Open Access Open Access  Restricted Access Subscription Access

Recent developments in person-centered psychiatry: present and future psychiatric rehabilitation

Martin Rotenberg, Abraham Rudnick

Abstract


Psychiatric Rehabilitation (PSR) focuses on person-centered and evidence-based sets of mental healthcare practices that facilitate the recovery of people with mental health challenges. PSR aims to enhance and maintain adaptive skills and supports for personally meaningful and valued social roles. Research in PSR continues to progress, with growing knowledge and evidence to support PSR practices and the provision of mental health services within a recovery-oriented framework. As one of the more person-centered sets of healthcare practices, a periodic review of recent and developing PSR literature is warranted for its own sake and for the consideration of how lessons from PSR may be transferable to other areas of healthcare. Recent developments and future directions in PSR addressed here relate to (1) enhanced conceptual understanding of recovery, (2) increased understanding of how individuals and families cope with mental illness, (3) PSR ethics, (4) increasing use of technology in PSR practices, (5) integration of evidence-based and promising practices, (6) psychiatric leisure rehabilitation and (7) PSR education and systems. These areas of focus are discussed in a selective review of the literature and a clinical case example which illustrates how PSR practices can facilitate recovery.


Keywords


disability; mental illness; psychiatry; recovery; rehabilitation; schizophrenia

Full Text:

PDF

References


Anthony, W., Cohen, M., Farkas, M. & Gagne, C. (2002). Psychiatric Rehabilitation. 2nd edn. Boston: Center for Psychiatric Rehabilitation.

Diagnostic and Statistical Manual of Mental Disorders DSM 5. (2013). Arlington, VA: American Psychiatric Association.

Rudnick, A. (2014). What is a Psychiatric Disability? Health Care Analysis 22, 105-113.

Corrigan, P.W., Mueser, K.T., Bond, G.R., Drake, R.E. & Solomon, P. (2008). Principles and Practice of Psychiatric Rehabilitation: An Empirical Approach. New York: Guilford Press.

Jones, C., Hacker, D., Cormac, I., Meaden, A. & Irving, C.B. (2012). Cognitive behavioural therapy versus other psychosocial treatments for schizophrenia. Cochrane Database of Systematic Reviews CD008712.

Miyamoto, S., Miyake, N., Jarskog, L.F., Fleischhacker, W.W. & Lieberman, J.A. (2012). Pharmacological treatment of schizophrenia: a critical review of the pharmacology and clinical effects of current and future therapeutic agents. Molecular Psychiatry 17, 1206-1227.

Kinoshita, Y., Furukawa, T.A., Kinoshita, K., Honyashiki, M., Omori, I.M., Marshall, M., Bond, G.R., Huxley, P., Amano, N. & Kingdom, D. (2013). Supported employment for adults with severe mental illness. Cochrane Database of Systematic Reviews CD008297.

Farkas, M. & Anthony, W.A. (2010). Psychiatric rehabilitation interventions: A review. International Review of Psychiatry 22, 114-129.

Farkas, M. (2013). Introduction to Psychiatric/Psychosocial Rehabilitation (PSR): History and Foundations. Current Psychiatry Reviews 9, 177-187.

Rudnick, A. (2008). Recovery from Schizophrenia: A Philosophical Framework. American Journal of Psychiatric Rehabilitation 11, 267-278.

Roe, D., Rudnick, A. & Gill, K.J. (2007). The Concept of “Being in Recovery”. Psychiatric Rehabilitation Journal 30, 171-173.

Rudnick, A. & Roe, D. (2011). Serious mental illness: person-centered approaches. London: Radcliffe Publishing.

Rudnick, A. (2012). Recovery of people with mental illness: Philosophical and related perspectives. Oxford: Oxford University Press.

Nuechterlein, K.H. & Dawson, M.E. (1984). A Heuristic Vulnerability/Stress Model of Schizophrenic Episodes. Schizophrenia Bulletin 10, 300-312.

Eack, S.M. & Newhill, C.E. (2007). Psychiatric symptoms and quality of life in schizophrenia: a meta-analysis. Schizophrenia Bulletin 33, 1225-1237.

Anthony, W.A., Rogers, E.S., Cohen, M. & Davies, R.R. (1995). Relationships between psychiatric symptomatology, work skills, and future vocational performance. Psychiatric Services 46, 353-358.

Lazarus, R.S. & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer Publishing.

Rudnick, A. (2001). The Impact of Coping on the Relation Between Symptoms and Quality of Life in Schizophrenia. Psychiatry Interpersonal & Biological Processes 64, 304-308.

Rudnick, A. & Kravetz, S. (2001). The relation of social support-seeking to quality of life in schizophrenia. Journal of Nervous and Mental Disease 189, 258-262.

Martins, J. & Rudnick, A. (2007). A re-analysis of the relationship among coping, symptom severity and quality of life in schizophrenia. Schizophrenia Research 89, 355-356.

Rudnick, A., Rofè, T., Virtzberg-Rofè, D. & Scotti, P. (2011). Supported reporting of first person accounts: assisting people who have mental health challenges in writing and publishing reports about their lived experience. Schizophrenia Bulletin 37, 879-881.

Thompson, N.C., Hunter, E.E., Murray, L., Ninci, L., Rolfs, E.M. & Pallikkathayil, L. (2007). The Experience of Living With Chronic Mental Illness: A Photovoice Study. Perspectives in Psychiatric Care 44, 14-24.

Rudnick, A. (2004). Burden of caregivers of mentally ill individuals in Israel: A family participatory study. International Journal of Psychosocial Rehabilitation 9, 147-152.

