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  Psychiatric Rehabilitation (PSR)

Lectures from Graduate Course on PSR (by Dr. Gary Bond, IUPUI)      

Principles of PSR

Instilling Hope

Group Work

Working with Families

Motivational Interviewing

Cognitive-Behavioral Techniques

Wellness

 

  Hospital-Community Integration

Community Resource Development

Continuity of Care

Discharge Planning & Linkage

Hospital-Based PSR

   Consumer Empowerment
Recovery Concept
Supported Education
Consumers as Colleagues
Consumer-Run Business

Peer Support

 

   Evidence-Based Practices (EBPs) 

Implementing EBPs

Family Psychoeducation

Illness Management and Recovery

Supported Employment

 

 

 

 

Cognitive-Behavioral Techniques   

 

 

PowerPoint

Lectures  

   Cognitive-Behavioral Techniques (by Paul H. Lysaker, Ph.D.)

      Describes the cognitive-behavioral approaches used in the Indianapolis 

       Vocational Intervention Program.

 

Suggested 

Readings 

  Schaub, A. (1998). Cognitive-behavioural coping-orientated therapy

  for schizophrenia: A new treatment model for clinical services and

  research. In C. Perris & P. D. McGorry (Eds.), Cognitive

  Psychotherapy of Psychotic and Personality Disorders: Handbook

  of Theory and Practice (pp. 91-109). John Wiley & Sons, Ltd. 

  West Sussex, England.

   

      Coping-oriented cognitive therapy aims at modifying dysfunctional beliefs about

      the illness, self, environment, and symptoms as well as teaching more adaptive

      coping strategies. The chapter reviews the research evidence of the effectiveness

      of this approach as incorporated in the illness management programs.

           

  Vallis, T. M. (1998). When the going gets tough: Cognitive therapy

  for the severely disturbed. In C. Perris & P. D. McGorry (Eds.),

  Cognitive Psychotherapy of Psychotic and Personality Disorders:

  Handbook of Theory and Practice (pp. 37-62). John Wiley & Sons,

  Ltd. West Sussex, England.

                

  The chapter presents a meta-model of cognitive therapy that can guide the
  clinician when treating cases outside the traditional limits of cognitive therapy.
  Applying cognitive therapy to the treatment of schizophrenia and personality
  disorders is discussed as a means of illustrating the use of this model.

 

 

 

 

Consumers as Colleagues 

 

                  

 

PowerPoint

Lectures   

  

  Positive Partnership 

     Discussion of benefits and challenges associate with having consumers as PSR
       staff, and effective job accommodations and Employment Support Plan (ESP) for
       consumer staff.

.

Suggested 

Readings 

         

 

 
  Armstrong, M. L., Korba, A. M., & Emard, R. (1995). Of mutual
  benefit: The reciprocal relationship between consumer volunteers
  and the clients they serve. Psychiatric Rehabilitation Journal 
  19(2): 45-49. 
    
      The article evaluates the Community Progress Service's Partners for Progress
       consumer volunteer program, which matches patients with psychiatric disabilities
       to other community-dwelling clients who are further along in their recovery 
       process to provide companionship, emotional support, and an opportunity to take
       part in recreational activities.

  

  Solomon, P., & Draine, J. (1998). Consumers as providers in              

  psychiatric rehabilitation. In P. W. Corrigan & D. F. Giffort (Eds.),

  Building teams and programs for effective psychiatric rehabilitation:

  New directions for mental health services, No. 79 (pp. 65-77). San

  Francisco, CA: Jossey-Bass/Pfeiffer.

 

 
      The chapter delineates issues in defining the roles of consumers in PSR
       programs, the organizational preparation necessary to achieve successful

       inclusion and integration of consumers within the organizational structure, and

       benefits of hiring consumers as providers to the organizational environment.

 

  Solomon, M., Jonikas, J., Cook, J., & Kerouac, J. (1998). Positive

  partnerships: How consumers and nonconsumers can work together

  as service providers (2nd Ed.). Chicago, IL: National Research and

  Training Center on Psychiatric Disability. 

