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William A. Anthony - One of the best experts on this subject based on the ideXlab platform.
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Person-Centered Psychiatric Rehabilitation
Person Centered Psychiatry, 2016Co-Authors: Marianne Farkas, William A. Anthony, Roger Montenegro, Elena GayvoronskayaAbstract:Over the past thirty years, Psychiatric Rehabilitation has become an integral part of overall mental health service delivery for individuals with Psychiatric disabilities, and in particular those with serious Psychiatric disabilities. Although it has become a common service, it remains little understood. Person-Centered Psychiatric Rehabilitation (PCPR) is an evolution of the field of Psychiatric Rehabilitation. This evolution has occurred in the context of the emerging framework of recovery and as such, incorporates the central values of person orientation, choice, partnership, and hope, in its methodology for helping individuals choose, get, and keep a valued role in society. The methodology involves helping the person to develop the requisite skills and environmental supports needed to achieve his or her preferred role. As such, it mirrors international developments in Person-Centered Medicine, which also focuses on a comprehensive approach to working with the perspective of the individual as the main driver of the work. Different parts of the world focus on different aspects of helping individuals attain their ‘life project.’ The emphasis in two areas of the world, (i.e. Latin America, Eastern Europe) is discussed as examples.
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Psychiatric Rehabilitation interventions: A review
International review of psychiatry (Abingdon England), 2010Co-Authors: Marianne Farkas, William A. AnthonyAbstract:Psychiatric Rehabilitation has become accepted by the mental health field as a legitimate field of study and practice. Over the last several decades various Psychiatric Rehabilitation programme models and procedures have been developed, evaluated and disseminated. At the same time the process of Psychiatric Rehabilitation has been specified and its underlying values and practitioner technology articulated. This review describes the Psychiatric Rehabilitation process and in so doing differentiates psychosocial interventions that can be classified as Psychiatric Rehabilitation interventions from other psychosocial interventions. Furthermore, the major Psychiatric Rehabilitation interventions are examined within a framework of the Psychiatric Rehabilitation process with a review of their evidence. The review concludes that Psychiatric Rehabilitation interventions are currently a mixture of evidence-based practices, promising practices and emerging methods that can be effectively tied together using the psych...
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Doing daily life: how occupational therapy can inform Psychiatric Rehabilitation practice.
Psychiatric rehabilitation journal, 2009Co-Authors: Terry Krupa, William A. Anthony, Catana Brown, Eleanor Mary Fossey, Deborah B. PittsAbstract:Topic: This paper provides an overview of occupational therapy in the context of Psychiatric Rehabilitation and mental health recovery. Purpose: The paper delineates practical aspects of occupational therapy’s involvement in the mental health field with a discussion of occupation and the elements of conceptual models that guide the practice of occupational therapy. Sources used: CINAHL, Psych Info, Medline. Conclusion: Occupational therapy is a key discipline in the field of Psychiatric Rehabilitation and brings to the field a strong theoretical and knowledge base along with unique procedures and practices. It is important for the Psychiatric Rehabilitation field to learn from all disciplines, including occupational therapy.
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The Choose-Get-Keep Model of Psychiatric Rehabilitation: A Synopsis of Recent Studies
Rehabilitation Psychology, 2006Co-Authors: E. Sally Rogers, William A. Anthony, Marianne FarkasAbstract:Objective: Comprehensive review of studies using the choose– get– keep (CGK) process model of Psychiatric Rehabilitation. Also, other studies are identified that have demonstrated methodologies useful in future research on the CGK model. Intervention Model: The CGK process is conceptualized as the phases through which people with Psychiatric disabilities proceed as they engage in Psychiatric Rehabilitation. Conclusion: The CGK model is a potentially useful Psychiatric Rehabilitation intervention that can be implemented in a variety of service settings and that focuses on the activities of the practitioner and the service recipient. The CGK model warrants further empirical study to examine its effectiveness.
