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Psychiatric Rehabilitation in the Twenty-First Century

  • Kamonnet Wannasewok
  • Johannes Wancata
  • Pichet Udomratn
  • Tae-Yeon Hwang
  • Zsuzsa Litvan
  • Vid Velikic
  • Afzal Javed
Chapter

Abstract

During the past century, various kinds of psychiatric rehabilitation were developed continuously. In the past, psychiatric rehabilitation was aimed in housing after deinstitutionalization. Supported housing services have contributed to more freedom and more social skills for patients when compared to earlier hospital-based services. To integrate these people into their communities, vocational rehabilitation is significant in recovery process. Supported employment which provides individual placement in competitive employment has several benefits. As impairments in psychosocial functioning are common in people with severe mental illness (SMI), the social skills training should be integrated into a multimodal treatment program and adjusted to the individual needs.

Moreover, having cognitive deficit in patients with SMI is related with functional outcome concerning employment, independent living, and community and social functioning. Thus, many interventions of cognitive rehabilitation designed by using the concept of neuroplasticity such as cognitive remediation therapy, cognitive adaptation training (CAT), and computer-assisted cognitive retraining (CACR) were developed and have become more popular in the twenty-first century. Finally, metacognitive training (MCT) as a combination of cognitive behavioral therapy, psychoeducation, and cognitive remediation aims to provide insight for various cognitive biases has been developed. However, the studies to prove the effectiveness of these interventions need to be further investigated.

Keywords

Psychiatric rehabilitation Vocational rehabilitation Cognitive rehabilitation Supported housing Supported employment Social skills training Metacognitive training 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Kamonnet Wannasewok
    • 1
  • Johannes Wancata
    • 2
  • Pichet Udomratn
    • 3
  • Tae-Yeon Hwang
    • 4
  • Zsuzsa Litvan
    • 2
  • Vid Velikic
    • 2
  • Afzal Javed
    • 5
  1. 1.Department of Psychiatry, Faculty of MedicineSiriraj Hospital, Mahidol UniversityBangkokThailand
  2. 2.Clinical Division of Social PsychiatryMedical University of ViennaViennaAustria
  3. 3.Department of Psychiatry, Faculty of MedicinePrince of Songkla UniversityHat Yai, SongkhlaThailand
  4. 4.Division of Mental Health Service and PlanningNational Center for Mental Health (NCMH)SeoulSouth Korea
  5. 5.Warwick UniversityCoventryUK

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