MENTAL HEALTH REHABILITATION: A REFLECTION
Mental Health rehabilitation is fundamental in helping a person with severe mental illness to progress beyond clinical improvement to full functional capacity and participation in life (Lloyd et al, 2008).
Rehabilitation is a multifaceted intervention along a continuum of care and involves a variety of goals, processes, providers and settings. Lloyd et al (2008) describes a 3-r model of Remediation, Restoration and Reconnection process which overlap and influence each another. Remediation is the reduction of psychological, physical and social effects of mental health concerns through the acute phase of illness. Restoration is enabling and gaining/regaining capabilities with the person together with Remediation. Reconnection is reconnecting and establishing a place for the person in the community, exploring opportunities for independence, social inclusion with a renewed sense of hope and confidence. Application of recovery and trauma informed principles within a rehabilitation framework is to consider systematically the person’s recovery goals which is support by clinical, personal, social and functional recovery. In other words, our clinical strategies can help a person towards their goals (A comprehensive care plan). This approach enables mental health professionals to focus on the person’s personal recovery goals while considering parallel goals/strategies in the clinical, social, and role-functioning areas. Mental health professionals can reconceptualise recovery and trauma informed care as involving more than symptom remission, and strategies can be tailored to the aspects of recovery that are of importance to the person in care.
Reference: Killaspy H (2019). Contemporary mental health rehabilitation. Epidemiology and Psychiatric Sciences 28, 1–3. Lloyd C, Waghorn G, Williams PL. Conceptualising Recovery in Mental Health Rehabilitation. British Journal of Occupational Therapy. 2008;71(8):321-328.
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