Psychiatric rehabilitation: general issues
Identifieur interne : 000B90 ( Istex/Corpus ); précédent : 000B89; suivant : 000B91Psychiatric rehabilitation: general issues
Auteurs : H. H FnerSource :
- European Psychiatry [ 0924-9338 ] ; 1996.
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Abstract
Rehabilitation aims at avoiding unfavourable consequences of a disorder and its care and at training and improving impaired and compensatory skills. The needs of the main diagnostic groups with resulting cognitive or social impairments, namely mental retardation, infantile autism, chronic depression, severe psychoneurosis, substance abuse, schizophrenia, and dementia in old age, have specific aspects. An increased need for rehabilitation was prompted by the worldwide movement of deinstitutionalisation, which hit above all the socially most vulnerable schizophrenics. The instruments and methods of rehabilitation for the socially disabled mentally ill go far beyond the sphere of psychiatry. Individualised rehabilitation must be in mutual interaction with the social and occupational environment. The socially disabled individual is, for example, dependent upon awareness and acceptance in the community, upon financial and social support or upon the availability of a job. In the case of persisting deficits, supportive measures at different levels are needed to compensate or to minimize severe consequences of impairments. Their approach is by the social environment with the objective to grant the optimum quality of life combined with a minimum loss of independence. The great variety of measures often required at the same time must be based on a network of services and their purposeful coordination. Psychiatric rehabilitation requires a functioning social system and, in times of scarce resources, political priorities.
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DOI: 10.1016/0924-9338(96)84742-0
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ISTEX:0F724F73C0CCCC4D9BED95D1B2986BC987E7D097Le document en format XML
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H Fner</name><affiliation><mods:affiliation>Central Institute of Mental Health, PO Box 12 21 20, D-68072 Mannheim, Germany</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:0F724F73C0CCCC4D9BED95D1B2986BC987E7D097</idno><date when="1996" year="1996">1996</date><idno type="doi">10.1016/0924-9338(96)84742-0</idno><idno type="url">https://api.istex.fr/document/0F724F73C0CCCC4D9BED95D1B2986BC987E7D097/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000B90</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000B90</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Psychiatric rehabilitation: general issues</title><author><name sortKey="H Fner, H" sort="H Fner, H" uniqKey="H Fner H" first="H" last="H Fner">H. H Fner</name><affiliation><mods:affiliation>Central Institute of Mental Health, PO Box 12 21 20, D-68072 Mannheim, Germany</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">European Psychiatry</title><title level="j" type="abbrev">EURPSY</title><idno type="ISSN">0924-9338</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1996">1996</date><biblScope unit="volume">11</biblScope><biblScope unit="supplement">S2</biblScope><biblScope unit="page" from="39">39s</biblScope><biblScope unit="page" to="50">50s</biblScope></imprint><idno type="ISSN">0924-9338</idno></series><idno type="istex">0F724F73C0CCCC4D9BED95D1B2986BC987E7D097</idno><idno type="DOI">10.1016/0924-9338(96)84742-0</idno><idno type="PII">0924-9338(96)84742-0</idno><idno type="ArticleID">84742</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0924-9338</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>compensation of deficits</term><term>individualised rehabilitation</term><term>needs for rehabilitation</term><term>psychiatric rehabilitation</term><term>rehabilitation in schizophrenia</term><term>rehabilitation techniques</term><term>social skills training</term><term>socially disabled</term><term>training of impaired skills</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Rehabilitation aims at avoiding unfavourable consequences of a disorder and its care and at training and improving impaired and compensatory skills. The needs of the main diagnostic groups with resulting cognitive or social impairments, namely mental retardation, infantile autism, chronic depression, severe psychoneurosis, substance abuse, schizophrenia, and dementia in old age, have specific aspects. An increased need for rehabilitation was prompted by the worldwide movement of