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ADULT MENTAL HEALTH REHAB


“It is about people shaping the support they receive and being in control as they progress towards increased independence.”

Adult mental health rehabilatiom

WHAT IS PERSONALISED RECOVERY ORIENTED SERVICES:

This program is for those individuals with severe and persistent mental illness. It is a stabilization and intensive treatment program for adolescents, young adults who are having difficulty with managing daily life stressors. It is designed to engage and assist individuals in managing their illness and restoring those skills and supports necessary for living successfully in the community.


WHY PERSONALISATION IS REQUIRED:

It helps people identify the goals that are important to them and they will achieve these. It gives them the tools and support necessary to use their own skills, experiences and networks to lead their journey towards improved mental wellbeing.

Personalisation makes clients to chose and directs their support. Persons first identify their own individual life role goals. Once goals are identified in life domains including relationships, employment, housing, education, spiritual, and leisure time, next step is to identify obstacles that must be overcome in order to achieve them.



Principles for recovery-oriented rehabilitation

  • Rehabilitation programs encompass a recovery-oriented, strengths-based focus on developing potential, enhancing and strengthening existing skills and learning new skills.20
  • All rehabilitation programs and interventions are based on the belief that every person has the potential to engage in the process recovery, ie: consolidate strengths, change, learn and grow. It is an empowering process in which power, autonomy, control, and the right of the person to take risks and make choices are enabled in a safe, dignified and supported way. Rehabilitation programs foster rights and responsibilities, encourage active participation, self-determination, build upon meaningful community connections and support people to pursue a meaningful lifestyle of their choice.
  • Rehabilitation operates within a goal-oriented approach. People take different lengths of time to achieve their goals; therefore, program involvement must be individually negotiated. Regular review processes are vital in ensuring that service provision remains enabling and not unintentionally disabling.
  • Rehabilitation programs consider the environment and the impact this has on mental health and recovery in either a positive or a negative way.
  • Rehabilitation programs and interventions are intended to be stepping stones to assist with community integration and recovery and they do not replace existing networks.
  • Rehabilitation is holistic and individualised needs are considered using a whole-of-person approach throughout the life span.
  • Recovery-oriented rehabilitation practitioners are socially and culturally sensitive. Rehabilitation practitioners may need to partner with culturally appropriate practitioners, for example, traditional healers to maximise results of rehabilitation interventions for Aboriginal people.
  • Rehabilitation is accessible to everyone regardless of the setting.
  • All services provided are evidence-based and/or demonstrate best recovery-oriented practice.
  • All services and care are underpinned by a collaborative partnership approach that involves all key partners, and that the person we are working with and their supports are always at the centre of service-planning implementation, evaluation and modification.
  • Best recovery practice indicates that rehabilitation should be commenced at the earliest opportunity and be voluntary.
  • People’s recovery goals and rehabilitation needs, supports and strategies should be clearly integrated into the care plan, identify accountability, roles and responsibilities, measurable and achievable goals, and a time line for review.
  • Rehabilitation requires effort and engagement. Although it may not ‘just happen’ it rewards both consumers and practitioners. People must be afforded the time, appropriate support, resources and opportunities to ensure that sustainable rehabilitation interventions create the ‘just right challenge’, thereby enhancing skill development and allowing individuals to drive their own recovery journey.

GOAL:

  • To integrate treatment, support and rehabilitation in a manner that facilitates individual’s recovery.
  • To stabilize symptoms including mood disorders, depression, anxiety etc. All these conditions lead to inability to attend college, retain a job or live a healthy lifestyle.
  • To improve functioning
  • Reduce inpatient utilization
  • Reduce emergency services
  • Increase employment
Adult mental health rehabilatiom services at vimhans hospital

Who can enrol?????

  • Persons diagnosed with mental illness such as schizophrenia, depression, substance abuse, BPAD, mental retardation.
  • Mild to moderate impairment of cognition
  • Both male and female
  • Age range 18 to 75 years
  • Illness more than 2 years of illness
  • Profound functional deficits in performance areas

REFERRAL CRITERIA:

  • On the basis of diagnosed mental illness
  • On the basis of functional deficits
  • Requirement of personalised inputs
  • A referral form will be filled in before making a referral to the other team member stating the reason of referral.

rehabilatiom services at vimhans mental hospital


Problems targeted:

Impairment in following areas-cognition, Activities of daily living, social skills, communication, money management, vocational, poor compliance with medication, symptoms associated to illness.


Multidisciplinary team includes:

  • Psychiatrist
  • Psychologist
  • Occupational therapist
  • Nursing professionals

Our multidisciplinary team develops individualised treatment plans for each patient who addresses their psychiatric symptoms, behaviour and goals.

It is designed for patients who require high level of care from outpatient services or for those patients who are transitioning from inpatient admission.

  • clinical treatment
  • intensive rehabilitation
  • ongoing rehabilitation and support
  • community rehabilitation and support( home care)

adult service health
adult service health at vimhans mental health

It can be conducted in 4 categories:


1.Community rehabilitation and support(CRS)

Designed to engage and assist in personal life journey. These services will assist in restoring the skills and supports necessary to live independently in the community.

2.Intensive rehabilitation

It is designed to assist in attaining specific life roles such as school, independent housing and employment. It helps to reduce hospitalization, loss of housing or managing with distressing symptoms.

3.Ongoing rehabilitation and support(ORS)

It is designed to address your needs as you join and maintain a place in the competitive workplace.

4.Clinical treatment

It offers psychiatric, nursing, counselling, therapy and medication prescribing practices.

Services offered:

  • Medication
  • Psycho-education
  • Counselling
  • Cognitive rehabilitation
  • Social skills training
  • Activities of daily living training
  • Vocational guidance

PROGRAM PLAN

Two third of people with complex and long term mental health needs who are supported by rehabilitation services can progress to community living within 5 years and 10% will achieve independent living within this period. Clients who are in post-acute stage of illness or rehabilitation stage of illness identified by the team of inpatient department, are experiencing difficulty in self care or community living skills will be referred for personalised recovery oriented services.

Strategies:

  • Psycho education to improve understanding about mental illness and treatment.
  • CBT approaches to improve medication adherence.
  • Training in prevention of relapses.
  • SST to buffer stress and strengthen social support.
  • Teaching coping skills to reduce distress and severity of symptoms.


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