DECRETO 3048 99 COMENTADO PDF

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Vocational rehabilitation for disabled workers: IDoctor in Social Psychology. Occupational rehabilitation is a service from social security that, in its social dimension, aims to promote the residual labor potential of workers who have suffered work-related injuries or illnesses and those with disabilities.

In its economic dimension, occupational rehabilitation reduces welfare benefit costs. Considering the relevance and limited visibility of this issue in the context of health and employment, this study presents a survey of scientific literature on vocational rehabilitation published in Brazil from to The data were collected from January to February in the databases Lilacs, Scielo, Redalyc, and Capes’ Theses, resulting in 48 surveys that were analyzed and categorized according to prevalent themes.

Occupational rehabilitation OR is a social security service, offered by the National Institute of Social Security INSSwhose objective is to promote the insured person’s return to work, who is found totally or partially incapacitated to conduct work-related activities for the reason of illness or accident Brasil, It is fit to note that persons with disabilities PWDs should also be reviewed by an OR professional, although legislation does not give them priority of care 1 ; this priority of care will be given if the Technical-Financial Cooperation Agreement, which was previously signed by the INSS and the institutions and associations for assistance to persons with disabilities, was accepted.

The emerging recognition, not only of the work capabilities of these subjects, but also their essential social inclusion, makes occupational rehabilitation professionals 2 essential instruments to reach a maximum independence and equality in opportunities Obando, The OR program starts from the defined and steady physical incapacity and according to Decree No. The legislation also provides for monitoring and research in the work market for rehabilitated subjects who “have as their aim to prove their effectiveness in the process of professional rehabilitation” Brasil, In the social dimension, OR is characterized as “public response to the question of incapacity to work” Takahashi et al.

In this sense, this review article aims to visualize and analyze knowledge about the theme constructed in Brazil’s last eleven years, keeping in mind the ability to equally subsidize future discussions and research: The article describes the research methodology and outlines the obtained results in thematic categories identified as prevalent in the scientific productions on the analyzed OR. Methodological course and obtaining data. Availability of only the summary of the research did not constitute as criteria for exclusion, although there was awareness of the limitations imposed for this option, since the goal was to collect the largest quantity of research produced: A set of summaries organized around a determined area of knowledge [ But, it is necessary to think that in this history, there were considerations in some aspects of this production and in that, there are certain limitations Ferreira,p.

However, the summaries excluded were those presented in such succinct and incomplete form, without evidence to the relationship between rehabilitation and work or a link with the official OR program of the INSS. On further exploring and reading about scientific production, it is evident that using the frequency of the research objects as criteria to establish the categories for analysis conforms to the following description.

Decreto 3048 99 atualizado comentado pdf file

The initial search was performed from the expression “occupational comenhado being delimited by the publication period of to and had the Portuguese language as a requirement.

The obtained result included 61 pieces of research comprising 32 articles, 6 doctoral theses, and 23 masters dissertations.

On exclude repeated articles and summaries not meeting the inclusion criteria, 48 pieces of research remain, 24 of which have complete comwntado and 14 of which have summaries. These works were organized in a matrix containing the following information, which is presented in Table 1: With regard to the publication year of the works, the greatest incidence was observed in with 12 studies, which can be attributed to the editing of a thematic dossier 4 that contributed to minimize the lack of literature on the subject.

The analysis of the material identified the 0348 categories as prevalent: Effectiveness of Occupational Rehabilitation.

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It may be possible to verify an expressive quantity of works questioning the effectiveness of the OR program, which suggests the program’s polemic character and modality, which is still not consensual with respect to the practice.

Using an index of capacity to work ICT 5they suggested that it was necessary to measure the qualifications required ddecreto a potential OR candidate, mainly for workers who were removed from work and are now required to return to a condition similar to that which provoked their conditions for leaving, which could further aggravate their condition. Bernardoin an attempt to understand the meaning and expectations of the INSS beneficiaries regarding occupational rehabilitation in work and future life, conducted a decrero alongside the Social Security Agency APS in Belo Horizonte, where he concluded that “considering the way that the courses and training were selected, it could be said that there was no real intention for rehabilitation in the Program.

