Psychiatric Rehabilitation

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Psychiatric Rehabilitation

Psychiatric Rehabilitation Program works to assist individuals living with


mental illness to reach a higher level of independence.

Psychiatric rehabilitation promotes recovery, full community integration,


and improved quality of life for persons who have been diagnosed with any
mental health condition that seriously impairs their ability to lead meaningful
lives.

Psychosocial rehabilitation is not a technique. It is a strategy operating at the


interface between the individual, its interpersonal network and the wider social
context.

The standpoint of psychosocial rehabilitation has to be humanistic,


not humanitarian. The humanistic approach blends together an ethical
and a scientific position.
Core principles of effective psychiatric rehabilitation (how services
are delivered) must include:
Providing hope when the client lacks it.
Respect for the client wherever they are in the recovery process.
Empowering the client.
Teaching the client wellness planning.
Emphasizing the importance for the client to develop social support
networks.
Psychiatric rehabilitation (what services are delivered) varies by
provider and may consist of eight main areas:
Psychiatric (symptom management; relaxation, meditation and massage;
support groups and in-home assistance)
Health and Medical (maintaining consistency of care; family physician and
mental health counseling)
Housing (safe environments; supported housing; community residential
services; group homes; apartment living)
Basic Living Skills (personal hygiene or personal care, preparing and sharing
meals, home and travel safety and skills, goal and life planning, chores and
group decision-making, shopping and appointments)
Social (relationships, recreational and hobby, family and friends, housemates
and boundaries, communications & community integration)
Vocational and/or Educational (vocational planning, transportation
assistance to employment, preparation programs (e.g., calculators), GED
classes, televised education, coping skills, motivation)
Financial (personal budget), planning for own apartment (startup funds,
security deposit), household grocery; social security disability; banking
accounts (savings or travel)
Community and Legal (resources; health insurance, community recreation,
memberships, legal aid society, homeownership agencies, community
colleges, houses of worship, ethnic activities and clubs; employment
presentations; hobby

Rehabilitation services can be seen under the following categories:


Rehabilitation in the hospital.
Rehabilitation in the community.

I. REHABILITATION IN THE HOSPITAL


Rehabilitation starts from the hospital. It starts from the day of hospitalization

Encourage positive planning by patients.


Working with patients and family members.
Working with natural and professional systems.
Modify the living environment.
Modify the hospital environment.
Milleu therapy.
Milleu therapy is given to recognize all interpersonal and environmental
forces to develop an atmosphere that facilitates clients growth,
rehabilitation, and restoration of health.
Therapeutic community.
It focused attention primarily on the psychiatric unit as a social system in which
staff and patients reciprocally influence one another for better or worse
depending on the way in which system functions.
Establish the skills of dependence.
Reduce the length of stay in the hospital.
Purposeful Nurse patient relationship.
Structured day activity.
Family member involvement.
Establish outside contact.
Formal introduction of laws rules and regulations.

Programs under Psychosocial Rehabilitation Include


Incentive Therapy (IT).
Transitional Work Experience (TWE).
Compensated Work Therapy (CWT).
Supported Education.
Supported Volunteering.
Supported Employment.
PSYCHOSOCIAL
REHABILITATION
Vocational and Residential
Programs

Incentive Therapy Program CWT/Transitional Resident


Community Employment
Pre-Employment Programs

Compensated Work Supported


Therapy Employment

Transitional Work
Work Shops Experience/ Job Coaching
Community & VAMC

Clinical Services
Skills Training, Skills
Development, Job
Development, Job Placement
and Job Support

II. REHABILITATION IN THE COMMUNITY


Partial hospitalization.
Half way homes.
Quarter way homes.
Sheltered workshops.
Day care centers.
Foster homes.
Mental health emergency care.
Self help group.
Vocational rehabilitation.

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