 
 
      Topics include the benefits of hiring consumers, discrimination and other
       barriers to consumer hiring, strategies for creating an inclusive working
       environment, ways to avoid tokenism and co-optation, the transition from client to
       provider, methods for managing mental illness in the workplace, and disclosure
       and consumer right under the Americans with Disabilities Act.

 

 

 

 

 Continuity of Care 

 

 

PowerPoint

Lectures   

  

  

Suggested 

Readings 

 

  Kopelowicz, A., Wallace, C. J., & Zarate, R. (1998). Teaching

  psychiatric inpatients to re-enter the community: A brief method of

  improving continuity of care. Psychiatric Services 49(10):

  1313-1316.  Get Text

     

     The authors evaluated the effectiveness of a brief manualized treatment program

      that taught patients skills to re-enter the community and actively follow through

      with their own care.

 

  Johnson, S., Prosser, D., & Bindman, J. (1997). Continuity of care

  for the severely mentally ill: Concepts and measures. Social

  Psychiatry & Psychiatric Epidemiology 32(3): 137-142.

     

      The authors review the main theoretical definitions of continuity of care for

       individuals with severe mental illness and the work that has attempted to

       operationalize these definitions and to apply them in the study of mental health

       services.

 

  Farrell, S. P., Blank, M., Koch, J. R., Munjas, B., & Clement, D. G. 

  (1999). Predicting whether patients receive continuity of care after

  discharge from state hospitals: Policy implications. Archives of

  Psychiatric Nursing 13(6): 279-285.

      

      The paper reports the results of a comprehensive study of factors influencing or

       impeding continuity of care for individuals discharged from state hospitals and

       re-entering communities.

 

 

 

 

Community Resource Development  

 

    

PowerPoint

Lectures   

  

   Community Resource Development (by Mary Anzilotti, M.A.)     

    Presentation on  how to be creative and succeed in developing community 
     resources, action steps, and helpful exercises.

 

Suggested 

Readings 

           

  

 

Discharge Planning & Linkage 

 

      

PowerPoint

Lectures   

          

  

   

Suggested 

Readings 

 

  Rock, B. D. (1987). Beyond discharge planning. Hospital &

  Community Psychiatry 38(5): 529-530.

      

      The author argues that psychiatric hospitals need to go beyond their current

       levels of discharge planning and actively participate in the establishment of

       comprehensive community care networks. Organizational imperatives in

       discharge planning and the elements of a support system for psychiatric patients

       in the community are discussed.

 

  Altman, H. (1983). A collaborative approach to discharge planning

  for chronic mental patients. Hospital & Community Psychiatry 

  34(7): 641-642.

     

     The author describes a collaborative discharge-planning model based on a

      predischarge planning conference that includes the patient, hospital staff, the

      family, and aftercare agencies and where the patient's progress in the hospital,

      his/her expectations of community living, and the services he/she expects to need

      are discussed.

 

  Boyer, C. A. (1997). Meaningful linkage practices: Challenges and

  opportunities. In D. Mechanic (Ed.), Improving inpatient psychiatric

  treatment in an era of managed care. New directions for mental

  health services, No. 73 (pp. 87-101).

     

       This chapter supplements the limited literature on the content and prevalence of

       strategies or practices used by clinical staff in general hospital psychiatric units

       to provide linkage between inpatient psychiatric treatment and outpatient care.

       The structural characteristics of the hospitals and units, characteristics of the

       patients treated, and other clinical practices were examined for their influence on

       linkage efforts by treatment staff.

 

  Boyer, C. A., McAlpine, D. D., Pottick, K. J., & Olfson, M. (2000).

  Identifying risk factors and key strategies in linkage to outpatient

  psychiatric care. American Journal of Psychiatry 157(10):

  1592-1598.

     

     The authors explore patient risk factors for not completing referrals and

       examines the success of interventions targeted at achieving linkage with

       outpatient care.

 

 

 

 

Family Psychoeducation   

 

    

PowerPoint

Lectures   

  

   Family Psychoeducation (by Hea-Won Kim, Ph.D.)

      A research-oriented presentation discussing the concept of family burden and

      the effectiveness of psychoeducation.

