Process of Rehabilitation in Psychiatry

PROCESS OF REHABILITATION
IN PSYCHIATRY
YEAR 4 MBCh.B
Introduction
Healthy person Psychiatric patient
Causes of mental illness
Recovery
 The path to recovery involves:
1. Rebuilding bridges burnt by the illness
2. Requires support from families, community,
healthcare providers, friends, peers, and
others.
3. Means the mentally ill begin to connect with
the society again through elements of one’s
life such social networking, employment,
education and others.
4. Recovery is therefore a process
Definition
 Rehabilitation is the process of restoring

an individual to the highest level of
functioning possible.
Objectives of PSR
 To enable patients achieve their optimal
functioning.
 To enable patients live independently.
 To empower patients to understand and
manage their illness effectively
 To encourage involvement of families in
care of patients
Strategies in PSR
 Help patients with long admission in hospital
return to the community
 Support the chronic mentally ill within the
community to reduce prolonged stay in hospital
 Rectify the patient’s social environment
 Prevent relapse of patients
 Prevent or treat the disabilities induced by mental
illness
 Re-integrate patients into community life as soon
as possible.
Problems in PSR
 Financial problems
 Family problems
 Lack of community support
 Difficulties in vocational rehabilitation
 Lack of job opportunities
 Hospital as shelter or dumping site
 Expressed emotions and relapse
 Societal insensitivity
Rehabilitation Process
 Rehabilitation process begins at admission
to hospital and includes:
a) Medical intervention
 Patients require medication for the
symptoms of their disease.
b) Psychological intervention
 Individual, group, supportive psychotherapy
and behavioral programs
c) Social intervention
 Social support, social skills training.
Disciplines involved in the PSR
 The following are involved:
1. The psychiatrist – Physical intervention
2. The clinical psychologist – Psychological
intervention
3. Psychiatric social worker – Social
intervention
4. Occupational therapist – Occupational
intervention
Effective Rehabilitation depend upon
 Accurate diagnosis
 The patients deficits, assets and
strengths
 Skills and performance in personal,
domestic and vocation.
 Psychological, physical and social needs
 These needs have to be addressed.
 The biopsychosocial approach in
management.
Techniques in rehabilitation
 Admission to hospital
 Counseling
 Psychotherapy
 Social support
 Environmental manipulation
 Community care
 De-institutionalization
 Prevention
 Social skills training
 Prevention
 Community psychiatry – promotion of
mental health
 Based on public health principles
(primary, secondary and tertiary
prevention)
 Creation of awareness – through public
education
 Follow-up and referral
Types of Rehabilitation
Rehabilitat
ion
Hospital
Based
Communit
y Based
Hospital Based Rehabilitation
Services provided
 Medication
 Rehabilitative nursing
care
 Occupational therapy
 Psychotherapy
 Physical therapy
(ECT)
 Counselling
 Peer support group
Community Based Rehabilitation
Services provided
 Community support
 Family support
 Occupational therapy
 Community psychiatry
 Group therapy
 De-institutionalization
 Social skills training
 Self-help groups
 Prevention
Components of PSR
Framework for support in recovery
The eight dimensions of wellness
Summary
 Psychosocial or Rehabilitation in
psychiatry is the process by which the
individual is helped to return to his/her
former normal functioning
 Achieved through hospital based care and

community based care by use of
rehabilitation techniques.
Reference
 Corrigan P.W., Mueser K. T., Bond
G.R., Drake R.E., Solomon P.,
(2009), “Principles and Practice of
Psychiatric Rehabilitation”. An
Empirical Approach. The Guilford
Press. New York.
Dr. Anne Obondo, Senior Lecturer,
Department of Psychiatry

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PROCESS OF REHABILITATION

 Rehabilitation is the process of restoring

 Achieved through hospital based care and

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