Implementing psychosocial rehabilitation in long-term inpatient psychiatric facilities.
Using the focus group methodology, data were gathered from the initial experiences of Missouri's four long-term psychiatric facilities with psychosocial rehabilitation (PSR). Significant implementation factors include the establishment of a firm PSR philosophical base; extensive staff training in PSR values, technologies, and the skills necessary to implement the technologies; support for staff as their roles change with the adoption of PSR; adaptation of PSR for use with forensic clients; use of community resources while clients are still inpatients; maintenance of PSR values and skills learned after clients are released into the community; and the establishment of a program evaluation system that assesses both outcome and process. Clients residing in long-term, public psychiatric facilities also can receive substantial benefits from this approach to service delivery.
St. Louis State Hospital, MO 63139.
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Linhorst
D003159:Community-Institutional Relations; D003688:Deinstitutionalization; D005555:Forensic Psychiatry; D006778:Hospitals, Psychiatric / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D007297:Inpatients / Q000523:psychology; D007902:Length of Stay; D001523:Mental Disorders / Q000534:rehabilitation*; D008923:Missouri; D015397:Program Evaluation; D011788:Quality of Life; D012944:Social Support