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The integration of Psychiatric Rehabilitation services in behavioral health care structures: a state example
The journal of behavioral health services & research, 2002Co-Authors: Marsha Langer Ellison, William A. Anthony, John L. Sheets, William Dodds, William J. Barker, Joseph M. Massaro, Nancy J. WewiorskiAbstract:This article describes a model for integrating Psychiatric Rehabilitation services in a managed behavioral health care structure. Psychiatric Rehabilitation and managed care are two distinct developments in the provision of mental health services that have proceeded independently though they can have compatible methods and outcomes. Descriptive detail is provided about a state initiative in Iowa to provide Psychiatric Rehabilitation services to those with serious mental illness through the state-contracted managed behavioral health care corporation. The article describes factors leading to the program's implementation, service delivery structures, reimbursements, personnel requirements, and performance indicators. Evidence for supporting this innovation is provided through a case-controlled outcomes study of mental health service units used and their costs for participants and matched controls.
Shirley M. Glynn - One of the best experts on this subject based on the ideXlab platform.
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Psychiatric Rehabilitation in schizophrenia: advances and challenges
Clinical Neuroscience Research, 2003Co-Authors: Shirley M. GlynnAbstract:Abstract Psychiatric Rehabilitation for schizophrenia involves utilizing psychosocial interventions to assist persons with the illness to attain their highest level of independent functioning, strongest level of symptom control, and greatest level of subjective life satisfaction. The advent of newer, more well-tolerated antipsychotic medications may mean that more patients then ever are suitable for participation in concurrent Psychiatric Rehabilitation programs. In this article, the determinants of poor symptom control and social adjustment in schizophrenia are first discussed. Brief overviews of the procedures for the four most-well validated Psychiatric Rehabilitation strategies (family interventions, cognitive-behavior therapy, social skills training, and vocational Rehabilitation) are then presented, with supporting data. Issues of relevance to recent-onset and older patients are then discussed. Finally, the role of individual psychotherapy in Rehabilitation and opportunities for research and clinical integration of pharmacologic and psychosocial interventions are described.
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The challenge of Psychiatric Rehabilitation in schizophrenia.
Current psychiatry reports, 2001Co-Authors: Shirley M. GlynnAbstract:Many persons with schizophrenia continue to struggle with Psychiatric symptoms and poor social adjustment, even when prescribed appropriate doses of antipsychotic medications. Psychiatric Rehabilitation involves using psychosocial interventions to minimize symptoms and relapse while maximizing social functioning in schizophrenia. In this article, the scope of Psychiatric Rehabilitation is first defined and then the rationale for Psychiatric Rehabilitation is presented. The challenges to implementation of Psychiatric Rehabilitation strategies are next articulated. Finally, brief reviews of the four most empirically validated Psychiatric Rehabilitation techniques are presented.
William D. Spaulding - One of the best experts on this subject based on the ideXlab platform.
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Effects of Cognitive Treatment in Psychiatric Rehabilitation
Schizophrenia bulletin, 1999Co-Authors: William D. Spaulding, Dorie Reed, Mary Sullivan, Charles E. Richardson, Martin A. WeilerAbstract:Ninety subjects with severe and disabling Psychiatric conditions, predominantly schizophrenia, participated in a controlled-outcome trial of the cognitive component of Integrated Psychological Therapy (IPT), a group-therapy modality intended to reestablish basic neurocognitive functions. The cognitive therapy was delivered to subjects in the experimental condition during intensive 6-month treatment periods. Control subjects received supportive group therapy. Before, during, and after the intensive treatment period, all subjects received an enriched regimen of comprehensive Psychiatric Rehabilitation, including social and living skills training, optimal pharmacotherapy, occupational therapy, and milieu-based behavioral treatment. IPT subjects showed incrementally greater gains compared with controls on the primary outcome measure, the Assessment of Interpersonal Problem-Solving Skills, suggesting that procedures that target cognitive impairments of schizophrenia spectrum disorders can enhance patients' response to standard Psychiatric Rehabilitation, at least in the short term, in the domain of social competence. There was equivocal evidence for greater improvement in the experimental condition on the Brief Psychiatric Rating Scale disorganization factor and strong evidence for greater improvement on a laboratory measure of attentional processing. There was significant improvement in both conditions on measures of attention, memory, and executive functioning, providing support for the hypothesis that therapeutic procedures that target impaired cognition enhance response to conventional Psychiatric Rehabilitation modalities over a 6-month timeframe.
