[Psychiatric rehabilitation in a secure treatment setting]

Area of Science:

• Psychiatry
• Rehabilitation Psychology
• Forensic Psychology

Context:

• Secure residential treatment facilities
• Challenges in rehabilitating severely mentally ill patients
• Oregon's "hard to place" former state hospital patients

Purpose:

• Describe the mission, goals, and methods of a new facility
• Highlight the importance of self-control training
• Illustrate therapeutic interventions with clinical vignettes

Summary:

• Focuses on establishing rehabilitative programs in locked environments
• Emphasizes teaching residents self-control
• Utilizes real-life tasks and natural consequences for behavior management

Impact:

• Provides a model for facilities working with challenging patient populations
• Demonstrates effective strategies for minimizing confrontation
• Contributes to the understanding of therapeutic approaches in secure settings