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A useful article to guide system reorganization that advances the recovery model - where acute care systems meet rehabilitation systems.  This article which summarizes much of our talk of system change over recent years, will help put substance to new health group plans emerging here in Ontario,... I think, guess, ... hope.

Remediation of functioning - reinstating a sense of possibility

...To ensure that the client’s investment of hope is well placed, it is essential that there is a full understanding of their strengths, protective factors and possible risks. As with physical rehabilitation, care needs to be exercised as the events and triggers that precipitated the relapse are brought into sharp focus by an approaching discharge. The need for care is also reinforced by the knowledge that a successful resolution of positive symptoms does not necessarily indicate a return to pre-episode functioning. A thorough assessment is required to develop a supportive, individually tailored, multi-modal skill building program, which may be provided in combination with other treatments; a point highlighted in a recent review by Lyman et al. [86].

The need for a holistic plan, which supports hope through a range of strategies that build confidence and competencies and addresses vulnerabilities, underscores the importance of the early involvement of rehabilitation specialists. While this phase will generally be led by acute MH services ...

by: Barry G. FrostSrinivasan TirupatiSuzanne JohnstonMegan TurrellTerry J. LewinEmail authorKetrina A. Sly and Agatha M. Conrad

BMC PsychiatryBMC series – open, inclusive and trusted201717:22



 See article here: https://bmcpsychiatry.biomedce...86/s12888-016-1164-3


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