deinstitutionalisation, which hit above all the socially most vulnerable schizophrenics. The instruments and methods of rehabilitation for the socially disabled mentally ill go far beyond the sphere of psychiatry. Individualised rehabilitation must be in mutual interaction with the social and occupational environment. The socially disabled individual is, for example, dependent upon awareness and acceptance in the community, upon financial and social support or upon the availability of a job. In the case of persisting deficits, supportive measures at different levels are needed to compensate or to minimize severe consequences of impairments. Their approach is by the social environment with the objective to grant the optimum quality of life combined with a minimum loss of independence. The great variety of measures often required at the same time must be based on a network of services and their purposeful coordination. Psychiatric rehabilitation requires a functioning social system and, in times of scarce resources, political priorities.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>H Häfner</name><affiliations><json:string>Central Institute of Mental Health, PO Box 12 21 20, D-68072 Mannheim, Germany</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>psychiatric rehabilitation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>needs for rehabilitation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>training of impaired skills</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>compensation of deficits</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>rehabilitation techniques</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>socially disabled</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>social skills training</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>individualised rehabilitation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>rehabilitation in schizophrenia</value></json:item></subject><articleId><json:string>84742</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>Full-length article</json:string></originalGenre><abstract>Rehabilitation aims at avoiding unfavourable consequences of a disorder and its care and at training and improving impaired and compensatory skills. The needs of the main diagnostic groups with resulting cognitive or social impairments, namely mental retardation, infantile autism, chronic depression, severe psychoneurosis, substance abuse, schizophrenia, and dementia in old age, have specific aspects. An increased need for rehabilitation was prompted by the worldwide movement of deinstitutionalisation, which hit above all the socially most vulnerable schizophrenics. The instruments and methods of rehabilitation for the socially disabled mentally ill go far beyond the sphere of psychiatry. Individualised rehabilitation must be in mutual interaction with the social and occupational environment. The socially disabled individual is, for example, dependent upon awareness and acceptance in the community, upon financial and social support or upon the availability of a job. In the case of persisting deficits, supportive measures at different levels are needed to compensate or to minimize severe consequences of impairments. Their approach is by the social environment with the objective to grant the optimum quality of life combined with a minimum loss of independence. The great variety of measures often required at the same time must be based on a network of services and their purposeful coordination. 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The needs of the main diagnostic groups with resulting cognitive or social impairments, namely mental retardation, infantile autism, chronic depression, severe psychoneurosis, substance abuse, schizophrenia, and dementia in old age, have specific aspects. An increased need for rehabilitation was prompted by the worldwide movement of deinstitutionalisation, which hit above all the socially most vulnerable schizophrenics. The instruments and methods of rehabilitation for the socially disabled mentally ill go far beyond the sphere of psychiatry. Individualised rehabilitation must be in mutual interaction with the social and occupational environment. The socially disabled individual is, for example, dependent upon awareness and acceptance in the community, upon financial and social support or upon the availability of a job. In the case of persisting deficits, supportive measures at different levels are needed to compensate or to minimize severe consequences of impairments. Their approach is by the social environment with the objective to grant the optimum quality of life combined with a minimum loss of independence. The great variety of measures often required at the same time must be based on a network of services and their purposeful coordination. Psychiatric rehabilitation requires a functioning social system and, in times of scarce resources, political priorities.