Objektives: Using qualitative-hermeneutical methods with a focus on biographical (risk-) constellations for conditions of success or failure of return to work - and therefore on the efficiency and sustainability of employment participation benefits - the study accompanies participants during a time span of 2 years after their vocational retraining on their way back into the first labor market.

Methods: The study applies a mixed method design which combines 30 episodical-narrative interviews of participating rehabilitants alongside with a questionnaire survey of a total of 214 participants and 19 interviews of scientists and vocational retraining experts.

Results: Overall approximately 80% of the participants of our sample successfully return to work within a period of 18 months. Significant barriers can be illustrated by characteristic risk constellations, which correspond to the following dimensions: occupational choice, coping with illness, the need for protective area beyond the rehabilitation scheme, lack of (typical) life course orientation, lack of acceptance of a transitional phase with lower salary, regional occupation-specific labor market as well as social inclusion and support.

Conclusion: Qualitative-hermeneutical methods generate - apart from diagnostic attributions and theoretical hypotheses - new factors effective for return to work with importance for rehabilitants; these factors refer to their embeddedness in processes, interrelations and interactions between biography, context factors, and administrative routines. The results identify specific needs for post-rehabilitation services supporting persons with risk constellations.

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http://dx.doi.org/10.1055/s-0044-101819DOI Listing

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