Implementing Psychiatric Rehabilitation in the Mental Health System Services: From Theory to Practice
…promotes recovery, full community integration and improved quality of life for persons who have been diagnosed with any mental health condition that seriously impairs their ability to lead meaningful lives. Psychiatric rehabilitation services are collaborative, person-directed and individualized. These services are an essential element of the health care and human services spectrum, and should be evidence-based. They focus on helping individuals develop skills and access resources needed to increase their capacity to be successful and satisfied in the living, working, learning, and social environments of their choice.
Because psychiatric rehabilitation is intended to be a person-directed and recovery-oriented service, the overall intent of this chapter is to establish broad parameters within which a variety of successful approaches can flourish, with particular reference about how the Italian field of mental health is dealing with the need of implementing rehabilitative practices in mental health services.
KeywordsPsychiatric rehabilitation Recovery Social inclusion Community adjustment Planning services Process service Staff requirements EBPs Mental health policies Psychiatric rehabilitation-oriented services Users engagement Carers engagement
- 1.World Health Organization. Global Burden of Disease Report, WHO. 2008. http://www.who.int/healthinfo/global_burden_disease/estimates_country/en/index.html.
- 4.Rosler W. Psychiatric rehabilitation today: an overview. World Psychiatry. 2006;5(3):151–7.Google Scholar
- 5.Davidson L, Lawless MS, Leary F. Concepts of recovery: competing or complementary. Curr Opin Psychiatry. 2006;19(suppl. 6):619–24.Google Scholar
- 7.Department of Health. National Service Framework for mental health: modern standards & service models. London: Department of Health; 1996.Google Scholar
- 9.Beard JH, Propst RN, Malamud TJ. The fountain house model of rehabilitation. Psychiatr Rehabil J. 1982;5:47–53.Google Scholar
- 10.Hänninen E, Javed A, Wahlb H. Community-based rehabilitation and the Clubhouse Model as means to recovery and mental health services reform. Rehabilitación basada en la comunidad y el modelo Clubhouse como medio de recuperación y reforma de los servicios de salud mental. Rev Neuropsiquiatria. 2013;76(1):3–12.CrossRefGoogle Scholar
- 12.Royal College of Psychiatrists Social Inclusion Scoping Group. Mental Health and Social Inclusion: Making Psychiatry and Mental Health Services Fit for the 21st Century, Position Statement PS01/2009. London: Royal College of Psychiatrists; 2009.Google Scholar
- 18.Pelletier JF, Tourette-Turgis C. Recovery-oriented medical training: a narrative literature review for the University of Recovery as a new concept of co-learning between patients and (future) healthcare providers. J Commun Med Health Educ. 2016;6:495. https://doi.org/10.4172/2161-0711.1000495.CrossRefGoogle Scholar
- 21.World Association for Psychosocial Rehabilitation website. www.wapr.infor.
- 22.Royal College of Psychiatrists. Rehabilitation & recovery now: council report CR 121. London: Royal College of Psychiatrists; 2004.Google Scholar
- 23.Royal College of Psychiatrists. Royal College of Psychiatrists Position statement—Mental Health and Social Inclusion. PS01/2009, June 2009. London: Royal College of Psychiatrists; 2009.Google Scholar
- 27.Kopelowicz A, Liberman RP, Wallace CJ. Psychiatric rehabilitation for schizophrenia. Int J Psychol Psychol Ther. 2003;3(2):283–98.Google Scholar
- 28.Fassino S, Abbate Daga G, Leombruni P. Manuale di psichiatria biopsicosociale. Torino: Centro Scientifico Editore; 2007.Google Scholar
- 33.Substance Abuse and Mental Health Services Administration (SAMHSA). Evidence best practices toolkits. Washington, DC: Washington Press; 2008.Google Scholar
- 34.Gingerich S, Meuser K. Illness management and recovery. Princetown: Substance Abuse and Mental Health Services Administration (SAMHSA), Centre for Mental Health Services (CMHS), and tThe Robert Wood Johnson Foundation; 2006.Google Scholar
- 35.Ruggeri M, Dall’Agnola RB. Come valutare l’esito nei Dipartimenti di Salute Mentale. Roma: Il Pensiero Scientifico; 2000.Google Scholar
- 36.World Health Organization (2001), International classification of functioning, disability and health, Geneve.Google Scholar
- 37.Wing JK, Curtis RH, Beevor AS. HoNOS: Health of the Nation Outcome Scales: report on research and development. London: Royal College of Psychiatrists; 1996.Google Scholar
- 38.McDonald-Wilson K, Henry A, Wilkniss S, Nicholson J. Assessment in psychiatric rehabilitation for planning interventions and tracking outcomes. Washington, DC: USPRA, Assessment Institute; 2007.Google Scholar
- 40.Iowa Practice Improvement Collaborative Project, Iowa Consortium for Substance Abuse Research and Evaluation at the University of Iowa. Evidence-Based Practices: an Implementation Guide for Community-Based Substance Abuse Treatment Agencies; 2003.Google Scholar
- 41.Fixsen DL, Naoom SF, Blase KA, Friedman RM, Wallace F. Implementation research: a synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network; 2005.Google Scholar
- 43.Carozza P. Dalla centralità dei servizi alla centralità della persona. L’esperienza di cambiemnto di un Dipartimento di salute mentale. Milano: Franco Angeli Editore; 2014.Google Scholar
- 44.Nordt C, Rössler W, Lauber C. Attitudes of mental health professionals toward people with schizophrenia and major depression. Schizoprehnia Bullettin. 2006;32(4):709–14.Google Scholar
- 45.Joint Commission on Accreditation of Healthcare Organizations. Meeting the competency challenge in behavioral health: the resource tool for behavioral health care human resource professionals who must meet the rigorous requirements of JCAHO. Washington, DC: C & R Publications; 2000.Google Scholar
- 46.Joint Commission on Accreditation of Healthcare Organizations. Hospital accreditation standards. Oakbrooke Terrace: Joint Commission Resource; 2002.Google Scholar
- 49.Marrelli AF, Tondora J, Hoge MA. Strategies for developing competency models. Admin Pol Ment Health. 2005;32:540–61.Google Scholar
- 50.Carozza P. La psichiatria di comunità tra scienza e soggettività. Linee di pratica Clinica nei Servizi di Salute Mentale. Milano: Franco Angeli Editore; 2010.Google Scholar