The 1980s was a decade of transition, particularly in North America—a transition between the former era of deinstitutionalization and the era of rehabilitation. The 1980s sounded the death knell for whatever was left of the deinstitutionalization era while at the same time ushering in the era of rehabilitation. The decade of the 1990s was the decade in which psychiatric rehabilitation assumed its rightful place as one of the triumvirate of mental health initiatives: prevention, treatment, and rehabilitation.
(from Psychiatric Rehabilitation Second Edition William Anthony e a.)
What is rehabilitation?
An example of a rehabilitation program: COPSI (Community care for People with Schizophrenia in India) The COPSI project was a randomized controlled trial comparing the clinical and cost effectiveness of facility-based (usual) care and a collaborative community-based care intervention for people with schizophrenia in three sites in India. The community intervention was developed by a team comprising the treating psychiatrist, the intervention coordinator and lay community health workers (CHWs) and the majority of the service was delivered in home settings. A package of evidence based treatments was been selected for the community intervention that can be delivered by CHWs with adequate training and close supervision.
Individual placement and support
Many persons who suffered from psychosis find having a job most important in their life, sometimes more important than any therapy. It helps them to be part of community again. Being fired through psychosis, stigma and cognitive problems are obstacles. All kind of training has disappointing effects. What works is getting a job first and then working on the difficulties which are met. This approach is called individual placement and support.
Individual Placement and Support you tube people tell how important work is
Supported Employment -- Introductory Video SAMSA
Interview with Dr. Gary Bond on IPS and Supported Employment
Individual placement and support: from research to practice Miles Rinaldi, Rachel Perkins, Edmund Glynn, Tatiana Montibeller, Mark Clenaghan, Joan Rutherford Advances in Psychiatric Treatment Dec 2007,
Cognitive remediation training
Improving thinking skills in schizophrenia - cognitive remediation by Til Wykes see youtube see also Problems with concentrating and other cognitive problems on these pages under symptoms
Socials skills training
Social skill training is a method long accepted in mainstream psychiatry, it works well for persons who are severely handicapped with cognitive problems, Paul Liberman (not to be confused with Jeffrey Lieberman) has developed some nice trainings
Social skills training: Alive and well? Kim T. Mueser & Alan S. Bellack
Dissemination and adoption of social skills training, Paul Liberman
Recent Advances in Social Skills Training for Schizophrenia, Alex Kopelowicz, Robert Paul Liberman, and Roberto Zarate.
The evidence
See a list of publications from psychiatric rehabilitation consultants.
Websites
Center for psychiatric rehabilitation Boston
Books
The illness management and recovery toolkit, A mainstream psychiatric, but very handy tool to implement recovery promoting practices in a mental facility. Therapists learn to work with clients on their own goals instead of therapist goals.
Social skills training in the treatment of negative symptoms - John Wixted
