Psychiatric Rehabilitation and Contemporary Housing

• Psychiatric rehabilitation aims to strengthen both the individual and the community
• A suicidal individual's risk of suicide places hospitalization and temporary elimination of other psychosocial rehabilitation efforts into the highest priority level
• Resources and supports are not a domain of assessment at the individual level
• Recovery within psychiatric rehabilitation is dedicated to approaching the individual person in a manner that fosters hope, supports dignity to fail and maximizes quality of life
• Extrapyramidal symptoms (EPS) such as muscle tremors, spasms and restlessness are side effects of conventional antipsychotics
• Rehabilitation providers can help people with psychiatric disabilities make informed decisions about their prescriptions, as long as they have a working knowledge of the constructive effects of medications and their side effects

Contemporary Housing Efforts

• Maximizing convenience and organization for residential staff is not desirable
• SSRIs are the class of antidepressants with fewest side effects

Good Assessment Characteristics

• Identifying tangible qualities such as satisfaction is a characteristic of a good assessment

• Sedation, weight gain, constipation, and appetite disturbances are frequently associated with atypical antipsychotics

• Vicarious stigma can happen when a family member or relative of a person with psychiatric disabilities witnesses discrimination and prejudice

• A token economy positive reinforcement strategy uses a system-wide approach to aggression management

Rehabilitation Planning

• Urgent matters that need to be anticipated include health crises, threats to self and others, and loss of housing

According to Corrigan, Rehabilitation Providers

• Rehabilitation providers must be aware of their own vulnerability to being influenced/biased by public fallacies that unfairly exaggerate the connection between mental illness and aggression

• Public stigma includes gossip, slander, or other derogatory messages directed at family members of a person with a psychiatric disability

• Deficits in metarepresentation impairs one's ability to overpersonalize unpleasant situations, and misinterpret the intentions of others

• A significant problem with peer support has been issues in understanding and complying with the importance of maintaining confidentiality

• Cognitive deficits, lack of high school diploma/qualifying education, and high community unemployment rates can be barriers to finding work for mentally ill individuals

• Sheltered workshops uses a "place-train” philosophy

Wellness Recovery Action Plan (WRAP)

• Avoiding triggers is not an aspect

• Elimination of psychiatric symptoms is not a factor in finding housing for severely mentally-ill individuals

Corrigan's Models of Cognitive Processing

• Information processing is useful in psychosocial rehabilitation

• Effective pharmacological management in psych rehab must take into account that individuals who are unstable and have persistent symptoms pose a challenge to effective medication management

• Only psychiatrists, nurse practitioners, and some clinical psychologists are authorized and competent to prescribe psychiatric medications

• Experiential support has been posited as having explanatory meaning for the impact of peer supports

• The increase of homelessness in the 1980s may have stemmed from a lack of funding for continued housing subsidies and/or increased gentrification

• Peer supports and services embody themes of self-empowerment, self-efficacy, and recovery

• According to cognitive theory, delusions can be seen as more extreme perspectives on a continuum from normative beliefs and behaviors

• The Affordable Care Act is regarded as the most significant overhaul of federal regulation of health care since Medicaid and Medicare

• According to Corrigan, confusion, psychosis, and medications and substances can be associated with aggression and not euphoria

• Underreporting abuse patterns causes difficultly when attempting to determine numbers of individuals with co-occurring psychiatric disabilities and patterns of substance abuse

• The mental health consumer movement has empowered people with psychiatric disabilities to advocate effectively for quality care

• Job clubs provide contents where people with psychiatric disabilities can learn about and seek jobs with the support of peers and rehabilitation providers

• A housing array model represents efforts to step up gradually and hierarchically from institutionalization to independent living

• Self-contained classrooms provide curriculum solely designed for students with psychiatric disabilities, that address career goals and basic academic skills, leading to courses that are more fully integrated into college curriculum

• Deinstitutionalization has purred an increase of mentally ill individuals in prisons, societal attitude shifts have led the public to regard behaviors that were once seen as indicative of mental involved in the mental health system, and poverty, poor education, and ethnic disparities undermine opportunity and access to health care and mental health care and possibly leads to criminal activity are all theories to the increased degree to which mentally ill individuals become involved in the mental health systems

• Rote recall is not an example of cognitive prosthetics

• Cognitive adaptation training (CAT) is an integrated program approach that helps individuals with psychosis improve cognitive deficits in the context of a home environment

• Community assessment identifies resources, understands structural barriers, and determines community attitudes

• A strengths focus is not an aspect of the community focus of psych rehab

Psychiatric rehabilitation focuses on strengthening individuals and communities. Recovery fosters hope and maximizes life quality. Understanding medication effects and supporting informed decisions are vital for providers.