-By 1946, National Health Service Act was established in UK,
virtually the entire population is covered, and health service are free
Learning Objectives
• Recall the historical evolution of industrial rehabilitation
• Compare the uniqueness of industrial rehabilitation among
other interventions
• Explain the different frameworks
International History
-By 1911, District of Columbia, the first workers’
compensation system in the United States was established by
Wisconsin. It was designed as a no-fault system that would
permit injured workers to get medical and indemnity
(compensation) benefits without suing their employers.
(Robinson, 1997)
-In 1946, Roffey Park Rehabilitation Centre was designed to
create a congenial surrounding away from the workplace which
could help to return patients to productive roles in industry. In
the first 2 years of opening, the centre treated 1,700 patients.
The centre took a more holistic occupational therapy approach.
(The original building where the Roffey Park rehabilitation centre began its work
supporting civilians with stress and mental health problems. © Roffey Park Institute)
Note: Contents and topics are solely for educational purposes only. Author
citation was done; no copyright infringement intended.
except for certain minor charges.
-In September 1978, Alma-Alta Declaration, an International
Conference on Primary Health Care. Expressing the need for urgent
action by all governments, all health and development workers, and
the world community to protect and promote the health of all the
people of the world.
Local History
-Health as a basic human right guaranteed in the Philippine
Constitution of 1987.
-Republic Act No. 7227, amended on 1992 under by Corazon C.
Aquino Administration. This act providing rehabilitation, self-
development and self-reliance. Focused mainly on Disable Person.
-February 21, 2019, RA No. 11223 - established, an act instituting
universal health care for all Filipinos, prescribing reforms in the
health care system.
Theoretical frameworks provide an important structure for our
practice. In the same way that scaffolding within the construction
industry helps to support and shape a new building, the theoretical
framework provides similar help to form, hold up, and define, our
interventions. Frameworks assist clinical judgment and decision-
making. The concepts within a framework help us to understand, and
explain, an event or situation. They can therefore provide important
justification for a particular intervention or approach.
1. Person-Evironment-Occupation Model
-Occupational performance is dynamic and responds to
changes in the persons – environment – occupation relationship.
Changes may also occur throughout each day and across the course of
the lifespan.
Person Worker
Occupation = Work
Environment Workplace
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2. The Model of Human Occupation (MOHO) 4. The Disability Management Model –
– A second OT model which may help us to understand an
individual’s work performance, or work dysfunction, is the MOHO,
which originated in America, can be applied to any individual,
regardless of their age or disability.

Volition
PERSON = Habituation
Performance Capacity / Skill
Physical Dimension
ENVIRONMENT =
Social Dimension

- This model highlights the range of environmental factors,

both within the workplace itself and beyond, which may impact on
the outcome of the rehabilitation for work programme. Any
combination of the identified factors may influence the return-to-
work process, either in a positive or a negative way.

- The disability management model identifies that each work

3. The Social Model of Disability – place has its own unique characteristics. The philosophy of the
workplace, together with the policies and procedures which operate
within it, will have an impact on the workers’ experience of working.

5. WHO International Classification of Function (ICF) Model-

- It describes disability as a socio-political issue rather than

an individual one (Bricher, 2000). From this perspective, disability
arises out of the oppression (prolonged cruel or unjust treatment or
control) which is experienced through societies’ failure to adequately
address the needs of people with an impairment (Craddock, 1996).

-The social model therefore makes an important contribution

to highlighting social barriers which are faced by disabled people in
society. As such, it is an important reminder of the need to address a
wide range of environmental factors which may be preventing the
person with a health condition or disability from participating in work.
- The conceptual framework of the ICF is characterized as a
bio-psycho-social model that integrates abilities and disabilities and
provides a coherent perspective of various aspects of human
functioning and disability as they relate to the continuum of health.

Note: Contents and topics are solely for educational purposes only. Author PRELIM WEEK 2 – IRPT 311 [PREPARED BY: DENNIS
citation was done; no copyright infringement intended. ARTANGGA, PTRP] 2
Definition of Terms in ICF Model:
• Impairment in Body Function – Problems associated with of body
systems (including physiological and psychological functions)
• Impairments in Body Structure – Problem with anatomical
features of the body, such as significant deviation or loss, affecting
all body systems.
• Activity Limitations – Difficulties an individual may have in
executing actions, task & activities.
• Participation Restrictions – Problems an individual may
experience in involvement in life situations, including difficulties
participating in self-care, responsibilities in the home, workplace, or
the community, and recreational, leisure and social activities.
• Contextual Factors – The entire background of an individual’s life
and living situation composed of:
• Environmental Factors – Factors associated with the physical,
social, and attitudinal environment in which people conduct their
lives; factors may facilitate functioning (facilitators) or hinder
functioning and contribute to disability (barriers)
Personal Factors – Features of the individual that are not part of
the health condition or health state; includes age, gender, race,
lifestyle habits, coping skills, character, affect, cultural and social
background, education & etc.

Uniqueness of Industrial Rehabilitation to the other

treatment method
*Industrial Rehabilitation is a unique area because the worker’s
compensation system influences the behavior of injured workers
(Robinson, 1997).

References:

Historic England, 2021. Disability, Reabilitation, and Work.

https://historicengland.org.uk/research/inclusive-heritage/disability-history/1945-to-
the-present-day/disability-rehabilitation-and-work/

Historic England Research Records. Monument Number 15553091.

https://www.heritagegateway.org.uk/Gateway/Results_Single.aspx?uid=57d18777-
7954-4a4c-8a79-a7473a468dd2&resourceID=19191

Robinson, J.P., 1997. Industrial Rehabilitation Medicine. 1. Why is industrial

rehabilitation medicine unique?. https://pubmed.ncbi.nlm.nih.gov/9084362/

Ross, J. (Ed.). (2007). Occupational Therapy and Vocational

Rehabilitation. Http://doi:10.1002/9780470988213

World Health Organization (WHO)

Note: Contents and topics are solely for educational purposes only. Author PRELIM WEEK 2 – IRPT 311 [PREPARED BY: DENNIS
citation was done; no copyright infringement intended. ARTANGGA, PTRP] 3