A Client with a severe mental illness About a individualized recovery puzzle

Client with a severe mental condition Traditional approaches New, innovative approaches address to: The lack of power and control Stigma Poverty Unemployment Poor housing Professional expertise and control Diagnosis of deficits “Symptom” reduction Life skills training

The recovery model Values lived experiences Encourages a shared decision making in developing, implementing, and evaluating the treatment strategies

Three Domains of Recovery Consumer Status Clinicians’ Roles Community Supports’ Roles

HIERARHY OF NEEDS PROFILE Inpatients Specialised High Intensity Rehabilitation and Integration Services Specialised multidisciplinary-multi-program outreach and consultation Profile #2 Specialised High Intensity Rehabilitation and Integration Services (CHITT; ACTT) Partners: Community Mental Health; Housing; Primary Care Practitioners) Profile #3 Specialised Outreach, Consultation and Relapse Prevention (as secondary providers/shared care) Partners: Community Mental Health; Housing; Primary Care Practitioners, Retirement Homes) Profile #4 Specialized Consultation (staff from across teams including inpatient services)

Measurements ? Wellbeing, quality of life and life satisfaction Clinical symptom severity - cognition/emotion, behaviour Physical health Interpersonal - functional Social economic, public safety, burden of caregivers Services

questions How to measure the functional outcome? Is there a difference between expectations and service delivery? Is the functional outcome influenced by different community settings when the clients are involved with the same educational oriented intervention? What is our clients’ perspective?

Thank you