 

Suggested 

Readings 

           

   Dixon, L., McFarlane, W. R., Lefley, H., Lucksted, A., Cohen, M.,

   Falloon, I., Mueser, K., Miklowitz, D., Solomon, P., & Sondheimer,

   D. (2001). Evidence-based practices for services to families of

   people with psychiatric disabilities. Psychiatric Services 52(7):

   903-910.  Get Text

  

   The paper describes the critical ingredients of  family psychoeducation 
   programs, including the provision of emotional support, education, resources
   during periods of crisis, and problem-solving skills. It also discusses obstacles 
   to implemention and disseminating family psychoeducation and strategies to
   overcome them.

 

   McFarlane, W. R. (1994). Families, patients and clinicians as

   partners: Clinical strategies and research outcomes in single- and

   multiple-family psychoeducation. In H. P. Lefley & M. Wasow

   (Eds.), Helping Families Cope with Mental Illness (pp. 195-222).

   Harwood Academic Publishers/Gordon and Breach Science

   Publishers. Philadelphia, PA.

  

       The chapter discusses family psychoeducation as a clinical strategy for training
       families and other natural social networks to create an interactional 
       environment that compensates and may correct functional disability in their 
       loved one with severe mental illness. 

 

 

 

 

Group Work  

 

 

PowerPoint

Lectures 

 

  

   

Suggested 

Readings 

 

  Yalom, I. D. (1983). Inpatient Group Psychotherapy. Basic Book,

  Inc. New York, NY. 

 

 
      The author makes a strong case for the importance and efficacy of group
      therapy on all acute wards and discusses different ways in which the therapist
      should structure the sessions, kinds of support that should be offered, and the
      emphasis on the here and now, all of which are essential for effective group
      therapy inhospitals. Filled with the lively case examples, the book is especially 
      suitable for the contemporary psychiatric ward where acutely disturbed 
      patients are hospitalized for brief periods of time.

 

  Yalom, I. D. (1995). The Theory and Practice of Group

  Psychotherapy (4th ed.). Basic Book, Inc. New York, NY. 

  

 
      A classic in the field, this is the most incisive and comprehensive text on group
      therapy available today. The author presents the most recent developments in
      the field, drawing on nearly a decade of new research as well as on his own
      broad clinical wisdom and experience. 

 

 

 

 

Hospital-Based PSR  

 

 

PowerPoint

Lectures   

  

  

Suggested 

Readings 

 

  Starkey, D., & Leadholm, B. A. (1997). PRISM: the Psychiatric

  Rehabilitation Integrated Service Model—a public psychiatric

  hospital model for the 1990s. Administration & Policy in Mental 

  Health 24(6): 497-508. 

      

 
      The Massachusetts Department of Mental Health's Metro South Area has
      developed an inpatient PSR model called PRISM, which emphasizes skill
      development and patient participation. This article describes the trans-
      formation of a state hospital into a rehabilitation treatment facility using the
      PRISM model as an approach with potential to improve quality of life, decrease
      relapse, and increase the efficiency and responsiveness to patient needs of 
      public sector hospitals.

 

  Dhillon, A. S., & Dollieslager, L. P. (2000). Overcoming barriers to  

  individualized psychosocial rehabilitation in an acute treatment unit

  of a state hospital. Psychiatric Services 51(3): 313-317.  Get Text

 

       The authors present a case vignette to describe an initiative to bring psycho-

       social rehabilitation into the forefront of clinical expertise in public mental

       health facility. The operational details of the initiative are described, including

       the program development, barriers to implementation, and its evaluation.  

 

  Smith, R. C. (1998). Implementing psychosocial rehabilitation with

  long-term patients in a public psychiatric hospital. Psychiatric

  Services (Special Issue: Women and Chronic Mental Illness) 49(5):

  593-595.  Get Text

  

      An enlightening account from South Carolina State Hospital, where the author
      and her key colleagues achieved a wholesale and successful transformation of
      the institution from a custodial orientation to an emphasis on rehabilitation,
      facilitating community placement of a large number of patients who had long
      inpatient tenures.

 

 

 

 

 

Illness Management and Recovery 

 

 

PowerPoint

Lectures   

  Illness Management and Recovery (by Gary Bond, Ph.D.) 