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><item><term>psychiatric rehabilitation</term></item><item><term>needs for rehabilitation</term></item><item><term>training of impaired skills</term></item><item><term>compensation of deficits</term></item><item><term>rehabilitation techniques</term></item><item><term>socially disabled</term></item><item><term>social skills training</term></item><item><term>individualised rehabilitation</term></item><item><term>rehabilitation in schizophrenia</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1996">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/0F724F73C0CCCC4D9BED95D1B2986BC987E7D097/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier doc found" wicri:toSee="Elsevier, no converted or simple article"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" </istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 5.1.0//EN//XML" URI="art510.dtd" name="istex:docType"></istex:docType><istex:document><article version="5.1" xml:lang="en" docsubtype="fla"><item-info><jid>EURPSY</jid><aid>84742</aid><ce:pii>0924-9338(96)84742-0</ce:pii><ce:doi>10.1016/0924-9338(96)84742-0</ce:doi><ce:copyright type="unknown" year="1996"></ce:copyright></item-info><head><ce:title>Psychiatric rehabilitation: general issues</ce:title><ce:author-group><ce:author><ce:given-name>H</ce:given-name><ce:surname>Häfner</ce:surname></ce:author><ce:affiliation><ce:textfn>Central Institute of Mental Health, PO Box 12 21 20, D-68072 Mannheim, Germany</ce:textfn></ce:affiliation></ce:author-group><ce:abstract id="ab1"><ce:section-title>Summary</ce:section-title><ce:abstract-sec><ce:simple-para>Rehabilitation aims at avoiding unfavourable consequences of a disorder and its care and at training and improving impaired and compensatory skills. The needs of the main diagnostic groups with resulting cognitive or social impairments, namely mental retardation, infantile autism, chronic depression, severe psychoneurosis, substance abuse, schizophrenia, and dementia in old age, have specific aspects. An increased need for rehabilitation was prompted by the worldwide movement of deinstitutionalisation, which hit above all the socially most vulnerable schizophrenics. The instruments and methods of rehabilitation for the socially disabled mentally ill go far beyond the sphere of psychiatry. Individualised rehabilitation must be in mutual interaction with the social and occupational environment. The socially disabled individual is, for example, dependent upon awareness and acceptance in the community, upon financial and social support or upon the availability of a job. In the case of persisting deficits, supportive measures at different levels are needed to compensate or to minimize severe consequences of impairments. Their approach is by the social environment with the objective to grant the optimum quality of life combined with a minimum loss of independence. The great variety of measures often required at the same time must be based on a network of services and their purposeful coordination. Psychiatric rehabilitation requires a functioning social system and, in times of scarce resources, political priorities.</ce:simple-para></ce:abstract-sec></ce:abstract><ce:keywords class="keyword"><ce:keyword><ce:text>psychiatric rehabilitation</ce:text></ce:keyword><ce:keyword><ce:text>needs for rehabilitation</ce:text></ce:keyword><ce:keyword><ce:text>training of impaired skills</ce:text></ce:keyword><ce:keyword><ce:text>compensation of deficits</ce:text></ce:keyword><ce:keyword><ce:text>rehabilitation techniques</ce:text></ce:keyword><ce:keyword><ce:text>socially disabled</ce:text></ce:keyword><ce:keyword><ce:text>social skills training</ce:text></ce:keyword><ce:keyword><ce:text>individualised rehabilitation</ce:text></ce:keyword><ce:keyword><ce:text>rehabilitation in schizophrenia</ce:text></ce:keyword></ce:keywords></head><tail><ce:bibliography><ce:section-title>References</ce:section-title><ce:bibliography-sec><ce:bib-reference id="bib1"><ce:label>Bachrach et al., 1987</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>IX</ce:given-name><ce:surname>Bachrach</ce:surname></sb:author><sb:author><ce:given-name>JA</ce:given-name><ce:surname>Talbott</ce:surname></sb:author><sb:author><ce:given-name>AT</ce:given-name><ce:surname>Meyerson</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>The