Psychosocial rehabilitation is the process that facilitates opportunities for persons with chronic mental illness to reach their optimal level of independent functioning in society and for improving their quality of life.

1. PSYCHOSOCIAL REHABILITATION
Dr.Anjalatchi Muthukumaran
Vice principal
Era College of nursing

2. Learning Objectives
At the end of the class student will be able to
• Define Rehabilitation
• Explain the principle of rehabilitation
• State the day care centre
• What is half way home
• Explain sheltered workshop
• Discuss correctional homes

3. INTRODUCTION
• Rehabilitation is the process of enabling the individuals to
return to his highest possible level of functioning. It is an
important component of the community mental health
program, and is taken at the level of tertiary prevention.
Psychiatric rehabilitation, also known as psychosocial
rehabilitation, and sometimes simplified to psych rehab by
providers, is the process of restoration of community
functioning and well- being of an individual diagnosed in
mental health or mental or emotional disorder and who
may be considered to have a psychiatric disability.

4. HISTORY
• From the 1960s and 1970s, the process of de-
institutionalization meant that many more individuals with
mental health problems were able to live in their
communities rather than being confined to mental
institutions. Medication and psychotherapy were the two
major treatment approaches, with little attention given to
supporting and facilitating daily functioning and social
interaction.
• With the founding of Psychosocial Rehabilitation Canada in
2004, the professional organization International
Association of Psychosocial Rehabilitation Services (IAPSRS)
changed its name to United States Psychiatric
Rehabilitation Association (USPRA) and the trend is toward
the use of "psychiatric rehabilitation. In 2013, USPRA
removed the national designation from its name, becoming
the Psychiatric Rehabilitation Association (PRA).

5. DEFINTION
• According to Maxwell Jones, 1992 “
Rehabilitation is an attempts to provide the
best possible community role which will
enable the patient to achieve the maximum
range of activity , interest and of which he is
capable”.

6. Definition (PSY.REH)
• Psychosocial rehabilitation promotes personal recovery,
successful community integration and satisfactory
quality of life for persons who have a mental illness or
mental health concern. Psychosocial rehabilitation
services and supports are collaborative, person
directed, and individualized, and an essential element
of the human services spectrum.
They focus on helping individuals develop skills and
access resources needed to increase their capacity to
be successful and satisfied in the living, working,
learning and social environments of their choice and
include a wide continuum of services and supports.
(PSR/RPS Canada, 2013)

7. Vision/mission
• The vision of psychiatric rehabilitation is to
enable individuals with mental disabilities to
recover and to live as normally as possible in the
community.
• The mission is to engage patients and their
families or caregivers in a collaborative treatment
process that teaches skills and provides supports
for fostering illness management, psychosocial
functioning, and personal satisfaction.

8. PSYCHIATRIC REHABILITATION
APPROACHES
• Psycho education
• Working with Families
• Group Therapy
• Social skill training

9. REHABILITATION TEAM
The members of rehabilitation team are :
• Psychiatrist
• Clinical psychologist
• Medico social worker
• Psychiatric nurse
• Counselor
• Occupational therapist
• Recreational therapist
• Other mental health care professionals.

10. STEPS IN
PSYCHOSOCIALREHABILITATION
The steps of rehabilitation include :
• Reduction of impairment
• Remediation of disabilities through skill
training
• Remediating disabilities through support
• Remediation of handicaps

11. PRINCIPLES
• To provide an alternative to inpatient care.
Hospitalization is not always favorable for
psychiatric patients; indeed, in many cases it
leads to damaging effects, particularly
institutionalization with its excessive
dependency and the separation of patients
from their natural location in the community.

12. PRINCIPLES
1. Day care programs may also act as a transitional
phase for patients who, while able to leave inpatient
care, are not felt ready to give up completely a degree
of supervision and support.
2. In some cases day care must also provide a setting for
those whose disability and illnesses are such that they
must expect to receive a degree of support from
society, perhaps on a long term basis.
3. The promotion of more independent social activity in
patients who may have lost this facility due to illness.

