The Theory of Recovery Psychology/Unit 3

Treatment and Rehabilitation

Psychiatric Rehabilitation, or Psychosocial Rehabilitation as it is sometimes referred to as, is a field of social work that provides rehabilitation services to persons with psychiatric disabilities. Psychiatric Rehabilitation differs from psychiatric treatment, as treatment may be medical interventions more than rehabilitative; and in some circumstances the two different fields intersect or compliment one another. This field has become an international practice from New Zealand, Canada, England and the United States.

Strengths-Based Approach

The strengths based prespective involves nurturing hope, actively seeking out strengths in each individual and building on these positive attributes. Practitioners should assist individuals in developing self-efficacy and confidence.

Goals and Values of PSR

Goals: desired states or objectives to achieve or strive for. Values: deeply held beliefs that influence behaviors, attitudes and idesa. 1. The Concept of recovery 2. PSR services are designed to help facilitate recovery 2. PSR services are designed to help achieve maximum community integration. 3. PSR services are designed to help achieve the highest possible quality of life.

Informed Choice

A primary core value of psychiatric rehabilitation is individual choice. Rehabilitation is enhancing a disabled persons skills or helping them develop new skills and supports necessary to become successful in a environment of their own choice. Rehabilitation can be defined as the actualization of an individual's own personal needs and wants as they define such on their own. Individual choice is the right and power of the individual to make choices, to exercise control over their lives, and to be self-determining. This exercise of choice requires a range of options, support and personal responsibility, individual aspirations and hope shape goals, plans and interventions. When staff support individual choice, individuals report that staff believing in their potentials slowly taught them to believe in themselves and that recovery was their own responsibility. It has been found that failing to support individual choice leads to Learned Helplessness.

Evidence Based Practices

Evidence-Based Practices are procedures which have identified as producing the best outcomes, that is to say these techniques have gone through rigid trials using controlled variables and rigid measurements in research conducted by academic institutions. These EBP have been identified as:

Illness Management and Recovery The Illness Management and Recovery program strongly emphasizes helping people to set and pursue personal goals and to implement action strategies in their everyday lives. The information and skills taught in the program include:Recovery strategies,Practical facts about mental illness, The Stress-Vulnerability Model and strategies for treatment, Building social support, Using medication effectively, Reducing relapses and coping with stress, Coping with problems and symptoms and Getting needs met in the mental health system.

Assertive Community Treatment The goal of Assertive Community Treatment is to help people stay out of the hospital and to develop skills for living in the community, so that their mental illness is not the driving force in their lives. Assertive community treatment offers services that are customized to the individual needs of the consumer, delivered by a team of practitioners, and available 24 hours a day. The program addresses needs related to: Symptom management, Housing, Finances, Employment, Medical care, Substance abuse, Family life and Activities of daily life.

Family Psychoeducation Family Psychoeducation involves a partnership among consumers, families and supporters, and practitioners. Through relationship building, education, collaboration, problem solving, and an atmosphere of hope and cooperation, family psychoeducation helps consumers and their families and supporters to: Learn about mental illness, Master new ways of managing their mental illness, Reduce tension and stress within the family, Provide social support and encouragement to each other, Focus on the future, and Find ways for families and supporters to help consumers in their recovery

Supported Employment Supported Employment is a well-defined approach to helping people with mental illnesses find and keep competitive employment within their communities. Supported employment programs are staffed by employment specialists who have frequent meetings with treatment providers to integrate supported employment with mental health services.

Co-occurring Disorders: Integrated Dual Diagnosis Treatment Integrated Dual Diagnosis Treatment is for people who have co-occurring disorders, mental illness and a substance abuse addiction. This treatment approach helps people recover by offering both mental health and substance abuse services at the same time and in one setting. This approach includes: Individualized treatment, based on a person’s current stage of recovery, Education about the illness, Case management, Help with housing, Money management, Relationships and social support, and Counseling designed especially for people with co-occurring disorders.

Psychotherapy

Psychotherapy is an interpersonal, relational intervention used by trained psychotherapists to aid clients in problems of living. This usually includes increasing individual sense of well-being and reducing subjective discomforting experience. Psychotherapists employ a range of techniques based on experiential relationship building, dialogue, communication and behavior change and that are designed to improve the mental health of a client or patient, or to improve group relationships (such as in a family).