W9 - Psychatric Rehabilitation and Recovery

Question 1

Whats Psychosocial Rehabilitation? (2)

Answer 1

• specifically targets improving role performance.
• recovery of social and instrumental role functioning to the fullest extent possible through learning procedures and environmental supports.

Question 2

Whats the Recovery Program Model and Approach?

Answer 2

1. ENGAGE!! pts form a healing connection with people who support their recovery
   - Builds therapeutic nurse-patient relationship
   * Provides an accepting climate that builds trust
   * Provides needed information that aids in the understanding of a problem or new
   situation
   * Provides guidance and encouragement to make changes
   * Sets mutually agreed goals
   * Acts on patients behalf as an advocate
   * Family Engagement
2. REHAB
   * Medication, Illness and Symptom Management (Nursing)
   * Domestic Skills Training (Nursing) Social Skills Training (MSW / OT)
   * Recovery Workshop and Group by PSS and MSW, respectively
   * OT Workshop (OT)
   * Ward-Based Workshop/Enterprise program (Nursing)
   * Transitional Employment Program (TEP)
   * Cognitive Remediation Therapy (CRT) by OT
   * Budgeting and Money Management (OT / Nursing)
   * Community Living Skills (OT / Nursing)
3. Placement
   * Own home
   - Rental flat
   * Residential home
   * Nursing home
   * Group home
   * Welfare home

Question 3

What’s the purpose of psychoeducation during Psychatric Rehabilitation and Recovery?

Answer 3

• To increase clients’ knowledge and understanding of their illness and treatment to assist them to cope effectively with their difficulties (symptoms).

Must involve family members/caregivers and many studies have reported positive outcomes like:
* Improved family member well-being
* Increased client participation in rehabilitation
* Substantially increased employment rates
* Improved social functioning
* Decreased positive and negative symptoms
* Decreased relapse rate and hospital admissions

Question 4

Whats the overview of Psychosocial Rehabilitation?

Answer 4

1. Acute admission
   - Illness stabilization
   * Education
   * Family session
   - Identify patient needs
   - Discharge plan
2. Steppingstone FTR
   - Psychoeducation
   * Group sessions (Occupational Therapist
   (OT), Medical Social Worker (MSW) &
   Psychologist)
   * Living skills training
   * Work training opportunity
   * Recreational activities/Outings
3. Slow Stream Rehabilitation
   A. Independent Living Skills
   * Psychoeducation
   * Activities of Daily Living
   (ADL) training
   * Money management
   * Recreational Activities/Outings

B. Vocational Training
* Transitional Employment (Dietetics Catering Services (DCS), Centre for Mental Health Education (CMHE), ISS)
* Sheltered Workshop (OT, ward-based)
* Social Enterprise (Hydroponic
farm, Sedap Café, flea market)

4. Outpatient
   A. Outpatient Services (IMH)
   * Community Mental Health Team (CMHT)
   * Caregiver SupportWorkshop
   * OcTave:
   - Occupational Therapy: Activities, Vocation and Empowerment) offers a range of outpatient rehabilitation programmes aimed at promoting community independence, providing therapeutic support, nurturing clients’ potential and facilitating their recovery.

B. Community Services
> Day Centre
* Club HEAL
* Singapore Anglican Community Services
* SAMH

> Residential
SAMH Group Home
* Anglican Care Centre (ACC)
(Farrer Park/Hougang/Simei)
* Rental flats
* Home

> Home-Based Support
* COMIT (home visit)
* CREST (reach out to the
elderly)
* Peer Bridger (ACC

Question 5

Q1. Recovery requires the reduction or remission of symptoms of mental illness.
Q2. Traditional mental health care is mainly focused on identifying and addressing deficits
Q3. Adherence to psychiatric medications is a necessary prerequisite for recovery
Q4. The goal of recovery is to become normal

Answer 5

Q1. F - specifically targets improving role performance
Q2. T
Q3. F - some pts dont need to be on meds, only need support
Q4. F - recovery of social and instrumental role functioning to the fullest extent possible through learning procedures and environmental supports

Question 6

Quiz (True / False)
5. People receiving psychiatric treatment are unlikely to be able to decide their own recovery goals

6. Healthcare workers are in the best position to develop goals and plans for individuals owing to their professional expertise and background.
7. Only individuals who are clinically stable should be involved in making decisions about their care.
8. It is harmful to have high expectations for
   individuals with mental illnesses.

Answer 6

F
F
F
F