Information on english


Responsibility of Own Coping (ROC) (in Norwegian: Ansvar For Egen Mestring: AFEM), is a rehabilitation model used in rehabilitation back to work for adults in the workforce that are on sick-leave because of chronic pain and mild mental illness from mental afflictions that lead to absences from work. The clients are in need of rehabilitation back to work.

The AFEM, or ROC model, developed by Ester K. Indergård in 2002, is the origin in rehabilitation back to work at the institution Smednes Triveselsgåd in Central Norway. From 1. january 2016 the institution name is  AFEM- senteret Smednes as.

The AFEM (ROC) rehabilitation program is psychosocial and psych-educative. Groups of four to six participants have four-week lasting stays at the rehabilitation institution. The following year, they may have follow-up counselling if needed.

The goal of AFEM (ROC) rehabilitation is that each rehabilitation participant develop a new, more holistic understand of own coping strategies, functioning and suffering, and learn new strategies, and more healthy use of own resources and working capacity. They learn new ways of how to cope with strain and various stressful life experiences. As a result from discovery, reflection, and learning during the stay, they are more capable of taking responsibility of own coping.

The institution reports that around 80 – 90 percent of the AFEM (ROC) rehabilitation participants are back at work after the four weeks rehabilitation stay at the institution.


  • H.V Brataas, Evensen A.E (2016); Lifestories of People on sick leave from work because of mild illness, pain and fatigue.

    Work 53: 285-291. DOC.10.3233,WOR-152106.