Rehabilitative Services And Mental Health Services

What are the implications of a recovery model for mental health services and for service users/survivors?

Services are provided through various health clinics, hospitals, schools, community centers, and public housing centers. In the United

Health care is something that everyone requires in order to lead a healthy life. After a visit to a hospital there are instances when certain individuals require further care due to their circumstances. Although hospitals may provide long-term care, it is not usually ideal. Hospitals are in place to handle emergency situations and aid in stabilizing the patients. Once the patients are stable, they must be transitioned to another facility if they require further assistance. This will avoid maximum occupancy for the hospital and allow it to remain available to other patients that may need their services. Patients who require long-term care or around the clock care and are in good medical condition should seek a long-term care facility, such as a skilled nursing facility or nursing home. For some individuals, facilities such as skilled nursing facilities or nursing homes are a blessing. These types of facilities are in existence to aid in the recovery of certain injuries and or to provide living arrangements for those who lack someone to care for them or assist with meeting their health care needs.

There are numerous programs available for inmates who are incarcerated, and the individuals who capitalize on these programs show subsequent improvement after being released. However, these programs only help those prisoners who are willing to change. While incarcerated in the Federal Bureau of Prisons, or BOP, there are numerous programs inmates can take advantage of that will help them in a variety of fields such as, “Education and Vocational Training, English-as-a-Second Language Program, Drug Abuse Education, Sex Offender Treatment Programs – Nonresidential, Skills Programs,” and more (Federal Bureau of Prisons, 2015). On the educational side, the BOP offers a program called the Bureau Literacy Program (Federal Bureau of Prisons, 2015).

The mental health professional I interviewed was Carol McClelland of Freedom House Recovery Center in Chapel Hill, North Carolina. Carol has worked with Freedom House for a year as the directory of outpatient services and is licensed as a LPC, LPCS, LCAS, CCS, and MA. Carol’s job requires her to be responsible for the direct oversight of all clinical operations and clinical integrity for outpatient services at Freedom House. The hours of operation are Monday through Friday from 8am to 5pm, along with a crisis and detox center that is available for contact 24/7. Carol has plenty of experience in the mental health field, such as working as a dual diagnosis/substance abuse outpatient therapist, working with the severely mentally ill, working as a criminal justice outpatient therapist, and also working in a methadone clinic. She chose this career after her experiences in working with mental health, and her extensive education in psychology and counseling. Carol stated that outpatient services was the most interesting out of her job experiences, so when she was offered the job at Freedom House, she accepted.

inpatient care in a skilled nursing facility, hospice, and some aspects of home health. Mrs.

Some examples of ancillary services in health care are; testing such as: laboratory, imaging, cardiac monitoring, etc. Therapies such as: dialysis, chiropractic, outpatient rehab, etc. Physician alternatives: such as walk-in clinics and urgent care centers. Post-acute hospital services such as: hospice, inpatient rehab, surgery centers, etc. Medical devices such as durable medical equipment, implantable devices, diabetic supplies, etc., and other services such as podiatry, transportation, and vision. Ancillary services support the health care industry by helping maximize practice

They are: prescription drugs, medical care or remedial care furnished by other licensed practitioners for example nurse practitioners/certified nurse specialist, certified registered nurse anesthetist, physician assistants, psychology, licensed professional counselors, licensed marriage and family therapist, licensed clinical social workers, podiatry, chiropractic, optometry, including eyeglasses and contacts (Hegar). Rehabilitation and other therapies: mental health rehabilitation, rehabilitation facility services, substance use disorder treatment, physical, occupational and speech therapy (Hegar). Clinic service: maternity service clinics, hearing instrument and related audiology, and renal dialysis (

These organizations may include employment agencies, continuing care retirement communities, residential elderly care facilities, health facilities, hospice agencies, county service providers, and the kinds of licensed home health care agencies previously mentioned.

1) Various needs that would be considered when planning an individuals end of life care;

A rehabilitation counselor is the central coordinator of setting up services and the client’s goals. They help develop and enhance the client’s skills to secure independence, employment and function in the community (Garske, 2003). In order to be able to rehabilitate the client and set up obtainable goals and a treatment plan, the rehabilitation counselor must first understand ADA, the client’s functional limitations, challenges and obstacles they are facing, along with barriers that may pose a threat to the success of the client. Rehabilitation counselors also set up a support network the client can reach out to and utilize, as well as resources and accommodations

service, and a referral system for specialty care, dental care, mental health, transportation, and social

never implemented as intended. Although the contours of the correctional system changed—the juvenile court, indeterminate sentencing, probation, parole, and discretion became integral features of this system—the resources and knowledge needed to provide effective treatment to offenders were in short supply. Cullen and Gendreau (2000).

The term ‘Recovery’ carries many differing definitions both in the Medical and Mental Health domains. In medical terms, recovery is the act of regaining or returning to a normal or health state, being cured or experiencing no current symptoms (Mental Health Foundation UK, 2015).

Criminologist and politicians have debated the effectiveness of correctional rehabilitation programs since the 1970’s when criminal justice scholars and policy makers throughout the United States embraced Robert Martinson’s credo of “nothing works” (Shrum, 2004). Recidivism, the rate at which released offenders return to jail or prison, has become the most accepted outcome measure in corrections. The public's desire to reduce the economic and social costs associated with crime and incarceration has resulted in an emphasis on recidivism as an outcome measure of program effectiveness. While correctional facilities continue to grow, corrections make up an increasing amount of state and federal budgets. The recidivism rate in