Psychiatric Rehabilitation Day Programs

The studies show there is confusion about the roles provided by day centers and the clinical and social needs they are able to meet (Catty et al, 2007). The study suggest that, it is probably best that people with serious mental illness, given the choice, to be able to choose the best facility for that person (Catty et al, 2017). Although, the study doesn’t strongly support day-centers in the care for people with a mental illness, the Denver House is a great resource for Tulsa. Whether a medical day center vs. a non-medical day center is better, I think that a day center for the community is a imperative part of a city. I hope with recent budget cuts to Oklahoma mental health funding that Denver House can continue to help the people of

Research suggests that recovery is nurtured by positive relationships. These relationships encapsulate those with friends, family, service providers and connections with their personal community and culture. Such connections support individuals in becoming more than their “mental illness” identity. Important in fostering these connections are concepts of treating people with dignity, compassion and understanding.

Occupational therapy was founded on the principle that participation in meaningful activity is important to the health of individuals. Mental health is very important to the well-being of an individual and those around them. 450 million people experience mental and neurological disorders around the world. These disorders are the leading 5-10 causes of disability worldwide. As services for individuals with mental illness have shifted from the hospital to the community, there has also been a shift in the philosophy of service delivery. In the past, there was an adherence to the medical model; now the focus is on incorporating the recovery model. (2) Occupational therapy’s focus that taking part in engaging and meaningful activities benefits the mental well-being of the individual.

In mental health the concept of recovery is a contrast to the medical context to which we are accustomed to. Individuals experiencing mental illnesses have expressed recovery to be “elusive, not perfectly linear… erratic, we flatter, slide back and regroup…establish a sense of integrity and purpose” (Roads to recovery, n.d.), which reflects

The purpose of this paper was for me to introduce myself to a day in the life of a Clinical Mental Health Counselor. Throughout my paper I will generate ideas to that prove I have an understanding of the field and the material. I will show that I understand the field in which I am studying and the issues that come along with occupation as a Mental Health Counselor. I will also apply and integrate source material and there be evidence in this paper that I can develop and organize my ideas in the form of notion and

Fisher and Harrison (2009), explain that inpatient treatment is positive for social interactions and decreased isolation. When touring the facility the patients were spending time together showing decreased isolation between them. The patients frequently have outings to activities such as a ropes course or attending community AA or NA meetings. Lakeside Milam has 24 hour care for its patients which make it less likely that the patients will use a substance while in treatment (Fisher & Harrison, 2009).

Regarding the treatment of mental illness, there are two effective forms that have caused considerable debates in the field of psychology: the medical and the recovery models. While there are significant differences between these two models, they are both effective when used concurrently. The efficacy of the medical model alone is diminishing as it focuses too narrowly on treatment goals, and may ignore the needs of the client. On the other hand, the recovery model focuses on the client and allows them to take control of their treatment and rehabilitation, which helps promote positive change. Recovery is often seen as a lifelong journey that requires the client to be wholly involved in the recovery process. This is why the recovery model values

The mental health professional I interviewed was Carol McClelland of Freedom House Recovery Center in Chapel Hill, North Carolina. Carol has worked with Freedom House for a year as the directory of outpatient services and is licensed as a LPC, LPCS, LCAS, CCS, and MA. Carol’s job requires her to be responsible for the direct oversight of all clinical operations and clinical integrity for outpatient services at Freedom House. The hours of operation are Monday through Friday from 8am to 5pm, along with a crisis and detox center that is available for contact 24/7. Carol has plenty of experience in the mental health field, such as working as a dual diagnosis/substance abuse outpatient therapist, working with the severely mentally ill, working as a criminal justice outpatient therapist, and also working in a methadone clinic. She chose this career after her experiences in working with mental health, and her extensive education in psychology and counseling. Carol stated that outpatient services was the most interesting out of her job experiences, so when she was offered the job at Freedom House, she accepted.

