Rehabilitation model for young adults – recovering from mental illness
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Transcript of Rehabilitation model for young adults – recovering from mental illness
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
Professional concepts, methods, theoriesEXPERT KNOWLEDGE
Peersupport, understanding,
LAY-/EXPERIENCE-
KNOWLEDGE
Illnesslosses,reasoningguilt/shame”otherness”
Ideal”good life”ordinarity
The significant components inrehabilitative process
ESTIMATION SHARING OF (EXPERIENCES, PERSONAL FEELINGS)SITUATION
Clients experiences andinterpretations concerning psych. illness,lifesituation, rehabilitation
READINESS
CHANGE
KuntoutussäätiöRehabilitation FoundationOuti Hietala-Paalasmaa
Finnish Central Association for Mental
Health TIINA JOHANSSON
Head of Department Rehabilitation
Tel.+358 40 704 2538