title: Hope for successful implementation of psychosocial/psychiatric rehabilitation in the forensic mental health setting.
abstract: OBJECTIVE
  To explore staff perceptions of the successes and barriers to implementation of the psychosocial/psychiatric rehabilitation (PSR) model in the forensic mental health setting and identify staff supports needed for greater implementation.
  
  
  METHODS
  A qualitative descriptive design was used and staff focus group data was analyzed using the constant comparative method.
  
  
  RESULTS
  All aspects of PSR are being implemented in the forensic setting. Barriers limiting comprehensive implementation include hospital processes and functions, legal components, client clinical presentation, staff attributes and interactions, and lack of resources. To foster greater implementation, employees require support to improve interprofessional interactions and acquire additional resources and education.
  
  
  CONCLUSIONS
  Strengthening existing successes and addressing barriers identified will foster greater PSR implementation in the forensic setting. Adjusting the physical environment, streamlining documentation, shifting focus from security to rehabilitation goals, and adapting PSR principles to various levels of illness acuity and stages of treatment would enhance PSR implementation. A management focus on improving staff morale, self-care, peer support, team cohesion, and communication would limit burnout and increase successful implementation of PSR. Additional educational opportunities and ongoing training are suggested to support a unified understanding and sustained approach to PSR implementation in the forensic setting.
authors.affiliation: Forensic Program, Forensic Rehabilitation Readiness Unit, Regional Mental Health Care St. Thomas.
authors.forename: Stephanie A
authors.initials: SA
authors.lastname: Brown
authors.affiliation: Forensic Program, Forensic Rehabilitation Readiness Unit, Regional Mental Health Care St. Thomas.
authors.forename: Kent
authors.initials: K
authors.lastname: Lewis
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003144:Communication Barriers; D003430:Cross-Sectional Studies; D005260:Female; D017144:Focus Groups; D005555:Forensic Psychiatry / Q000379:methods*; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000534:rehabilitation* / Q000628:therapy; D008603:Mental Health / Q000193:education; D008875:Middle Aged; D020380:Needs Assessment; D015397:Program Evaluation; D000067250:Psychiatric Rehabilitation / Q000379:methods / Q000592:standards; D011569:Psychiatric Status Rating Scales; D058996:Quality Improvement; D013192:Staff Development / Q000592:standards