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PSR Fundamentals: Putting Values into Practice

PSR Fundamentals: Putting Values into Practice. Betty Dahlquist, MSW, CPRP 925-229-2300 casra@casra.org www.casra.org. Learning Objectives. Understand the basic principles and values of psychosocial rehabilitation.

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PSR Fundamentals: Putting Values into Practice

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  1. PSR Fundamentals: Putting Values into Practice Betty Dahlquist, MSW, CPRP 925-229-2300 casra@casra.org www.casra.org

  2. Learning Objectives • Understand the basic principles and values of psychosocial rehabilitation. • State the research outcomes that demonstrate that people do recover from schizophrenia • Understand the principles of recovery, empowerment, and resilience in working with people with a psychiatric disability.

  3. Redefining Mental Illness • Redefining mental illness • Myths • Research • DSM vs. Functional Assessment • An alternative view of “symptoms”

  4. Stigma, both externalized and internalized is based on myths about mental illness and the feelings generated by those myths.

  5. Research Findings • Vermont Study - Courtney Harding, 1987 • 65% of people with schizophrenia experienced significant improvement. • 80% of people with bi-polar disorder significantly improved. • 65% of people with major depression significantly improved. • COMPARED TO ROUGHLY 50% RECOVERY RATE FOR HEART DISEASE, DIABETES AND CANCER

  6. Symptoms • Are on a continuum. • Have a variety of causes. • Changes occur over time. • Can be managed both with or without medication. • May disappear entirely.

  7. Why a psychiatric diagnosis? • To categorize symptoms. • To bill for services. • Provides a common language for mental health professionals. • Identifies deficits. • Provides a basis for services.

  8. Why a functional assessment? • Describes the capabilities of the individual. • Views the person in an environmental context. • Focuses on both strengths and deficits. • Determines skills needed to achieve goals. • Considers developmental tasks based on life stage. • Focuses on quality of life.

  9. Principles which impact treatment approaches.

  10. Social Rehabilitation • Goals • Recovery • Community integration • Quality of life • Values • Self-determination • Dignity and worth of every individual • Optimism • Capacity of every individual to learn and grow • Cultural sensitivity

  11. Guiding Principles • Individualization of all services • Maximum client involvement • Normalized and community-based services • Strengths focus • Holistic approach • Vocational focus • Skills training • Environmental modification and supports • Partnership with the family • Outcome oriented focus • Focus on advocacy

  12. Recovery • Bill Anthony: “The development of new meaning and purpose as one grows beyond the catastrophe of mental illness.” • “Wellness actualized.” • Sheryle Stafford: “Recovery can only be defined be each person’s experience. It is entirely individualized.”

  13. Central Recovery Concepts • Hope • Choice • Responsibility • Meaningful role

  14. Empowerment • Goals: • Recovery • Reaffirm essential wholeness • Validate the importance of relationships • Values: • Shared responsibility • Mutuality in communication • Consumer directs treatment

  15. Guiding Principles: • Use of peer support • Consumers hired as staff • Consumers involved in all aspects of their care • Consumers involved in program/system planning and management • Staff “partner” with consumers • Focus on relationship

  16. Resilience • Definition: “Bouncing back from problems and stuff with more power and more smarts.” • Resiliency Attitude: “What is right with you is more powerful than anything that is wrong with you.”

  17. CASRA PSR Curriculum • Who’s It For? • Staff working in the field with no degree background. • Staff with degrees but no training in PSR. • Consumers who want to be providers.

  18. Course Content • Focus on entry-level skills • Practical application • Steeped in PSR values and recovery-oriented • Gives a solid base of knowledge

  19. Five Core Courses • Introduction to Psychosocial Rehabitation • The Helping Relationship • Rehabilitation and Recovery • Community Integration • Fieldwork seminar in PSR

  20. Resources for Developing a Recovery-oriented Workforce • CASRA PSR Curriculum • 5-Day Intensive in PSR/Recovery-oriented Practice • Advance practice modules • Train the Trainer • Implement PSR Curriculum at local community college

  21. Additional Resources • Attend CASRA Fall Conference November 2-3 in Culver City • Publications (Available from CASRA) • Best Practices in Psychosocial Rehabilitation • Psychological and Social Aspects of Psychiatric Disability • Psychiatric Rehabilitation • Mad in America • Taking Transformation Personally (video/DVD)

  22. Become a Certified Psychiatric Rehabilitation Practitioner (CPRP) • For information: • www.uspra.org

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