Chapter 22. Psychiatric Rehabilitation

Alex Kopelowicz, M.D.; Charles J. Wallace, Ph.D.; Robert Paul Liberman, M.D.
DOI: 10.1176/appi.books.9781585622986.255189



The growing recognition that long-term disability is experienced by a large proportion of persons with serious and persistent mental disorders has spurred the development of the field of psychiatric rehabilitation. Even with the best evidence-based treatment, individuals with psychotic disorders have suboptimal outcomes, with symptoms persisting despite appropriate treatment (Lieberman et al. 2005). Beyond persisting symptoms, social maladjustment in family and vocational roles interferes with the quality of life of an exceedingly high number of those with psychotic disorders (Marshall et al. 2005).

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Figure 22–1. The spectrum of interventions for mental disorders.

Figure 22–2. Seven learning activities.

Figure 22–3. The competencies required of effective case managers in psychiatric rehabilitation encompass relationship skills, clinical skills, and liaison and advocacy skills.

Figure 22–4. Areas encompassed by the Client's Assessment of Strengths, Interests, and Goals (CASIG).


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