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Bartilotti and collaboratorsp. Watanbe analyzed an instance wherein an OR, developed in a business context by a multiprofessional team, was “felt by those responsible as a gratifying process for those who were rehabilitated, the company and the employees” p. Beyond the physical recuperation, the workers had recuperated their self-esteem with the help of support from their company and colleagues and with the certainty of a compatible work post in their work capacity “permitting them to work normally, in accordance with their possibilities, in their rhythm and without pain or force” p.

The experiences of therapeutic groups, such as those described by Poersch and collaborators and Gravina and collaboratorsattending beneficiaries of OR from a hospital and a bank, respectively, aimed at.

During such exchanges, these workers recognize that they are not alone in suffering with a work-related illness. They have an opportunity to share, to rethink, to reflect and, who knows, maybe to give new meaning to their illness and this moment in their life Poersch et al. Therapeutic groups were observed to facilitate the workers’ return to work by socializing the process of rehabilitation. Another such facilitator, identified by Rossi and by Gurgelwas a reduced time of absence, attributed to the exclusion and prejudice exhibited toward a worker upon return owing to their functional limitations.

From reports referring to the historical context of OR in Brazil, which is largely described and discussed in various studies Maeno and Vilela, ; Maeno et al. After the disassembly of the 80s and 90s, there was a model transformation in the rehabilitation program called Reabilitawhose goal was to decentralize OR by investigating the scope for a wider network of attendance Cherem et al.

Similarly, Maeno and Vilela conclude that in social security, accounting logic and reduction in the cost of benefits is given precedence over the guarantee of constitutional rights of those insured since the cessation of benefits is frequent even during partial incapacity and at times without access to the OR process.

They suggest the construction of an OR public policy wherein the State promotes “dialog between the areas of economic and social development” and in fact integrate “assistance, monitoring and surveillance of work conditions and social security” p.

For Silva and Maeno and collaboratorsp. We observed that the effectiveness of OR is directly related to public policy involving the social inclusion of incapacitated workers.

According to the experiences described, it could be said that, from the institution of Reabilitathe involved OR is actually quite indistinct from the minimum criteria necessary for the reintroduction of beneficiaries to work and in society.

The medico-legal report on those insured is the subject of extensive research. Furthermore, evaluations should be performed by a multiprofessional team covering psychological and social aspects beyond the physical ones, which interact in the establishment of incapacity Simonelli et al. Although the World Health Organization adopted the social model wherein the environment is determined by the level of incapacity and not the individual OMS,the medico-legal experts, within the biomedical concept, consider only the physical conditions of incapacity while also on the lookout for “fraudsters of the social security system” Maeno et al.

It is worth noting that in the developed OR program, the available services beyond cited specialties include “acupuncture, global postural re-education GPRtai chi chuanmassage therapy, circle dances, informative groups, physical conditioning, water gymnastics, complementary therapies, and social assistance” p. Regarding this program, Cheren and collaboratorsp.

The question placed before the OR medical experts from the INSS 9 other components of this process relates to perfecting and improving visual acuity, widening the ability to listen, and identifying the organic and mental signals and symptoms that are generally only slightly visible or perceptible in order to make the professional more aware and precise while diagnosing the functional incapacity of identifiable pathologies. In Minas Gerais, Siano identified differences in the approval of benefits for workers with mental illnesses when the examination was performed by a medical expert with a specialty in psychiatry: According to the description, it was observed that the act of examination is a critical point in the program, requiring broadening of the discussion about the team, the skills and ideal abilities for attending OR users.

According to Maeno and collaboratorsp. In the examinations, there hangs a lack of trust because the illness does not present concrete and palpable evidence: Following complaints by comentao syndicate and investigation by the public powers, CATs 6 were issued for the concession of accident benefits.

Changes imposed on the production lines as well as ergonomic adjustments were not sufficient to end the mutilation of workers that then in an official form were terminated from work. Afterwards, the company offered an “advantageous” agreement for the dismissal of removed workers, liberation of the guarantee fund, provision of holidays, and a year’s salary and corresponding health insurance, all in exchange for the signing of a syndicate-approved declaration “according to which the workers give up their right to use the judicial system after breaking the employment relationship” p.

