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Psychiatric rehabilitation programs: putting concepts into practice?

M D Farkas1, M R Cohen, P B Nemec

  • 1Boston University, Center for Psychiatric Rehabilitation, MA 02215.

Community Mental Health Journal
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

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Mental health rehabilitation programs aim to improve outcomes for severely disabled clients. While agencies value client involvement and skill-building, systematic implementation of these rehabilitation principles is still emerging.

Area of Science:

  • Psychiatry and Mental Health Services Research
  • Rehabilitation Psychology
  • Healthcare Management

Background:

  • Mental health settings increasingly adopt rehabilitation orientations for long-term and severely psychiatrically disabled clients.
  • Previous work identified foundational elements of a rehabilitation program, which have since been refined.

Purpose of the Study:

  • To assess the extent to which rehabilitation-oriented agencies implement key elements of a rehabilitation approach.
  • To evaluate the practical application of refined rehabilitation program elements in community and hospital settings.

Main Methods:

  • A cross-sectional assessment of 40 rehabilitation-oriented community and hospital agencies.
  • Evaluation focused on the presence or absence of specific, refined elements of a rehabilitation approach.

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Main Results:

  • Agencies surveyed demonstrate a clear valuing of client involvement in their programs.
  • A program focus on enhancing skill and resource utilization is also evident across surveyed agencies.
  • Despite valuing these concepts, systematic implementation in practice is in its early stages.

Conclusions:

  • Mental health agencies recognize the importance of client-centered and skill-focused rehabilitation.
  • There is a gap between the conceptual understanding and the consistent, systematic application of rehabilitation principles in practice.
  • Further efforts are needed to translate the valued elements of rehabilitation into routine service delivery.