Rehabilitation Lecture

Rehabilitation and Recovery
1. Izaz Ali
2. Zabid U Rehman
3. Mujeeb Khan
• Objective
• At the end of the unit learners will be able to
• Define tertiary prevention and rehabilitation
• Discuss the behaviours and rehabilitative needs of people
with serious mental health problems
• Discuss response of families and communities to wards
rehabilitative.
• Recovery
• Recovery is the process in which people are able to live ,
work, learn, and participate fully in their community.
• Recovery is a journey of healing and change enables a person

with a mental health problem to-live a meaningful life in a
community of his or her-choice while to achieve his or her full
potential
PSYCHIATRIC REHABILITATION
• Psychiatric Rehabilitation known asPsychosocial Rehabilitation
is a comprehensive strategy for meeting the needs if persons
with severe and persistent mental illness .It refers to efforts to
restore persons with psychiatrist disabilities to optimal state
of constructive treatment activity.
• Recovery refers to individuals level of progress.e. his/her
ability to cope with the illness/disability and self image as a
functioning person.
Type of rehabilitation
• Medical Rehabilitation: help a person better in all his daily
physical and mental activities. Related to increasing the
potential capabilities and correction of deformities,
restoration of functions .
• Social Rehabilitation: implies social life; restoration of family ,
family social interactions or relationships
• Psychological Rehabilitation:Includes psychological
restorations of personal dignity and confidence of the
disabled.
• Vocational Rehabilitation: help those patient who find it
difficulty to get employment
Goals of Rehabilitation
• Following are the goals of rehabilitation
• To achieve Recovery
• Maximum Community integration
• Possible quality of life
Principles of rehabilitation:
• Rehabilitation should begin during the initial contact with the
patient
• The emphasis of rehabilitation is to restore the patient in
independence or pre-illness or pre-injuries level of function in
as short a time as possible
• He must be an active participant.
• Motivates the patient and help him to attain social
Independence’s
• Focus is on needs of group of people with specific conditions
• Every patient has right to the rehabilitation services.
Characteristics of Serious Mental Illness
• People who have SMI are likely to have primary and
secondary symptoms.
• Primary symptoms are directly caused by the illness . For
example, hallucinations and delusions are primary symptoms
of schizophrenia, and hyperactivity are primary symptoms of
bipolar disorder .
• Secondary symptoms, such as loneliness and social isolation,
are caused by the person response to the illness or its
treatment.
Behaviours related to serious mental Illness
• Blocks to recovery of individuals with SMI include
poverty victimisation , and stigma.
• People with SMI are often unemployed, less likely to be
involved in close relationships, and tend to have fewer
financial resources than their peers
• Stigma experienced by those who are mentally ill has
been Linked to self-esteem.
• Cont….
• A study of women with mental illness found that’s when there
was low perception of discrimination and the women did not
believe that discrimination was sincere, they had higher-self-
esteem .
• Thus the effects of stigma, poverty and victimisation should
be included in patient assessment and treatment planning.
Core element of Rehabilitation
• Rehabilitation process precedethrough
1. Consumer choices (involvement)
2. Assessment of readiness include:
o Need for change
o Commitment for change
o Environment awareness
o Self awareness
o Closeness to practitioner
3. Rehabilitation Diagnosis is based on overall
rehabilitation goal
• Functional assessment; which area needs to work,
assessment of strength and weakness.
• Resources assessment; availability the resources
Family Psycho education
• In family education we educate families about
• Mental illness
• Problem solving
• Stress reduction
• Long-term duration
• Family and consumer are Involved
Out come Of Family Psycho education
• Reduces relapse
• Reduces hospitalisations
• Improves family knowledge of mental Illness ,medications,
etc.
• May improve family problem solving
• May reduce family stressMay assist family recover
Supported Employment
• Supported employment refers to a type of employment
program that provides individuals with disabilities or other
barriers to employment with the support and
accommodations.
• Goal is integrated employment
• Consumer preferences are vital
• Rapid job search and placement
• Integrated with psychiatric treatment’s
Supported Employment Outcomes
• Obtaining integrated employment
• Increased job tenure
• Improved performance on the job
• May improve job satisfaction
• May increase earned salaries
• May have a positive effect on Symptoms and course of illness
Supported Education Services
• Supported Education Model: most preious gift is the
realisation of own potential so regardless of disability
• Strengthen the recovery
• Build self esteem and determination
• Build Normalization in society
• Support and relationship
• Hope and recovery
Supported Education Services
• Barriers
• stigma, personal stress , emotional instability•
• Out comes:>
• Normalization
• Hope and recovery
• Empowerment
• Improved quality of life
Rehabilitation program
• Day Care Program
• Core element of Day care
• Assessment and rehabilitation goals
• Planned activities
• individual services
• Cognitive behavior interventions
• Social and emotional support
• Group based skills acquisition
• Family services
Day care activities
• Social gathering session
• Exercises session
• Focus group sessions
• Individual session
• Arts & crafts session
• Leisure activities
• Indoor and out door sports activities
• Library session
• Cont...
• Music session
• Gardening session
• Cooking session
• Laundry session
• Supported education session
• Supported employment
• Family session
Role of nurse in rehabilitation
• Assessing patient's physical and psychological needs
• Developing individualized care plans in collaboration with the
interdisciplinary team
• Implementing evidence-based interventions to promote
patient recovery
• Providing education and support to patients and their
families.
• Encouraging patient participation and independence in self-
care activities
• Cont……
• Monitoring patient progress and adjusting care plans
accordingly
• . Collaborating with other healthcare professionals to
ensure comprehensive care
• . Advocating for patient rights and needs
• Providing cultural sensitive care
• Evaluating the effectiveness of rehabilitation
interventions
THANK YOU
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Rehabilitation and Recovery

• Recovery is a journey of healing and change enables a person

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