chronic psychiatric patient as a “difficult” patient: a conceptual analysis</sb:maintitle></sb:title></sb:contribution><sb:host><sb:edited-book><sb:editors><sb:editor><ce:given-name>AT</ce:given-name><ce:surname>Meyerson</ce:surname></sb:editor></sb:editors><sb:book-series><sb:series><sb:title><sb:maintitle>Barrien to treating the chronic mentally ill. New Directions For Mental Health Services</sb:maintitle></sb:title><sb:volume-nr>33</sb:volume-nr></sb:series></sb:book-series><sb:date>1987</sb:date><sb:publisher><sb:name>San Francisco</sb:name><sb:location>Jossey Bass</sb:location></sb:publisher></sb:edited-book><sb:pages><sb:first-page>35</sb:first-page><sb:last-page>50</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib2"><ce:label>Beecham and Knapp, 1992</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>J</ce:given-name><ce:surname>Beecham</ce:surname></sb:author><sb:author><ce:given-name>M</ce:given-name><ce:surname>Knapp</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Costing psychiatric interventions</sb:maintitle></sb:title></sb:contribution><sb:host><sb:edited-book><sb:editors><sb:editor><ce:given-name>G</ce:given-name><ce:surname>Thomicroft</ce:surname></sb:editor><sb:editor><ce:given-name>C</ce:given-name><ce:surname>Brewin</ce:surname></sb:editor><sb:editor><ce:given-name>J</ce:given-name><ce:surname>Wing</ce:surname></sb:editor></sb:editors><sb:title><sb:maintitle>Measuring mental health needs</sb:maintitle></sb:title><sb:date>1992</sb:date><sb:publisher><sb:name>Gaskell, Royal College of Psychiatrists</sb:name><sb:location>London</sb:location></sb:publisher></sb:edited-book><sb:pages><sb:first-page>163</sb:first-page><sb:last-page>183</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib3"><ce:label>Beeson, 1983</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>PG</ce:given-name><ce:surname>Beeson</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>The bureaucratic context of mental health care</sb:maintitle></sb:title></sb:contribution><sb:host><sb:edited-book><sb:editors><sb:editor><ce:given-name>WB</ce:given-name><ce:surname>Littrel</ce:surname></sb:editor><sb:editor><ce:given-name>G</ce:given-name><ce:surname>Sjoberg</ce:surname></sb:editor><sb:editor><ce:given-name>LA</ce:given-name><ce:surname>Zürcher</ce:surname></sb:editor></sb:editors><sb:title><sb:maintitle>Bureaucracy as a social problem</sb:maintitle></sb:title><sb:date>1983</sb:date><sb:publisher><sb:name>Jai Press</sb:name><sb:location>Greenwich, CT</sb:location></sb:publisher></sb:edited-book></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib4"><ce:label>Biehl et al., 1986</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>H</ce:given-name><ce:surname>Biehl</ce:surname></sb:author><sb:author><ce:given-name>K</ce:given-name><ce:surname>Maurer</ce:surname></sb:author><sb:author><ce:given-name>C</ce:given-name><ce:surname>Schubart</ce:surname></sb:author><sb:author><ce:given-name>B</ce:given-name><ce:surname>Krumm</ce:surname></sb:author><sb:author><ce:given-name>E</ce:given-name><ce:surname>Jung</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Prediction of outcome and utilization of medical services in a prospective study of first onset schizophrenics — results of a prospective 5-year follow-up study</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Eur Arch Psychiatr Neurol Sci</sb:maintitle></sb:title><sb:volume-nr>236</sb:volume-nr></sb:series><sb:date>1986</sb:date></sb:issue><sb:pages><sb:first-page>139</sb:first-page><sb:last-page>147</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib5"><ce:label>Bleuler, 1972</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>M</ce:given-name><ce:surname>Bleuler</ce:surname></sb:author></sb:authors></sb:contribution><sb:host><sb:edited-book><sb:title><sb:maintitle>Die schizophrenen Geistesstörungen im Lichte langjähriger Kranken- und Familiengeschichten</sb:maintitle></sb:title><sb:date>1972</sb:date><sb:publisher><sb:name>Thieme</sb:name><sb:location>Stuttgart</sb:location></sb:publisher></sb:edited-book></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib6"><ce:label>Brenner, 1986</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>HD</ce:given-name><ce:surname>Brenner</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Zur Bedeutung von Basisstörungen für Behandlung und Rehabilitation</sb:maintitle></sb:title></sb:contribution><sb:host><sb:edited-book><sb:editors><sb:editor><ce:given-name>W</ce:given-name><ce:surname>Böker</ce:surname></sb:editor><sb:editor><ce:given-name>HD</ce:given-name><ce:surname>Brenner</ce:surname></sb:editor></sb:editors><sb:title><sb:maintitle>Bewältigung der Schizophrenie. 