Nature & Overview of Psychiatric Rehabilitation Program (PRP)

Dr. Samson Omotosho, PhD, RN-BC

(Executive Clinical Director) Optimum Health Systems, Inc.

(Email: drsam@optimummd.com)

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