Intensive Psychiatric Rehabilitation Services
Intensive psychiatric rehabilitation treatment (IPRT) is designed to increase the functioning of persons with psychiatric disabilities so they can be successful and satisfied in their environments of choice with the least amount of professional intervention. The primary focus is on improving performance competencies in specific settings while simultaneously focusing on personal choice, satisfaction, and self-determination. An IPRT program is time limited, with active skills building and environmental support development designed to assist in forming and achieving mutually agreed goals in living, learning, working and/or social environments.
The outcome of IPRT services is the consumer's obtainment and maintenance of valued roles as a result of a systematic approach of rehabilitation diagnosis, goal setting, personal skill development, resource development, and follow-up service. Clients will be encouraged and supported in determining their own goals and the priority of rehabilitation services.
Although the IPRT service is time-limited, it is very intensive and comprehensive in its approach, and the typical length of service with any client is likely to range from six to twenty-four months.
This is a systematic assessment of the client's satisfaction and competence (perceived need for role change), commitment to change, environmental awareness, self awareness, and interpersonal closeness. For clients deemed ineligible for IPRT, recommendations for readiness development will be provided.
This portion of IPRT involves the practitioner and client working closely together to identify the client's personal criteria for valued roles, to describe various environments of consumer preference, and is complete when the client declares their role of choice and a specific time frame for accomplishment. This is concluded with an agreement between the client and the IPRT staff regarding collaborative efforts toward the goal.
Functional and resource assessment
This determines the degree of current client competence in meeting the demands of their preferred environments and roles of value. It also includes assessment of the availability and accessibility of environmental resources the consumer may need to master that environment.
Incorporates consumer aspirations in the form of goals, strategies for goal accomplishment and retention, client and IRPT staff responsibilities, criteria for accomplishment of goals/objectives, and projected time frames for attainment.
Skill and resource/support development
This portion of the program will comprise a large portion of service delivery, and is focused on the building of skills and the development of resources necessary for client success in their preferred environments.
This takes place when the consumer has successfully accomplished the overall rehabilitation goal, has linked with necessary support providers, and no longer requires rehabilitative intervention to retain the rehabilitation goal. The IPRT will also maintain monthly contact with the client for one year, and arrange for immediate service intervention if required by the consumer to sustain a valued role.
This support is provided throughout the entire rehabilitation process, and consists of reassurance to the client of positive regard, affirmation of potential, and aid to promote increased independent functioning.
- The client must have a designated mental illness as defined by the DSM IV-TR which results in a functional deficit in achieving and/or maintaining a desired living, learning, working, or socializing role or environment which is expected to last for at least one year
- At least 18 years of age or older
- The medical treatment of the mental disorder is established, and symptoms of the mental disorder have been stabilized, which does not require the consumer to be free of all symptoms.
- The consumer displays a readiness to participate in an intensive psychiatric rehabilitation program as evidenced by expressed dissatisfaction within a major life role (i.e. their residential, educational, occupational. or social situations), or is in jeopardy of losing a valued life role due to inability to meet environmental demands. The client must also express personal motivation to take and sustain actions to change any of these roles. It is not required that the client express a specific goal(s) at the time of referral or eligibility determination.
- Referred by a professional mental health therapist