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Examples of Needs Addressed in PRP Social (e.g. relating with others) Educational (e.g. doing well in school) Occupational (e.g. to do well in job search, job interview, job performance, commuting, punctuality, job keeping) Behavioral (e.g. anger management) Cognitive (e.g. memory, thinking)
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Nature & Overview of Psychiatric Rehabilitation Program (PRP)
Dr. Samson Omotosho, PhD, RN-BC
(Executive Clinical Director) Optimum Health Systems, Inc.
(Email: [email protected])
Psychiatric Rehabilitation ProgramPRP is a series of planned interventionsto help persons who are in treatment for serious and persistent mental illness to:
Improve patient’s quality of lifeImprove in their recovery, and to Return to optimum level of functioning at home, school, work and other areas
Examples of Needs Addressed in PRP
Social (e.g. relating with others)
Educational (e.g. doing well in school)
Occupational (e.g. to do well in job search, job interview, job performance, commuting, punctuality, job keeping)
Behavioral (e.g. anger management)
Cognitive (e.g. memory, thinking)
Nature of PRPS
upplementary care to medication and therapyI
ndividualized and evidence-based careF
ocuses more on patient’s ability, not disabilityF
ocuses more on patient’s wellness, not symptomsF
ocuses more on patient’s strength, not weaknessC
lient-centered careF
ostered by client and counselor partnershipC
are mostly provided in client’s natural settingsC
entral focus is recovery and functioning
PRP is Teamwork & Collaboration
Client
NurseTeacher
PediatricianMentor, ETC
PRP Coordinator & Program Director
Psychiatrist
Therapist
Family
Counselor
Circles of PRP Needs:Personal, Family, & Community.
Functioning
Needs:
Process of PRP Psych Rehab process
includes:1.R
eferral by patient’s clinician2.A
ssessment of the client’s needs3.P
lanning the rehabilitation care (IRP)4.I
mplementing the plan of care5.E
valuating the outcome of the care6.R
eplanning (IRP Review)
Internal Factors that Facilitate PRP
Strengthen the following factors in the client:
Hope – help client recognize that recovery is possible
Empowerment – help correct feeling of helplessness
Connection- help identify own role and importance in the world
Recognition – help client recognize/identify needed changes
Insight – help develop insight into how to proceed to change
Determination – help foster client’s determination to change
External Factors that Facilitate PRP
Promote the following factors in the PRP program:1. Support from family, friends and PRP team2. Freedom from stigma3. Freedom from discrimination (work, school,
housing, treatment, benefits, entitlements, etc)4. Service with respect, listening, empathy, and
trust5. Teamwork and collaboration among and between
program staffs
Living Skills Addressed in PRPPhysical Emotional Intellectual
CleaningShoppingCleaningHygieneFitnessTransportationRecreation
Human relationsSelf controlExpressing angerConversationImpulse controlAssertivenessPatience
Goal settingTime planningMoney managementCommunity resourcesProblem solving
Learning Skills Addressed in PRPPhysical Emotional Intellectual
PunctualityBeing quietPaying attentionStaying seatedObserving
ListeningQuestion askingVolunteering answersSpeech makingAsking for directionsFollowing directions
ReadingWritingArithmeticStudy skillTypingHobby
Working Skills Addressed in PRPPhysical Emotional IntellectualPunctualityTransportationJob strengthUse of job toolsJob tasks
Job interviewDecision-makingHuman relationsSelf controlJob seekingJob tasks
KnowledgeJob skillsQualifyingJob searchJob tasks
Values Addressed in PRPR
espect of self, authority figures, and othersR
espect of other’s propertiesR
espect of other’s personal spaceR
espect of other’s rightsH
onestyD
eterminationG
ood attitude
Caregiver Needs Addressed in PRP
Emotional Support– acceptance, understanding, empathy, commitment, partnership
Feedback Support– listening, affirmation, talking
Information Support– the illness, coping, decision, perspective, behavior management, medications.
Instrumental Support– resources, respite, care help