For a while, rehabilitation programs were still ongoing, but due to the current numbers and statistics, this is no longer the case. How does this affect those who depend on this type of activity for their health?
Schneider: Rehabilitation sport is a so-called supplementary medical rehabilitation benefit as outlined in the Social Code SGB IX, the legal basis of rehabilitation in Germany, and requires a physician’s prescription. At the beginning of the pandemic, rehabilitation programs were still an option as these programs were otherwise not a separate category in the Coronavirus Infection Protection Measures Ordinances of the respective state governments. Once other sports were stopped, rehabilitation programs followed suit. As a result, the group participants could no longer work on their personal rehabilitation goals and benefit from the positive biopsychosocial aspects of rehabilitation sports.
That being said, rehabilitation programs have an added component to consider besides these aspects. As defined by the Robert Koch Institute (RKI), due to their disabilities, chronic diseases and age structure, many participants are at a high risk for a serious infection if they catch COVID-19 and thus require special protection. Especially during the second lockdown, which particularly aimed at reducing social contacts, it makes sense that a continuation of rehabilitation programs would not have helped in successfully controlling and preventing infections, given that most options are done in groups of 15 to 20 participants. Health insurance providers took measures to create alternative options, but these were difficult or even impossible to implement, depending on the type of disability. Examples include those groups that target people with learning difficulties (so-called cognitive impairments) or those with severe or multiple disabilities.
What ways did the BRSNW and other sports associations for people with disabilities find during this difficult time to keep active?
Schneider: Our first step as an association was to coordinate our efforts with the decision-makers of the State Chancellery, the Ministry of Labor, Health and Social Affairs of North Rhine-Westphalia (MAGS) and the State Sport Federation of North Rhine-Westphalia (LSB NRW) to draw attention to the special challenges for our clubs. We regularly issued coronavirus updates that included the current requirements of the Coronavirus Infection Protection Measures Ordinances and information on available assistance.
We have also expanded our own services and included several online seminars which were very well received. Topics run the gamut from how to get involved in various parasports, the German Sports Badge for People with Disabilities to club development.
We also created online learning modules to facilitate training, continuing education and qualifications of trainers and instructors. Between the two lockdowns, we also held several in-person events to meet the pent-up demands of the clubs. The German Olympic Sports Federation (DOSB) and the German Disabled Sports Association (DBS) also created special options for license renewals to support the clubs.
We currently publish a special newsletter with tips and tricks and information to facilitate a return to sport in the clubs after the lockdown.
The clubs themselves have put out great hands-on options for their members, ranging from online lessons to online bingo events to letter-writing campaigns to support athletes.