PSYCHIATRIC REHABILITATION
PROGRAMS
Psychiatric rehabilitation, sometimes called psychosocial rehabilitation,
refers to services designed to promote the
recovery process for clients with mental illness. This recovery goes beyond
symptom control and medica-tion management to include personal growth,
reintegra-tion into the community, empowerment, increased inde-pendence, and
improved quality of life. Community support programs and services provide
psychiatric reha-bilitation to varying degrees, often depending on the
resources and funding available. Some programs focus pri-marily on reducing
hospital readmissions through symp-tom control and medication management,
whereas others include social and recreation services. Too few programs are
available nationwide to meet the needs of people with mental illnesses.
Psychiatric rehabilitation has improved client outcomes by
providing community support services to decrease hos-pital readmission rates
and increase community integra-tion. At the same time, managed care has reduced
the “medically necessary” services that are funded. For exam-ple, because
skills training was found to be successful in assisting clients in the
community, managed care organiza-tions defined psychiatric rehabilitation as
only skills train-ing and did not fund other aspects of rehabilitation such as
socialization or environmental supports. Clients and providers identified
poverty, lack of jobs, and inadequate vocational skills as barriers to
community integration, but because these barriers were not included in the
“medically necessary” definition of psychiatric rehabilitation by man-aged
care, services to overcome these barriers were not funded.
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