What is a Psychiatric Rehabilitation Program?

The Continuum of Care:

Psychiatric Rehabilitation Programs (known as PRPs) are facilities found in the general community (as opposed to separated away in hospitals).They offer a combination of:

  1. Individual work towards rehabilitation goals (like learning to pay rent)
  2. Class instruction in rehabilitative topics (like health & social skills)
  3. Fun classes, activities, and fieldtrips (which are also rehabilitative for clients suffering social skills deficits or depression)

PRPs sit halfway between hospitals and client drop-in centers on the continuum of care.As a client recovers his or her mental health, the following facilities might be utilized:

  • Full hospitalization: Voluntary or involuntary commitment to living at a hospital 24/7 for days, weeks, or months.Usually have daily therapy visits, daily therapy groups, and psychiatrists, nurses, and psychotherapists on staff.Able to handle the sickest clients, such as persons who are actively suicidal or psychotic (seeing and hearing things and living out delusions). The best place for trying out new psychiatric medications.
  • Partial or day hospitalization: For clients who can live in the community at night.Usually sport daily therapy appointments and a staff of psychiatrists, nurses, and therapists.Offer more classes and activities than full hospitalization programs.
  • Psychiatric Rehabilitation Programs (PRPs): For clients who can live in the community and are stable enough to not need daily therapy, constant medication adjustments, and constant supervision by nursing and psychiatric staff.Usually have rehabilitation counselors trained in mental health at a bachelor’s degree level.Usually have easy access to psychiatrists and therapists in a nearby facility.Best for clients who can be in the community but need structured daily activities – either for restoration of living skills, working on and understanding symptoms, or for social activities so they don’t isolate in their apartments.Most PRPs take regular trips to shopping malls and other public venues and seek to move the client into more and more independent community interaction.PRPs nationwide evolved from the client clubhouses and drop-in centers of many years ago when clubhouses started asking state governments for funding and the state agencies responded with demands for relevant staff training & structured programs.
  • Outreach Programs: Provide fun social activities a few days per week to clients living in the community not enrolled in daily PRP services.Send case workers to client’s apartments to help them with cleaning, budgeting, and other tasks.A typical outreach client might have their own Section 8 apartment, work a part-time job, and need some minimal supports to continue functioning independently.
  • Client Drop-In Centers:Usually run by clients or paid staff with personal psychiatric histories.Offer fun activities to very independent clients in the community who can choose to take advantage of them as they wish.May expand to offer other activities (like job skills help or computer labs).Run by clients as opposed to professionals.

Clients might also utilize residential programs (group homes) instead of living on their own or with family. (Click here and scroll to the bottom of the page for residential program contact information.)

The PRP Clients

We service clients on medical assistance and Medicare with a wide variety of serious mental illnesses including but not limited to schizophrenia, schizoaffective disorder, PTSD, GAD, bipolar disorder, major depressive disorder, borderline personality disorder, and more.Several folks have co-occurring conditions including mild substance abuse and mild mental retardation.Almost all clients are on psychiatric medication, and all are under the care of a psychotherapist and a psychiatrist (offsite — not on PRP staff).They are physically healthy enough not to need constant nursing oversight.

Click here for the list of psychiatric diagnoses serviced and here for contact information on enrolling.

The PRP Environment

Key Point PRPs are 5-day per week programs from about 9am to 2pm.Clients participate in a list of daily classes, meals, and trips.They also work individual 1-on-1 rehabilitation goals with PRP counselors.PRP counselors are typically bachelor-level staff.The PRP environment emphasizes personal choice and responsibility in what clients choose to do throughout the day.A typically daily schedule would consist of:

  • 9:00am — Breakfast
  • 9:30am – Morning meeting: To discuss events of day and announcements.
  • 9:45am — Goal Time (work on individual rehabilitation goals)
  • 10:30am — Morning offsite trips
  • 11:45am — Lunch
  • 12:30pm – Afternoon classes
  • 2:00pm – Take-home

Please see the current daily schedule for a more detailed chart of activities.Please click here for another description of a typical day at PRP.

Assistance Provided

PRP counselors provide the following services.

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