Description
The purpose of this Primer is to describe the complex process of psychiatric rehabilitation in its most straightforward and parsimonious way, in order to improve the implementation, practice, and study of psychiatric rehabilitation. To advance the understanding of the psychiatric rehabilitation process, the Primer strives to make perfectly clear the major steps of the process. The Primer is composed of three sections: Understanding the Background and Process of Psychiatric Rehabilitation; Tracking the Psychiatric Rehabilitation Process; and Recording the Psychiatric Rehabilitation Process. Several appendices provide examples to further one’s understanding of the process.
Citation: Anthony, W. A., & Farkas, M. D. (2009). Primer on the psychiatric rehabilitation process. 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, mfarkas@bu.edu
Rick Forbess, Associate Director of Training, rforbess@bu.edu
Table of Contents
Preface
Introduction
Understanding the Background and Process of 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
- 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
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
List of Tables and Figures
Table 1. The Psychiatric Rehabilitation Model: The Negative Impact of a Severe Mental Illness
Table 2. Essential Services in a Recovery-Oriented System
Figure 1. An Overview of the DPI Process of Psychiatric Rehabilitation
Table 3. A Form for Tracking the Psychiatric Rehabilitation Process
Table 4. Questions to Ask to Help Correctly Categorize Activities
Table 5. Recovery Center Example: Tracking Major Steps for Other Services Processes
Table 6. Questions to Ask to Help Correctly Categorize Activities Within the DPI Service Phases
Table 7. Assessing and Developing Readiness Record
Table 8. Choosing a Goal Record
Table 9. Functional Assessment Record
Table 10. Resource Assessment Record
Table 11. Rehabilitation Plan and Intervention Schedule
Table 12. Description of Program or Setting Standards which Support the Implementation of the Process of Psychiatric Rehabilitation
Appendix A: Major Steps and Substeps of the Psychiatric Rehabilitation Process
Appendix B: Examples of the REQUIRED Records for the Psychiatric Rehabilitation Process
Appendix C: Useful Resources for the Psychiatric Rehabilitation Process
Appendix D: References and Useful Resources for the Psychiatric Rehabilitation Process
Authors
William A. Anthony, PhD, is 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."
Reviews
Currently, there are no published reviews for this book. If you would like to write an endorsement, please send it to Sue McNamara at: suemac@bu.edu
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