There are three components in psychiatric rehabilitation: medication, the rehabilitation relationship, and rehabilitation program efforts. This volume deals with all three, assessing their importance and explaining how they can be integrated in comprehensive psychiatric rehabilitation. The example used throughout is the program approach at Thresholds, a Chicago-based agency for psychiatric rehabilitation; all the contributors have held important staff roles at Thresholds. This volume contains the contributors' current thoughts on psychiatric rehabilitation, illustrated by the story of how and why Thresholds operates as it does and how it arrived where it is today. This is the 68th issue of the quarterly journal New Directions for Mental Health Services. For more information on the series, please see the Journals and Periodicals page.

This book has been replaced by Principles and Practice of Psychiatric Rehabilitation, Third Edition, ISBN 978-1-4625-5370-9.

This text provides a state-of-the-art treatment of the dominant theories and techniques of counseling and psychotherapy from a rehabilitation perspective. Written by recognized experts in their content areas, the book focuses on several knowledge domains underlying the practice of counseling in rehabilitation settings. These domains are presented within the framework of the major theoretical approaches to counseling and applications are explained as they relate specifically to people with disabilities. Case examples are used throughout the text. Basic techniques and selected professional issues related to practice are also presented. This collection will be useful for practitioners as well as for upper-level undergraduates and graduate students in rehabilitation counseling/psychology and other rehabilitation health care disciplines such as nursing, occupational therapy, and physical therapy.

This volume addresses the promise and challenges of employment, service roles and contexts in rehabilitation and mental health practice, developing readiness for employment, sustaining employment, and responding to the needs of people coping with a range of disabilities. The book is relevant to the education of human service professionals, and will enable practitioners to expand their awareness, understanding, and knowledge of the interface of rehabilitation and mental health.

Innovative Approaches for Difficult-to-Treat Populations makes recommendations for developing and disseminating innovative mental health services. It is geared toward clinicians, administrators, and policy-makers struggling to develop both clinically effective and cost-effective mental health and substance abuse services, and it focuses on services for individuals who use the highest proportion of mental health resources and for whom traditional services have not been effective. These target populations include youth with serious behavioral and emotional disturbances and adults with severe and persistent mental illnesses. The innovative approaches reviewed include diverse treatment methods for differing clinical populations. These varied approaches have several common elements: * Social-ecological theory frameworks* An emphasis on delivering flexible, comprehensive, pragmatic, and goal-oriented interventions in persons' natural environments* Increased accountability on the part of service providers* The transition from centralized to community-based care is discussed, and normalizing a patient's daily routine as an important factor in the success of state-of-the-art community support programs is emphasized Innovative Approaches for Difficult-to-Treat Populations offers mental health professionals and students a firsthand look at the future direction of clinical services. Policy issues necessary to developing and disseminating progressive treatments are addressed, including the downsizing of state psychiatric hospitals, strategies for reforming state mental hospital systems, and ethical issues in research on child and adolescent mental disorders.

As case management has replaced institutional care for mental health patients in recent decades, case management theory has grown in complexity and variety of models. But how are these models translated into real experience? How do caseworkers use both textbook and practical knowledge to assist clients with managing their medication and their money? Using ethnographic and historical-sociological methods, Meds, Money, and Manners: The Case Management of Severe Mental Illness uncovers unexpected differences between written and oral accounts of case management in practice. In the process, it suggests the possibility of small acts of resistance and challenges the myth of social workers as agents of state power and social control.

The book is a compendium of articles from Psychiatric Services on issues in community treatment of severe mental illness.