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HEALTH

Berlin company counts on the autistic

When German software giant SAP said last month it plans to employ hundreds of autistic people as IT experts, the news was welcomed especially at a small Berlin computer consulting firm.

Berlin company counts on the autistic
Photo: DPA

The pioneering company, Auticon, already employs 17 people who live with autism, the disorder characterised by difficulties with social interactions and exceptional abilities in specific fields.

“Many people say that if a company like SAP said it makes sense… it’s very good for us,” said its chief Dirk Mueller-Remus. “That means it’s something serious, solid.”

SAP, which makes business software, said in May that after pilot projects in India and Ireland, it plans to employ hundreds of people with autism as software testers and programmers.

Its goal is that by 2020, people with autism will make up one percent of its worldwide workforce of 65,000.

Mueller-Remus created his far smaller company in November 2011 with the idea of “investing in the strengths” of these potential employees. His son was diagnosed with Asperger syndrome, a variant of autism, as a teenager, and Mueller-Remus has long known that many people with autism excel

in fields like programming or quality control.

“This is my talent,” one of the employees, 27-year-old Melanie Altrock, stated matter of factly, sitting at her screen in a white-walled, modern top-floor office in western Berlin.

“Other people are interested in languages or math, for me it’s computers. I don’t just search for errors, I see them.”

Auticon now has 25 staff and offices in Berlin, Munich and Düsseldorf, with plans for another in Hamburg. It looks to break even “by the end of the year”, said Mueller-Remus.

“We wanted a normal consulting company, without subsidies, without donations, without funding from a foundation,” he said, adding that the aim was to “combine social commitment and business”.

“Today, after a little over a year, we have good customers like Vodafone, it’s looking good,” said Mueller-Remus.

But he also emphasised that working with autistic people can be “a very

complex issue”.

“We can make many mistakes because people with Asperger are very demanding people,” he said.

“People with autism are very concrete, unequivocal,” added Elke Seng, a “job coach” at Auticon who assists the employees in their relationships at work and with clients.

“There is no innuendo, there is only one or zero. It’s rather nice,” she smiled.

Friedrich Nolte, board member of the Federal Association for the development of People with Autism, said “only five to 10 percent of people affected by autism find a place on the regular job market”.

Mueller-Remus said that “their CVs often have brief episodes of work interspersed with long interruptions”.

Often people with autism “have no situational awareness, may seem arrogant, have no interest in small talk, and are not interested in people because people are not logical,” he said.

All of this can give rise to misunderstandings with sometimes serious consequences, he said. In this context, the SAP initiative was widely applauded at the small company.

“That more people with autism can access a job is simply fantastic,” said Seng, who confessed she finds her work “fascinating”.

An autism specialist, psychiatrist Kai Vogeley of Cologne University Hospital, told a German medical journal that people with autism who work can “develop confidence in themselves”.

He cautioned however that “certain conditions must be met for this to succeed”.

“I hope that SAP knows how difficult it is,” said Mueller-Remus. “If things are done well, you can really achieve great results.”

Altrock, the autistic programmer, agreed.

“I have a full-time job, I take pleasure in it, I earn my own money and I have my own apartment,” she said. “I’m glad it’s like that.”

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HEALTH

How to find available therapists in Germany

It’s no secret that mental health care can be particularly tricky to access in Germany. Here are some helpful tips for anyone who is struggling to book an appointment for therapy.

How to find available therapists in Germany

The process to find psychotherapy in Germany’s urban centres is arduous – licensed therapists often have impossibly long wait times, and private practices don’t accept public health insurance.

A major reason that public insurance funded mental health care is hard to find in Germany comes down to regulations. Specifically the ‘coverage plan’ (Bedarfsplanung) that basically limits the number of licences available for publicly insured therapists in a region.

Germany’s maddening bureaucracy probably won’t be fixed any time soon. So residents in need of therapy will need to find a way through the system as it is.

So here are a few helpful tips for finding therapists, as well as how publicly insured patients can have private practice therapy costs reimbursed.

Look for therapists enrolled at academies

You’ll probably have a better chance getting an appointment with therapists who are currently in training, because not everyone knows that this option exists.

You can search for “Akademie für Psychotherapie”, to find one in your location. The Berliner Akademie für Psychotherapie, is one in the capital city, for example.

If you arrange an appointment this way, you can expect to be connected with a grad student therapist in training who needs to complete their supervised practice hours. In this case, you would see your therapist as usual, and they will be going through your session with an experienced therapist afterward.

The main advantages to seeking a therapist in training is that it may be cheaper and you can probably more readily find an appointment. A potential disadvantage is that the therapist you’ll be seeing is less experienced. 

But according to a Stockholm University study, student therapists who receive regular feedback from supervisors may be just as effective as licensed therapists at treating patients.

How to get reimbursed for going to a private practice

As mentioned above, therapists covered by public health insurance are few and far between, especially in many urban centres, and therefore regularly come with long wait times. But for those willing to do battle with the bureaucracy, there is an option to have your costs reimbursed for seeing a private practice therapist.

Specifically, public insurance providers are obligated to provide full reimbursement of costs in the event of a “supply emergency”. 

Waiting times of more than three months are considered unreasonable. So generally, patients can claim a supply emergency if they have contacted several therapists, and none of them offered available appointments within that time frame.

But you’ll want to make sure that your process is properly documented so that you won’t be stuck with the out-of-pocket costs.

First, you’ll need to document your need for psychotherapy. To get this, make an appointment for a psychotherapeutic consultation with a practice in your area, and be sure to collect a written recommendation for treatment (a PTV 11 form). 

If you don’t know where to start with this, look to the Association of Statutory Health Insurance Physicians (Kassenärztliche Vereinigung) for a database of therapists. You can also call 116 117 or use the 116 117 App.

After you’ve got your PTV 11 certificate, you’ll need to document your futile search for a licensed therapist. To do this, contact at least three to five therapists that have public health insurance approval. Keep a list of the names of therapists you contacted, as well as dates and times of contact and how long the waiting list for treatment is. 

Additionally, you should try to arrange treatment through the aforementioned Association of Statutory Health Insurance Physicians, and receive confirmation if it’s not possible. So you’ll need to call 116 117, or use the 116 117 App again. But this time go through the process to have them try to find you placement with a therapist. This should take a maximum of four weeks, but rarely happens.

Finally, if you have documented all of the above and have still not found a readily available therapist, then you can seek out a private practice. You’ll need to enroll as a self-paying patient initially, but then you can submit an application for an outpatient reimbursement (Kostenerstattungsverfahren) along with the previously collected certificates and proof of your search. Private practice therapists are usually familiar with this process, and may be able to help you with the application as well.

READ ALSO: What are the main reasons internationals in Germany turn to therapy?

Free phone consultations for students

Students in Berlin can also take advantage of a free 50-minute conversation with a therapist through StudierendenWERK.

For students elsewhere, it’s worth checking what kind of mental health support services your school offers. Many German universities offer mental health support to some extent, and if school counsellors can’t provide the care that you need, they may be able to offer helpful information about where such services are available in your area.

READ ALSO: Here’s how you can get mental health help in English in Germany

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