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Imke-Marie Struck Lisa Röth Hogeschool van Arnhem & Nijmegen , The Netherlands

The grass is always greener on the other side Crossing borders in order to achieve equal care opportunities in Europe. Imke-Marie Struck Lisa Röth Hogeschool van Arnhem & Nijmegen , The Netherlands. Introduction. Aim of the project Method Literature research Interviews Survey Results

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Imke-Marie Struck Lisa Röth Hogeschool van Arnhem & Nijmegen , The Netherlands

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  1. The grass is always greener on the other sideCrossing borders in order to achieve equal care opportunities in Europe Imke-Marie Struck Lisa Röth Hogeschool van Arnhem & Nijmegen, The Netherlands

  2. Introduction • Aim of the project • Method • Literature research • Interviews • Survey • Results • Discussion

  3. Situation before January 1st, 2007 • Various different laws and information counters • Among those, WVG= Law of assistive devices for people with a disability • Aim of the WVG:The WVG obliges the communities to supply the citizens with the following aid devices: • Physical aid devices for adaptation of the living environment to the individual needs • Physical aid devices for mobility, e.g. wheelchair

  4. WMO • WMO = Law of social support • New act since January 1st, 2007 • Aim of the law:Everybody should have the means to participate in society.

  5. Possibilities of the WMO • One single information counter for different kinds of questions and problems • More flexibility: freedom of choice concerning budget for communities: e.g. free-time supplies can be covered • Empowerment of clients increases • More right to individual adjustments

  6. Problems: Lack of information for the involved citizens The employees at the information counter were not provided with enough information Promises were neglected Possibilities: New possibilities to encourage neighbourly and familiar help financially Further advantages are not recognized yet, but are expected by “Gehandicaptenraad” (organisation which aims to supply equal rights to disabled people). Survey on experiences and perceptions of clients about WMO

  7. Comparison of the situation in Germany and the Netherlands • Case study about differences and similarities between the situation of the “same” client in the two countries • Client:Woman, 23 years old, spinal cord injury

  8. Woman, 23 years old,spinal cord injury

  9. Interviews with German and Dutch clients • Occupational therapy is important part of health care services for disabled persons in the Netherlands • Regardingthe opportunities to participate in society, major differences are evident between the two countries, for example • Possibilities to participate in free-time activities • Independent living (in adapted environment) • Finding a work place which is adapted to the personal needs • The satisfaction with the respective services is more or less the same

  10. Conclusion of our project • Results of the WMO are not recognized by Dutch clients yet • Advantages of the WMO are expected by OTs • Great differences between the possibilities for participation in the two adjoining countries

  11. Discussion “Supply determines demand” => Why are clients equally satisfied, despite the huge differences between the systems and services?

  12. Discussion (2) Occupational Therapists can not contribute to the participation of spinal cord injury clients.

  13. Discussion (3) Occupational therapists play an important role in the development of social justice in Europe. In order to achieve social justice, OTs need to be competent in political as part of clinical reasoning.

  14. Any questions?

  15. Thank you for your attention! For further information, please contact us: Lisa_Roeth@web.de IStruck@student.han.nl

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