In this recovery era, implementing the process of psychiatric rehabilitation has achieved prominence and importance. The purpose of this Guide is to describe the complexities of the psychiatric rehabilitation process, programs, and principles in a most straightforward and user-friendly way, in order to improve the implementation, practice, and study of psychiatric rehabilitation. To advance your understanding of the psychiatric rehabilitation process, the Guide strives to make the major elements of the psychiatric rehabilitation process, programs, and underlying principles perfectly clear.
Features of the Guide include checklists, examples, forms, and key principles that support effective implementation. Regardless of the program model, setting, or discipline; the psychiatric rehabilitation process effectively helps people living with psychiatric disabilities become more successful and satisfied in living, learning, working, and social environments of their choice.
Citation: Anthony, W. A., & Farkas, M. D. (2011). The Essential Guide to Psychiatric Rehabilitation Practice. Boston: Boston University Center for Psychiatric Rehabilitation.
If you are interested in Consultation/In-Service Training about how to best use the psychiatric rehabilitation process in your program or agency, please contact:
Marianne Farkas, Director of Training, firstname.lastname@example.org
Rick Forbess, Associate Director of Training, email@example.com
Table of Contents
Section 1: Introduction
- Purpose of This Guide
- Intended Audience for This Guide
- Underlying Assumptions of This Guide
Understanding the Background Psychiatric Rehabilitation
- Psychiatric Rehabilitation Origins
- People Who Use Psychiatric Rehabilitation Services
- Psychiatric Rehabilitation Defined
- Psychiatric Rehabilitation Process Explained
- Psychiatric Rehabilitation Program Models, Settings, and Disciplines
- Psychiatric Rehabilitation Principles
- The Impact of Psychiatric Rehabilitation on the Mental Health Field
- Differentiating Psychiatric Rehabilitation Services from other Mental Health Services
- Psychiatric Rehabilitation as an Evidence-Based Process
- The Critical Nature of the Helping Relationship
- The Psychiatric Rehabilitation Process and Medicaid
- The Psychiatric Rehabilitation and Health Care Reform
Section 2: Process
Tracking the Psychiatric Rehabilitation Process
- Keeping Track of the Service Delivery Process
- Benefits in Tracking the Service Delivery Process
- Understanding the Service Delivery Process
- The Diagnosis-Planning-Intervention (DPI) Process of Psychiatric Rehabilitation
- An Example of Tracking the Psychiatric Rehabilitation Process
- How Detailed Must the Tracking Be?
- What about the Level of Specificity of the Intervention Itself?
- Tracking DPI Service Processes for Different Services
- Common DPI Activities across Service Processes
Recording the Psychiatric Rehabilitation Process
- The Importance of Record Keeping
- Differences Between Tracking and Record Keeping
- How Detailed Must the Record Keeping Be?
- Recording the DPI Phases of the Psychiatric Rehabilitation Process
- Record Form for Assessing and Developing Readiness in the Psychiatric Rehabilitation Diagnostic Phase
- Record form for Setting an Overall Rehabilitation Goal in the Psychiatric Rehabilitation Diagnostic Phase
- Record forms for Functional and Resource Assessments in the Psychiatric Rehabilitation Diagnostic Phase
- Record form for Planning and Intervening in the Psychiatric Rehabilitation Planning and Intervention Phases
Summary of the Psychiatric Rehabilitation Process
Section 3: Programs
Fundamental Program Elements
- Program Mission
- Program Structure
- Program Environments
Examples of Program Models
- ACT Program Model
- Clubhouse Program Model
- Individual Placement and Support (IPS) Program Model
- Choose-Get-Keep Program Model
Summary of the Psychiatric Rehabilitation Programs
Section 4: Principles
- Practice Principles
- Recovery Principles
- Research Principles
- Leadership Principles
William A. Anthony, PhD, is the retired executive director of Boston University’s Center for Psychiatric Rehabilitation and professor in the University’s College of Health and Rehabilitation Sciences. For the past 40 years, Anthony has worked in various roles in the field of mental health and psychiatric rehabilitation, and has been honored for his performance as a researcher, an educator, and a clinician. He is current co-editor of the Psychiatric Rehabilitation Journal. In 1988, Anthony received the Distinguished Services Award from the National Alliance on Mental Illness; and in 1992, he received the Distinguished Service Award from the President of the United States for his efforts “promoting the dignity, equality, independence, and employment of people with disabilities.” Anthony has appeared on ABC’s “Nightline,” which featured a rehabilitation program developed and implemented by Boston University’s Center for Psychiatric Rehabilitation. He has authored over 100 articles in professional journals, 16 textbooks, and several dozen book chapters.
Marianne Farkas, ScD, has been and is currently the Co-Principal Investigator of the Rehabilitation Research and Training Center for over 15 years and a professor in Sargent College of Health and Rehabilitation Sciences at Boston University. She has authored and co-authored over 65 articles in professional journals, 4 textbooks, a dozen book chapters, and 6 multi-media training package; and is on a myriad of editorial review boards. For more than 30 years, Dr. Farkas has worked in various capacities in the field of psychiatric rehabilitation and recovery that have enabled her to promote the use of effective strategies and programs with diverse populations around the globe. Until recently she was the Vice President of the World Association of Psychosocial Rehabilitation (WAPR) and the President of the National Association of Rehabilitation Research and Training Centers (NARRTC). Among her many roles providing training, research, and consultation; Dr. Farkas was in charge of the World Health Organization Collaborating Center in Psychiatric Rehabilitation, providing training, consultation, and research expertise to the W.H.O. network around the globe. She has received numerous awards for her contributions to the field including a Lifetime Achievement Award in in recognition of “...her outstanding contributions to the pre-eminence and practice of psychosocial rehabilitation."
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