title: [Psychosocial rehabilitation at the dawn of the 21st century: II: Therapeutic or rehabilitative modalities and institutional disposition].
abstract: The main goal of psychosocial rehabilitation is to compensate the vulnerability underlying psychiatric disorders through intermediate institutions when the persistence and recurrence of these disorders have led to social and professional exclusion. Intermediate institutions refer to services which allow transition between the state of dependence on the hospital to the state of relative autonomy in social community. Psychosocial rehabilitation is a comprehensive approach which link the type of interventions: treatment, rehabilitation and support integrated in multimodal and individualized programs. A study of the out-patients followed by the rehabilitation unit of the psychiatric department in Lausanne has shown that provision of services is divided into 60% for rehabilitation, 20% for treatment and 20% for support independently of the psychiatric disorders. The implementation of these programs necessitates institutional support from psychiatric hospital to outpatient clinics through different types of facilities in order to offer a medical and psychosocial device of rehabilitation into the community.
authors.affiliation: Unité de réhabilitation Département Universitaire de Psychiatrie Adulte Site de Cery 1008 Prilly.
authors.forename: François
authors.initials: F
authors.lastname: Gasset
authors.forename: Alina
authors.initials: A
authors.lastname: Orita
authors.forename: Dany
authors.initials: D
authors.lastname: Spagnoli
authors.forename: Valentino
authors.initials: V
authors.lastname: Pomini
authors.forename: Sophie
authors.initials: S
authors.lastname: Rabia
authors.forename: Michel
authors.initials: M
authors.lastname: Ducret
authors.forename: Henri
authors.initials: H
authors.lastname: Veillon
authors.forename: Anne-Therèse
authors.initials: AT
authors.lastname: Cucchia
mesh_terms: D003131:Combined Modality Therapy; D006778:Hospitals, Psychiatric; D006801:Humans; D001523:Mental Disorders / Q000534:rehabilitation*; D010045:Outpatients; D011570:Psychiatry / Q000639:trends*; D012008:Recurrence; D012944:Social Support; D016896:Treatment Outcome