Never a dull day! Multidimensional assessment of psychopathology Assessment of course of illness and life charts Assessment of treatment resistance in psychosis Complex psychopharmacology; Clozapine plus! Use of investigations and psychosocial assessments Evaluating physical health co-morbidity Multimodal risk and vulnerability assessments Bio-psycho-social case formulation Recovery oriented approach to interventions Integrating physical and mental health care Managing co-morbidity to improve outcomes Enhancing lifestyle modification Improving quality of life and social inclusion Closely working with housing & employment schemes Engagement and motivational skill in every contact Excellent leadership of multi-disciplinary team Ability to assess need for psychosocial interventions Ability to assess and support change in functioning Ability to support family and carers Supporting effective transitions to community Engagement over longer term Delivering personalised care Ability to systematically assess outcomes Evaluate service use and satisfaction Ability to influence commissioning Develop services based on local need Vi s it f a cult y w e bp ag e on w w w . r cp sy ch . ac . uk Em a il us : sg al ea @ r c ps yc h. ac .u k Tel ep hon e: 0 20 37 0 1 25 9 5 Design: Raj Mohan® Rehabilitation and Social Psychiatry Enabling recovery through bio-psycho-social approaches could be the career for you! Navigating complex pathways Enabling Recovery become “stuck” in acute mental health inpatient wards Guiding people through the maze to independence Challenging: Rehabilitation Psychiatry offers a whole systems approach to recovery from mental illness. A combination of cutting edge psychopharmacology for complex treatment resistant psychosis and high levels of co-morbidity is nothing if not challenging! Evidence based: The best evidence that psychiatry has produced over decades of systematic research is carefully drawn together and tailored around an individual’s unique needs and adapted to their settings. Use medication, CBT, Family interventions and Social support in tandem, and the results are truly satisfying. A consultant’s view: Why rehabilitation is my choice Contrary to popular belief, rehabilitation psychiatry is not the “boring end” of adult psychiatry. Sure, we manage challenging patients with long and complex histories, on a cornucopia of medications and needing high levels of care; but we are able to forge closer relationships with our patients, as we utilise time getting to know and to enable people. Holistic care is paramount and you develop patience and more skills in psychosocial interventions. It is not all about CPAs. It’s not about the “quick fix”. Our patients do relapse and many have other physical health problems, requiring skilled assessment and management. You liaise with primary care, with staff at placements, and other allied health professionals. Your leadership skills are key! However, the most rewarding aspect of doing rehab is empowering our patients to go through their recovery process and seeing them enjoy a meaningful quality of life. Stephanie Young Outcomes that matter: The outcomes we work towards are clearly beyond just reduction in symptoms; but also enhancing quality of life, developing skills, increasing independence and autonomy and more personalization of care. Return to meaningful activity or employment, and more independent living are the real goals that are achieved. Relationships are central: This is achieved through individualised and collaborative planning of care and sustained inputs with a strong therapeutic relationship at its heart. Clinical leadership: Providing leadership to a skilled multi-disciplinary team that has excellent interagency (housing, employment, criminal justice and others) links; which is crucial to community reintegration for patients. A whole system approach to care is the difference. Cost effective: Rehab teams also demonstrate real cost-benefits by moving people from long term restrictive placements to the community. Tapping into community resources, good planning and tailoring care to wrap around the individual is essential.