The Principles Of Psychosocial Rehabilitation

Recently I watched ‘Shawshank Redemption,’ which raises the issue of rehabilitation and its effect on the prisoners, and this made me think about

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

Celebrate Recovery is a self-help recovery program that contains a heavy emphasis on Christ and seeking healing through Him. There is a strong religious focus so individuals feel like they have help that is unconditional and they are surrounded by a body of individuals who are struggling with similar situations as well. Although these individuals cannot provide the answers or healing for one another, they are the support, a body, a family, and create a safe environment for fellow participants. Moreover, with this focus on Christs healing powers in their lives, the program emphasizes the eight recovery principles in the Beatitudes as well as the twelve-steps (similar to those used in Alcoholics Anonymous). I, therefore, attended a Celebrate Recovery meeting at the fellowship church in Rogers, AR on October seventh, two thousand sixteen.

Shared decision-making involves an open and honest conversation between the clinician and the patient. It is a collaboration that takes into account treatment options and the patient’s values and preferences. It gives a patient a voice in their own care. Therefore, pure placebo-prescribing is ethical when the patient has a say – which can foster a placebo effect within the patient. Not from the pill “itself, but rather from the relationship between [the] healer and [the] patient, and the latter’s own capacity for self-healing” (Brody, 1982, 117). In other words, the context in which the pure placebo is prescribed can influence its positive results. Contrastingly, when patients are left out of the decision-making process, there is no room for the clinician’s and patient’s relationship to grow. It also raises the possibility of deception – a concept appearing in almost all of the medical literature on placebo-prescribing in clinical practice.

Rehabilitation, what is rehabilitation? Rehabilitation is the action of restoring someone to a normal life through training and therapy after incarcerated, addiction or illness. Rehabilitation can be used for an offender who has committed a crime and is incarcerated, someone who is struggling with addiction or illness. Rehabilitation was originated in 1779 by the British Government as part of the Penitentiary Act, rehabilitation would consist of punishment along with treatment for the offenders. (Benjamin Disraeli 2004). The purpose of rehabilitation is to treat the offender in order for the offender to return to society and be able to contribute, rehabilitation is also a punishment for breaking a law.

The treatment would be to take a closer look at the recovery life for the individual or family instead of fixing it. For example this article talks about using the model in substance abuse such as; Lorie Obernauer, PhD, recovery consultant and coach and former Alumni Coordinator at CeDAR in Colorado, says that at CeDAR (Center for Dependency, Addiction and Rehabilitation), “We are actually putting something into play that is really directed to helping our clients live in recovery and use some new tools to understand the new world that they are now entering.”(S. Brys). The author talks about “She says this model of treatment is a solution-oriented model rather than one of relapse prevention, as it has been in the past. Obernauer will be presenting on this topic at this month’s National Conference on Addiction Disorders with Steve Millette, MS, LAC, Executive Director of CeDAR”(Brys). She explains how treatments professionals can be “tour guides,” helping clients move from what William White calls a “culture of addiction” to a “culture of recovery.” Here are other examples that she uses for when the family or individuals are ready to move on to culture of recovery;

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

A few years ago, this statement would have been utterly false or perhaps something else I'd say under the influence of alcohol or to prevent my loved ones from finding out that I had taken a few sips. It had become second nature to me, lying. I could say anything after having a few glasses, or a bottle, or two. I lied on and on and I didn't care. Honestly, at that time, I did not care how my lies affected people around me, or whether they affected them. All I cared about was myself and the temporary escape I get from reality, which the drink offered. When I was sad I'd drink, when I was happy I'd drink, when I was angry, I'd drink, every form of mood I found myself in, I'd use it as an opportunity to drink. And afterward the result was the same, I'd lie and hurt my loved ones. Drinking had become a problem.

The definition of Rehabilitation is the re-integration into society of a convicted person and the main objective of modern penal policy, to counter habitual offending, also known as criminal recidivism. Wikipedia,2017. Rehabilitation should be the primary goal of not only lawmakers but also institutions, and society. The second chance act supports state, local, and tribal governments and nonprofit organizations in their work to reduce recidivism and improve outcomes for people returning from state and federal prisons, local jails, and juvenile facilities. Passed with bipartisan support and signed into law on April 9, 2008, SCA legislation authorizes federal grants for vital programs and systems reform aimed at improving the reentry process.the

Patient's decision-making is influenced by several factors. Patients may change their decisions, from accepting or refusing treatment depending on the available treatment options. The capacity of the individual to make informed medical decisions can differ as the patient's status changes cognitively, emotionally, and/or physically and as the proposed treatment interventions change. Treatment refusal is a common situation faced by clinicians. Patients do not usually refuse the medical advice if the advice is of good intention. When patients refuse an advice, it indicates some underlying reasons related to the patients or family, factors associated with the physician as well as social and organizational issues.

Pt. was readmitted to the program on 8/10/16 and he has shown good participating during therapy session. Pt. is currently encouraged to meet with the Primary Counselor to discuss and practice new behavior in order to progress to the Maintenance stage of change. As the Pt. has participated in the recovery program and has been able to achieve phase 5 of TX program and maintain 7 months of negative UDS results. Pt. remains in compliance with TX obligations by attending mandatory monthly counseling and making payments in advance despite recent hospitalization. Pt. was hospitalized due to a car accident in Lewes, DE. Pt. also indicated that he stills support his child financially. Pt. indicated that he is currently not working after having a facial

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).

Throughout history American laws have been erected to disrupt and destroy the lives of African Americans, and prisons were created solely as a form of criminal punishment and not as a form of rehabilitation. Laws created by our government target Black people, which has made it harder for them to avoid the criminal justice system. It is reported that 6.5 percent of black men in the United States population are incarcerated, meaning it is more likely that a black person will be arrested than a white person ( DuVernay). This number is extremely high because laws like the crime bill enforced by Bill Clinton made it easier for minorities to be placed in the criminal justice system. The Three Strike Law made petty crimes such as, theft, shoplifting

Psychosocial rehabilitation has its theoretical roots in evolving a failed effort, by the mental health system, to help mentally ill patients in coping with the psychosocial devastation brought on by severe mental illness and behavioural problems (Correctional Services Canada, 2013). The traditional methods of treatment viewed recovery as a process of curing an illness, usually with medication, but recovery does not subsequently occur once their illness is “treated” (CSC, 2013). This traditional method was ineffective because their recovery was halted by limited support and skills and ‘abnormal’ behaviours learned in institutions (CSC, 2013). These deficits resulted in chronic impairments and maladaptive social functioning (CSC, 2013). These individuals were unable to fulfill normal social roles and successfully live independently in the community (CSC, 2013). The PSR approach to recovery incorporates more than just eliminating the signs and symptoms of the illness, is based on understanding the patients voice and experiences and encouraging participation and self-determination in treatment (CSC, 2013). This approach recognises the care values such as hope, empowerment, and determination are essential to recovery (CSC, 2013). The importance of skill development and community support are also highlighted (CSC, 2013).

In this essay I will discuss theoretical principals of rehabilitation of a particular patient I cared for while on clinical placement. It will focus on the role of the multidisciplinary team involved in this rehabilitation process post acute myocardial infarction and the education and support given to the patient and her family during the discharge planning process. Also I will be including statistics and evidence of pathophysiology. The National Service Framework for Older People (Department of Health, 2001) sets out eight standards including standard three about intermediate care services that promote independence and provide effective rehabilitation services. Active rehabilitation is seen to reduce the risks of hospital readmission,