The rehabilitation of patients with long-term psychiatric disorders. Strasbourg FRA, 1993/11/19.
Psychiatric rehabilitation at present has a focus on the prevention of chronic disability and on active rehabilitation of so-called new long-stay patients.
This is a major public health problem, concerning about one-third of all disabled persons in need of rehabilitation.
Close co-operation between the various agencies concerned, with funding organizations, patients organizations etc, is of high priority in assuring effective rehabilitation.
Various structures and models have been realized in order to facilitate such co-operation.
The main axes of rehabilitation are lodging, occupation, financial independence/support, need for out-patient psychiatric care and quality of life.
Rehabilitation results are measured along those axes, based on an assessment of patients'needs and satisfaction.
Specific programmes have been implemented for various diagnostic groups, especially schizophrenic psychosis, mental retardation, substance dependence and organic brain damage.
Specifications of these diversified programmes are described.
Evaluation of rehabilitation efforts uses different designs, methods and instruments ; a harmonization on the level of instruments is intended.
A few examples regarding evaluation results (concerning schizophrenic and drug dependent patients) are presented.
Finally, external factors limiting the efficacy of rehabilitation efforts are described.
Mots-clés Pascal : Traitement, Rééducation, Réadaptation sociale, Schizophrénie, Psychose, Démence, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Maladie dégénérative, Arriération mentale, Toxicomanie, Alcoolisme, Organisation santé, Santé mentale, Article synthèse, Homme
Mots-clés Pascal anglais : Treatment, Reeducation, Social rehabilitation, Schizophrenia, Psychosis, Dementia, Nervous system diseases, Central nervous system disease, Cerebral disorder, Degenerative disease, Mental retardation, Drug addiction, Alcoholism, Public health organization, Mental health, Review, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0232043
Code Inist : 002B18I04. Création : 199608.