1. Nature & Overview of Psychiatric Rehabilitation Program (PRP) Dr. Samson Omotosho, PhD, RN-BC (Executive Clinical Director) Optimum Health Systems, Inc. (Email: drsam@optimummd.com)

2. Psychiatric Rehabilitation Program PRP is a series of planned interventions to help persons who are in treatment for serious and persistent mental illness to: Improve patient’s quality of life Improve in their recovery, and to Return to optimum level of functioning at home, school, work and other areas

3. Examples of Needs Addressed in PRP Social (e.g. relating with others) Educational (e.g. doing well in school) Occupational (e.g. to do well in job search, job interview, job performance, commuting, punctuality, job keeping) Behavioral (e.g. anger management) Cognitive (e.g. memory, thinking)

4. Nature of PRP Supplementary care to medication and therapy Individualized and evidence-based care Focuses more on patient’s ability, not disability Focuses more on patient’s wellness, not symptoms Focuses more on patient’s strength, not weakness Client-centered care Fostered by client and counselor partnership Care mostly provided in client’s natural settings Central focus is recovery and functioning

5. PRP is Teamwork & Collaboration Client Nurse Teacher Pediatrician Mentor, ETC PRP Coordinator & Program Director Psychiatrist Therapist Family Counselor

6. Circles of PRP Needs: Personal, Family, & Community. Functioning Needs:

7. Process of PRP Psych Rehab process includes: 1. Referral by patient’s clinician 2. Assessment of the client’s needs 3. Planning the rehabilitation care (IRP) 4. Implementing the plan of care 5. Evaluating the outcome of the care 6. Replanning (IRP Review)

8. Internal Factors that Facilitate PRP Strengthen the following factors in the client: Hope – help client recognize that recovery is possible Empowerment – help correct feeling of helplessness Connection- help identify own role and importance in the world Recognition – help client recognize/identify needed changes Insight – help develop insight into how to proceed to change Determination – help foster client’s determination to change

9. External Factors that Facilitate PRP Promote the following factors in the PRP program : 1. Support from family, friends and PRP team 2. Freedom from stigma 3. Freedom from discrimination (work, school, housing, treatment, benefits, entitlements, etc) 4. Service with respect, listening, empathy, and trust 5. Teamwork and collaboration among and between program staffs

10. Living Skills Addressed in PRP PhysicalEmotionalIntellectual Cleaning Shopping Cleaning Hygiene Fitness Transportation Recreation Human relations Self control Expressing anger Conversation Impulse control Assertiveness Patience Goal setting Time planning Money management Community resources Problem solving

11. Learning Skills Addressed in PRP PhysicalEmotionalIntellectual Punctuality Being quiet Paying attention Staying seated Observing Listening Question asking Volunteering answers Speech making Asking for directions Following directions Reading Writing Arithmetic Study skill Typing Hobby

12. Working Skills Addressed in PRP PhysicalEmotionalIntellectual Punctuality Transportation Job strength Use of job tools Job tasks Job interview Decision-making Human relations Self control Job seeking Job tasks Knowledge Job skills Qualifying Job search Job tasks

13. Values Addressed in PRP Respect of self, authority figures, and others Respect of other’s properties Respect of other’s personal space Respect of other’s rights Honesty Determination Good attitude

14. Caregiver Needs Addressed in PRP Emotional Support– acceptance, understanding, empathy, commitment, partnership Feedback Support– listening, affirmation, talking Information Support– the illness, coping, decision, perspective, behavior management, medications. Instrumental Support– resources, respite, care help