Transcript Nature and Overview of Psychiatric Rehabilitation

Nature & Overview of Psychiatric
Rehabilitation Program (PRP)
Dr. Samson Omotosho, PhD, RN-BC
(Executive Clinical Director)
Optimum Health Systems, Inc.
(Email: [email protected])
Psychiatric Rehabilitation Program
PRP is a series of planned interventions
to help persons who are in treatment for
serious and persistent mental illness to:
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Improve patient’s quality of life
Improve in their recovery, and to
Return to optimum level of functioning
at home, school, work and other areas
Examples of Needs Addressed in PRP
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Social (e.g. relating with others)
Educational (e.g. doing well in school)
Occupational (e.g. to do well in job
search, job interview, job performance,
commuting, punctuality, job keeping)
Behavioral (e.g. anger management)
Cognitive (e.g. memory, thinking)
Nature of PRP
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Supplementary care to medication and therapy
Individualized and evidence-based care
Focuses more on patient’s ability, not disability
Focuses more on patient’s wellness, not symptoms
Focuses more on patient’s strength, not weakness
Client-centered care
Fostered by client and counselor partnership
Care mostly provided in client’s natural settings
Central focus is recovery and functioning
PRP is Teamwork & Collaboration
Nurse
Teacher
Pediatrician
Mentor, ETC
Psychiatrist
Family
Client
Counselor
Therapist
PRP Coordinator &
Program Director
Circles of PRP Needs:
Personal, Family, & Community.
Functioning
Needs:
Process of PRP
Psych Rehab process includes:
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Referral by patient’s clinician
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Assessment of the client’s needs
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Planning the rehabilitation care (IRP)
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Implementing the plan of care
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Evaluating the outcome of the care
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Replanning (IRP Review)
Internal Factors that Facilitate PRP
Strengthen the following factors in the client:
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Hope – help client recognize that recovery is possible
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Empowerment – help correct feeling of helplessness
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Connection- help identify own role and importance in the world
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Recognition – help client recognize/identify needed changes
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Insight – help develop insight into how to proceed to change
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Determination – help foster client’s determination to change
External Factors that Facilitate PRP
Promote the following factors in the PRP program:
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Support from family, friends and PRP team
Freedom from stigma
Freedom from discrimination (work, school, housing,
treatment, benefits, entitlements, etc)
Service with respect, listening, empathy, and trust
Teamwork and collaboration among and between
program staffs
Living Skills Addressed in PRP
Physical
Emotional
Intellectual
Cleaning
Shopping
Cleaning
Hygiene
Fitness
Transportation
Recreation
Human relations
Self control
Expressing anger
Conversation
Impulse control
Assertiveness
Patience
Goal setting
Time planning
Money management
Community
resources
Problem solving
Learning Skills Addressed in PRP
Physical
Emotional
Intellectual
Punctuality
Being quiet
Paying attention
Staying seated
Observing
Listening
Question asking
Volunteering answers
Speech making
Asking for directions
Following directions
Reading
Writing
Arithmetic
Study skill
Typing
Hobby
Working Skills Addressed in PRP
Physical
Punctuality
Transportation
Job strength
Use of job tools
Job tasks
Emotional
Job interview
Decision-making
Human relations
Self control
Job seeking
Job tasks
Intellectual
Knowledge
Job skills
Qualifying
Job search
Job tasks
Values Addressed in PRP
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Respect of self, authority figures, and others
Respect of other’s properties
Respect of other’s personal space
Respect of other’s rights
Honesty
Determination
Good attitude
Caregiver Needs Addressed in PRP
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Emotional Support– acceptance, understanding,
empathy, commitment, partnership
Feedback Support– listening, affirmation, talking
Information Support– the illness, coping, decision,
perspective, behavior management, medications.
Instrumental Support– resources, respite, care help