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This “voluntary” dismissal for many was an attempt to free themselves of the embarrassment and humiliation 3408 which they were submitted; as perceived in the words of those interviewed, “I had the feeling of being useless, getting in people’s way.

I had a new supervisor that humiliated me and said that I was useless p. Since this condition is known to affect workers across diverse areas of occupation, it is necessary to look for solutions beyond the rehabilitation itself, because in order to break the cycle in which workers fall ill, thus making these pathologies chronic, it is imperative to consider preventive factors in terms of interventions in the workers’ posts.

Other approaches present in the productions. Some other questions present in the productions analyzed are cases of workers with epilepsy Gomes,schizophrenia Bio,and other mental illnesses Silva et al. These cases do not necessarily imply incapacity to work; in fact, in most cases, the very medication used for controlling these illnesses carries secondary deficits, and the necessity of removal dexreto work or the benefit that working could mean in the lives of the subjects should be analyzed case by case.

Addressing the concepts of work for chemically dependent people, Bonadio suggests that the comentafo of OR intervention should not focus on employability but on the structuring of life projects, directed by the principles of professional orientation in a psycho-social approach.

Silva and collaboratorsp. Carrenta identified in work cooperatives, a perspective of inclusion in the work force for people with disabilities comemtado a way that was.

In this sense, Pereira studied the specific situation of tetraplegia, where movement of upper limbs, together with inferior ones, is compromised, becoming even more limited in work options available and making possible devices and adaptations necessary so that this public can exercise their work potential and reach their aspirations.

These and other questions are present in the scientific production that was analyzed, demonstrating the scope of the theme as well as many of its particularities and potential. In general, the review of the scientific production within the stipulated period gradually identified changes in the OR program and its current fragility in terms of effectiveness; as a public policy for social inclusion of incapacitated workers and persons with disabilities, this consequently provided expert analysis with dedreto strong responsibility.

Some successful OR experiences were identified, demonstrating that it is possible to qualify this service, and some suggestions were released, such as the use of CIF as a tool to change the focus of incapacity to functionality, as per the OMS adoption. What limited this review was not the inclusion of foreign articles but was justification of the goal, i.

For future work, it is suggested that studies be executed that communicate the expansion of knowledge for solutions to the priority questions in an international context.

As pesquisas denominadas “estado da arte”. Ddecreto e incapacidade laborativa. PsicoComenyado Alegre, v. Facilitadores e barreiras para o retorno ao trabalho: I – the insured on sick leave, accidental or welfare; II – the insured without waiting period for sick leave carrying a disability; III – the insured on retirement due to invalidity; IV – the insured on special retirement, for contribution time or age that, in the work activity had reduced his functional capacity due to an illness or accident of any nature or cause; V- the dependents of the insured; and VI – the Persons with Deficiency – PCDs.

The term is used for people that still do not have a professional qualification, such as in the case of PCDs that were never integrated in the work force. It has the importance of the welfare, statistical, epidemiological, worker’s, and social point of view. Introduction Occupational rehabilitation OR is a social security service, offered by the National Institute decdeto Social Security INSSwhose objective is to promote the insured person’s return to work, who is found totally or partially incapacitated to conduct work-related activities for the reason of illness or accident Brasil, Results and discussion The initial search was performed from the expression “occupational rehabilitation,” being delimited by the publication period of to and had the Portuguese language as a requirement.

Effectiveness of Occupational Rehabilitation It may be possible to verify an expressive quantity of works questioning the effectiveness of the OR program, which suggests the program’s polemic character and modality, which is still not consensual with respect to the practice. Medical expertise The medico-legal report on those insured is the subject of extensive research.

Other approaches present in the productions Some other questions present in the productions analyzed are cases vecreto workers with epilepsy Gomes,schizophrenia Bio,and other mental illnesses Silva et al.

Final considerations In general, the review of the scientific production within the stipulated period gradually identified changes in the OR program and its current fragility in terms of effectiveness; as a public policy for social inclusion of incapacitated workers and persons with disabilities, this consequently provided expert analysis with a strong responsibility. SP – Brazil E-mail: ReadCube 30488 o texto.

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