CMHN: Psychiatric Rehabilitation

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Psychiatric Rehabilitation
Rehabilitation is the process of enabling the individual to return to his highest possible level of functioning.
Rehabilitation is "an attempt to provide the best possible community role which will enable the patient to achieve the maximum range of activity, interest and of which he is capable (Maxwell Jones- 1952)
Principles of rehabilitation
i. decreasing dependence of patients
ii. Improvement of competence and capabilities
iii. Maximum use must be made of residual capacities
iv.Patient's active participation is very essential
v. Skill development and therapeutic environment are fundamental interventions
vi. Psychiatric rehabilitation services
vii. Workplace accommodations
viii. Supported employment or education
ix. Social firms
x. Assertive community
xi. Medication management
xii. Housing and Employment
xiii. Family issues and Coping skills
xiv. Activities of daily living and social skills
Areas of work in psychiatric rehabilitation
l . Psychiatric symptom management
2. Social area includes relationships, family, boundaries, communications and community integration
3. Vocational and educational area including coping skills and motivation
4. Basic living skills
5. Financial area or budgeting
6. Community and legal resources
7. Health and medical to maintain consistency of care
8. Housing to provide safe environments
Characteristics
l . Services are provided in maximum normalized environment as possible
2. Emphasis is on the 'here and now' rather than problems of past
3. Work is central to rehabilitation process
4. Psychiatric rehabilitation services are collaborative, person directed and individualized
5. Emphasis is on social, rather than medical model
6. All people have underused skills and they can be equipped with skills
7. Emphasis on client's strengths rather than on pathologies
8. People have the right and responsibility for self determination
9. Care is provided in an intimate environment with out professional, authoritative shields and barriers
10. It is oriented toward empowerment, recovery and competency
Benefits of rehabilitation
  1. Helps in promoting recovery and minimizing disabilities
  2. Helps in full community integration and improved quality of life for persons with any serious mental health condition
  3. Provides assistance in accepting the client in family and community
  4. It assists the client in developing harmonious relationship among family members
  5. It helps in improving their ability to lead meaningful lives in the community
  6. Helps in developing skills and access resources needed to increase their capacity
  7. Helps in satisfying mentally ill client in the living , working, learning and social environments of their choice
  8. It provides assistance in vocational training and supervision
Rehabilitation team
Psychiatrist
Clinical psychologist
Psychiatric social worker
Mental health nurse
Occupational therapist
Recreational therapist Counselor
Other supportive staff
Steps in psychiatric rehabilitation
l. Reduction of impairments
2. Remediation of disabilities through skill training
3. Remediating disabilities through supportive interventions
4. Remediation of handicaps
Domains of psychiatric rehabilitation services
l . Skill training
2. Peer support
3. Vocational training
4. Consumer - community resource development.
Role of nurse in rehabilitation

  1. Assessment of individual
  2. Assessment of family
  3. Assessment of community
  4. Individual intervention
  5. Inpatient rehabilitation
  6. Community rehabilitation
Family interventions and Community interventions
  • Develop a structured therapeutic community
  • Educate family members regarding disease process and communication skills
  • Teach problem solving skills
  • Change attitude of public towards mentally ill
  • Motivate client to be a part of self help groups
  • Provide assistance in vocational rehabilitation
  • Regularly visit family members to offer support

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notes.nursium.com: CMHN: Psychiatric Rehabilitation
CMHN: Psychiatric Rehabilitation
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