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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As a result, it is difficult to harmonize the belief in occupational therapy with the daily tasks of the work and the impotence experienced through them.
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At the end of the answers to the questionnaire, the participants had the possibility to express their opinion regarding their belief or lack thereof in the Vocational Rehabilitation Program.
With their answers to the questionnaire, occupational therapists mentioned that the following aspects of the insureds compromise the process or make it harder: Ensaio sobre as metamorfoses e a centralidade do mundo do trabalho. In this sense, Collective Health is considered a nucleus demarcation of the identity of an area of knowledge and professional practice of the drcreto of Health, which has as some of its main attributions: Studies on vocational rehabilitation, occupational therapy and work, and occupational therapy and vocational rehabilitation were also part of these references.
A number of factors imply that their decretoo at the INSS is more negative than positive, which could be related to structural issues decretto the program. The following topics were discussed: Seven in-person interviews were conducted and the reports baisar registered through a digital voice recorder and completely transcribed.
We attended only the beneficiaries part of the Vocational Rehabilitation Program which were sent by the 19 Groups of Medical Experts. Nevertheless, the identification of the events and the fact that in some moments they are considered baixxr the elaboration of the projects for bringing the insureds back to work is an important advancement, as it goes beyond the work incapacity that decfeto on the limitations caused by their clinical state. 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 themselves professionally, to reinvent themselves as workers owing to a new demand and a new practice, recognizing their own identity in the process.
The occupational therapists knew that many events were related to the process of preparing the insureds vecreto start a different work from what they were used to, and they were capable of identifying most of them. 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 interviewed participants brought up the importance of considering that each insured derceto a different amount of time to accept their new life condition – being on work leave – as well as for understanding and accepting the Program.
Some of the interviewees were satisfied with this possibility, others were not completely accepting of such a law, for companies should be socially responsible for the lower work capacity of their employees, which is mostly due to the work activities they performed. The relevance attributed to the relationship created with the insureds during the entire process is observed from the initial evaluation to the moment they are disconnected from the program, which allows the therapists to take into account the issues they consider most relevant, in spite of the inflexibility of the procedures.
During the in-depth interviews, a few aspects of Vocational Rehabilitation were brought up, such as: Como elaborar projetos de pesquisa. 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.
The issue is very delicate, since a concept of work constructed throughout an entire career cannot be deconstructed – nor should it be – due to risky conditions of the labor market and to the fact that many of these workers did not have the possibility of assigning different meanings to their work regarding the choice of what to do or exercising their potential.
As a result, the field of Worker’s Health was constituted posteriorly to Vocational Rehabilitation and assumed a critical position due to the concepts and attention given to Brazilian workers at the time end of the sespecially in the health sector.
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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.
Based on these reflections and on the work of Vocational Rehabilitation, we aimed at understanding how occupational therapy contributes to the return of individuals to work, within the Program of Vocational Rehabilitation of the INSS. Moreover, they mentioned the fact that Brazil does not have any mechanisms that promote an effective return of these people to the labor market through a combined effort of the Ministries of Social Security and Labor and Employment.
None of them classified it as excellent.
The questionnaire encompassed 76 questions, and most ddcreto them were closed-ended and multiple choice, with the possibilities of choice varying between one or more alternatives. The interviewed occupational therapists were selected based on convenience sampling carried out through an analysis of the answers to the questionnaires – especially of the parts in which they could write about the topics. They are entitled to Vocational Rehabilitation 11 11 The authors chose to use the expression Vocational Rehabilitation with capital letters when referring to the field and to the Program of the Bqixar, using lowercase for the practice within the field.
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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. These aspects were discussed through a critical perspective that acknowledges the importance and the structural limitations baoxar 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 new attributions incorporated by LOPS included educational care and assistance for the vocational adaptation of the insureds receiving sickness benefits, retired workers and invalid pensioners Soares, SOARES, L. The contents that resulted from this categorization and systematization were studied and discussed baizar the theoretical references that guided the research, and they were also linked to the findings decreot from the application of the questionnaire.
A new manual analysis of both journals indicates that this reality remains unaltered. 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.
This is an exploratory research, since studies and publications on the topic are lacking, and it had the purpose of getting closer to the studied reality to explain it, leading to reflections about it. Hence, it is a possibility for insureds to return to the labor market without any employment relationship, or to stay at the companies in which they have this relationship. Hence, more contact with companies, informing their managers and other employers about the legislation and the situations experienced by workers on, as well as their potentials, and creating opportunities for trainings of vocational rehabilitation for positions compatible with these potentials are essential for the insureds to return to work performing activities that leave both employee and company satisfied.
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.
The construction of a public policy of vocational rehabilitation requires: The purpose was to conduct a more in-depth conversation with the therapists that had shown interest.
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It is necessary to reformulate the laws on Vocational Rehabilitation and the social protection of workers to go beyond ensuring a few rights which are limited to a year of job security in cases of work accidents or vocational diseases and mechanisms that compensate the insertion such as the Quota Law. The last two questions were open-ended and allowed participants to discuss more freely the Vocational Rehabilitation of the INSS and occupational therapy in the area.
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. Automation, robotics and microelectronics were developed during a recession period and caused many workers to leave the workforce, and the proposals of more flexibility, deregulation, and privatization gained strength with the federal neoliberalism of the late s and early s Antunes, ANTUNES, R.
By following its goals, we provided a foundation for the study of the performance and knowledge production of occupational therapy on topics related to work, workers on leaves of absence and their return to work, and the formulation of public policies regarding these issues. We would like to thank the occupational therapists that made this study possible by sharing their experiences, opinions and reflections with us.