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| Foreword | |
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| Acknowledgments | |
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| Understanding the Nature of Severe Mental Illness | |
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| The Experience of Mental Illness | |
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| Introduction | |
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| The Story of Paul | |
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| The Serious Mental Illnesses | |
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| Psychiatric Disability | |
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| The Stigma of Major Mental Illness | |
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| What Does the Term "Psychiatric Rehabilitation" Mean? | |
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| Summary | |
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| Symptoms and Etiology of Serious Mental Illness | |
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| Introduction | |
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| Symptoms | |
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| Phases of Schizophrenia | |
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| Mood Disorders | |
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| How Are Schizophrenia and Mood Disorders Different? | |
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| Relevance to Psychiatric Rehabilitation | |
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| Dual Diagnosis and Co-occurring Disorders | |
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| Etiology | |
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| Summary | |
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| Course, Treatment, and Outcome of Severe Mental Illnesses | |
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| Introduction | |
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| Course | |
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| Treatment | |
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| Understanding Course, Treatment, and Outcome: What Is Not Known Can Hurt! | |
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| Summary | |
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| Psychiatric Rehabilitation Principles and Methodology | |
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| The Goals, Values, and Guiding Principles of Psychiatric Rehabilitation | |
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| Introduction | |
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| The Concept of Recovery | |
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| The Ongoing Study of Recovery | |
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| Recovery-oriented Mental Health Systems | |
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| The Goals, Values, and Guiding Principles of Psychiatric Rehabilitation | |
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| Psychiatric Rehabilitation Ethics | |
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| The Future of Psychiatric Rehabilitation Thought and Practice | |
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| Summary | |
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| Psychiatric Rehabilitation Methods | |
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| Introduction | |
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| Hallmarks of the Psychiatric Rehabilitation Process | |
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| The Psychiatric Rehabilitation Process | |
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| Evaluating Rehabilitation Progress | |
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| Summary | |
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| Applications of Psychiatric Rehabilitation Principles and Methodology | |
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| Health and Wellness | |
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| The Story of Ted | |
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| Overview of the Problem | |
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| Factors That Contribute to Poor Health | |
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| Health Problems Interfere with the Attainment of Rehabilitation Goals | |
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| Strategies for Addressing Comorbid Illnesses | |
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| Promotion of Readiness for Lifestyle Changes | |
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| Wellness | |
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| Community-based Group Interventions | |
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| Summary | |
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| Psychiatric Day Programming | |
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| Introduction | |
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| Partial Hospitalization | |
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| The Development of Partial Hospitalization Programs | |
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| Components of a Psychiatric Day Program | |
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| The Development of Clubhouse Programs | |
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| The Story of Jill, Affinity House Member | |
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| Evaluating Psychiatric Day Programs | |
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| State-of-the-Art Psychiatric Rehabilitation Day Programming | |
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| Summary | |
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| Assertive Community Treatment and Case Management | |
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| Introduction | |
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| The Need for Continuity of Care | |
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| A Nonsystem System | |
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| Risk of Rehospitalization | |
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| Awareness of the Need for Care Coordination at the National Level | |
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| Case Management | |
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| The Story of Micky | |
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| Development of Assertive Community Treatment: A Practical Innovation | |
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| Evaluating Case Management | |
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| Fidelity and ACT | |
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| ACT as an Early Intervention Strategy | |
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| ACT and Persons in the Criminal Justice System | |
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| Other Case Management Approaches for Jail Diversion Purposes | |
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| ACT Comes of Age as a Program and a Professional Specialty | |
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| The Future of ACT and Case Management Approaches | |
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| Summary | |
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| Co-occurring Disorders and Integrated Treatment | |
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| Introduction | |
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| History of Co-occurring Disorders Treatment | |
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| Fundamental Strategies for Providing Integrated Co-occurring Disorders Treatment (ICDT) | |
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| Stages of Change: Applying Motivational Interviewing | |
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| Principles of Treatment for People with Co-occurring Disorders | |
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| Integrated Services: An Evidence-based Practice | |
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| Roger's Story | |
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| Summary | |
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| Employment | |
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| Introduction | |
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| Barriers to Employment | |
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| Developing Vocational Services | |
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| Supported Employment | |
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| Supported Employment: An Evidence-based Practice | |
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| Transitional Employment: Forerunner to SE | |
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| Carl's Story | |
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| Other Vocational Services | |
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| Summary | |
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| Supported Education | |
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| Introduction | |
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| Benefits of Supported Education | |
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| Barriers to Education | |
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| History of the Supported Education Model | |
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| An Individual Placement and Support/Choose-Get-Keep-Leave Framework | |
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| Jose's Story | |
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| Applying Psychiatric Rehabilitation Principles to Supported Education | |
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| Research on Supported Education | |
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| Dissemination of Supported Education | |
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| Future Directions in Supported Education | |
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| Summary | |
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| Residential Services and Independent Living | |
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| Introduction | |
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| History of Residential Services | |
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| Stigma and Residential Treatment Programs | |
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| Emergence of the Linear Continuum Paradigm | |
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| Supported Housing: A Better Approach to Residential Services | |
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| Housing First | |
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| Impact of the Olmstead v. L.C. Decision on Residential Service Models | |
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| Implementing the Supported Housing Approach | |
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| Summary | |
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| Self-help and Peer-delivered Services | |
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| Introduction | |
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| Defining Mutual Self-help and Peer Support | |
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| The History of the Self-help Movement | |
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| Self-help for Persons with Co-occurring Disorders | |
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| Individualized Self-help Strategies | |
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| Self-advocacy: Another Form of Self-help | |
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| Mental Health Mutual Support Groups | |
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| Beyond Self-help: The Emergence of Peer-provided Services | |
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| History of the Consumer/Peer Provider Movement | |
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| Research on the Effectiveness of Self-help and Peer-delivered Services | |
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| Peer-provided Services: Feasibility and Perceived Benefits | |
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| The Issue of Disclosure | |
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| Are Peer Providers as Effective as Other Providers? | |
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| Consumer-operated Services as an Evidence-based Practice | |
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| Summary | |
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| The Role of the Family in Psychiatric Rehabilitation | |
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| Introduction | |
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| Working with Families and Psychiatric Rehabilitation Principles | |
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| Family Interventions | |
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| Family Psychoeducation: An Evidence-based Practice | |
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| Family to Family Initiatives | |
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| The Concept of Family Recovery | |
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| Familial Strengths and Resilience | |
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| Summary | |
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| Psychiatric Rehabilitation in Acute Care and Hospital Settings | |
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| Introduction | |
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| A 19th-century Institution in the 21st Century | |
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| Comparison and Contrast with Today's Hospitals | |
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| The Olmstead Decision | |
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| The Many Meanings of the "Shame of the States" | |
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| -Functions of State Psychiatric Hospitals | |
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| Length of Hospital Stay and Rehabilitation Outcome | |
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| Population Served by State Psychiatric Hospitals | |
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| Challenges in the Hospital Environment | |
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| Beyond Eliminating Restraints: Is Psychiatric Rehabilitation Possible in me Hospital Setting? | |
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| Are Hospital Staff Members Open to Learning Psychiatric Rehabilitation? | |
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| Case Study of a Hospital Implementing Individualized Psychiatric Rehabilitation | |
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| What Keeps People from Having to Return to the Hospital? | |
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| Are There Alternatives to Hospitals? | |
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| Approaches That May Be More Consistent with Psychiatric Rehabilitation | |
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| Summary | |
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| Glossary | |
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| References | |
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| Index | |