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Background <p>People with psychosocial disabilities (PD) experience increased somatic morbidity and reduced life expectancy. Against this background, this article examines how health promotion can be designed in social participation services (German: <i>Eingliederungshilfe</i>) in a&#xa0;participation-oriented manner.</p> Methods <p>Integrated analysis combining a&#xa0;systematic literature review with qualitative evidence synthesis and two qualitative studies conducted with people with PD and professionals working in social participation services. Data were analyzed using the Capability–Opportunity–Motivation (COM-B) model of behavior change.</p> Conclusion <p>People with PD show a&#xa0;clear interest in health and health promotion. Health promotion in social participation services is effective when structurally regulated at the interface between statutory health insurance (Sozialgesetzbuch [SGB]&#xa0;V) and social participation law (SGB&#xa0;IX) and recognized as a&#xa0;participation-related need. Social participation services must embed health conceptually, define responsibilities and allocate sufficient time resources. Professionals require a&#xa0;self-understanding that integrates physical health as a&#xa0;dimension of participation, alongside methodical competencies for motivation-sensitive and stability-oriented practice. For people with PD, relationship-based, low-threshold, flexible and everyday-integrated approaches are essential, linking subjective health meanings with opportunities for social participation.</p>

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Die Eingliederungshilfe als Setting der Gesundheitsförderung

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月16日

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  • Gesa Pult,
  • Fabian Frank

摘要

Background

People with psychosocial disabilities (PD) experience increased somatic morbidity and reduced life expectancy. Against this background, this article examines how health promotion can be designed in social participation services (German: Eingliederungshilfe) in a participation-oriented manner.

Methods

Integrated analysis combining a systematic literature review with qualitative evidence synthesis and two qualitative studies conducted with people with PD and professionals working in social participation services. Data were analyzed using the Capability–Opportunity–Motivation (COM-B) model of behavior change.

Conclusion

People with PD show a clear interest in health and health promotion. Health promotion in social participation services is effective when structurally regulated at the interface between statutory health insurance (Sozialgesetzbuch [SGB] V) and social participation law (SGB IX) and recognized as a participation-related need. Social participation services must embed health conceptually, define responsibilities and allocate sufficient time resources. Professionals require a self-understanding that integrates physical health as a dimension of participation, alongside methodical competencies for motivation-sensitive and stability-oriented practice. For people with PD, relationship-based, low-threshold, flexible and everyday-integrated approaches are essential, linking subjective health meanings with opportunities for social participation.