Contemporary approaches in mental health rehabilitation

Epidemiol Psychiatr Sci. 2019 Feb;28(1):9-14. doi: 10.1017/S2045796018000343. Epub 2018 Jul 25.

Abstract

In many European countries, deinstitutionalisation has been an ongoing process over the last few decades. Mental health organisations were transformed to provide support in a more integrated and comprehensive manner, preferably in their own homes in the community. Yet, despite the welcome aspiration of community integration for all, people with complex mental health problems (also termed severe mental illness) have continued to require high levels of support, in inpatient settings and in the community. This group's needs make them highly dependent on their caregivers. The attitudes, knowledge and skills of the staff providing treatment and support is crucial to their recovery. Rehabilitation programmes provide a much-needed framework to guide practitioners and help them organise and focus their recovery-oriented approach. In this editorial, we will provide a non-exhaustive overview of such rehabilitation programmes and interventions to illuminate the wide scope and practical usability of these interventions for this group of people with complex mental health problems.

Keywords: Evidence-based psychiatry; psychiatric services; psychosis; rehabilitation; schizophrenia.

MeSH terms

  • Evidence-Based Medicine
  • Humans
  • Mental Disorders / psychology
  • Mental Disorders / rehabilitation*
  • Mental Health Services / organization & administration*
  • Psychiatric Rehabilitation / organization & administration*
  • Psychotic Disorders / psychology
  • Psychotic Disorders / rehabilitation*
  • Schizophrenia / rehabilitation*
  • Schizophrenic Psychology