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The Role of Psychology in Psychosocial Rehabilitation Srividya Iyer, M.A.

The Role of Psychology in Psychosocial Rehabilitation Srividya Iyer, M.A. University of Nebraska - Lincoln. Key roles for psychologists in rehabilitation. Assessment Treatment Case Conception. Assessment. Identify strengths and problem areas Broad categories - neuropsychological

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The Role of Psychology in Psychosocial Rehabilitation Srividya Iyer, M.A.

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  1. The Role of Psychology in Psychosocial Rehabilitation Srividya Iyer, M.A. University of Nebraska - Lincoln

  2. Key roles for psychologists in rehabilitation • Assessment • Treatment • Case Conception

  3. Assessment • Identify strengths and problem areas • Broad categories - neuropsychological - sociocognitive - risk assessment - interview-based measures • Repeated assessment over time

  4. Assessment • Neuropsychological Assessments - To quantitatively assess nature and severity of neurocognitive impairments & - To understand how they may be barriers to rehabilitation • Attention, Memory, Intelligence, Executive Functioning (concept formation, problem solving) • Examples: WAIS, Card Sorting Task, Digit Span

  5. Assessment • Sociocognitive Assessments - Cognition related to formation of attitudes & beliefs, understanding people, interpersonal events and social relationships • Insight, Locus of Control, Attitudes, Problem Solving, Emotion Recognition, Coping • Examples: Coping Strategies Task (CST; Rivera Mindt, 1998), Insight Scale (Birchwood, 1993)

  6. Assessment • Risk Assessment e.g. Assess need for suicide precautions using standardized suicide screening assessments • Trauma Screening: Assess trauma history & related treatment considerations • Interview-based Measures to assess symptoms and episodes e.g. Brief Psychiatric Rating Scale • Assessments to aid in diagnosis and case conception e.g. PAI, MMPI, MACI

  7. Assessment • Analysis of Behavioral and Milieu Data e.g. Nurses Observational Data for Inpatient Evaluation (NOSIE; Honigfield, Gillis, & Klett, 1966; Psychiatric Tech Rating Scales)

  8. Treatment Individualized Behavior Management Programming • Use of learning principles to reduce undesirable behaviors and/or increase the frequency of desirable behaviors • Privileges, money, social responses etc delivered selectively depending on presence or absence of target behaviors

  9. Treatment • Group/Individual treatment approaches to exercise specific neurocognitive skills Examples: attention exercises, Integrated Psychological Therapy (Brenner et al., 1994) • Group/Individual treatment approaches to remedy sociocognitive deficits Examples: Interpersonal Problem Solving, Social Skills Training, Cognitive Behavioral Therapy

  10. Treatment • Addressing specific needs of participants • Self-monitoring sheets • Mood monitoring sheets • Symptom monitoring sheets • Daily Statement • Posters • Specific Problem Solving Worksheet

  11. Other Roles • Contribute to treatment planning and treatment progress review • Data Management - Utilize for treatment - Assess change over time - Help ensure quality assurance - Delineate some common patterns of recovery

  12. Neuro-physiological Neuro-psychological Behavioral Social-environmental Social-cognitive Case Conception: Mental illness is vicious cycles between many levels of personal and social functioning

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