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Cognitive Functioning in Schizophrenia: Implications for Psychiatric Rehabilitation
Schizophrenia bulletin, 1999Co-Authors: William D. Spaulding, Dorie Reed, Mary Sullivan, Shelley K. Fleming, Daniel Storzbach, Mona LamAbstract:Research in psychopathology and the cognitive neurosciences suggests new applications in Psychiatric Rehabilitation. Analysis of performance deficits on laboratory tasks can contribute to treatment planning, individual and family counseling, and staff consultation, much like it does in cases of brain injury and other types of central nervous system neuropathology. Recognition of the nature of cognitive impairments in schizophrenia can inform design of psychosocial techniques such as social and living skills training. Cognitive impairments are increasingly seen as potential targets for pharmacological and psychosocial treatment and Rehabilitation. In this article, three key issues for application of cognitive technology in Psychiatric Rehabilitation of schizophrenia and related disorders are formulated as straightforward, clinically relevant questions: (1) What is the prognostic significance of cognitive impairment in acute psychosis? (2) Can cognitive functioning improve in the chronic, residual course? (3) How does cognitive improvement benefit other aspects of recovery and Rehabilitation? These questions are addressed through review of previous findings and new multivariate analyses of cognitive functioning in the acute, post-acute, and chronic residual phases of schizophrenia.
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University-state hospital collaboration in an inpatient Psychiatric Rehabilitation program.
Community mental health journal, 1991Co-Authors: Mary Sullivan, Charles E. Richardson, William D. SpauldingAbstract:From 1981 until present the Department of Psychology of the University of Nebraska-Lincoln has collaborated with the Lincoln Regional Center, a state hospital, on an inpatient Psychiatric Rehabilitation project. The University provides clinical psychology services under contract, including direct clinical services and consultation on program development. The project includes a 40-bed inpatient treatment unit, which represents a clinical training and research site for University faculty and graduate students. Program evaluation data indicate the collaboration has produced a cost-effective state-of-the-art treatment program, now considered a model for Psychiatric Rehabilitation services across the state. The collaboration played a key role in securing two major grants, one for specialty training for clinical psychologists in schizophrenia and Psychiatric Rehabilitation, one for a treatment outcome study. Facilitating factors in the project include convergence of the collaborators' professional and research interests with national and state mental health policy. Obstacles include hospital administrative policies which fail to recognize or appreciate requirements for program management and accountability, and unwillingness to recognize program leadership from nonmedical professionals.
Marianne Farkas - One of the best experts on this subject based on the ideXlab platform.
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Person-Centered Psychiatric Rehabilitation
Person Centered Psychiatry, 2016Co-Authors: Marianne Farkas, William A. Anthony, Roger Montenegro, Elena GayvoronskayaAbstract:Over the past thirty years, Psychiatric Rehabilitation has become an integral part of overall mental health service delivery for individuals with Psychiatric disabilities, and in particular those with serious Psychiatric disabilities. Although it has become a common service, it remains little understood. Person-Centered Psychiatric Rehabilitation (PCPR) is an evolution of the field of Psychiatric Rehabilitation. This evolution has occurred in the context of the emerging framework of recovery and as such, incorporates the central values of person orientation, choice, partnership, and hope, in its methodology for helping individuals choose, get, and keep a valued role in society. The methodology involves helping the person to develop the requisite skills and environmental supports needed to achieve his or her preferred role. As such, it mirrors international developments in Person-Centered Medicine, which also focuses on a comprehensive approach to working with the perspective of the individual as the main driver of the work. Different parts of the world focus on different aspects of helping individuals attain their ‘life project.’ The emphasis in two areas of the world, (i.e. Latin America, Eastern Europe) is discussed as examples.
