Abstract
The Massachusetts Department of Mental Health's Metro South Area developed an inpatient psychosocial rehabilitation model called PRISM (The Psychiatric Rehabilitation Integrated Service Model) which emphasizes skill development and patient participation. This article describes the transformation of a state hospital into a rehabilitation treatment facility using the PRISM model. This approach has the potential to improve quality of life, decrease relapse, and increase the efficiency and responsiveness to patient needs of public sector hospitals.
Similar content being viewed by others
References
Allen, C. (1985). Expanded routine task inventory. In C. Allen, (Ed.)Occupational therapy for psychiatric diseases: Measurement and management of cognitive disabilities. Boston: Little Brown.
Anderson, C. M., Reiss, D. J., & Hogarty, G. E. (1986).Schizophrenia and the family. New York: Guilford Press.
Anthony, W., Cohen, M., & Farkas, M. (1990).Psychiatric rehabilitation. Boston: Center for Psychiatric Rehabilitation.
Becker, P., & Bayer, C. (1975). Preparing chronic patients for community placement: A four-stage treatment plan.Hospital & Community Psychiatry, 26, 448–450.
Bellak, A., & Mueser, K. (1993). Psychosocial treatment of schizophrenia,Schizophrenia Bulletin, 19, 317–336.
Busfield J. (1986).Managing madness. London: Unwin Hyman Ltd.
Cardoni, A. A. (1995). Risperidone: Review and assessment of its role in the treatment of schizophrenia.Annals of Pharmacotherapy, 29, 610–618.
Craig, T., Peer, S., & Ross, M. (1989). Psychiatric rehabilitation in a state hospital transitional residence: The cottage program at Greystone Park Psychiatric Hospital, Greystone Park, New Jersey. In M. Farkas, & W. Anthony (Eds.),Psychiatric rehabilitation programs (pp. 57–69). Baltimore, MD: The Johns Hopkins University Press.
Fowls, D. J. (1994). From managed care to cooperative care.Managed Care Quarterly, 2(2), 46–50.
Goffman, I. (1968).Asylums: Essays on the social situation of mental patients and other inmates. Harmondsworth: Penguin.
Harding, C., Zubin, J., & Strauss, J. (1987). Chronicity in schizophrenia: Fact, partial fact, or artifact?Hospital & Community Psychiatry, 38, 477–486.
Higgins, P. B. (1995). Clozapine and the treatment of schizophrenia.Journal of Health Social Work, 20, 124–132.
Hogarty, G. E., Anderson, C. M., Reiss, D. J., Kornblith, S. J., Greenwald, D. P., Javna, C. D., & Madonia, M. J. (1986). Family psychoeducation, social skills training, and maintenance chemotherapy in the aftercare treatment of schizophrenia: I. One-year effects of a controlled study on relapse and expressed emotion.Archives of General Psychiatry, 43, 633–642.
Jacobs, M., & Trick, O. (1974). Successful psychiatric rehabilitation using an inpatient teaching laboratory: A one year follow-up study.American Journal of Psychiatry, 131, 145–148.
Leadholm, B., & Kerzner, J. (1995). Public managed care: Comprehensive community support in Massachusetts.Administration and Policy in Mental Health, 22, 543–552.
Lehman, A. (1993).Quality of life interview, short version. Unpublished manuscript. Center for Mental Health Services Research, Department of Psychiatry, University of Maryland School of Medicine, Baltimore.
Liberman, R. P. (Ed.). (1988).Psychiatric rehabilitation of chronic mental patients. Washington, DC: American Psychiatric Press.
Liberman, R. P., Wallace, C. J., Blackwell, G., Eckman, T., Vaccaro, J., & Kuehnel, T. (1993). Innovations in skills, training for the seriously mentally ill: The UCLA Social and Independent Living Skills Modules.Innovations and Research, 2(2), 43–60.
Manschreck, T. C. (1994). Clozapine in the back wards.Annals of Clinical Psychiatry, 6, 215–225.
Moos, R. (1974).Ward atmosphere scale. Palo Alto, CA: Consulting Psychologists Press, Inc.
Pickar, D., & Hsaio, J. K. (1995). Clozapine treatment of schizophrenia,Journal of the American Medical Association, 274, 981–983.
Rogers, S. (1991).The making decisions scale. Unpublished manuscript. Center for Psychiatric Rehabilitation, Boston.
Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement.Psychological Monographs, 80 (Whole No. 609).
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Starkey, D., Leadholm, B.A. Prism: The psychiatric rehabilitation integrated service model—A public psychiatric hospital model for the 1990s. Adm Policy Ment Health 24, 497–508 (1997). https://doi.org/10.1007/BF02042828
Issue Date:
DOI: https://doi.org/10.1007/BF02042828