Rehab psychiatry

Question 1

rehabilitation in mental health

Answer 1

• whole system approach to recovery from mental ill health which maximizes an individuals quality of life and social inclusion by encouraging their skills, promoting independence and autonomy in order to give them hope for the future and which leads to successful community living through appropriate support
• mental health rehabilitation services work intensely over many years establishing deep relationships which enable patients to gain or regain their confidence and skills in everyday activities and in the management of symptoms
• relentless encouragement of hope and optimism

Question 2

who do we see?

Answer 2

1. severe mental illness disorder
2. psychosis
3. persistent symptoms/ treatment resistance
4. functional impairments
5. negative symptoms

Question 3

who do we not see ?

Answer 3

primary diagnosis of;
1. dementia
2. intellectual disability
3. acquired brain injury/impairment
4. personality disorder
5. alcohol/ drug dependence
6. Currently too unwell/ unstable to engage with rehabilitation and recovery process

Question 4

recovery and rehab aims

Answer 4

1. to achieve their individual aspirations and fulfill their potential to attain a good quality of life
2. to take a holistic view of their assessed needs, stated preferences, and existing skills and strenghts
3. to maintain and build upon existing family, friends and community supports

Question 5

the how of rehabilitation psychiatry

Answer 5

1. creat a rehabilitation care pathway
2. not just caring for residents - but helping residents to learn how to care for themselves
3. promote a shared recovery ethos and identity among all staff and service users attached to R and R
4. stimulate movement through levels of care

Question 6

standardized assessments used

Answer 6

1. camberwell assessment of need
2. social functioning questionnaire
3. special problem rating scale

Question 7

intervention done

Answer 7

1. pharmacological management - SAMP
2. Psychosocial interventions - reduce isolation
3. improve social skills
4. Psychoeducation (WRAP/CHIME)
   6.promote individual strengths
5. Psychotherapy (CBTp, CR)
6. Self-care and everyday living skills
7. Physical health
8. promoting healthy living
9. accomodation preferences

Question 8

historical context of rehabilitation psychiatry

Answer 8

• end of institutionalization - severe mental health in community
• if revolving door acute admissions - move into ‘backward’ or hostel
• reduce psychotic relapses
• focus on medical management
• mini institutions/ new long stay patients

Question 9

addiction ireland

Answer 9

• 10.5% dependent, 40% risk single occasion drinking (RSOD), 50% harmful/hazardous
• physical illness, loss of productivity
• access to illicit and prescription drugs
• rapid internet development
• gambling