Rehab
Rehab
Rehab
The Challenges of Communicating these Through Training and Education Kenneth J. Gill, Ph.D., CPRP
Is it about unique goals ? Is it a delineated professional role? Is it a specialty within other professions? Is it a unique discipline?
Not a simple question William Anthony and colleagues definition that appeared in their 1990 book Cnaan (1989, 1990) definitions of principles IAPSRS definitions (1996) for RPRP Our own arguments, rationality and irrationality
Understanding severe and persistent mental illness Goals, Values, & Principles of PSR Basic Methods of PSR Settings and Approaches where the principles and methods are applied
Understanding the nature of severe and persistent mental illness and why these disorders make PSR necessary? What are the goals, values and principles of PSR (and why does the illness make them particularly relevant)?
Common to all approaches (explicit or not) Overall and specific goal setting Assessment of functions strengths, skills, and environments that are relevant Resource development (to support goals) Skill development and practice (not just explicit skills training)
Long-term Recurrent Difficult courses and history Disruption of may life domains Interruption of skill, support, and experience Many functional deficits
Long-term recovery ( is there any other kind with severe & persistent mental illness) Community integration: the illnesses and their associated features and segregate people from their communities Improving quality of life: the illness and associated problems harm the quality of life
Self-determination Dignity and worth of the individual Optimism or hopefulness for progress of improvement Belief in the capacity of individuals to improve self, learn, and grow Sensitivity/understanding to the culture of others
Other helping professions consider them critical They are the values of humanism and the enlightenment, the best of western civilization
Whats the problem with them? They take the moral high ground?
Implies others may not have these values Not particularly unique
Values
Due primarily to stigma and discrimination, people with mental illness have not been able to fully participate in or receive the benefits of these values The reason PSR must emphasize them is that this remains true, even with its own field
Guiding Principles
Individualize services Maximize client preference and choice Ensure normalized, community basis Focus on strengths Use situational assessments Integrate efforts with treatment holistically Coordinate services, make them accessible
Guiding Principles
Focus on vocational outcomes Employ skills training approaches Consider environmental modifications Partner with families Focus on practical outcomes
Day services Residential/independent living Case management/assertive community treatment Vocational Educational Hospitals Families Consumer-operated
Trainees attitudes
Lack of optimism or demoralization Wouldnt work with our people Wouldnt work in our place
Dysfunctional teams Unsupportive supervisors, Poor leadership Sympathetic supervisor, poor leader Lack of relevant organizational vehicles or structures
Organizational Barriers
More barriers
Training format
Consumes time, competes with other demands Usually a short period of time Often a one shot or couple of shots deal Too much content to assimilate Too little directly practical content