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

2. 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

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

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

5. 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)

6. 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

7. 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?

8. Thank you