A rehabilitation counselor is the central coordinator of setting up services and the client’s goals. They help develop and enhance the client’s skills to secure independence, employment and function in the community (Garske, 2003). In order to be able to rehabilitate the client and set up obtainable goals and a treatment plan, the rehabilitation counselor must first understand ADA, the client’s functional limitations, challenges and obstacles they are facing, along with barriers that may pose a threat to the success of the client. Rehabilitation counselors also set up a support network the client can reach out to and utilize, as well as resources and accommodations

The Olmstead case began in 1995 with two women, Lois Curtis and Elaine Wilson who had developmental disabilities and a history of institutional treatment for psychiatric disorders. They were voluntarily admitted at different times, to a secure unit of Georgia Regional Hospital to stabilize and administer to their immediate needs, then continued treatment on an out-patient basis which was the normal course of action for this hospital. Through clinical assessments, the treating physicians determined that each woman was able to receive appropriate supports and services in a less restrictive, community based setting. The hospital administrators moved Lois and Elaine to a state-run institution, and refused them placement in a community setting, apparently due to a lack of state funding to make this transition possible. (https://www.law.cornell.edu/supct/html/98-536.ZS.html)

Saratoga County no longer has safe, stigma-free, places for individuals with severe and persistent mental illness (SPMI) to spend their days. SPMI individuals need somewhere to go where they can feel safe and can interaction with others. In the past SPMI Individuals in Saratoga County had the options of attending day treatment, going to a drop-in center called The Social Club, or spending the day being productive in a sheltered workshop environment. Over the past few years all of these options have been removed. First, The Social Club was closed. Next, the day treatment center was changed to a “PROS” model where services are limited, time specific, and the focus is on community integration. Lastly, state and county funding was cut for shelter workshop environments and funneled into work readiness programs focused on integrating SPMI individuals into the community workforce. Integration is a noble aspiration. However, many SPMI individuals do not have the capacity to successfully integrate into community settings. These individuals are better served in situations where their special needs are appreciated and met such as sheltered workshops, drop-in centers and day treatment. Thus, due to the closing or changes in these types of programs, Saratoga County no longer offers safe supportive places for many SPMI Individuals to spend their days.

Along with having psychotherapy session, counseling should be given as well. It is very much in need to provide more assistance possible. Counseling should be given to the mentally ill patients everyday. Counseling allows patients to interact and express their own feeling inside of them to someone they are talking to. In addition, it gives them a teaching into what is right and wrong. Lastly, counseling will teach these patients good things. For example, using special techniques to be more responsible and how to be mature

The intervention was effective by lowering Kelly’s depression level from 14 to normal range scale of 0-7. There are several strengths and weaknesses of the practice intervention and evaluation. Kelly attended three days in a week for a month intervention and it was effective to bring her depression level of 14 to 7 as a normal range. She was able to sleep in the night without being stressful. It indicated that the problem of high range of depression has been solved. Kelly has now recovered from depression. As a social worker, it provided evidence how to monitor client’s progress and downfall. The weaknesses are the therapeutic treatment that works for Kelly might not be exactly what will work for other clients. The threat to validity

‘Recovery from a mental health problem can be understood either as an outcome or as a process.’ Also known as ‘clinical recovery’ an outcome is present depends on whether the symptoms/problems are present or absent (Serafín Lemos-Giráldez 2015). Usually involving a reduction or absence of symptoms and a significant improvement in occupational and social functioning, an outcome does not change from person to person. On the other hand, individuals who go through a process in order to live a joyful and fulfilling life, experience personal recovery. (Serafín Lemos-Giráldez 2015). This form of recovery involves learning to become self-managing of one’s illness, whether recurring symptoms are at that point in time present and working towards a self-caring, independent and fulfilling life. The definition of a satisfying like varies from one individual to the next. This is why each consumer’s recovery journey is personal and tailored to fit their goals and beliefs (Serafín Lemos-Giráldez 2015).

At Metropolitan State Hospital, I was a volunteer and, thus, my involvement in therapy was limited. I was not allowed to have my own one-on-one therapy sessions; however, I was allowed to sit in with a clinical psychologist and observe individual therapy. At times, with the permission of the psychologist in combination with my established rapport with the patient, I was allowed to inquire and conduct cognitive behavioral therapy with the psychologist. In addition, I was allowed to be a part of the initial assessment team, in which others and I would gather information about the client’s medical history, family history, and mental status, such as: grooming and hygiene, orientation, mood and affect, thought process disturbances, and thought content disturbances. Lastly, I was allowed to conduct two group therapy sessions. The first group therapy session typically consisted of positive communication habits, understanding what certain emotions indicate, as well as patients’ understanding of their diagnosis. The second group therapy session was the prototypical model of therapy