Pharoah, F., Mari, J., Rathbone, J. & Wong, W. (2010). Family intervention for schizophrenia. Cochrane Database of Systematic Reviews CD000088.

Rotenberg, M.A. & Rudnick, A. (2011). Reporting of Ethics Procedures in Psychiatric Rehabilitation Peer-Reviewed Empirical Research Publications in the Last Decade. American Journal of Psychiatric Rehabilitation 14, 97-108.

Kitson, A., Marshall, A., Bassett, K. & Zeitz, K. (2013). What are the core elements of patient-centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing. Journal of Advanced Nursing 69, 4-15.

Rudnick, A. (2002). The goals of psychiatric rehabilitation: An ethical analysis. Psychiatric Rehabilitation Journal 25, 310-313.

Rudnick, A. (2007). Coercion and psychiatric rehabilitation: a conceptual and ethical analysis. BMC Psychiatry 7, S22.

Rudnick, A. (2007). Processes and Pitfalls of Dialogical Bioethics. Health Care Analysis 15, 123-135.

Rudnick, A. (2002). The Ground of Dialogical Bioethics. Health Care Analysis 10, 391-402.

Rudnick, A., Pallaveshi, L., Sibbald, R.W. & Forchuk, C. (2014). Informal ethics consultations in academic health care settings: A quantitative description and a qualitative analysis with a focus on patient participation. Journal of Clinical Ethics 9, 28-35.

Kurtz, M.M., Moberg, P.J., Gur, R.C. & Gur, R.E. (2001). Approaches to Cognitive Remediation of Neuropsychological Deficits in Schizophrenia: A Review and Meta-Analysis. Neuropsychology Review 11, 197-210.

McGurk, S.R., Twamley, E.W., Sitzer, D.I., McHugo, G.J. & Mueser, K.T. (2007). A Meta-Analysis of Cognitive Remediation in Schizophrenia. American Journal of Psychiatry 164, 1791-1802.

Corring, D., Meier, A., Rudnick, A. & Forchuk, C. (2015). Using mobile technology to promote independence: an innovation in psychiatric rehabilitation – a feasibility study. Research Insights 12, 2-8.

Corring, D., Campbell, R. & Rudnick, A. (2011). Cognitive Remediation for Inpatients with Schizophrenia or Schizoaffective Disorder Using “Smart” Technology in a Simulated Apartment: A Feasibility and Exploratory Study. In: Towards Useful Services for Elderly and People with Disabilities. Abdulrazak, B., Giroux, S., Bouchard, B., Pigot, H. & Mokhtari, M., eds, pp. 286-289. Berlin: Springer

Mowbray, C.T., Collins, M.E., Bellamy, C.D., Megivern, D.A., Bybee, D. & Szilvagyi, S. (2005). Supported education for adults with psychiatric disabilities: an innovation for social work and psychosocial rehabilitation practice. Social Work 50, 7-20.

Bond, G.R., Drake, R.E. & Becker, D.R. (2008). An update on randomized controlled trials of evidence-based supported employment. Psychiatric Rehabilitation Journal 31, 280-290.

Rudnick, A. & Gover, M. (2009). Combining supported education with supported employment. Psychiatric Services 60 (12) 1690.

Rudnick, A., McEwan, R.C., Pallaveshi, L., Wey, L., Lau, W., Alia, L. & Van Volkenburg, L. (2013). Integrating supported education and supported employment for people with mental illness: A pilot study. International Journal of Psychosocial Rehabilitation 25, 5-25.

Parker, C.J., Gladman, J.R.F. & Drummond, A.E.R. (1997). The role of leisure in stroke rehabilitation. Disability and Rehabilitation 19, 1-5.

Rudnick, A. (2005). Psychiatric Leisure Rehabilitation: Conceptualization and Illustration. Psychiatric Rehabilitation Journal 29, 63-65.

Corring, D., Lundberg, E. & Rudnick, A. (2013). Therapeutic Horseback Riding for ACT Patients with Schizophrenia. Community Mental Health Journal 49, 121-126.

Corring, D., Johnston, M. & Rudnick, A. (2010). Effects of a supported program for horseback riding on inpatients diagnosed with schizophrenia: A qualitative exploratory study. American Journal of Recreation Therapy 9, 41-46.

Rudnick, A., Kohn, P.M., Edwards, K.R., Podnar, D., Caird, S. & Martin, R. (2014). Humour-Related Interventions for People with Mental Illness: A Randomized Controlled Pilot Study. Community Mental Health Journal 50, 737-742.

Virtzberg-Rofè, D., Rofè, T. & Rudnick, A. (2014). Free Online Dating Site for People With Mental Illness. Psychiatric Services 65, 1178.

Rudnick, A. (2011). Attitudes of pre-clinical medical students towards psychiatric patients before and after an early clinical experience. Canadian Medical Education Journal 2, 11-15.

McKay, K., Akhtar, N. & Rudnick, A. (2016). Psychosocial/Psychiatric Rehabilitation (PSR) Education in Postgraduate Psychiatry and Occupational Therapy Training: A Commentary. Journal of Community Medicine & Health Education 6, 1-2.

Rudnick, A. & Eastwood, D. (2013). Psychiatric rehabilitation education for physicians. Psychiatric Rehabilitation Journal 36, 126-127.

Rudnick, A. & Copen, J. (2013). Rural or Remote Psychiatric Rehabilitation (rPSR). Psychiatric Services 64 (5) 495.




DOI: http://dx.doi.org/10.5750/ejpch.v5i2.1307

Refbacks

  • There are currently no refbacks.