Comparison of the German and American Systems of Rehabilitation

By Goldberg, Richard T. | The Journal of Rehabilitation, January-March 1989 | Go to article overview

Comparison of the German and American Systems of Rehabilitation


Goldberg, Richard T., The Journal of Rehabilitation


Comparison of the German and American Systems of Rehabilitation

The comparison of the German and American systems of rehabilitation must be made within the philosophic premises as well as the economic differences of two nations. One of the major premises of the American system is that people with disabilities have the right to choose their own destiny. The rehabilitation system provides people with disabilities opportunities to choose an occupation which is comensurate with their abilities, aptitudes, and interests, and which leads to competitive employment in the community or to supported employment, defined as "competitive work in an integrated work setting for individuals who, because of their handicaps, need ongoing support services to perform that work" (Federal Register, 1987). The American system was designed originally to provide counseling and guidance, vocational training, and job placement to meet the needs of persons with industrial accidents, physical disabilities, and primarily ambulatory impairments. Gradually, it was expanded to include persons with emotional illness, mental retardation, severe physical disability, traumatic brain injury, and developmental disability. As each new disability group was brought into the network of rehabilitation services, creative mechanisms had to be developed to meet each group's needs. Frequently services have not developed fast enought to meet the needs of new groups pressing at the door.

The successful integration of persons with severe disabilities, including developmental disabilities has been enhanced by a variety of innovative community based programs, such as supported work in unsubsidized competitive employment, transitional employment which helps persons with severe disability to try work in a competitive setting for six months while being subsidized and supported by a job coach, and long term supported employment with ongoing emotional and vocational support by a job trainer. Individuals who formerly would have spent their lives in institutions are working in the community.

The movement toward integration, however, has not been exacted without a price. The fragmentation of services for housing, jobs, recreation and special education has resulted in inadequate services for many disabled persons in the United States (Goldberg, 1984). The provision of employment services in an integrated work site does not resolve the problem of social isolation while off the job. Similarly, integration of handicapped with non-handicapped children in the regular classroom may result in social isolation of the child with a disability or less intensive educational preparation. Mainstreaming is insufficient when a local school system fails to provide necessary academic and technical aids for children with disabilities, or when the community fails to provide the required social and recreational outlets for students with disabilities. In order to understand the differences between the two systems, it is necessary to provide some details about the German system.

Federal Republic of Germany

The Federal Republic of Germany emerged as a separate independent political entity in 1949 as a consequence of the partition of Germany at the end of World War Two. Under stable political and economic conditions several pieces of social legislation were enacted. The Federal Social Assistance Act of 1961 defined the rights of every citizen in a social and democratic state for financial and social assistance, including assistance to blind persons, alcoholics, drug addicts, the homeless, sickness and maternity assistance, hospital treatment to mitigate the effects of chronic illness, aid for persons with tuberculosis, and assistance to aged persons to maintain them within their community (Flamm, 1974).

The basic law governing the rehabilitation system, enacted on April 29, 1974, and amended in 1976 and 1986, provides a comprehensive, multi-disciplinary system of interlocking institutions embracing medical, educational, social, and vocational training institutions (Jochheim, 1984). …

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Comparison of the German and American Systems of Rehabilitation
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.