1. Severe Mental Illness:
Crisis Stabilization
And
Rehabilitation

2. Chronic Mental Illness
Long-term
Persistent impairment of functioning
Severe mental illness
De-institutionalization
Older us. Younger populations

3. Severe Mental Illness Schizophrenia Schizo-affective disorder
Bipolar disorder
Major depression
Social, vocational and functional impairment
Common with long term physical illness

4. Rehabilitation Early Community based Barriers Lack of insurance
Transportation
Availability
Illness

5. Barriers to Maintaining Health
Housing
Noncompliance to treatment
Transportation
Community and family support
Qualified care providers
Resources in the community
Comorbidity
Dual diagnosis

6. Resources Adult outpatient services Day care Case managers
Alcoholic and drug rehabilitative services
Community Outreach programs
Temporary shelters
Churches
Multiservice centers

7. Rehabilitation Maintain positive coping in time of stress
Maintain optimum level of functioning
Remain in own community
Reduce numbers of exacerbations

8. Crisis Stabilization Poor crisis management Vulnerable to stress
Poor cognitive functioning
Lack of problem solving skills
Inadequate communication skills
Low self-esteem
Poor work and interpersonal relations

9. Potential Crisis Situations
Changes in treatment
Work
Interpersonal
Lack of transportation, money, housing, etc.
Problems meeting ADL’s
Sexual concerns
Adapting the crisis model

10. Client and Family Education
Written
Follow up
Home visits
Multiple support
Support groups
Physical, emotional and financial resources
Stress management
Lieberman’s five basic aims

11. Five Basic Aims Develop a genuine working relationship
Develop a structure and stable teaching plan
Support family members efforts
Develop day by day communication and problem solving skills
Help family develop a supportive network

12. Social Skills Training
Living skills
ADL’s
Recreational
IPR’s
Learning skills
Money management
Working skills
dressing

13. Other Rehabilitation Models
Vocational Rehabilitation Programs
Supportive Group Therapy
Cognitive-Behavioral Therapy