The Open Society Mental Health Initiative

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Psychosocial Rehabilitation

 

Psychosocial rehabilitation (PSR) is an approach to working with people with prolonged and/or severe mental illness which is developed in response to their individual  needs. Several formal definitions have been offered as to what PSR means. The World Health Organization (WHO) defines psychosocial rehabilitation as "a process that offers the opportunity for individuals who are impaired, disabled, or handicapped by a mental disorder to reach their optimal level of independent functioning in the community." The International Association of Psychosocial Rehabilitation Services (IAPRS) published the following definition of psychosocial rehabilitation:

 

The process of facilitating an individual's restoration to an optimal level of independent functioning in the community. [...] [It] invariably encourages persons to participate actively with others in the attainment of mental health and social competence goals. [...] The process emphasizes the wholeness and wellness of the individual and seeks a comprehensive approach to the provision of vocational, residential, social/recreational, educational and personal adjustment services.

 

What is common to various definitions of PSR is the importance of self-determination of the person with mental health problems in attaining a better quality of life with the assistance of support services.  Support services range from social work, counseling, case-management, to vocational training and therapeutic recreation, among others. 

 

Through the process of PSR, the person is transformed from victim to survivor, moving from having no control over his or her environment, toward taking an active part in shaping one's own life.  In this process of taking charge of their own recovery, people develop feelings of self-worth and improved mental well-being.

 

In this section of the website you will find information about various aspects of psychosocial rehabilitation, relevant publications and reports, and a list of useful links.

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Selected Sources:

 

Outpatient Services Program (OPSP), Simcoe County, Ontario, Canada, is a program of the Mental Health Centre Penetanguishene, and a partner in the North Simcoe Community Mental Health System. It provides community-based services for adults with serious mental illness. More information is available at: http://www.mhcp.on.ca/Site_Published/internet/OutpatientServicesProgram.aspx

 

The Program on Psychosocial Rehabilitation (PSR) offered through Distance Education at the Mohawk College's School of Continuing Education, Hamilton, Ontario, Canada, is intended for frontline staff in mental health agencies and related agencies, service users of mental health programs who are interested in learning the PSR approach, and other individuals who plan to work in mental health. More information is available at: http://www.mohawkcollege.ca/Discover/CE/disted/health/psychosocial.html.

 

Psychosocial Rehabilitation Program (PRP) at the Lake County Health Department and Community Health Center, Waukegan, Illinois, USA, provides psychosocial rehabilitative services to people with mental illness who need day and recreational activities, socialization opportunities, independent living skills training, and/or help learning to cope with and manage their illness. The services aim to foster growth and development opportunities for adults with mental illness, focusing on moving toward independence in the community. More information is available at: http://www.lakecountyil.gov/Health/want/PRP.htm.

 

Storm Rehabilitation, Utrecht, The Netherlands, started in 1987 as a local initiative for training caregivers in new approaches in the care for people with chronic mental illness. Its overall goal is to provide knowledge to the mental health sector as well as to the social sector in order to improve care for people with mental and social disabilities. More information (only in Dutch) is available at: http://lczorg.rinogroep.nl/.

 

United States Psychosocial Rehabilitation Association (USPRA), formerly known as International Association of Psychosocial Rehabilitation Services (IAPSRS), Linthicum, Maryland, USA, is one of the leading psychiatric rehabilitation organizations in the United States. In 1975, USPRA and its members developed and defined the practice of psychosocial rehabilitation, establishing psychosocial rehabilitation services as integral to community-based treatment. More information is available at: http://www.uspra.org/i4a/pages/index.cfm?pageid=1.

 

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Highlights

1) Dumping Grounds For Forgotten People

An investigation by Bulgarian journalist Yana Buhrer Tavanier on the mental care institutions in Bulgaria, Romania and Serbia.   

Please visit the website dedicated to the investigation and view the new promotional video.


Judith Klein, director of the OSMHI (Open Society Mental Health Initiative) has written a foreword to the article, which appears in the newsletter of the European Coalition for Community Living, Issue No. 10, October 2009 and also on the investigation website.


2) Report of the Ad Hoc Expert Group on the Transition from Institutional to Community-based Care

A report on the Transition from Institutional to Community-based Care was handed over to Commissioner Vladimír ?pidla on September 23, 2009. The report was drafted by a group of independent experts convened by Commissioner Spidla in February 2009 to address the issues of institutional care reform in their complexity.  The report is also available in Bulgarian, Croatian, Hungarian, Romanian.

Films

Karin Dom - a training and resource centre for children with special needs and their families

This short film was made following a BBC production about a children's institution in Mogilino, Bulgaria. The film features MHI partner organization Karin Dom and highlights what community-based alternatives for children can be like in Bulgaria.

UN Disability Convention

The Convention on the Rights of Persons with Disabilities received its 20th ratification on April 3, 2008, triggering the entry into force of the Convention and its Optional Protocol on May 3, 2008. This marks a major milestone in the effort to promote, protect and ensure the full and equal enjoyment of all human rights and fundamental freedoms of persons with disabilities, and to promote respect for their inherent dignity.

Information on the convention process:
Convention in Easy to Read
View the list of signatories
Countries that have ratified the Convention
ICRPD Ratification Toolkit
Convention and Inclusive Education
View more information

 

News reports on the Convention:
Agreement on New UN Convention
Urging Implementation
Archive Webcast: Convention Signing 
Record Number of Countries Sign
Secretary-General Ban Hails Entry Into Force Of Treaty On Disability Rights
More news reports

Publications:
UN Handbook for Parliamentarians on the Convention on the Rights of Persons with Disabilities and its Optional Protocol
First Implementation Manual For The United Nations Convention On The Rights Of Persons With Disabilities (Addressed Specifically To Users And Survivors Of Psychiatry)


Ratify Now (The campaign to support global grassroots efforts to ratify the Convention on the Rights of Persons with Disabilities).

Films about Inclusion

Foster Care for Children with Disabilities: English ** Russian

I Want to Work and I Can Work!

Living Proof: The right to live in the community

Reality - film on personal assistance

Being an Unperson. A short film about the experience of dehumanization within the care system.

In My Language. A short film about autism and nonverbal communication.

A Way of Describing Autism. A short film by Dave Spicer and Amanda Baggs.

Equalise It!

A Manifesto for Disability Equality in Development Cooperation

The international committee of UK Disabled People's Council (formerly BCODP) has written this manifesto in the light of the signing of the UN Convention on the Human Rights of Persons with Disabilities. 

To read the campaign launch letter, please click here.

Organisations who wish to sign up to the Manifesto are asked to contact Bill Albert or Mark Harrison so that their name and logo can be added to the list of signatories.