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Domain 2 Set 2

AB
National Alliance for Mentally IllGrassroots organization founded by individuals with mental illness and their family members. Goals include providing support for one another teaching larger community; lobbies for legislation.
Linear Continuum Model of HousingApproach emphasizes the transition from institution to independent living as a multi step process based upon the following: 1. Has a variety of housing options 2. Require clients to move from the level with the highest support to the least ; 3. Clients currently participating at one level should all have achieved similar levels of function and progress; 4. the end goal is to achieve independent living status outside of the program. If client has setback and is hospitalized, they start all over. Limited research of efficacy on this model. some negative results constant state of impending change and limits choice as well as privacy.
Environmental Reduction of StressReduce uncertainty; Clarification of expectations, guidelines and specific information for particular jobs, programs. Mentally reduce importance of an event by comparing to other events accomplished positively.
Housing obstaclesCosts; landlords; stigma; Misinformation; Neighbors;
DeinstitutionalizationMove people to live in care facilities in the community where treatment is provided with little emphasis given to other aspects of daily lives of individuals. Differs in this respect to psychiatric rehabilitation where all attention is on the needs and desires of people being served
Community Support SystemDeveloped in 1970s designed to provide comprehensive assistance to persons with mental illness. It includes connected system of programs and agencies providing different services. Similar to todays rehab in that both target persons with mental illness; both support concept of providing needed services and supports within desired environment as opposed to hospital; both operate under the belief that intensive rehabilitation and support can reduce relapses and prevent hospitalization for many individuals and emphasize skills training
Skills generalizationThe ability to apply a skill learned in a specific situation to other situations. (some clients are successful in controlled environment or with supervision but not without)
Sills MaintenanceAbility to stay proficient at a skill over time. Practicing proficient skills again can help client to have confidence as focus is on strengths. Confidence is crucial to process of learning new things.
Workplace accommodationsAssistance from others; Policy Changes; Management familiar with ADA; Co-workers who encourage respect, acceptance; and integration
Fair-weather LodgesAdvantages-extensive support on site; operate as businesses with employment and even ownership; more positive than hospitals; promotes cooperative problem solving skills; allow members to live and work outside the lodge. Disadvantages- does not offer normalized environment; stigma of group home; limited socialization; limited employment
Difference between treatment and rehabilitationGoal of treatment is to cure or reduce symptoms through psychotherapy, medications and behavior modification; Rehabilitation goal is to help individual operate in his chosen situation with maximum functioning and fulfillment. While treatment emphasizes traditional theories and medical approaches, rehab is focused on needs and goals.
Four elements of Recovery Model1.Hope- believe it is possible to recover built upon strengths; 2. Healing- Person sees themselves as a person not an illness; 3. Empowerment- Feel control over life and decisions that affect it. 4. Connection- process of fully reentering society and the larger community with meaningful activities and relationships.
Transitional Employment ProgramAllows individuals to experience one or more temporary jobs in preparation for future permanent work. Agency holds a position at a job site promising the business to keep it filled. Rehab staff learn the job and then train clients who hold it for a designated time and then move on opening it up for another client. Job usually is part time and requires little skill.
Moral Therapy EraPeriod in 1800s of improving care for persons with mental illness. One treatment approach used was conducting complete analysis of persons illness on all aspects of persons life. First time activities were used to engage person resulting in health. Cornerstone of today's rehab in that focus on engaging led to improving lives and involvement in other goals.
IPE, (Individual Plan for Employment)Plan created with joint effort of the client and rehab counselor. Foundation of individuals plan for obtaining meaningful employment and should be considered a significant step. Details needed services and resources needed to assist client in achieving goals.



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