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Rehabilitation model for young adults – recovering from mental illness. The Finnish Central Association for Mental Health. A support and advocacy organisation 170 local chapters with 21 000 members
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Rehabilitation model for young adults – recovering from mental illness
The Finnish Central Association for Mental Health • A support and advocacy organisation • 170 local chapters with 21 000 members • The members: people recovering from mental problems, their relatives and friends, professionals, volunteers • The Association is the largest of its kind in Europe • Peer support is the clue to recovery
The Finnish Central Association for Mental Health provides • Dozens of rehabilitation courses annually • Rehabilitation councelling services at the Propelli information and guidance centres • Supported education and training • Supported housing • Legal and social advice • Developing projects • Training (e.g. peer councellors)
The backround of the rehabilitation model • The role of the Social Insurance Institution of Finland • initiative to create new models of rehabilitation to the age group 18-25 y. • funds 9 different projects and makes research of them • the aim is to create good, local practices and fund them in the future
The main practical ideas of the model • To combine different methods of rehabilitation: courses, group meetings, individual counselling and case management, group for the family members • The aim of the work with the clients is towards to study and work • To make co-operation with psychiatric policlinics of Helsinki and with the Family Associations Promoting Mental Health
The main theoretical ideas of the model • The non-competing relation between expert-knowledge and lay-knowledge • Trio method: to connect the expertise of professionals functionally to the expertise of clients and aspects of peer-support • Counsellors awareness of ideological elements (e.g. hermeneutic – strategic approach)
The structure of the model • Clients´age-range 18-25 y. • Non-dg-spesific • Duration of the rehabilitation one year • Intensity: ~ 2 one week courses, 18 counselling meetings, 4 group meetings • Clients directed from psychiatric policlinics, co-operative meetings during the year
The team of the project • In rehabilitation courses: two professional counsellors and one peer counsellor • Professions of the team: sosionom, occupational therapist, sosial psychologist • Individual counselling: 6 clients per counsellor • the team has work-counselling, consultations, team sessions, research interviews
The rehabilitation course • Starts and ends the year-lasting rehabilitation plan • Duration one week, 6 hours per day • Lessons, small group discussions, functional exercises • From patient role to the role of young citizen • An opportunity to take true charge of their own recovery
Individual counselling & case management • Reflective discussions concerning lifesituation (needs, interests, aims) and personal meanings given to rehabilitation and recovery • Practical solutions concerning studies, work,housing, economy etc. • Resource-orientated exercises
The group for the family members • Arranged by the Family Association Promoting Mental Health (Nylands förening) • 6 psychoeducational meetings during two months, approx.8-10 parents • Themes: family coping with mental illness, cognition in psychosis and depression, recognising the pressure and acknowledging stress, active coping skills
The co-operation with psychiatric policlinics • 5 policlinics in the city of Helsinki • The slow beginning of the co-operation • Presentations of this model • Constant announcement with contact persons • The meetings with the client and the nurse at the policlinic in the beginning and in the end of the rehabilitation
The future of the model • Seek for the resources from the Social Insurance Intitutution for the model: continual and expanded • The key facts are reagionals contacts with policlinics, focus on the selection of clients and the respect of clients own choice • To arrange follow-up –meetings
Kuntoutussäätiö Rehabilitation Foundation Outi Hietala-Paalasmaa The significant components in rehabilitative process CHANGE Ideal ”good life” ordinarity Clients experiences and interpretations concerning psych. illness,lifesituation, rehabilitation Peer support, understanding, LAY-/EXPERIENCE- KNOWLEDGE Professional concepts, methods, theories EXPERT KNOWLEDGE ESTIMATION SHARING OF (EXPERIENCES, PERSONAL FEELINGS) SITUATION Illness losses, reasoning guilt/shame ”otherness” READINESS
Finnish Central Association for Mental Health TIINA JOHANSSON Head of Department Rehabilitation tiina.johansson@mtkl.fi Tel.+358 40 704 2538