Home > Psychiatric Rehabilitation > Summary

 

Summary

Values – both hidden and evident – shape our psychiatric rehabilitation models, and the recovery movement provides a series of values which have been guiding this work. Recognition of the importance of empowerment for consumers of psychiatric services heightens our interest in the clubhouse model and other cooperative programs. An emphasis placed on work rehabilitation can move us from a day-treatment approach towards the supported employment model and, thus, change many other aspects of a rehabilitation service. A value placed on mutual support among clients versus mainstreaming will direct us towards a clustered apartment program or increase our interest in social firms over supported employment. A concern with human rights and with minimizing coercion encourages us to design small, open-door, domestic facilities for acute care whereas an emphasis on cost-efficiency will lead us to develop large, locked facilities with the capacity to use restraints and seclusion. Recognizing the importance of families will guide our interactions with caregivers, and optimism about outcome from illness will color everything we say and do. Some US psychiatric residency training programs, however, offer no education on psychiatric rehabilitation models – none at all. This is a value that bears closer scrutiny.

.