual's concept supports parents' benefit from the intervention in their every day life.Zusammenfassung Der Artikel befasst sich mit der Evaluation des Gruppenprogramms (GP) „Ressourcen psychisch erkrankter und suchterkrankter Eltern stärken“. Das modulare GP zielt auf die Förderung der elterliche Mentalisierungsfähigkeit, Emotionsregulation, Fähigkeit zur Stressbewältigung und der sozialen Unterstützung. Damit sollen elterliche Ressourcen gefördert werden, die das Misshandlungsrisiko für Kinder vermindern. Im Mittelpunkt der präventiven Intervention steht die Förderung reflexiver Kompetenzen. Das Evaluationsdesign basiert auf einer methodischen Triangulation von standardisierten Instrumenten und qualitativen Interviews mit teilnehmenden Eltern und Fachkräften, um neben den Wirkungen Aspekte zu identifizieren, die zur Entfaltung der Wirksamkeit beitragen. 160 Eltern nahmen an dem Gruppenprogramm teil. Es zeigte sich, dass sich die Eltern nach dem GP signifikant weniger gestresst fühlen, mehr Handlungsfähigkeit und soziale Unterstützung im Alltag wahrnehmen. Die qualitative Analyse bekräftigt diese Ergebnisse und zeigt, wie das Konzept des Manuals dazu beiträgt, dass die Eltern von dem Programm in ihrem Alltag profitieren.

"For me, Pressure at School is the Most Relevant in my Life" - Empirical Based Implications for Life World Orientation in Health Promotion at School School is a key system that supports all processes of adolescent development. Next to qualification, as one part of personality development, all developmental tasks of adolescence can take place within the school environment, through close interplay. This interplay both influences, and is influenced by young people's health which is essential to promote adolescent development and foster wellbeing in everyday life for young people. On one hand, risk taking behaviour can impact health and developmental progress. On the other hand, biopsychosocial changes can emerge to challenge young people in terms of coping with life and managing the tasks of normal adolescent development. Experiencing ill health can further limit young people's access to systems and social interaction essential to promote development. In this instance, life world orientation in health promotion becomes one fundamental part of social work, especially school social work (Rademaker, 2017b). In this paper a holistic perspective on health is formulated, as an essential part of young people's daily life. The paper specifically focusses on social work's potential to empower young people to engage with their available resources to promote health related agency. A triangulated study (2013-2015) provides an empirical example. Based on a questionnaire with 500 pupils aged 15-16 years (N = 395), three health types could be identified, a healthy, an unhealthy and one in average, and prototypical cases (N = 12) were interviewed in focus group discussions. The interplay of resources and structural borders in the life world of the participants could be reconstructed to provide understanding of how health related agency emerges in the lives of young people and shape their option to health.