Psychiatric Rehabilitation

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ISBN: 9780125644310 | 0125644310
Cover: Hardcover
Copyright: 10/6/2006

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"Written in one clear voice, each chapter begins with an outline and introduction, contains special boxed sections addressing controversial issues and key topics, and has a case study to illustrate principles discussed in the text. Evidence-based practices are highlighted in a special section, future research directions are contained in another section, and the chapters conclude with a summary class exercises, and references."--BOOK JACKET.

Foreword

xiii

Acknowledgments

xvii

Part I Understanding the Nature of Severe and Persistent Mental Illness

The Experience of Mental Illness: An Introduction to Psychiatric Rehabilitation

Introduction

(1)

The Story of Paul

(5)

The Serious Mental Illnesses

(1)

Psychiatric Disability

(3)

The Stigma of Severe Mental Illness

(1)

Psychiatric Rehabilitation

(12)

Summary

(1)

Class Exercise

(1)

References

(5)

Symptoms and Etiology of Severe and Persistent Mental Illness

Introduction

(1)

Symptoms

(1)

The Symptoms of Schizophrenia

(9)

Mood Disorders

(4)

Relevance to Psychiatric Rehabilitation

(1)

Dual Diagnosis

(3)

Etiology

(3)

The Story of Dara

(9)

Obsolete Etiological Theories

(2)

Summary

(1)

Class Exercise

(1)

References

(5)

Course, Treatment, and Outcome of Severe and Persistent Mental Illnesses

Introduction

(2)

Course

(6)

Do Rehabilitation Services Matter?

(1)

Treatment

(1)

Biological (Somatic) Treatments

(14)

Psychosocial Treatments

(3)

Maria's Story

(1)

Understanding Course, Treatment, and Outcome: What the Staff and Consumers Don't Know Can Hurt Them!

(4)

Summary

101

(1)

Class Exercise

102

(1)

References

102

(8)

Part II Psychiatric Rehabilitation Principles and Methodology

Goals, Values, and Guiding Principles of Psychiatric Rehabilitation

Introduction

110

(1)

The Concept of Recovery

111

(1)

Goals, Values, and Guiding Principles

112

(7)

Guiding Principles of Psychiatric Rehabilitation

119

(7)

Psychiatric Rehabilitation Ethics

126

(7)

The Future of Psychiatric Rehabilitation Thought and Practice

133

(1)

Summary

134

(1)

Class Exercise

134

(1)

References

135

(5)

Psychiatric Rehabilitation Methods

Introduction

140

(1)

Consumer Choice

141

(1)

Psychiatric Rehabilitation Readiness

142

(2)

Rehabilitation Diagnosis

144

(3)

Rehabilitation Plan

147

(1)

Rehabilitation Interventions

147

(1)

The Story of Paul (Continued from Chapter 1)

147

(2)

Skill Acquisition and Development

149

(6)

Resource Development

155

(1)

Evaluating Rehabilitation Progress

156

(2)

Summary

158

(1)

Class Exercise

159

(1)

References

160

(6)

Part III Applications of Psychiatric Rehabilitation Principles and Methodology

Psychiatric Rehabilitation Day Programming

Introduction

166

(1)

The Origins of Day Programming in the United States

167

(4)

The Story of Jill, Affinity House Member

171

(2)

Partial Hospitalization

173

(2)

Milieu Therapy

175

(1)

Components of a Psychiatric Rehabilitation Day Program

176

(4)

Evaluating Psychiatric Rehabilitation Day Programs

180

(3)

State-of-the-Art Psychiatric Rehabilitation Day Programming

183

(3)

Summary

186

(1)

Class Exercise

187

(1)

References

188

(4)

Assertive Community Treatment and Case Management

Introduction

192

(1)

The Need for Continuity of Care

193

(3)

Awareness of the Need for Care Coordination at the National Level

196

(1)

Case Management

196

(3)

Models of Case Management

199

(2)

The Story of Micky

201

(2)

Evaluating Case Management

203

(1)

The Development of Assertive Community Treatment

204

(4)

Assertive Community Treatment: An Evidence-Based Practice

208

(6)

The Future of ACT and Case Management Approaches

214

(1)

Summary

215

(1)

Class Exercise

215

(1)

References

216

(4)

Dual Diagnosis: Substance Abuse and Mental Illness

Introduction

220

(1)