13. Continued
4. To allow the psychiatric care team to maintain contact
with patients' families, and in many cases to allow
them to work with the family.
5. In maintaining patients' contact with their normal
social background, they can be encouraged not to
avoid problems whose origins lie in the family
constellation or work situation.
6. The typical work day timing of day care programs,
resembling as it does the normal work week for the
average person, makes attendance at day care of
value in retraining psychiatric patients to normal work
week routine.

14. Continued
7. It is the transition facility for mental patients who no
longer need the full services hospital but are not yet
completely ready for an independent living.
8. It is a transitional supervised residence assigned to
help the patient after discharge from in patient setting.
9. It is temporary residence where various kinds of social
skill training are given to this patient: make
readjustment to the social life and employment in the
community.

15. AIMS
• To maintain a climate of health and develop
and strengthen the normal capacities and
normal responsibilities and prepares them in
the normal living in the community.
• To alleviate the social isolation experienced by
the mentally ill in communities
• To improve the self concept
• Encourage to develop self image
• To improve self worth

16. DURATION
• Minimum of one year to consolidate the gain
achieved over a period of time. This gives the
sufficient time for them to adjust to the family
and to home environment.

17. ACTIVITIESIN HALFWAY HOUSE
• Group counseling
• Recreational activities
• Home visiting
• Job placement
• Follow-up counseling
• Educational and vocational program
• Additional activities such as religious activities etc
• Social skill training
• Training in independent skills.

18. COMMUNITY REHABILITATION
• It is a community-based program that promotes
recovery, community integration, and improved
quality of life for members who have been
diagnosed with a behavioral health condition that
significantly impairs their ability to lead
meaningful lives.
• The focus of community rehabilitation is on
empowering the patient towards independent
living in the community, and strengthening family
relationships.

19. PROGRAMS OF COMMUNITY
INTEGRATION
• • Preventive Health
• • Lifelong Learning Opportunities
• • Social / Recreational Activities

20. BARRIERS TO SUCCESSFUL
COMMUNITY REINTEGRATION
• Double stigma
• Lack of family and social support
• Co morbidity
• Adjustment problems
• Boundary issue

21. SHELTERED WORKSHOPS
• Sheltered workshop is work oriented
rehabilitation facility with a controlled
working environment to fulfill individual's
vocational needs. In this workshop long term
mentally ill patients can utilize their
experience and abilities by relearning. It helps
in progress towards a normal living and
economic independence.

22. CORRECTIONAL HOME
• Correctional homes define as an institution
where juvenile offenders can be held
temporarily . Correctional homes are for
young children who have been found guilty of
an offence that would be categorized as a
crime if committed by an adult.

23. • ROLE OF NURSING
PSYCHOSOCIALREHABILITATION ASSESSMENT
COMMUNITYFAMILYINDIVIDUAL

24. INTERVENTION
• INDIVIDUALS INTERVENTION
• •Skill training
• •Supportive intervention
• •Community supportive programs
• •Vocational rehabilitation activities
• FAMILY INTERVENTION
• •Family therapy
• •Group therapy
• •Family Counseling
• •Supportive psycho educational programs
• •Crisis intervention programs
• •Outreach programs
• COMMUNITY INTERVENTION
• •Halfway homes
• •Residental prevention programs

25. • INSTITUTIONSIN INDIAWHICH PROVIDES PSYCHO-
SOCIAL REHABILITATION GOVERNMENT SECTOR
• 1)Centre for Rehabilitation
• • Central Institute of Psychiatry, Ranchi
• 2) Centre for Comprehensive care and
rehabilitation
• • NIMHANS, Bangalore
• • IMHANS, Kerala • Institute of Mental Health,
Chennai

26. NON GOVENMENTAL ORGANISATION
• Vishwas Day Care Centre with Vocational
Training
• VIMHANS (Vidyasagar Institute of Mental
Health and Neuro-Sciences New Delhi6)
• Shraddha Rehabilitation Foundation- Mumbai

27. BIBLIOGRAPHY
• Manisha Gupta. A textbook of therapeutic
modalities in psychiatric nursing , Page No.
237-243
•https://www.scribd.com/doc/58002245/Faciliti
es-for-Psycho-Social-Rehabilitation
• https://www.google.co.in/url?