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CPRP, Psychiatric rehab final
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CPRP, Psychiatric rehab final
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CPRP, PSYCHIATRIC REHAB FINAL QUESTIONS WITHVERIFIED ANSWERS BY EXPERTS
Psychiatric Rehabilitation - .... promotes recovery, full community integration and improved quality of life
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for persons who have been diagnosed with any mental health condition that seriously impairs their
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ability to lead meaningful lives. Psychiatric rehabilitation services are collaborative, person-directed and
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individualized. These services are an essential element of the health care and human services spectrum,
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and should be evidenced-based.
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WRAP - Wellness Recovery Action Plans s s s s
Assertive Community Treatment (ACT) - -an evidence-based practice that improves outcomes for people
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with severe mental illness who are most vulnerable to homelessness and hospitalization.
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Principles of Psych Rehab Groupings - 1-3= Roles of the Practitioners
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4-10= Best Practices in the Field
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11-12 PsyR Service Delivery s s s
Evidence-Based Practice (EBP) - - recognizes the importance of understanding and following research s s s s s s s s s s s s
recommendations, while taking into account the service provider's clinical expertise and the goals,
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preferences, interests, values, and characteristics of the people using the service
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Empirically Supported Treatment (EST) - -a type of intervention that has been proven effective, such as
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cognitive behavioral therapy for treatment of depression.
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Evidenced-Based Medicine (EBM) - -the process an individual practitioner follows in selecting the s s s s s s s s s s s s
appropriate intervention for one individual diagnosed with a particular condition who is experiencing
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specific symptoms.
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Recovery - ......a deeply personal unique process of changing one's attitudes, values, feelings, goals,
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skills, and/or roles. it is a way of living a satisfying, hopeful, and contributing life even with limitations
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cause by illness. Recovery involves the development of new meaning and purpose in one's life as one
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grows beyond the catastrophic effects of mental illness.
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Recovery Relating to principles of PsyR - Recovery from mental illness involves much more than recovery
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from the illness. itself. People with mental illness(es) may have to recover from the stigma that they
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incorporated into their very being; from the iatrogenic effects of treatment setting; from the lack of
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recent opportunities for self-determination; from the negative side effects of unemployment; and from
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crushed dreams. Recover is a complex, time-consuming process.
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The Eight Essential Features of recover-oriented mental health services - 1. Recovery can occur without
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professional intervention.
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2. A common denominator of recovery is the presence of individuals who believe in the person in
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recovery and will stand by him/her.
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,3. Recovery as a vision does function as a part of a person's ideas or theories about "mental illnesses".
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4. Recovery occurs despite that mental health symptoms may reoccur.
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5. Recovery changes frequency and duration of mental health symptoms.
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6. Recovery is not necessarily a linear process.
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7. The consequences of the "illness" (eg. stigma) often can be harder to overcome than any of its
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symptoms.
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8. Recovery does not suggest that a person never had a mental illness of never experienced mental
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health symptoms.
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Noordsy et al. definition of recovery is centered around what 3 core concepts: - 1. hope 2. taking
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personal responsibility 3. getting on with life.
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Principles of Psychiatric Rehabilitation - 1. Psychiatric rehabilitation practitioners (PRP) convey hope and
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respect and believe that all individuals have the capacity for learning and growth.
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2. PRP recognize that culture is central to recovery and strive to ensure that all services are culturally
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relevant to individuals receiving services.
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3. PRP engage in the processes of informed and shared-decision making and facilitate partnerships with
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other people the individual receiving services has identified
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4. PsyR practices build on strengths and capabilities of individuals.
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5. PsyR practices are person-centered; they are designed to address the unique needs of individuals,
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consistent with their values, hopes, and aspirations.
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6. PsyR practices support full integration of people in recovery into their communities where they
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exercise their rights of citizenship as well as to accept the responsibilities and explore the opportunities
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that come with being a member of a community and a larger society.
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7. PsyR practices promote self-determination and empowerment. All individuals have the right to make
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their own decisions, including decisions about the types of services and support they receive.
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8. PsyR practices facilitate the development of personal support networks by utilizing natual supports
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within communities, peer support initiatives, and self-and mutual-help groups.
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9. PsyR practices strive to help individuals improve the quality of all aspects of their lives, including
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social, occupational, educational, residential, intellectual, spiritual, and financial.
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10. PsyR practices promote health and wellness, encouraging individuals to develop and use
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individualized wellness plans.
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11. PsyR Services emphasize evidence-based, promising, and emerging best practices that produce
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outcomes congruent with personal recovery. Programs include structured program evaluatio
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, SAMHSA's definition of recovery: - A process of change through which individuals improve their health
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and wellness, live a self-directed life, and strive to reach their full potential.
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SAMHSA's Four Major Dimensions of Recovery - 1. HEALTH: Overcoming or managing one's disease(s) as
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well as living in a physically and emotionally healthy way;
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2. HOME: A stable and safe place to live;
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3. PURPOSE: Meaningful daily activities, such as a job, school, volunteerism, family caretaking, or
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creative endeavors, and the independence, income, and resources to participate in society;
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4. COMMUNITY: Relationships and social networks that provide support, friendship, love, and hope.
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The Medical Perspective on Psychiatric Disability - -Focused on treating the mental health condition (the
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symptoms of the psychiatric illness).
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-Use language such as mental impairment, psychiatric disorder, emotional disturbance, or diagnosis.
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-Follows the DSM- to be a disorder: s s s s s s
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-symptoms must be noticeable (clinically significant) s s s s s
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-must be/or at risk of causing difficulty in role functioning
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-must have abnormal/not "culturally-sanctioned"
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reactions/behaviors to events s s s
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-a faulty way of perceiving or reacting to the world
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The Disability Perspective - -psych disabilities occur when a mental health condition interferes with a
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person's function in living, learning, working, and/or social environments and roles.
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Americans with Disabilities Act (ADA) definition for Disability - -a physical or mental impairment that
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substantially limits one or more major life activities of such individual
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Social Security Act (SSA) definition for Disability - -"the inability to engage in any substantial gainful
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activity by reason of any medically determinable physical or mental impairment which can be expected
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to result in death or which has lasted or can be expected to last for a continuous period of no less than
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12 months."
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PRA's definition for Disability - -the concept is seen as more relevant to rehabilitation than is the concept
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of illness and implies the hope of reacquiring abilities and valued roles.
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The Bio-Psycho-Social Perspective - -the health condition is seen as interacting with environmental and
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personal factors to affect an individual's functioning at the level of body functions and structures, in
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performance of daily activities, and in participation in values roles and life domains.
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Bio-Psycho-Social Perspective Functions related to Symptoms of the Body - ABC s s s s s s s s s s
-Affective functions: experience, expression, regulation of affect.
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-Behavioral functions: energy and drive, sleep and appetites, and psychomotor functions
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