An easily accessible case management intervention as an extension of the German care system for people with health impairments and a high risk of disability to improve their work capacity and the coordination of health services

Background: For individuals with health impairments, particularly those with mental illnesses, there are various services, such as medical rehabilitation, aimed at preserving employability. These programs are provided and funded by different service providers. The process of orientation is frequently a daunting task for those seeking advice and assistance: Who to turn to and what entitlements do they have? The pathway to essential support is often not readily discernible for individuals facing these challenges. This delay may deter them from seeking assistance or, in some cases, dissuade them from pursuing the application for services altogether. The project establishes an accessible resource for individuals with health limitations, providing a place where they can receive needs-based counseling and, if necessary, additional services if their employability is at risk. The interdisciplinary project partners strive to raise awareness among those seeking guidance about the services offered by the project at an early stage. Following an initial meeting, it can be determined whether engaging in the intervention is beneficial. If deemed beneficial, individuals are then offered personalized support aligned with their unique needs. Independent of the type and extent of support required, as well as jurisdictional considerations, the tailored approach to individuals with mental health conditions is significantly enhanced. The immediate, cross-sector collaboration facilitates a considerably greater provision of personalized, needs-based assistance for those affected.

Methods: The essential components of the project will be developed, tested, and manualized in the first project year. The study, which scientifically accompanies the project during the main study phase, will be conducted as an observational mixed-methods study. Participants in the project will be surveyed at three points in time using standardized questionnaires. Additionally, the first 20 participants and all relevant stakeholders will be repeatedly interviewed using a structured guide. A document analysis will be carried out based on team meeting protocols and participant files, and the results will be evaluated through qualitative content analysis. In the main study, all participants will be guided through the counseling process. A total of 1200 participants are expected over the project period from July 1, 2021, to October 31, 2023.