Transcript Slide 1
The Role of Psychology in Psychosocial Rehabilitation Srividya Iyer, M.A. University of Nebraska - Lincoln Key roles for psychologists in rehabilitation • Assessment • Treatment • Case Conception Assessment • Identify strengths and problem areas • Broad categories - neuropsychological - sociocognitive - risk assessment - interview-based measures • Repeated assessment over time Assessment • Neuropsychological Assessments - To quantitatively assess nature and severity of neurocognitive impairments & - To understand how they may be barriers to rehabilitation • Attention, Memory, Intelligence, Executive Functioning (concept formation, problem solving) • Examples: WAIS, Card Sorting Task, Digit Span Assessment • Sociocognitive Assessments - Cognition related to formation of attitudes & beliefs, understanding people, interpersonal events and social relationships • Insight, Locus of Control, Attitudes, Problem Solving, Emotion Recognition, Coping • Examples: Coping Strategies Task (CST; Rivera Mindt, 1998), Insight Scale (Birchwood, 1993) Assessment • Risk Assessment e.g. Assess need for suicide precautions using standardized suicide screening assessments • Trauma Screening: Assess trauma history & related treatment considerations • Interview-based Measures to assess symptoms and episodes e.g. Brief Psychiatric Rating Scale • Assessments to aid in diagnosis and case conception e.g. PAI, MMPI, MACI Assessment Daily Schedule Competence 40 30 Value • Analysis of Behavioral and Milieu Data e.g. Nurses Observational Data for Inpatient Evaluation (NOSIE; Honigfield, Gillis, & Klett, 1966; Psychiatric Tech Rating Scales) 20 10 0 1 2 3 4 5 6 Time (months) Socialization Irritabilty 40 20 Value Value 30 20 10 10 0 1 2 3 4 Time (months) 5 6 0 1 2 3 4 Time (months) 5 6 Treatment Individualized Behavior Management Programming • Use of learning principles to reduce undesirable behaviors and/or increase the frequency of desirable behaviors • Privileges, money, social responses etc delivered selectively depending on presence or absence of target behaviors Treatment • Group/Individual treatment approaches to exercise specific neurocognitive skills Examples: attention exercises, Integrated Psychological Therapy (Brenner et al., 1994) • Group/Individual treatment approaches to remedy sociocognitive deficits Examples: Interpersonal Problem Solving, Social Skills Training, Cognitive Behavioral Therapy Treatment • Addressing specific needs of participants – – – – – – Self-monitoring sheets Mood monitoring sheets Symptom monitoring sheets Daily Statement Posters Specific Problem Solving Worksheet Other Roles • Contribute to treatment planning and treatment progress review • Data Management - Utilize for treatment - Assess change over time - Help ensure quality assurance - Delineate some common patterns of recovery Case Conception: Mental illness is vicious cycles between many levels of personal and social functioning Neurophysiological Behavioral Socialenvironmental Neuropsychological Socialcognitive