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Psychiatric Rehabilitation interventions: A review
International review of psychiatry (Abingdon England), 2010Co-Authors: Marianne Farkas, William A. AnthonyAbstract:Psychiatric Rehabilitation has become accepted by the mental health field as a legitimate field of study and practice. Over the last several decades various Psychiatric Rehabilitation programme models and procedures have been developed, evaluated and disseminated. At the same time the process of Psychiatric Rehabilitation has been specified and its underlying values and practitioner technology articulated. This review describes the Psychiatric Rehabilitation process and in so doing differentiates psychosocial interventions that can be classified as Psychiatric Rehabilitation interventions from other psychosocial interventions. Furthermore, the major Psychiatric Rehabilitation interventions are examined within a framework of the Psychiatric Rehabilitation process with a review of their evidence. The review concludes that Psychiatric Rehabilitation interventions are currently a mixture of evidence-based practices, promising practices and emerging methods that can be effectively tied together using the psych...
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The Choose-Get-Keep Model of Psychiatric Rehabilitation: A Synopsis of Recent Studies
Rehabilitation Psychology, 2006Co-Authors: E. Sally Rogers, William A. Anthony, Marianne FarkasAbstract:Objective: Comprehensive review of studies using the choose– get– keep (CGK) process model of Psychiatric Rehabilitation. Also, other studies are identified that have demonstrated methodologies useful in future research on the CGK model. Intervention Model: The CGK process is conceptualized as the phases through which people with Psychiatric disabilities proceed as they engage in Psychiatric Rehabilitation. Conclusion: The CGK model is a potentially useful Psychiatric Rehabilitation intervention that can be implemented in a variety of service settings and that focuses on the activities of the practitioner and the service recipient. The CGK model warrants further empirical study to examine its effectiveness.
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Overview of Psychiatric Rehabilitation Education: Concepts of Training and Skill Development
2001Co-Authors: Marianne Farkas, William A. AnthonyAbstract:Training in Psychiatric Rehabilitation, at both preservice and in-service levels, has not kept pace with the developing knowledge base in Psychiatric Rehabilitation. Currently, the Psychiatric Rehabilitation field has a clear mission and philosophy and a defined population in need of Psychiatric Rehabilitation services. Now it must develop in its workforce the specific competencies (knowledge, attitude, and skills) that can effectively deliver services to individuals with Psychiatric disabilities. Educators must understand the empirical basis of the field, the practitioner tasks that are most apt to relate to improved client outcomes, and the various types of training programs that are possible.
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The Future of Psychiatric Rehabilitation
International Journal of Mental Health, 1999Co-Authors: William A. Anthony, Mikal Cohen, Marianne FarkasAbstract:Since 1979, Boston University's Center for Psychiatric Rehabilitation has provided leadership in accumulating a body of knowledge relevant to the Rehabilitation of persons with serious mental disorders. The center's mission has encompassed evaluative research, knowledge dissemination, training, and service demonstration. The center has made a profound and broad impact upon the way that Psychiatric (or psychosocial*) Rehabilitation services are delivered in the United States. These include developments of innovative Rehabilitation intervention models such as supported employment [1], supportive housing [2,3], and supported education [4,5]; developing and field-testing technology to teach the practitioner skills of Psychiatric Rehabilitation [6]; examining vocational outcomes and predictors of those outcomes [7,8]; developing and demonstrating interventions to promote wellness [9,10]; and researching issues such as functional assessment and the relationship among functioning, symptoms, and outcomes [11,12].
J. Prenderqast Peter - One of the best experts on this subject based on the ideXlab platform.
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Integration of Psychiatric Rehabilitation in the Long-Term Management of Schizophrenia
The Canadian Journal of Psychiatry, 1995Co-Authors: J. Prenderqast PeterAbstract:Psychiatric Rehabilitation has been found to be a worthwhile conceptual framework in the long-term management of schizophrenia. It involves both pharmacotherapy and various psychosocial treatments. Psychiatric Rehabilitation allows the treatment team to organize a comprehensive therapy plan for patients. This paper reviews the literature on Psychiatric Rehabilitation and describes an example of the practical application of these theories.
