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job placement team and employers. •
This should be provided for all patients who wish to work and should be the main thrust of rehabilitation
for patients with severe mental illness.
• However, some patients who are unable to work
for various reasons should be offered a variety of other job based activities including transitional
employment or sheltered workshop.
• Another job based rehabilitation that can be
a focus of recovery is the formation of social enterprises for patients who are able to manage
and run a small business on their own.
In conclusion, recovery oriented services should be multimodal in nature and patients offered the various packages of family and patient education,
illness management, job placement andor cognitive remediation.
6.13.6 Operational hours
• Ofice hours.
• Each psychiatric facility must have a weekly timetable
for all above interventions with a minimum of one intervention each per week e.g. psychoeducation
on Monday afternoons, social skills training Tuesday mornings, Illness management Wednesday afternoon,
Cognitive remediation Thursday mornings and family interventions on Friday afternoon.
6.13.7 Fees
• Follow Akta Fee as per government regulations
6.13.8 Inpatient rehabilitation
6.13.8.1 Components: a Psycho education
b Family intervention c Activities of daily living
d Management of daily routine e Grooming and personal hygiene
f
Job search and job matching g Effective use of leisure time
h Illness management
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6.13.8.2 Operational policy: a All patients admitted to a psychiatric
hospital should have an individually tailored care plan made for them.
b The care plan should include details of medications and its intended duration and
a multi modal psychosocial intervention. c The
interventions include
psycho education after recovery from acute
symptoms; usually after 3 days with patients being given some of education
before discharge.
d A family intervention plan should be instituted and patients’ and their families
should be seen at least once before discharge. Subsequent family intervention
strategies include skills training can be done as outpatients.
e All in-patients who wants to work should be offered job placement supported
employment services before discharge f
Where possible, modules based on Illness Management
and Recovery
should be made available to patients before
discharge. g All inpatients should be trained in ADL,
grooming, personal hygiene, social skills and effective use of leisure time before
discharge.
