goes beyond symptom control and medication
management to include personal growth,
reintegration into the community, empower-
ment, increased independence, and improved
quality of life.- The clubhouse model of psychosocial rehabil-
itation is an intentional community based on
the belief that men and women with mental
illness can and will achieve normal life goals
when provided time, opportunity, support,
and fellowship. - Assertive community treatment is one of the
most effective approaches to community-
based treatment. It includes 24-hour-a-day
services, low staff–client ratios, in-home or
community services, intense and frequent
contact, and unlimited length of service. - Psychiatric rehabilitation services such as
ACT must be provided along with stable
housing to produce positive outcomes for
mentally ill adults who are homeless. - Adults with mental illness may be placed in
the criminal justice system more frequently
due to deinstitutionalization, rigid criteria
for civil commitment, lack of adequate sup-
port, and the attitudes of police and society. - Barriers to community reintegration for
mentally ill persons who have been incarcer-
ated include double stigma, lack of family or
social support, comorbidity, adjustment
problems, and boundary issues. - The multidisciplinary team includes the psy-
chiatrist, psychologist, psychiatric nurse,
psychiatric social worker, occupational ther-
apist, recreation therapist, and vocational
rehabilitation specialist. - The psychiatric nurse is in an ideal position
to fulfill the role of case manager. The nurse
can assess, monitor, and refer clients for gen-
eral medical and psychiatric problems;
administer drugs; monitor for drug side
effects; provide drug and patient and family
health education; and monitor for general
medical disorders that have psychological
and physiologic components. - Empowering clients to pursue full recovery
requires a collaborative working relationship
with the client rather than the traditional
approach of caring for the client.
For further learning, visit http://connection.lww.com.
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