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Psychosocial Rehabilitation: Issues and Answers for Psychiatry

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Abstract

The American Association of Community Psychiatrists has composed a set of principles to guide psychiatry's relationship with psychosocial rehabilitation. They consist of five basic precepts offering the profession an orientation to rehabilitation, accompanied by seven issues that discuss aspects of how psychiatry must finally adopt psychosocial rehabilitation as a model of practice with people who have severe psychiatric disorders. The authors advance the argument that a confluence of developments, both within and beyond psychiatry, has now created an opportunity for psychiatry to build a mutually productive relationship with rehabilitation.

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REFERENCES

  • American Psychiatric Association (1997). Practice guidelines for the treatment of schizophrenia American Journal of Psychiatry 154 (Apr. suppl.).

  • Anthony, W, Cohen, M, Farkas, M (1990). Psychiatric Rehabilitation. Boston: Center for Psychiatric Rehabilitation.

    Google Scholar 

  • Anthony, WA, Liberman, RP (1986). The practice of psychiatric rehabilitation: historical, conceptual, and research base. Schizophrenia Bulletin 12: 542–559.

    Google Scholar 

  • Bachrach, LL (1992). Psychosocial rehabilitation and psychiatry in the care of long-term patients. American Journal of Psychiatry 149:11, 1455–1463.

    Google Scholar 

  • Bachrach, LL (1996). Psychosocial rehabilitation and psychiatry: what are the boundaries? Canadian Journal of Psychiatry 41: 28–35.

    Google Scholar 

  • Baronet, AM, Gerber, GJ (1998). Psychiatric rehabilitation: efficacy of four models. Clinical Psychology Review 18: 189–228.

    Google Scholar 

  • Barton, R (1999). Psychosocial Rehabilitation Services in Community Support systems: A Review of Outcomes and Policy Recommendations. Psychiatric Services 50: 525–534.

    Google Scholar 

  • Bellack, AS, Gold, JM, Buchanan, RW (1999). Cognitive rehabilitation for schizophrenia: problems, prospects, and strategies. Schizophrenia Bulletin 25(2), 257–274.

    Google Scholar 

  • Blankertz, L, Robinson, S (1996). Who is the psychosocial rehabilitation worker? Psychiatric Rehabilitation Journal 19(4), 3–13.

    Google Scholar 

  • Bond, G (1998). Principles of the individual placement and support model: empirical support. Psychiatric Rehabilitation Journal 22(1): 11–23.

    Google Scholar 

  • Brown, DB, Goldman, CR, Thompson, KS, Cutler, DL (1993). Training residents for community psychiatric practice: guidelines for curriculum development. Community Mental Health Journal, 29: 271–283.

    Google Scholar 

  • Clark, GH, Vaccaro, JV (1987). Burnout among CMHC psychiatrists and the struggle to survive. Hospital and Community Psychiatry, 38: 843–847.

    Google Scholar 

  • Cohen, CI, Thompson, KT (1992). Homeless mentally ill or mentally ill homeless? American Journal of Psychiatry 149, 816–823.

    Google Scholar 

  • Cnaan, RA, Blankertz, L, Messinger, KW, Gardner, JR (1988). Psychosocial rehabilitation: toward a definition. Psychosocial Rehabilitation Journal 11(4): 59–77.

    Google Scholar 

  • Cournos, F (1987). The impact of environmental factors on outcome in residential programs. Hospital and Community Psychiatry 38: 848–852.

    Google Scholar 

  • Degen, K, Nasper, N (1996). Return From Madness. Northvale, NJ: Jason Aronson.

    Google Scholar 

  • Dilk, MN, Bond, GR (1996). Meta-analytic evaluation of skills training research for individuals with severe mental illness. Journal of Consulting and Clinical Psychology 64: 1337–1346.

    Google Scholar 

  • Dixon, LB, Lehman, AF (1995). Family interventions in schizophrenia. Schizophrenia Bulletin 21: 631–642.

    Google Scholar 

  • Drake, RE, Mueser, KT, Clark, RE, Wallach, MW (1996). The course, treatment, and outcome of substance disorder in persons with severe mental illness. American Journal of Orthopsychiatry 66: 42–51.

    Google Scholar 

  • Estroff, SE (1989). Making It Crazy: An Ethnography of Psychiatric Clients in an American Community. Berkeley: University of California Press.

    Google Scholar 

  • Goisman, RM (1998). Social skills training, atypical neuroleptics, and treatment-refractory psychosis. International Review of Psychiatry 10: 84–89.

