ABSTRACT
The Massachusetts Department of Mental Health's Metro South Area developed an inpatient psychosocial rehabilitation model called PRISM (The Psychiatric Rehabilitation Integrated Service Model) which emphasizes skill development and patient participation. This article describes the transformation of a state hospital into a rehabilitation treatment facility using the PRISM model. This approach has the potential to improve quality of life, decrease relapse, and increase the efficiency and responsiveness to patient needs of public sector hospitals.
Subject(s)
Deinstitutionalization/organization & administration , Hospitals, Psychiatric/organization & administration , Hospitals, State/organization & administration , Mental Disorders/rehabilitation , Models, Organizational , Delivery of Health Care, Integrated , Humans , Massachusetts , Program EvaluationABSTRACT
1. The primary focus of psychiatric rehabilitation is on improving the competencies of persons with psychiatric disabilities. 2. Both patients and staff must change their ideas about themselves and each other before the work of rehabilitation could move forward. 3. Institutional rigidity works against psychiatric rehabilitation, with its value on individual growth and self-sufficiency.
Subject(s)
Mental Disorders/rehabilitation , Patient Admission , Patient Care Team , Activities of Daily Living/psychology , Combined Modality Therapy , Goals , Hospitals, Psychiatric , Hospitals, State , Humans , Massachusetts , Nurse-Patient Relations , Patient Participation , Therapeutic Community , Treatment RefusalABSTRACT
Massachusetts has harnessed taxpayer dissatisfaction with government to support change. Restructuring has permitted the Department of Mental Health to shift resources from state hospitals to comprehensive community support systems, the foundation for the Department's public managed care initiative. A commitment to psychosocial rehabilitation principles and consumer choice have produced radical change in the delivery and composition of mental health care services. While quality and utilization management programs provide the infrastructure to ensure accountability, quality, and cost effectiveness, education and the building of partnerships support planning and promote progress.