     Describes definitions and provides research evidence for the critical ingredients
     of illness management and recovery as an evidence-based practice of PSR.

   

Suggested 

Readings 

 

  Mueser, K. T., Corrigan, P. W., Hilton, D. W., Tanzman, B., Schaub,

  A., Gingerich, S., Essock, S. M., Tarrier, N., Morey, B., Vogel-  

  Scibilia, S. & Herz, M. I. (2002). Illness management and recovery:

  A review of the Research. Submitted to Psychiatric Services 53:

  1272-1284.  Get Text

 

      The authors discuss the concept of recovery from psychiatric disorders, review

      research on professional-based programs for helping people manage their mental

      illness, and the implementation and dissemination of illness management

      programs from the perspectives of mental health administrators, program

      directors, people with a psychiatric illness, and family members.

 

  Azrin, N. H., & Teichner, G. (1998). Evaluation of an instructional

  program for improving medication compliance for chronically

  mentally ill outpatients. Behaviour Research & Therapy 36(9):

  849-861.

     

       The study demonstrates that medication compliance among persons with chronic

       mental illness can be significantly improved through specific and practical

       guidelines and behavioral strategies regarding medication administration.

 

  Herz, M. I., Lamberti, J. S., Mintz, J., Scott, R., O'Dell, S. P.,

  McCartan, L., & Nix, G. (2000). A program for relapse prevention

  in schizophrenia: A controlled study. Archives of General

  Psychiatry 57(3): 277-283.

     

     The study demonstrates the effectiveness of monitoring for prodromal symptoms

      (with the use of crisis intervention and supportive problem-solving therapy) and

      increasing antipsychotic doses when such symptoms occur, in reducing the rates

      of relapse and rehospitalization in patients with schizophrenia.

 

  Leclerc, C., Lesage, A. D., Ricard, N., Lecomte, T., & Cyr, M.

  (2000). Assessment of a new rehabilitative coping skills module for

  persons with schizophrenia. American Journal of Orthopsychiatry

  70(3): 380-388.

       

      Discusses the development of a rehabilitative coping skills module employing

        problem solving and cognitive behavioral therapy.

 

 

 

 

Implementing Evidence-Based Practices  

 

    

PowerPoint

Lectures   

  

   Implementing EBPs (by Angie Rollins, Ph.D.)

     Overview of the principles & critical ingredients of 6 EBPs.

 

Suggested 

Readings 

           

  Torrey, W. C., Drake, R. E., Dixon, L., Burns, B. J., Flynn, L.,

  Rush, A. J., Clark, R. E., & Klatzker, D. (2001). Implementing

  evidence-based practices for persons with severe mental

  illnesses. Psychiatric Services 52(1), 45-50. Get Text

     

     As part of an effort to promote the implementation of EBP, the authors summarize

     perspectives on how best to change and sustain effective practice from the 

     research literature and from the experiences of administrators, clinicians, family

     advocates, and services researchers. They describe an implementation plan for

     EBPs based on the use of toolkits to promote the consistent delivery of such

     practices. 

 

 

 

 

Instilling Hope   

 

 

PowerPoint

Lectures   

 

  

   Instilling Hope (by Frank Ware, M.S.W.)

     Aims at disseminating the importance of hope among consumers and staff.

Suggested 

Readings 

          

 

   Landeen, J., J. Pawlick, et al. (2000). Hope, quality of life, and

  symptom severity in individuals with schizophrenia. Psychiatric

  Rehabilitation Journal 23(4):364-369.

 

       The report describes a study exploring the concept of hope in persons with 

       schizophrenia living in the community. The participants’ hopefulness

       (measured by Miller Hope Scale and Cantrill’s Ladder) was compared to 

       symptom severity and quality of life.

 

   Landeen, J., H. Kirkpatrick, et al. (1996). Factors influencing staff

   hopefulness in working with people with schizophrenia. Issues in

   Mental Health Nursing 17(5):457-67.

 

       A survey of mental health professionals working with persons with

       schizophrenia (from both inpatient and community settings) identifies factors

       that influence staff hopefulness and barriers to hopefulness arising from

       clients, coworkers, and public attitudes.