    Google Scholar 

  • Group for the Advancement of Psychiatry (1993). Resident's Guide to Treatment of People with Chronic Mental Illness. (GAP Report No. 136). Washington: American Psychiatric Press.

    Google Scholar 

  • Hawthorne, W, Hough, R (1997). Integrated services for long-term care. In Minkoff, K, Pollack, DA (eds.), Managed Mental Health Care in the Public Sector; A Survival Manual. Amsterdam: Harwood.

    Google Scholar 

  • International Association of Psychosocial Rehabilitation Services (1997). Practice guidelines for the psychiatric rehabilitation of persons with severe and persistent mental illness in a managed care environment. Columbia, MD: IAPSRS.

    Google Scholar 

  • International Association of Psychosocial Rehabilitation Services [IAPSRS] Committee on Publications (1998). Chapter 1: what is psychiatric rehabilitation? In Spaniol, L, Brown, MA, Blankertz, L, Burnham, DJ, Dincin, J, Furlong-Norman, K, Nesbitt, N Ottenstein, P, Prieve, K, Rutman, I., Zipple, A (eds.), An Introduction to Psychiatric Rehabilitation. Columbia, MD: IAPSRS.

    Google Scholar 

  • Lazarus, J, Pollack DA (1997). Ethical aspects of public sector managed care. In Minkoff, K, Pollack, DA (eds.), Managed Mental Health Care in the Public Sector; A Survival Manual. Amsterdam: Harwood.

    Google Scholar 

  • Liberman, RP (1988). Coping with chronic mental disorders. In Liberman, RP (ed.), Psychiatric Rehabilitation of Chronic Mental Patients. Washington: American Psychiatric Press.

    Google Scholar 

  • Liberman, RP, DeRisi, WJ, Mueser, K (1989). Social Skills Training for Psychiatric Patients. New York: Pergamon Press.

    Google Scholar 

  • Liberman, RP, Green, MF (1992). Whither cognitive-behavioral therapy for schizophrenia? Schizophrenia Bulletin 18(1), 27–35.

    Google Scholar 

  • Link, BG, Phelan, J (1995). Social conditions as fundamental causes of disease. Journal of Health and Social Behavior (Extra Issue), 80-94.

  • Mari, JDJ, Streiner, DL (1994). An overview of family interventions and relapse on schizophrenia: meta-analysis of research findings. Psychological Medicine, 24, 565–578.

    Google Scholar 

  • McFarlane, W, Dunne, E, Lukens, E, et al. (1993). From research to clinical practice: dissemination of New York State's family psychoeducational project. Hospital and Community Psychiatry 44, 265–270.

    Google Scholar 

  • Mojtabai, R, Nicholson, RA, Carpenter, BN (1998). Role of psychosocial treatments in schizophrenia: a meta-analytic review of controlled outcome studies. Schizophrenia Bulletin, 24(4): 569–587.

    Google Scholar 

  • Munetz, MR, Birnbaum, A, Wyzik, PF (1993). An Integrative ideology to guide community-based multidisciplinary care of severely mentally ill patients. Hospital and Community Psychiatry 44, 551–555.

    Google Scholar 

  • Penn, DL, Mueser, KT (1996). Research update on the psychosocial treatment of schizophrenia. American Journal of Psychiatry 153, 607–617.

    Google Scholar 

  • Spaulding, WD (1992). Design prerequisites for research on cognitive therapy for schizophrenia. Schizophrenia Bulletin 18(1), 39–42.

    Google Scholar 

  • Stein, LI, Test, MA (1976). retraining hospital staff for work in a community program in Wisconsin. Hospital and Community Psychiatry 27, 266–268.

    Google Scholar 

  • Susser, E, Valencia, E, Felix, A, Tsai, W-Y, Wyatt, RJ (1997). Preventing recurrent homelessness among mentally ill men: a “critical time” intervention after discharge from a shelter. American Journal of Public Health 87(2), 256–262.

    Google Scholar 

  • Torrey, WC, Bebout, R, Kline, J, Becker, DR, Alverson, M, Drake, RE (1998). Practice guidelines for clinicians working in programs providing integrated services for persons with severe mental disorders. Psychiatric Rehabilitation Journal 21, 388–393.

    Google Scholar 

  • Warner, R (1994). Recovery from Schizophrenia: Psychiatry and Political Economy, London, New York: Routledge

    Google Scholar 

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McQuistion, H.L., Goisman, R.M. & Tennison, C.R. Psychosocial Rehabilitation: Issues and Answers for Psychiatry. Community Ment Health J 36, 605–616 (2000). https://doi.org/10.1023/A:1001990320197

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