History of Dual Diagnosis Treatment

221

(4)

Fundamental Treatment Strategies in Providing Integrated Dual Disorders: Stages of Treatment

225

(2)

Stages of Change: A Case Study Applying Motivational Interviewing

227

(1)

Principles of Treatment for People with Dual Diagnoses

228

(2)

Integrated Services: An Evidence-Based Practice

230

(4)

Roger's Story

234

(4)

Summary

238

(1)

Class Exercise

238

(2)

References

240

(4)

Vocational Rehabilitation

Introduction

244

(1)

Barriers to Employment

245

(5)

Developing Vocational Services

250

(5)

Vocational Service Modalities

255

(3)

Supported Employment

258

(2)

Carl's Story

260

(4)

Models of Supported Employment

264

(3)

Other Vocational Preparation Services

267

(1)

Supported Employment: An Evidence-Based Practice

268

(1)

Summary

269

(1)

Class Exercise

270

(1)

References

271

(5)

Supported Education

Introduction

276

(1)

Benefits of Supported Education

276

(1)

Barriers to Education

277

(3)

History of the Supported Employment Model

280

(3)

Definition and Models of Supported Education

283

(4)

Jose's Story

287

(2)

Applying Psychiatric Rehabilitation Principles to Supported Education

289

(2)

Research in Supported Education

291

(4)

Dissemination of Supported Education

295

(1)

Future Directions in Supported Education

295

(3)

Summary

298

(1)

Class Exercise

298

(1)

References

299

(5)

Residential Services and Independent Living

Introduction

304

(1)

Barriers to Housing

304

(3)

History of Residential Services

307

(5)

Rehabilitation Treatment Facilities as Residential Providers

312

(1)

Stigma and Residential Treatment Programs

312

(1)

Emergence of the Linear Continuum Paradigm

313

(2)

The Story of Joanna: An Experience of the Linear Continuum Approach

315

(3)

Supported Housing: A New Approach to Residential Services

318

(5)

The Independent Living Movement

323

(3)

Housing First

326

(4)

Summary

330

(1)

Class Exercise

330

(1)

References

331

(5)

Self-Help and Peer-Delivered Services

Introduction

336

(1)

Defining Self-Help and Peer Support

336

(2)

History of the Self-Help Movement

338

(1)

Self-Advocacy and the Ex-Patient/Consumer/Survivor Movement

339

(3)

Collaboration between Consumers and Provides

342

(3)

Self-Help for Persons with Dual Diagnoses

345

(1)

Access to Self-Help

346

(1)

The Story of David

347

(2)

Beyond Self-Help: Categories of Peer-Provided Services

349

(3)

Research on the Effectiveness of Self-Help and Peer-Provided Services

352

(6)

Challenges for Peer Providers

358

(4)

Supports and Professional Development

362

(2)

Other Influential Roles for Consumers

364

(2)

Summary

366

(1)

Class Exercises

367

(1)

References

367

(7)

The Role of the Family in Psychiatric Rehabilitation

Introduction

374

(1)

Working with Families and Psychiatric Rehabilitation Principles

375

(6)

Kevin's Story: A Confidentiality Issue

381

(5)

The Burdens of Family Living for the Person with Mental Illness

386

(1)

Family Interventions

387

(5)

Family Psychoeducation: An Evidence-Based Practice

392

(2)

Other Family Psychoeducation Approaches

394

(1)

The Concept of Family Recovery

395

(1)

The Story of NAMI

396

(3)

Familial Strengths and Resilience

399

(1)

Summary

399

(1)

Class Exercise

400

(1)

References

401

(5)

Psychiatric Rehabilitation in Hospital Settings

Introduction

406

(4)

Functions of State Psychiatric Hospitals

410

(2)

Stan's Story

412

(2)

Julie's Story

414

(2)

Challenges in the Hospital Environment

416

(4)

Psychiatric Rehabilitation Models within Hospitals

420

(2)

Case Study of a Hospital Implementing Individualized Psychiatric Rehabilitation

422

(1)

Is Hospitalization Always Necessary?

423

(2)

Summary

425

(1)

Class Exercise

426

(1)

References

426

(3)

Glossary

429

(8)

Index

437

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Psychiatric Rehabilitation

Summary

Table of Contents

Supplemental Materials