 

  Spaniol, L. and M. Koehler (Eds.) (1994). The experience of

  recovery. Center for Psychiatric Rehabilitation, Sargent College

  of Allied Health Professions, Boston University. Boston, MA.

      

       An inspiring anthology of self-reports written by persons with mental illness 

       that describe how they struggled, coped, and developed more solid sense of 

       themselves, their relationships to others, to their living, learning and working

       environments, and to meaning and purpose in life.

 

 

 

 

Management Team Building 

 

 

PowerPoint

Lectures   

  

   

Suggested 

Readings 

 

  Gowdy, E., & Rapp, C. A. (1989). Managerial behavior: The 

  common denominators of effective community-based programs.

  Psychosocial Rehabilitation Journal 13(2): 31-51.

      

 
      The authors studied high-performing community-based programs for people with
      severe mental illness to uncover the common denominators of effective
      managerial practice within these programs and identified four principles of
      management that seem critical in the success of these programs: (1) treating
      clients humanely, (2) remaining open to learning, (3) persisting in finding
      opportunities to improve the program, and (4) focusing on client outcomes.

 

  Zipple, A.M., Selden, D., Spaniol, L., & Bycoff, S. (1993). 

  Leading for the future: Essential characteristics of successful

  psychosocial rehabilitation program managers. Psychosocial

  Rehabilitation Journal 16(4): 85-94.  

       

 
       The article characterizes successful PSR program managers who possess a
       clear vision of the organization's role, understand and promote the organization's
       mission, are committed to continuous practical innovation and providing quality
       services, and are skilled at implementing their commitment.

 

 

 

Motivational Interviewing 

 

      

 

PowerPoint

Lectures

   Module 1: Basics 

  Module 2:  

  Module 3: 

  Module 4: 

Suggested 

Readings 

 

  Leukefeld, C., Godlaski, T., Clark, J., Brown, C., & Hays, L. (2000).

  Behavioral therapy for rural substance abusers. University Press of

  Kentucky. Lexington, KY.

  

  An overview of motivational interviewing techniques. Although the chapter

  focuses on substance abuse, the techniques can easily be applied to PSR.

        

  Corrigan, P. W., McCraken, S. G., & Holmes, E. P. (2001).

  Motivational interviews as goal assessment for persons with

  psychiatric disability. Community Mental Health Journal 37(2):

  113-122.

 

  The article describes the stages of change as they relate to changing behaviors in

  psychiatric rehabilitation. The focus is on increasing behaviors that serve personal

  goals such as vocational activity. The authors use examples to discuss the basics

  of motivational interviewing techniques as they apply to PSR. 

 

  DiClemente, C. C. (1991). Motivational interviewing and the stages

  of change. In: W. R. Miller & S. Rollnick (Eds.), Motivational  

  Interviewing: Preparing People to Change Addictive Behavior 

  (pp. 191-202). The Guilford Press. New York, NY.

  

   The author elaborates on the uses of motivational interviewing strategies at each  

   stage of change and provides helpful conceptual distinctions. He describes four

   different reasons why a client may be in precontemplation and offers useful

   caveats for clinicians (e.g., “Being adamant about a change can be a sign of 

   weak rather than strong determination to change”). 

 

  Miller, W. R., & Rollnick, S. (1991). Teaching motivational

  interviewing. In: W. R. Miller & S. Rollnick (Eds.), Motivational 

  Interviewing: Preparing People to Change Addictive Behavior 

  (pp. 191-202). The Guilford Press. New York, NY.

 

       Designed primarily to help professionals who wish to train others in motivational

       interviewing, the chapter emphasizes that a key in acquiring the necessary skills

       in motivational interviewing is practice with feedback and provides a structured 

       and sequential series of exercises.

 

 

 

Principles of PSR 

 

             

 

PowerPoint

Lectures   

    

 

  Principles of PSR 1 (by Ken Gill, Ph.D.)

     An overview of principles and goals of PSR.

  Principles of PSR 2 

     Discussion of principles and strategies for overcoming the barriers to PSR.

   

Suggested 

Readings 

  Pratt, C. W., Gill, K. J., Barrett, N. M., & Roberts, M. (1999).

