Royal Decree 3,/ Ministerio de Economía. Real Decreto 3,/ de 11 de noviembre por el que se crea el Fondo de Garantía de Depósitos . Decree 3,/, which regulates social welfare in Brazil, defines that the main attributions of Vocational Rehabilitation are (Brasil, BRASIL. Decreto nº. Download as PDF, TXT or read online from Scribd. Flag for . DECRETO DE 28 Aug Por medio del cual se modifica el Decreto de.
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Their will to collaborate was noticed since the first contact and confirmed with the participation of virtually all of them, which indicates their availability and the need for discussing the actions and concepts that have been built in the field of vocational rehabilitation, internally and externally to the job.
These aspects stimulate and feed this belief, and at the same time it makes the therapists more critical of the limits inherent to the contradictions of the field, which requires them to reconstruct baixae professionally, to reinvent themselves as workers owing to a new demand and a new practice, recognizing their own identity in the process. In Brazil, the vocational rehabilitation of individuals incapacitated for work was one of the main reasons for the formation of occupation therapists, together with practices at homes aimed at institutionalized people, either with mental disorders or disabled.
Hence, it is a possibility for insureds dwcreto return to the labor market without any employment relationship, or to stay at the companies in which they have this relationship. According to Lancman et al.
Ciudadela 2015 1 Ley 1314 de 2009 Decreto 3048 de 2011 Grupo 2
It is necessary to discuss those who do not work, not because they are not capable, but because there is no work for them – there is no place for these individuals who are stuck between the obligation of working and the impossibility of doing so according to regulations. As such, this article discusses the possible contributions of occupational therapy, with its technical and political aspects, for dealing with the demands related to the processes of decreasing the work capacity of the subjects and actions that may lead them back to work activities.
Nevertheless, they believe in enhancing this structure and single out the need to increase the possibilities it offers for a larger participation and responsibility of companies, creating a combined effort with other governmental sectors and the civil society, in addition to expanding and reformulating the legislation on vocational rehabilitation in Brazil. We highlight that the occupational therapists listed some characteristics the insureds should have, or the need to prepare them for acquiring them, in order that their return to work is effective.
A number of factors imply that their performance at the INSS is more negative than positive, which could be related to structural issues of the program. As for the Technical Manual of Treatment in the Area of Vocational Rehabilitation, a document that guides the actions of the Programs, the interviewees refer both to the need to standardize the procedures after the decentralization of the Vocational Rehabilitation for Executive Managements and Agencies of the Institute and to the structural inflexibility of the instrument, which limits part of the actions the therapists deem the most appropriate in certain situations.
More specifically, the interviewees expressed other fundamental issues for the difficulties faced by the insureds regarding their perspectives of returning to work, such as a work history based on heavy activities and the fear of unemployment.
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In this sense, Collective Health is considered a nucleus demarcation of the identity of an area of knowledge and professional practice of the field of Health, which has as some of its main attributions: Moreover, an interview script was elaborated to provide more details on these topics 16 dereto The script was constituted of the following topics: The contents that resulted from this categorization and systematization were studied and discussed using the theoretical references that guided the research, and they were also linked to the findings obtained from the application of the questionnaire.
Moreover, it allowed us to observe important characteristics of the work processes in large urban centers such as the large population, partially due to the search for work and employment relationships, the considerable amount of psychosocial care units for workers and the phenomena of illness and work accidents.
Regarding the future of the program, The Social Security reforms, which occurred baixarr Brazil during the s and reached the s, did not solve the main problems diagnosed by the Inter-Ministerial Commission for the Worker’s Health from They are entitled to Vocational Rehabilitation 0348 11 The authors chose to use the expression Vocational Rehabilitation with capital letters when referring to the field and to the Program of the INSS, using lowercase for the practice within the field.
Nonetheless, we propose the challenge of defending the right to work with dignity, within the context of Vocational Rehabilitation in the INSS, in which returning to companies with employment relationships is the priority since it is the most effective way to exercise this right.
From the 37 therapists which decided to do so, five said they did not believe in the program and 32, i. These aspects were discussed through a critical perspective that acknowledges the importance and the structural limitations of the program and the desire to transform its structure and the belief in it, aiming at its enhancement and at a larger coordination with different social and governmental sectors related to the social protection of Brazilian workers. The analysis of the data obtained with the application of the questionnaire and with the contents of the interviews, in the light of the theoretical references that guided this research, allowed for the identification of opinions, perspectives, expectations and beliefs about the themes of the research.
When discussing the lacking structure of work on a global scale, the author affirms that the Brazilian circumstances are dire, and that during the s the industrial and service sectors went through a significant productive restructuring owing to the new international work division, which required changes in production organization and in its processes of territorial redistribution.
However, although the process of returning to work is often interpreted based on its inherent complexity, with at least a partial understanding of its many factors, the therapists see that the only possibility is a job appropriate for the individual, depending on how they are able or capable to adapt to a new work situation in the company with which they have an employment relationship.
Moreover, its nature was descriptive and comprehensive as it aimed at explaining the characteristics of a specific phenomenon beyond the study of the relationships among the variables, including other ways to understand it Gil, GIL, A. Hence, we believe that Vocational Rehabilitation, in its interface with Workers’ Health, should be analyzed and organized based on these principles and attributions instead of focusing solely on repairing actions, which certainly can also be applied to Occupational Therapy.
The questionnaire encompassed 76 questions, and most of them were closed-ended and multiple choice, with the possibilities of choice varying between one or more alternatives.
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After these answers were tabulated, we conducted in-depth interviews with six of these therapists to enhance the reflections on the themes of the questionnaire. None of them classified it as excellent. We would like to thank the occupational therapists that made this study possible by sharing their experiences, opinions and reflections with us. We provided treatment at the Vocational Rehabilitation, working with joint mobility, muscular strength, coordination, training ADLs [Activities of Daily Living] and IADLs [Instrumental Activities of Daily Living], in addition to assessing their return to work, which was the last thing we did, obviously.
Their services are often restricted to death counting and “posthumous” surveillance of the worker’s health, and it is difficult to implement health promotion and surveillance as defined by the National Worker’s Health Policy Carvalho et al. The relevance attributed fecreto the relationship created with the insureds during the entire process is observed from the initial evaluation to the moment they are disconnected from baixaar program, which allows the therapists to take into account the issues they consider most relevant, in spite of 348 inflexibility of the procedures.
We believe a combined effort is required to help workers go through a path that leads to a new professional activity, based on their vocational abilities and beliefs regarding work, considering the complexity inherent to vaixar process.
Seven in-person interviews were conducted and the reports were registered through a digital voice recorder and completely transcribed. Studies on vocational rehabilitation, occupational therapy and work, and occupational therapy and bqixar rehabilitation were also part of these references.
Initially, we chose one of the interviews as reference and after reading it many times we were able to define the themes that were used as data categories, which increased as the other interviews were read. Acknowledgements We would like to thank the occupational therapists that made this study possible by sharing their experiences, opinions and reflections with us.
The relationships that individuals create with and in their work are fundamental elements for the constitution of their character, since they enable the experience of belonging and setting long-term goals for their lives Sennett, SENNETT, R.