Proposed Integrated Structural Model of Psychiatric Rehabilitation

Corrigan (2003) has proposed a structural model of psychiatric rehabilitation that integrates a variety of models and approaches that have been implemented during the last few decades. His conceptualization includes (1) goals, (2) strategies, (3) settings, and (4) roles. Corrigan identifies goals as the overall mission and vision of PsyR. He identifies these goals as inclusion, recovery, and quality of life, similar to the conceptualization outlined in Table 4.1 near the beginning of this chapter. He also adds additional goals; promoting opportunities, independence, and empowerment of people with psychiatric disabilities. Corrigan makes a clear distinction between goals and tangible (measurable) benchmarks that indicate progress toward achieving goals. These benchmarks include reduced symptoms, improved social and coping skills, increased support, and better resources. A wide range of strategies or approaches are used in pursuit of the goals outlined earlier. Examples include instrumental support (assistance with problem solving), social support, goal setting, skills training, skills transfer training, cognitive rehabilitation, and family education and support.

The pursuit of these goals by means of various strategies can be implemented in three broad categories of settings: residential, vocational, and day/activity recreation. Residential can include hospitals, halfway houses, group homes, and, of course, a person's own home (see Chapter 11). Vocational settings include educational settings and competitive and supported employment (Chapters 9 and 10), and day activity/recreational settings (Chapter 6).

Corrigan (2003) emphasizes that different categories of individuals play important roles in the pursuit of the goals of PsyR. They play different "parts" in the PsyR process and are essential to the various settings. Clearly, the consumer or person with a disability is the most important participant. Practitioners who have different educational and skill levels are also critical to PsyR and, of course, most of the contents of this book are devoted to their role. Corrigan highlights other important roles such as the consumer's significant others, particularly family members (Chapter 13). In addition, he mentions a special group, consumers who are in professional helping roles with other consumers, sometimes known as "prosumers" (Manos, 1993), a word combining "professional" and "consumer." This is also discussed in Chapter 12.

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