Psychiatric Rehabilitation Journal最新文献

Objective: Hospitalization in psychiatry is a challenging experience associated with increased levels of distress, anxiety, and loneliness. Novel technologies are being developed to help alleviate these symptoms and support the treatment and rehabilitation of these individuals. This study aims to explore the perspectives of individuals with lived experience of a complex mood disorder on the proposal of an immersive virtual reality (VR) travel-in-nature application with a social feature being an available service in a psychiatric inpatient unit.

Methods: A thematic analysis was performed with data acquired from two focus group semistructured interviews conducted by a patient partner with individuals currently hospitalized in a short-term inpatient unit dedicated to complex mood disorders.

Results: Three themes were generated from the thematic analysis: (a) factors enhancing acceptability, (b) barriers, and (c) envisioning the future of the application and VR in inpatient mental health.

Conclusions: Participants were largely positive regarding the potential of the application and VR in psychiatric inpatient care. They viewed it as a promising rehabilitation tool for relaxation and positive escapism. Concerns regarding suitability, potential risks associated with the technology, and technical barriers were raised and warrant further investigation.

Implications for practice: This study's preliminary findings offer relevant information for designing the implementation process of VR in psychiatric inpatient units, with the intent of tailoring services to the needs and realities of their intended users. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

The authors provide an overview of the articles in the special issue on Past, Present, and Future of Psychiatric Rehabilitation. The articles are contextualized in the history of psychiatric rehabilitation. Reflections for the future of the field are provided. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: This study aimed to comprehensively evaluate the connectedness, hope, identity, meaning, empowerment, and difficulties (CHIME-D) framework and its six core processes as predictors of personal recovery among individuals with psychiatric disabilities.

Methods: A total of 339 adults with self-reported psychiatric disabilities were recruited from https://ResearchMatch.org and completed an online survey comprising validated measures of personal recovery and variables operationalizing the six CHIME-D processes. A hierarchical regression analysis was conducted to assess the individual contributions of each process and the overall predictive power of the CHIME-D framework for personal recovery.

Results: The final regression model accounted for 69% of the variance in personal recovery. Each CHIME-D process contributed a statistically significant portion of the variance. In the final model, all variables except community integration remained significant predictors of personal recovery.

Conclusions and implications for practice: Findings support the CHIME-D framework as a robust, evidence-based guiding framework for recovery-oriented care. Each CHIME-D process represents a potential target for interventions aimed at promoting personal recovery. Psychiatric rehabilitation professionals are encouraged to attend to all six processes when working with individuals with psychiatric disabilities to enhance recovery outcomes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: Anthony (1993) proposed recovery as the organizing principle of the public mental health service system. This study examines the evolution of a recovery-oriented mental health system at the federal and state levels in the United States.

Methods: A rapid review of gray literature analyzed federal policy statements, state mental health policies, service reforms, mental health authority reports, websites, organizational records, and other public documents. The review compiled current recovery-oriented system features in the 50 states, the District of Columbia, and Puerto Rico.

Results: Findings highlight expansive but stalled transformation to a recovery-oriented system. Policy statements have made a pronounced shift toward recovery. More recovery-oriented services are being offered. According to the Substance Abuse and Mental Health Services Administration's uniform reporting system, many outcomes have improved modestly. However, many features of a recovery orientation have not been fully embraced, implemented, and sustained.

Conclusions and implications for practice: Official statements about recovery exist. Practices such as peer services are available in many states, yet the full actualization of a recovery approach remains unfulfilled. Most states would benefit from a concerted effort to fulfill their recovery visions by specifying the features of a recovery-oriented system that they currently lack and aspire to implement. Current implementation science can inform these efforts, including performance-focused, state-level evaluations using common measures tracked on a national dashboard. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: Psychiatric rehabilitation services (PRS) were developed to facilitate recovery and community integration by addressing psychosocial needs such as housing, employment, illness management, and social inclusion for individuals with serious mental illness. However, PRS are primarily designed for and available in community settings. The objective of this conceptual article is to explore the potential role of PRS during inpatient psychiatric hospitalization and offer a forward-looking vision, identifying trends to guide future efforts.

Method: This article presents a conceptual analysis of the potential benefits and impacts of PRS on the recovery process of individuals with serious mental illness if these services were also provided during hospitalization. This critical analysis was coauthored by various stakeholders, including individuals with lived experience, psychiatric, and other mental health providers, and psychiatric rehabilitation researchers.

