TYPES OF REHABILITATION

TYPES OF REHABILITATION

Rehabilitation programs in India generally classified into 2 groups.

1.         Residential Services 

2.         Non-Residential Service      

In Residential Rehabilitation Programs:

            Hospital Based:        

                        A) Long-term hospital facilities

                        B) Quarter-way home

            Community Based: 

                        A) Half-way home

                        B) Hostels

                        C) Non-governmental charitable agencies

                        D) Foster-care home

In Non-Residential Rehabilitation Programs:

Hospital Based:        

                        A) Day-Care Programs

                        B) Day/Night hospitalization

Community Based:   

                        A) Vocational based rehabilitation

                        B) Community based rehabilitation centers

                        C) Community resources utilization

                        D) Self-Help Group

Pre-requirement for rehabilitation 

1. Diagnosis

2. Assessment of assets and deficits

3. Assessment of prognosis

With improved and more reliable methods of diagnosis, symptoms assessment and functional assessment, the problems and needs of patients requiring psychiatric rehabilitation are becoming better defined.

Assessment of Rehabilitation

The road to rehabilitation must be driven by initial comprehensive assessment and ongoing periodic assessment of the patient’s symptoms and phase of disorders, functional assets and deficits, and personal and environmental resources that can be mobilized for needed services and community support.

Comprehensive evaluation and effective treatment planning require integration of the psychopathological and functional status of the patient is a truly bio-psycho-social approach. Moreover the individuals, family and caregivers must be engaged collaboratively in the assessment and treatment process from the start with identification of the patients desired long-term goals and social roles.

In a functional assessment the clinician work with the patient to identify individual goals, the strength and adoptive skills that facilitate progress and the deficits and excesses that impede goal attainment.

Tools for Functional Assessments

1.   Behavioral Interview: In Functional Assessment through behavioral interviewing the therapist asking the patient to describe the nature and context of behavior deficits excesses and assets.

2.   Direct observation of behavior.

3.   Self Observation: This can be done through a daily diary.

4.   Checklists, Questionnaires and Rating Forms.

5.   Reinforcement Survey: Identification of reinforces that can provide motivation for treatment and maintaining the improved behavior in the community. It helps for negative symptoms.