  Psychiatric rehabilitation. Academic Press. San Diego, CA. 

 

      The book introduces the experience of mental illness from the consumer's

      perspective and provides a comprehensive overview of major psychiatric

      disorders, the principles of PSR, community-based service approaches, case

      management strategies, and vocational and educational rehabilitation.

 

  Bond, G. R. and Resnick, S.G. (2000). Psychiatric rehabilitation. In

  R.G. Frank and T.R. Elliott, Handbook of rehabilitation psychology

  (pp.235-258). American Psychological Association. Washington, DC. 

     

      The chapter discusses the rehabilitation of adults with SMI. The authors review     

fundamental concepts of PSR, historical perspectives, client outcomes,

competencies of PSR practitioners, roles of psychologists, and future directions.

  

  Dincin, J. (1975). Psychiatric rehabilitation. Schizophrenia Bulletin

  1: 131-147.

      

      The paper traces the history of the PSR movement in the U.S. and describes the

      rehabilitation approach that characterizes Thresholds, a Chicago-based

      comprehensive rehabilitation center.

 

 

 

Recovery Concept 

 

        

 

PowerPoint

Lectures   

                        

   Recovery Vision 

 

  Illness Management and Recovery (by Gary Bond, Ph.D.) 

     Describes definitions and provides research evidence for the critical ingredients
     of illness management and recovery as an evidence-based practice of PSR.
 

Suggested 

Readings 

           

              

 

  Jacobson, N., & Greenley, D. (2001). What is recovery? A

  conceptual model and explication. Psychiatric Services

  52(4):482-485.  Get Text

   

      This article defines recovery and describes how recovery has been integrated into

      mental health services. The definition of recovery includes hope that recovery is

      possible, healing as a self apart from illness and gaining control as an active agent

      in life, empowerment that is a corrective for the sense of helplessness and

      dependency, and connection to rejoin the social world.

 

  Frese, F. J., III, Stanley, J., Kress, K., & Vogel-Scibilia, S. (2001).    

  Integrating evidence-based practices and the recovery model.

  Psychiatric Services 52(11):1462-1468.  Get Text

 

  This article describes the differences between evidence-based treatments and the

  recovery model and discusses how these viewpoints can be integrated. 

 

  Mead, S. & Copeland, M. E. (2000). What recovery means to us:     

  Consumers' perspectives. Community Mental Health Journal

  36(3):315-328.

 

  Two consumer leaders use their own experiences to explain the meaning and

  significance of recovery. They emphasize the importance of hope, personal

  responsibility, education, advocacy, and peer support. They also address

  controversial issues such as the nature of the therapeutic relationship, the place 

  of medications in symptom control, and the need for attitudinal changes in mental

  health professionals.

 

 

 

Supported Education 

 

 

PowerPoint

Lectures   

                   

  

   

Suggested 

Readings 

              

 

  Mowbray, C. T. (1999). The benefits and challenges of supported

  education: A personal perspective. Psychiatric Rehabilitation

  Journal 22(3): 248-254.  

  

      The author presents personal experiences in implementing a supported education

      program as an invaluable component in a comprehensive rehabilitation strategy 

      for individuals with psychiatric disabilities. The discussion focuses on the

      barriers to implementing supported education programs, including the pervasive

      stigma still associated with psychiatric disabilities in higher education settings.

 

  Cook, J. A., & Solomon, M. L. (1993). The Community Scholar   

  Program: An outcome study of supported education for students with

  severe mental illness. Psychosocial Rehabilitation Journal. Special

  Issue: Supported Education 17(1): 83-97.

  

       The changes and accomplishments experienced by urban PSR consumers as they

      prepared for and entered postsecondary academic and vocational/trade school

      settings are highlighted, focusing on program components and outcomes.

 

 

 

Supported Employment 

 

              

 

PowerPoint

Lectures   

                  

              

  Barriers to Implementation (by Gary Bond, Ph.D.)

  Nuts & Bolts (by Gary Bond, Ph.D.)

  Outcomes (by Gary Bond, Ph.D.)

  Training for Practitioners

  

Suggested 

Readings 

           

        

 

  Bailey, J. (1998). I’m just an ordinary person. Psychiatric

  Rehabilitation Journal 22(1): 8-10.

