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In the past
few years, many mental health agencies have been undergoing a
transformation:
Movement from
Facility-Based Treatment to Community-Based Treatment:
Market
changes have encouraged the use of alternative treatment
units, residential and community-based intensive services.
Mental health services are most effective when delivered in
natural and client-chosen living environments.
Movement from
Deficit-Based Treatment Planning to Strengths-Based
Treatment Planning:
From the
outset, strengths-based treatment planning identifies and
builds upon healthy and productive capacities in addition to
identifying and ameliorating deficits. Strengths-based
treatment planning assists consumers in identifying, securing
and sustaining the range of both personal and external
resources needed to live, play and work in an interdependent
way in the community.
Movement from
Medical Model Treatment to Psychosocial Rehabilitation:
In addition
to symptom reduction services, providers are increasingly
offering consumers services aimed at promoting healthy
community functioning and self-management. Psychiatric
rehabilitation is characterized by maximal role functioning,
self-determination and empowerment. The major activities of
psychiatric rehabilitation are choosing, getting and keeping a
residential, vocational, educational or social environment
goal.
Movement from
Passive and Dependent "Patient" Role to the "Empowered
Consumer":
No one is
completely and irrevocably consumed by mental illness. When a
consumer and clinician focus together on the whole person from
the very onset of illness, maximum possible recovery is
assured. The recovery model recognizes and accepts the need
for continued mental health treatment aimed at maximizing each
individual’s opportunity for a healthy and productive life.
Movement to
an Outcomes Based System of Care:
Good
stewards of public funds and ethical providers of care are
committed to measuring and documenting the success or failure
of interventions. The Consumer Recovery Outcomes System is an
outcomes system for people with serious mental illness. CROS
is a strengths-based outcomes tool that quantifies community
functioning and recovery. It empowers consumers and their
natural supports through involvement in treatment planning and
the assessment of outcomes. At its center are the
relationships between consumers and clinicians, and consumers
and very important people in their lives. CROS is a measure of
goal attainment within a system and by individual clinicians,
consumers, programs and treatment
teams.
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