The Family Role in Rehabilitation
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Transcript of The Family Role in Rehabilitation
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The Family Role in RehabilitationPSRT 4271, Summer 2012Department of Psychiatric Rehabilitation, School of Health Related Professions, University of Medicine and Dentistry of New JerseyT.H. Pyle, Instructor
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WHEN THE ILLNESS COMES…
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The impact on the family is like…
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To the family, it feels like…(“Hurricane Destruction”, NatGeo, 0:40)
http://video.nationalgeographic.com/video/environment/environment-natural-disasters/hurricanes/hurricane-montage/
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And often like…(“Storm Surge”, NatGeo, 1:16)
http://video.nationalgeographic.com/video/environment/environment-natural-disasters/hurricanes/storm-surge/
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Because sometimes it’s like…(Bellevue Inside Out Trailer 0:17)
http://www.youtube.com/watch?v=Ojd_fsHbGl8
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And maybe more often like…(Smiley, Out of the Shadows, 2:41)
http://www.youtube.com/watch?v=fCWGdUFyT8Q
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Thus, families need help like…(Bridgeway, 3:22)
http://www.youtube.com/watch?v=VCJWp0ZkmKk
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So their loved ones can live like…(NAMI Los Angeles, 4:20)
http://www.youtube.com/watch?v=Q7DHfolWaSQ
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So families can then feel like…(Vermont Public TV, 2009, 34 secs.) (“One Episode Away From Crisis”)
http://www.youtube.com/watch?v=p109LTHCPrw
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And be empowered like…(Bring Change 2 Mind, 2011)
http://www.youtube.com/watch?v=Fwu5F-T3814
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And they can be together like…
http://www.youtube.com/watch?v=WUaXFlANojQ
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Evolving Family Role in Care(Park et al., 2006)
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Course Objectives
1. Empathize with family’s efforts to cope with disability.
2. Recognize what families want and need.
3. Learn how to inform and support family members.
4. Help families help their loved ones and themselves.
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Course Particulars• Part of UMDNJ/Kean University dual major course• Upper level elective course• Summer, 2013 offering: 11 weeks• Classes: 1 x per week (3 hours)• “Web enhanced” on UMDNJ’s Moodle Platform• Mid-term and final exams• Projects: • Psychoeducation observation• Family interview
• Expert guest speakers
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Course Themes• Severe Disability: A Family’s Dreadful New Reality• History of The System and Its Perceptions• What Is Family? A Conceptual Overview• Crisis Moments and Their Aftermaths• Confronting Grief, Burden, Stigma, Violence• Managing Expressed Emotion and Stressors• Cultural Differences of Impacts and Responses• Evidence-based Practices• Family Education• Family Psychoeducation• Family Consultation• Family Assertive Community Treatment
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What is… Psych Rehab?
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What is… Psych Rehab?
• Comprehensive services…
• …to develop skills and supports…
• …to live, love, learn, and work …
• …in the community as, how, and where desired…
• …with least professional support…
• …so to be in, and get to, recovery.
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Muhlbauer’s 3 Processes
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• Cycles
• Spirals
• Sequences
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Muhlbauer’s Six Phases
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Warnings Storm Drift Realign-
ment Mastery Growth
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1. Warnings
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• The “awareness spiral”Recognition
Concern Alarm Help seeking Negation
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2. Storm
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Exacerbation
Confrontation
Distress
Suppression
Depletion
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3. Drift
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• Instability, Recurrence• Anger, Grief, Loss• Questing• Depletion ($)• Dissatisfaction• Stigmatization
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4. Realignment
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• Regaining “control”• Managing feelings• Changing perceptions, expectations• Managing symptoms• React Act
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5. Mastery
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• Develop expertise• Increase supports• Manage better• Share with others• Maintain control• Navigate The System
http://www.youtube.com/watch?v=zzG4K2m_j5U
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6. Growth
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• Empowerment• Advocacy• Transcendence
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True Life: I Have Schizophrenia
http://www.mtv.com/videos/true-life-i-have-schizophrenia/1586145/playlist.jhtml