Tuesday, 31 July 2012

Psychiatric Rehabilitation

The growing recognition that a large proportion of persons having schizophrenia and mood disorders experience long term disability with persisting symptoms or a relapsing course of illness episodes has given birth to the field of psychiatric rehabilitation.A chronic mental illness is an illness where the illness has got a long prognosis course.The incidence rate of major mental disorder in the world is 35 people out of 1 lakh, which needs rehabilitation.Out of this, 80% of the problems can be dealt with effectively.So psychiatric rehabilitation is a process, which helps the individual to find an alternative for hospitalization.
Psychiatric rehabilitation emphasizes continuous and indefinite treatment of life long disorders. It also emphasizes the maintenance of symptom control, prevention,reduction or relapses and optimization of performance by the chronically ill patients in social, vocational, educational and familial roles with the least amount of support necessary. Rehabilitation is a helping process wherein the client is motivated, facilitated and encouraged to develop his lost skills and develop his/her residual skills so as to become a functional member of the society. Rehabilitation plan is different for each individual for each individual depending on his type of illness, duration, socio-cultural factors, severity, family background, etc.Team work is one of the important factors in the process of rehabilitation. Team cooperation and coordination is very essential for the success of the rehabilitation programme.

Goals and Objectives

  1. To help them to involve actively in the treatment decisions.
  2. To achieve the highest feasible quality of life in the community.
  3. Maximize the residual capacity of the patients

Types of Rehabilitation

Hospital based:- For the patients who are left alone by the family and people who belonged to the low strata of society or people in rural ares, there were no rehabilitation facilities.
 Long Term Hospitals:- The patient who cannot restore completely for long time through medication.
Quarter Way Homes:-Residual facilities available inside the hospital only. Here patients may not need acute medical cure but cannot be discharged because of the clinical conditions. The patients are kept only for a short time.
Community Based:-
Hostels:-Meant for a group of long-term patients, who do not require long-term hospital care but they cannot work in an unstructured environment.
Foster Care Homes:-For mental patients,who cannot be sent back home.
Non-Governmental Charitable Agencies:-This is the modified version of mental hospitals. The organization takes mentally ill patients and allow them to live in an institutional setup.
Short Stay Wards:-It is like the casualty in medical hospitals. They live like a family for a maximum period of one week.