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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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slide1

The Role of Psychology in Psychosocial

Rehabilitation

Srividya Iyer, M.A.

University of Nebraska - Lincoln

key roles for psychologists in rehabilitation
Key roles for psychologists in rehabilitation
  • Assessment
  • Treatment
  • Case Conception
assessment
Assessment
  • Identify strengths and problem areas
  • Broad categories

- neuropsychological

- sociocognitive

- risk assessment

- interview-based measures

  • Repeated assessment over time
assessment1
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
assessment2
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)
assessment3
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
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Assessment

  • Analysis of Behavioral and Milieu Data e.g. Nurses Observational Data for Inpatient Evaluation (NOSIE; Honigfield, Gillis, & Klett, 1966; Psychiatric Tech Rating Scales)
treatment
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
treatment1
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

treatment2
Treatment
  • Addressing specific needs of participants
    • Self-monitoring sheets
    • Mood monitoring sheets
    • Symptom monitoring sheets
    • Daily Statement
    • Posters
    • Specific Problem Solving Worksheet
other roles
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

slide12

Neuro-physiological

Neuro-psychological

Behavioral

Social-environmental

Social-cognitive

Case Conception: Mental illness is vicious cycles between many levels of personal and social functioning