Advertisement

Psychiatric Rehabilitation and Recovery

  • Oliver Freudenreich
Chapter
Part of the Current Clinical Psychiatry book series (CCPSY)

Abstract

Psychiatric rehabilitation is a critical component of schizophrenia care in order to help patients achieve the best possible outcomes despite having a serious psychiatric illness. Rehabilitation focuses on improving function not on symptoms. We want our patients to be able to take care of themselves with as little help as possible, to have meaningful work, to enjoy their families, and to be part of a larger community. This chapter reviews rehabilitation tools available to reach these goals, including the goal of recovery from mental illness with the help of peers. Recovery if viewed as a process toward living well as defined by the patient, despite an illness, does not stand in opposition to traditional psychiatric care and taking psychiatric medications. In this sense, all modern mental healthcare must strive to be recovery-oriented and person-centered.

Keywords

Rehabilitation Supported employment Assertive community treatment Entitlement programs Recovery Peer support Team-based care 

References

  1. 1.
    Thomas EF, McGarty C, Mavor KI. Transforming “apathy into movement:” the role of prosocial emotions in motivating action for social change. Personal Soc Psychol Rev. 2009;13:310–33.CrossRefGoogle Scholar
  2. 2.
    Bachrach LL. Psychosocial rehabilitation and psychiatry in the care of long-term patients. Am J Psychiatry. 1992;149:1455–63.CrossRefGoogle Scholar
  3. 3.
    Rossler W. Psychiatric rehabilitation today: an overview. World Psychiatry. 2006;5:151–7.PubMedPubMedCentralGoogle Scholar
  4. 4.
    World Health Organization. International classification of functioning, disability and health (ICF). Available at: https://www.who.int/classifications/icf/en/. Accessed on 7/1/19.
  5. 5.
    Rosenheck R, Leslie D, Keefe R, McEvoy J, Swartz M, Perkins D, et al. Barriers to employment for people with schizophrenia. Am J Psychiatry. 2006;163:411–7.CrossRefGoogle Scholar
  6. 6.
    Sennett R. The culture of the new capitalism. New Haven, London: Yale University Press; 2006.Google Scholar
  7. 7.
    Drucker PF. Post-capitalist society. New York: Harper Collins Publishers; 1993.Google Scholar
  8. 8.
    Windell D, Norman R, Malla AK. The personal meaning of recovery among individuals treated for a first episode of psychosis. Psychiatr Serv. 2012;63:548–53.CrossRefGoogle Scholar
  9. 9.
    Drake RE, Bond GR, Goldman HH, Hogan MF, Karakus M. Individual placement and support services boost employment for people with serious mental illnesses, but funding is lacking. Health Aff (Millwood). 2016;35:1098–105.CrossRefGoogle Scholar
  10. 10.
    McGurk SR, Mueser KT. Sustaining the long-term effects of supported employment for persons with psychiatric disabilities. Am J Psychiatry. 2016;173:953–5.CrossRefGoogle Scholar
  11. 11.
    Marx AJ, Test MA, Stein LI. Extrohospital management of severe mental illness. Feasibility and effects of social functioning. Arch Gen Psychiatry. 1973;29:505–11.CrossRefGoogle Scholar
  12. 12.
    Mueser KT, Deavers F, Penn DL, Cassisi JE. Psychosocial treatments for schizophrenia. Annu Rev Clin Psychol. 2013;9:465–97.CrossRefGoogle Scholar
  13. 13.
    Garland D. The welfare state. A very short introduction. New York: Oxford University Press; 2016.CrossRefGoogle Scholar
  14. 14.
    Duckworth K, Halpern L. Peer support and peer-led family support for persons living with schizophrenia. Curr Opin Psychiatry. 2014;27:216–21.CrossRefGoogle Scholar

Additional Resources

    Website

    1. http://www.iccd.org – The International Center for Clubhouse Development; provides information and listings by state of certified clubhouses modeled after the first one, Fountain House in New York City.
    2. https://www.who.int/classifications/icf/en/ – The WHO’s International Classification of Functioning, Disability and Health (ICF) is a good starting point to understand how diseases impact function and how to assess it comprehensively.

    Book

    1. Garland D. The welfare state. Very short introduction. New York: Oxford University Press; 2016. – A concise introduction to welfare, including a defense of its importance for modern societies, from Oxford University’s Very Short Introduction series.CrossRefGoogle Scholar

    Article

    1. Rössler W. Psychiatric rehabilitation today: an overview. World Psychiatry. 2006;5:151–7. – A good conceptual introduction to psychiatric rehabilitation.PubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Oliver Freudenreich
    • 1
  1. 1.Department of PsychiatryMassachusetts General HospitalBostonUSA

Personalised recommendations