Case Study
Disability management for a speech therapist with hearing impairment

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Employer and employee

The senior speech therapist, 41, is responsible for the consultation of the speech and speech therapist in a language facility. For 17 years she works there 20 hours a week. It assesses the language disorders of the children and, together with the responsible speech therapist or speech therapist, determines a treatment plan. There is a works council and the management has hired an external disability manager (a disability worker who prepares and accompanies action plans and action plans together with an integration team) who regularly and case-by-case discuss business integration (disability management). So the disability management is introduced.

Invitation to the disability management information meeting

After a four-month illness of the senior speech therapist, she is invited by the Disability Manager to a disability management briefing. She agrees to that and arranges an appointment with her right away. In conversation, she says that she has suffered a hearing loss and now needs digital hearing aids that will cost a lot of money. She does not have that money. She has already asked the HR department whether she can be granted an advance or a loan. That was rejected. The Disability Manager can help. She knows that the health insurance company will pay for the cost of digital hearing aids when needed for work. The senior speech therapist can make an application for benefits for participation in working life (according to § 49 SGB IX). The senior speech therapist is pleased to hear this, because without a hearing aid she can no longer do her job. The Disability Manager describes her how to apply. Necessary documents for applying for a hearing aid are: 1. A prescription for digital hearing aids from the attending physician 2. The Hearing Aid / Acoustician a Hördiagramm 3. A quote on the required work aids Attention: Do not sign a waiver (see judgment of the federal social court BSG file number B 3 KR 20/08 R! Since this ruling, all applications for hearing aids are now submitted to the health insurance company. 4. Fill in application form G 130 from the responsible pension insurance institution 5. An opinion setting out that without technical assistance the job is in danger and threatens to be terminated. 6. Tip: The opinion should be factual and comprehensible for third parties. The better that succeeds, the greater the chance of success.

Further technical aids in the workplace

After this procedure is clarified in the discussion with the Disability Manager, it is considered what the senior speech therapist still needs for her work. What about the phone? Can she make good phone calls? It requires a hearing-impaired telephone system that is compatible with the existing equipment in the facility. The senior speech therapist is also traveling a lot in other facilities. A mobile phone for the hearing impaired is necessary. She also makes a request for severe disability. The technical aids, telephone system and mobile phone for the hearing impaired, are applied for in this case, the pension insurance. Within six weeks she has the authorization to pay the costs.

Application for equality

Her application for severe disability was met with a GdB (degree of disability) of 30. An application for equality has now been submitted to the Employment Agency. This is also agreed. As a result, the speech therapist's rights are the same as those of severely disabled people (with the exception of the extended leave entitlement of five days, and also no early retirement entitlement if equality is granted). The task of the speech therapist is now to get used to the new aids

Everything is not enough to fill the workplace

Four months have passed since the senior speech therapist again, through the Human Resources Department, asks for an appointment with the Disability Manager. Actually, this had expected a success report from the speech therapist, but it turned out differently. She is exhausted, she says. Her hearing in everyday life succeeds her somewhat, but the speech disorders of children can often not identify them. She can no longer carry out her work responsibly. She has already told the manager. In turn, he replied paternally and demarcated at the same time, she was studied and proficient, so she would certainly find another job. The speech therapist sees this as a threat to her job.

Develop your own goals and activate external support

What wishes and ideas does the senior speech therapist have? Above all, she wants to stay active and work. The Disability Manager then suggests a discussion with a representative of the Integration or Inclusion Office. Section 167 (1) SGB IX stipulates this possibility and recommends, in the event of problems in working life, the disability representatives and the Integration or Inclusion Office as early as possible.

Offer a new job

It is agreed that the Disability Manager arranges for an appointment with the speech therapist, the employer and a representative from the Integration or Inclusion Office. The appointment starts very dynamically because the employer immediately offers the speech therapist a new job. A counseling psychologist is about to retire at the facility, who, like the speech therapist, works 20 hours / week, whether she is confident in the tasks involved in psychological counseling. She sees no problems, she can hear and understand everything. She looks forward to the unexpected perspective. The employer wants to quickly submit a template for staffing the works council and then they can start already.

Additional qualification is necessary

Later, the conversation is a few hours ago, the speech therapist then gets doubts. Is she up to this task? After all, she has no psychological qualification, neither formal nor in her experience. These doubts she then expresses in a conversation with the Disability Manager. Together, they consider whether a further education makes sense here. For this they get the job description from the employer and compare it with their knowledge, skills and experience. They conclude that some extra qualifications are necessary, which they can acquire at the university. Once again, an application for benefits for participation in working life (§ 49 SGB IX) is submitted to the pension insurance institution. Here too - as with the technical aids - a cost estimate is obtained and the application (G 130) filled in, and an opinion is given. The senior speech therapist explains why she is threatened with job losses despite digital hearing aids. She copied the written offer and the job description of the employer, substantiating and thus substantiating the need for additional training. The application is successful. The full costs are covered by the pension insurance.

Benefits to the employer

But that's not all: the qualification takes place in block lessons - every three months ten days (two weeks) in a row. In the rest of the time she gained experience in practice. She accompanied her colleagues to the consultations and is already advising. However, this is not possible on its own. A colleague stays with her. During this time their actual work remains. To compensate for this, the employer applies for an integration subsidy from the pension insurance institution (according to §§ 50 SGB IX). This application is also successful and the employer receives half of the salary from the speech therapist for one year. The two colleagues who do the training increase their weekly working hours for one year. This ensures a correct training without additional burden for the colleagues.


Here is a clear example of how many opportunities can be used to get involved in working life. The senior speech therapist has worked well in her new field. Their listening restrictions have no effect on the new activity. It has been created with the good will of the employer, the benefits of the pension insurance and expert advice, a disability-friendly job that the speech therapist is expected to exercise up to their pension.


This is a practice example from the Institute for Persona.

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Last Update: 28 Nov 2019