Abstract:This article describes a model for integrating psychiatric rehabilitation services in a managed behavioral health care structure. Psychiatric rehabilitation and managed care are two distinct developments in the provision of mental health services that have proceeded independently though they can have compatible methods and outcomes. Descriptive detail is provided about a state initiative in Iowa to provide psychiatric rehabilitation services to those with serious mental illness through the state-contracted man… Show more
“…A description of the factors leading to its implementation in Iowa, as well as its service delivery structures, financial reimbursements, personnel requirements, and performance indicators, has been previously provided (Ellison et al, 2002). A subsequent analysis of the Iowa IPR statewide implementation examined the outcomes of residential status, employment status, earnings, mental health service utilization, and costs (Ellison et al, 2011).…”
mentioning
confidence: 99%
“…A review of the CGK outcome studies has been provided elsewhere (Rogers et al, 2006). What is important to note in CGK and IPR is that to prepare for graduation from the program, participants are followed up during the "keep" phase for 2 to 4 times a month until the consumer expresses comfort discontinuing further contact to address remaining needs (Ellison et al, 2002).…”
Client involvement in decisions about treatment and rehabilitation goals for people with psychiatric disabilities has long been a basic tenet of psychiatric rehabilitation (Anthony, 1979), and has received new attention and support from calls for person-centered planning (
“…A description of the factors leading to its implementation in Iowa, as well as its service delivery structures, financial reimbursements, personnel requirements, and performance indicators, has been previously provided (Ellison et al, 2002). A subsequent analysis of the Iowa IPR statewide implementation examined the outcomes of residential status, employment status, earnings, mental health service utilization, and costs (Ellison et al, 2011).…”
mentioning
confidence: 99%
“…A review of the CGK outcome studies has been provided elsewhere (Rogers et al, 2006). What is important to note in CGK and IPR is that to prepare for graduation from the program, participants are followed up during the "keep" phase for 2 to 4 times a month until the consumer expresses comfort discontinuing further contact to address remaining needs (Ellison et al, 2002).…”
Client involvement in decisions about treatment and rehabilitation goals for people with psychiatric disabilities has long been a basic tenet of psychiatric rehabilitation (Anthony, 1979), and has received new attention and support from calls for person-centered planning (
“…The field of PSR traces its roots as a specialty to the era of deinstitutionalization in the 1970s and many of the leaders within this field have been active proponents of recovery-oriented services (Ellison et al 2002). …”
The goal of recovery has emerged as a core value in the reformation of public and private mental health services in the last twenty years. However, definitions of recovery remain as varied as methods of implementation. Through an ethnographic lens, we examine meanings of recovery in the context of a major statewide reform of mental health services in New Mexico, focusing specifically on provider-voiced concerns regarding recovery and recovery-oriented care. We argue that the concept of recovery functions as a symbol that seemingly reconciles the long-standing tension between biological and social explanations of mental illness. Drawing upon provider perspectives, we also discuss concerns that popular rhetoric about recovery may mask some needed fundamental changes to transform the mental health system to a recovery orientation. Finally, we consider recovery from a capabilities standpoint and discuss how this view lends itself to addressing both individual and social components of mental illness.
“…The curriculum for interview skills was structured using Boston University's direct skill teaching (DST) approach. Skills training programs have often been criticized for putting participants in a passive role (Ellison et al, ; Shern et al, ). Boston University's DST method systematically incorporates basic educational and cognitive techniques so that providers can outline the knowledge needed to learn any relevant skill, develop a structured lesson plan to teach each component behavior and involve the person and individuals in the relevant environment in practice and generalization efforts.…”
This study evaluated whether a direct skills training (DST) approach for persons with disabilities can better prepare participants for job interviews. Twenty graduate students in a master's program in rehabilitation counseling at various agency internship sites were trained in a 4-session Presenting Qualifications curriculum based on DST administered to 126 participants in 20 group settings. Participants reported greater confidence and preparedness in the interview process, in answering difficult questions, and in highlighting past accomplishments after the group. Results support the feasibility of training entry-level rehabilitation counselors in the DST approach to teach job interview skills to individuals with disabilities.
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