Community Mental Health Journal

, Volume 36, Issue 6, pp 605–616 | Cite as

Psychosocial Rehabilitation: Issues and Answers for Psychiatry

  • Hunter L. McQuistion
  • Robert M. Goisman
  • Clifton R. Tennison


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.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. American Psychiatric Association (1997). Practice guidelines for the treatment of schizophrenia American Journal of Psychiatry 154 (Apr. suppl.).Google Scholar
  2. Anthony, W, Cohen, M, Farkas, M (1990). Psychiatric Rehabilitation. Boston: Center for Psychiatric Rehabilitation.Google Scholar
  3. Anthony, WA, Liberman, RP (1986). The practice of psychiatric rehabilitation: historical, conceptual, and research base. Schizophrenia Bulletin 12: 542–559.Google Scholar
  4. Bachrach, LL (1992). Psychosocial rehabilitation and psychiatry in the care of long-term patients. American Journal of Psychiatry 149:11, 1455–1463.Google Scholar
  5. Bachrach, LL (1996). Psychosocial rehabilitation and psychiatry: what are the boundaries? Canadian Journal of Psychiatry 41: 28–35.Google Scholar
  6. Baronet, AM, Gerber, GJ (1998). Psychiatric rehabilitation: efficacy of four models. Clinical Psychology Review 18: 189–228.Google Scholar
  7. Barton, R (1999). Psychosocial Rehabilitation Services in Community Support systems: A Review of Outcomes and Policy Recommendations. Psychiatric Services 50: 525–534.Google Scholar
  8. Bellack, AS, Gold, JM, Buchanan, RW (1999). Cognitive rehabilitation for schizophrenia: problems, prospects, and strategies. Schizophrenia Bulletin 25(2), 257–274.Google Scholar
  9. Blankertz, L, Robinson, S (1996). Who is the psychosocial rehabilitation worker? Psychiatric Rehabilitation Journal 19(4), 3–13.Google Scholar
  10. Bond, G (1998). Principles of the individual placement and support model: empirical support. Psychiatric Rehabilitation Journal 22(1): 11–23.Google Scholar
  11. 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
  12. Clark, GH, Vaccaro, JV (1987). Burnout among CMHC psychiatrists and the struggle to survive. Hospital and Community Psychiatry, 38: 843–847.Google Scholar
  13. Cohen, CI, Thompson, KT (1992). Homeless mentally ill or mentally ill homeless? American Journal of Psychiatry 149, 816–823.Google Scholar
  14. Cnaan, RA, Blankertz, L, Messinger, KW, Gardner, JR (1988). Psychosocial rehabilitation: toward a definition. Psychosocial Rehabilitation Journal 11(4): 59–77.Google Scholar
  15. Cournos, F (1987). The impact of environmental factors on outcome in residential programs. Hospital and Community Psychiatry 38: 848–852.Google Scholar
  16. Degen, K, Nasper, N (1996). Return From Madness. Northvale, NJ: Jason Aronson.Google Scholar
  17. 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
  18. Dixon, LB, Lehman, AF (1995). Family interventions in schizophrenia. Schizophrenia Bulletin 21: 631–642.Google Scholar
  19. 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
  20. Estroff, SE (1989). Making It Crazy: An Ethnography of Psychiatric Clients in an American Community. Berkeley: University of California Press.Google Scholar
  21. Goisman, RM (1998). Social skills training, atypical neuroleptics, and treatment-refractory psychosis. International Review of Psychiatry 10: 84–89.Google Scholar
  22. 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
  23. 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
  24. 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
  25. 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
  26. 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
  27. Liberman, RP (1988). Coping with chronic mental disorders. In Liberman, RP (ed.), Psychiatric Rehabilitation of Chronic Mental Patients. Washington: American Psychiatric Press.Google Scholar
  28. Liberman, RP, DeRisi, WJ, Mueser, K (1989). Social Skills Training for Psychiatric Patients. New York: Pergamon Press.Google Scholar
  29. Liberman, RP, Green, MF (1992). Whither cognitive-behavioral therapy for schizophrenia? Schizophrenia Bulletin 18(1), 27–35.Google Scholar
  30. Link, BG, Phelan, J (1995). Social conditions as fundamental causes of disease. Journal of Health and Social Behavior (Extra Issue), 80-94.Google Scholar
  31. 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
  32. 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
  33. 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
  34. 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
  35. Penn, DL, Mueser, KT (1996). Research update on the psychosocial treatment of schizophrenia. American Journal of Psychiatry 153, 607–617.Google Scholar
  36. Spaulding, WD (1992). Design prerequisites for research on cognitive therapy for schizophrenia. Schizophrenia Bulletin 18(1), 39–42.Google Scholar
  37. 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
  38. 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
  39. 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
  40. Warner, R (1994). Recovery from Schizophrenia: Psychiatry and Political Economy, London, New York: RoutledgeGoogle Scholar

Copyright information

© Human Sciences Press, Inc. 2000

Authors and Affiliations

  • Hunter L. McQuistion
    • 1
  • Robert M. Goisman
    • 2
  • Clifton R. Tennison
    • 3
    • 4
  1. 1.The Mount Sinai School of MedicineProject Renewal, Inc.New York
  2. 2.Harvard Medical SchoolMassachusetts Mental Health CenterBoston
  3. 3.Helen Ross McNabb CenterUniversity of Tennessee Medical CenterKnoxville
  4. 4.Quillen School of MedicineEast Tennessee State UniversityKnoxville

Personalised recommendations