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The Role of Psychology in Psychosocial Rehabilitation Srividya Iyer, M.A. University of Nebraska - Lincoln
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Key roles for psychologists in rehabilitation Assessment Treatment Case Conception
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Assessment Identify strengths and problem areas Broad categories - neuropsychological - sociocognitive - risk assessment - interview-based measures Repeated assessment over time
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Assessment Neuropsychological Assessments - To quantitatively assess nature and severity of neurocognitive impairments & - To understand how they may be barriers to rehabilitation Attention, Memory, Intelligence, Executive Functioning (concept formation, problem solving) Examples: WAIS, Card Sorting Task, Digit Span
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Assessment Sociocognitive Assessments - Cognition related to formation of attitudes & beliefs, understanding people, interpersonal events and social relationships Insight, Locus of Control, Attitudes, Problem Solving, Emotion Recognition, Coping Examples: Coping Strategies Task (CST; Rivera Mindt, 1998), Insight Scale (Birchwood, 1993)
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Assessment Risk Assessment e.g. Assess need for suicide precautions using standardized suicide screening assessments Trauma Screening: Assess trauma history & related treatment considerations Interview-based Measures to assess symptoms and episodes e.g. Brief Psychiatric Rating Scale Assessments to aid in diagnosis and case conception e.g. PAI, MMPI, MACI
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Assessment Analysis of Behavioral and Milieu Data e.g. Nurses Observational Data for Inpatient Evaluation (NOSIE; Honigfield, Gillis, & Klett, 1966; Psychiatric Tech Rating Scales)
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Treatment Individualized Behavior Management Programming Use of learning principles to reduce undesirable behaviors and/or increase the frequency of desirable behaviors Privileges, money, social responses etc delivered selectively depending on presence or absence of target behaviors
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Treatment Group/Individual treatment approaches to exercise specific neurocognitive skills Examples: attention exercises, Integrated Psychological Therapy (Brenner et al., 1994) Group/Individual treatment approaches to remedy sociocognitive deficits Examples: Interpersonal Problem Solving, Social Skills Training, Cognitive Behavioral Therapy
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Treatment Addressing specific needs of participants – Self-monitoring sheets – Mood monitoring sheets – Symptom monitoring sheets – Daily Statement – Posters – Specific Problem Solving Worksheet
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Other Roles Contribute to treatment planning and treatment progress review Data Management - Utilize for treatment - Assess change over time - Help ensure quality assurance - Delineate some common patterns of recovery
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Case Conception: Mental illness is vicious cycles between many levels of personal and social functioning Neuro- physiological Social- environmental Neuro- psychological Behavioral Social- cognitive
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