   

   A powerful first-person account of the employment process.

 

  Bissonnette, D. (1994). Beyond Traditional Job Development: 

  The Art of Creating Opportunity. Milt Wright & Associates.

  Chatsworth, CA.

 

   A highly engaging, comprehensive, and practical guide to job development.

 

  Bond, G.R., Becker, D.R., Drake, R.E., Rapp, C.A., Meisler, N.,

  Lehman, A.F., & Bell, M.D. (2001). Implementing supported 

  employment as an evidence-based practice. Psychiatric Services

  52(3): 313-322.  Get Text

 

   The most comprehensive published summary of what we know about the

   effectiveness of supported employment. It reviews the literature on supported

   employment principles and outlines some common barriers to implementing

   supported employment and strategies to overcoming these barriers.

 

  Bond, G. R. (1998). Principles of the Individual Placement and

  Support Model: Empirical support. Psychiatric Rehabilitation

  Journal 22(1): 11-23.

 

       A summary of research supporting the six principles of supported employment.

 

          

       

       

Wellness   

 

 

PowerPoint

Lectures   

  

   Introduction to WRAP: Wellness Recovery Action

  Plan (by Jim Zahniser, Ph.D.)

Suggested 

Readings 

              

 

  Diksa, E. Creating the context for wellness (2000). The Journal of

  NAMI California 11:4-5. 

 

      This short article addresses the need to incorporate all components of wellness 

      into the lives of consumers with psychiatric disabilities.  A basic description of

      each component of wellness is given including physical health, emotional, 

      spiritual, intellectual, social, and financial. 

 

  Hutchinson, D. S. (2000). The journey towards wellness. The 

  Journal of NAMI California 11:7-8.

 

      This editorial discusses the barriers toward wellness practices for consumers

      with psychiatric disabilities as well as stories of hope for change. Wellness is

      described as a difficult journey that requires hope and support from others in the

      field of mental health.  

 

  Moller, M. D., & Murphy, M. F. (1997). The Three R's                 

  Rehabilitation Program: A prevention approach for the 

  management of relapse symptoms associated with psychiatric

  diagnoses. Psychiatric Rehabilitation Journal 20(3): 42-48.

   

       The authors describe the critical ingredients and outcomes of the Three R’s

       (Relapse-Recovery-Rehabilitation) Program, an interdisciplinary, multiphasic

       comprehensive treatment program focusing on a wellness approach to the

       management of severe mental illness.

 

 

 

 

 

Working with Families    

 

 

PowerPoint

Lectures   

   Working with Families (by Hea-Won Kim, Ph.D.)

       Examines the family experience of severe mental illness and addresses the

       clinical issues and challenges in working with families.

Suggested 

Readings 

         

 

   Wasow, M. (1994). Training future clinicians to work with families.

   In H. P. Lefley & M. Wasow (Eds.), Helping Families Cope with 

   Mental Illness (pp. 277-293). Harwood Academic Publishers/

   Gordon and Breach Science Publishers. Philadelphia, PA.

 

   The chapter discusses the most important components needed by clinicians to 

   work effectively with families of persons with severe mental illness: compassion,

   respect, knowledge, and advocacy skills. It describes generic goals that all

   health care professionals should meet and presents training models from

   two disciplines, social work and psychiatry.

 

  Mueser, K. T., & Glynn, S. (1999). Behavioral Family Therapy for

  Psychiatric Disorders (2nd ed.). New Harbinger Publications.

  Oakland, CA.

 

  The book aims to distill the critical findings concerning the effectiveness of 

  behaviorally-based family intervention programs for severe mental illness and

  substance-use disorders in a simple and informative manner that will be easily

  digestible for clinicians.

 

  Hatfield, A. B. (1994). The family's role in caregiving and service

  delivery. In H. P. Lefley & M. Wasow (Eds.), Helping Families

  Cope with Mental Illness (pp. 65-77). Harwood Academic  

  Publishers/Gordon and Breach Science Publishers. Philadelphia, PA.

               

      The chapter discusses the family advocacy movement in the field of mental illness

      and identify issues which present a profound challenge to the family movement.