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A comparative study of three mental hospitals 1960–1968</sb:maintitle></sb:title><sb:date>1970</sb:date><sb:publisher><sb:name>Cambridge University Press</sb:name><sb:location>Cambridge</sb:location></sb:publisher></sb:book></sb:host></sb:reference></ce:bib-reference></ce:bibliography-sec></ce:bibliography></tail></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Psychiatric rehabilitation: general issues</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Psychiatric rehabilitation: general issues</title></titleInfo><name type="personal"><namePart type="given">H</namePart><namePart type="family">Häfner</namePart><affiliation>Central Institute of Mental Health, PO Box 12 21 20, D-68072 Mannheim, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1996</dateIssued><copyrightDate encoding="w3cdtf">1996</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract>Rehabilitation aims at avoiding unfavourable consequences of a disorder and its care and at training and improving impaired and compensatory skills. The needs of the main diagnostic groups with resulting cognitive or social impairments, namely mental retardation, infantile autism, chronic depression, severe psychoneurosis, substance abuse, schizophrenia, and dementia in old age, have specific aspects. An increased need for rehabilitation was prompted by the worldwide movement of deinstitutionalisation, which hit above all the socially most vulnerable schizophrenics. The instruments and methods of rehabilitation for the socially disabled mentally ill go far beyond the sphere of psychiatry. Individualised rehabilitation must be in mutual interaction with the social and occupational environment. The socially disabled individual is, for example, dependent upon awareness and acceptance in the community, upon financial and social support or upon the availability of a job. In the case of persisting deficits, supportive measures at different levels are needed to compensate or to minimize severe consequences of impairments. Their approach is by the social environment with the objective to grant the optimum quality of life combined with a minimum loss of independence. The great variety of measures often required at the same time must be based on a network of services and their purposeful coordination. Psychiatric rehabilitation requires a functioning social system and, in times of scarce resources, political priorities.</abstract><subject lang="en"><topic>psychiatric rehabilitation</topic><topic>needs for rehabilitation</topic><topic>training of impaired skills</topic><topic>compensation of deficits</topic><topic>rehabilitation techniques</topic><topic>socially disabled</topic><topic>social skills training</topic><topic>individualised rehabilitation</topic><topic>rehabilitation in schizophrenia</topic></subject><relatedItem type="host"><titleInfo><title>European Psychiatry</title></titleInfo><titleInfo type="abbreviated"><title>EURPSY</title></titleInfo><name type="conference"><namePart>The rehabilitation of patients with long-term psychiatric disorders, Strasbourg, France</namePart><namePart type="date">19931119</namePart><namePart type="date">19931120</namePart></name><genre type="journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">1996</dateIssued></originInfo><identifier type="ISSN">0924-9338</identifier><identifier type="PII">S0924-9338(99)X0015-0</identifier><part><date>1996</date><detail type="issue"><title>The rehabilitation of patients with long-term psychiatric disorders, Strasbourg, France</title></detail><detail type="volume"><number>11</number><caption>vol.</caption></detail><detail type="supplement"><number>S2</number><caption>Suppl.</caption></detail><extent unit="issue pages"><start>39s</start><end>108s</end></extent><extent unit="pages"><start>39s</start><end>50s</end></extent></part></relatedItem><identifier type="istex">0F724F73C0CCCC4D9BED95D1B2986BC987E7D097</identifier><identifier type="DOI">10.1016/0924-9338(96)84742-0</identifier><identifier type="PII">0924-9338(96)84742-0</identifier><identifier type="ArticleID">84742</identifier><recordInfo><recordContentSource>ELSEVIER</recordContentSource></recordInfo></mods></metadata></istex></record>Pour manipuler ce document sous Unix (Dilib)
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