Conclusions and implications for practice: Integrating PRS into routine care during psychiatric hospitalization supports recovery and facilitates postdischarge community connections and outcomes. While PRS were originally conceptualized and designed for community settings, efforts should be made to tailor and adapt them for use in inpatient settings. Shifting staff attitudes toward inpatient recovery-oriented care, developing interventions and training for PRS integration, and securing leadership and institutional buy-in are the next practical steps to make this vision a reality. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: Peer support services are proliferating for young adults (YA) with serious mental health conditions. Psychiatric rehabilitation services continue to develop and launch these programs nationally and globally. This conceptual article builds upon principles from peer support and trauma-informed care and shares lessons from the field to advance a trauma-informed peer support framework for YA mental health.

Method: Informed by the literature, three YA mental health interventions, and a series of iterative team consensus-building meetings, we identified pillars of a trauma-informed peer support for young adults (TIPS-YA) framework to focus research and practice in psychiatric rehabilitation as peer support programs continue to emerge in many YA service contexts.

Results: TIPS-YA includes four pillars: (a) safety, (b) mutuality, (c) empowerment and voice, and (d) context. Each is a fundamental area for developing and providing peer support services. Yet, no previous training or conceptualization of peer support includes all aspects of these four critical areas.

Conclusions and implications for practice: Peer support for YAs needs distinct consideration in psychiatric rehabilitation. YA services must bridge the developmental period between youth and adulthood, and offer unique supports. TIPS-YA offers a starting point to develop and implement program models that embed peer supporters, and to advance the science of peer support. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: Deinstitutionalization spawned numerous psychiatric rehabilitation interventions, but only a small number have endured for decades and spread widely. This article identifies a concise set of 10 criteria to examine ethical, scientific, practical, and policy elements of highly successful interventions.

Methods: Based on 50 years of psychiatric rehabilitation literature, we examined three exemplary, enduring practices-assertive community treatment, Individual Placement and Support, and Housing First-for evidence related to the 10 common criteria.

Results: Psychiatric rehabilitation has had a firm grounding in ethics, client-centeredness, implementation science, and outcomes research. Policy and funding have followed. We identified 10 criteria that incorporate these values: recovery, model clarity, fidelity, effectiveness, enduring effects, cost-effectiveness, feasibility, scalability/sustainability, policy/funding, and adaptability. All three practices are guided by validated fidelity scales, have strong evidence for effectiveness, and are feasible to implement, but they vary on other criteria.

Conclusions and implications for practice: In varying degrees, assertive community treatment, Individual Placement and Support, and Housing First are practices meeting most of the 10 criteria in a newly developed framework aimed at broadening the criteria for evaluating psychiatric rehabilitation programs to encompass both scientific and pragmatic, real-world considerations. This framework establishes an objective framework to guide the prioritization of services for people with mental health conditions. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: The primary objective of this study was to develop and apply an economic model to estimate cost savings associated with participation in the clubhouse program for individuals with serious mental illness.

Methods: Using a prevalence-based economic model, this study estimated per-person annual cost savings for clubhouse participants. Data from existing research incorporates adjustment factors such as serious mental illness type, health care utilization, participation years, and visit frequency. Costs are calculated across six categories: inpatient and noninpatient mental health care, physical health care, criminal legal system costs, Supplemental Security Income/Social Security Disability Insurance benefits, and productivity losses.

Results: Results indicate estimated cost savings of $11,374 annually for clubhouse participants compared with nonparticipants. These savings are based on a prototypical participant with average needs, characterized by a general serious mental illness diagnosis, average health care utilization levels, 4 years of participation, and three-monthly visits. Significant cost reductions were observed across all categories, particularly in productivity losses, criminal legal system costs, and health care expenditures.

Conclusions and implications for practice: Findings suggest that clubhouse participation may generate substantial cost savings by reducing health care needs and productivity losses through clubhouse's community-focused therapeutic model. These results support integrating community-based social support programs into value-based care models. Future research should validate these findings with real-world cohort data and examine the mechanisms driving cost savings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: This study examined the scope and functioning of peer recovery services across different roles and peer recovery programs. Specific aims included (a) considering the defining role of peer recovery specialists, (b) understanding how peer specialists achieve goals, (c) determining short- and long-term outcomes resulting from peer recovery services, and (d) identifying barriers and facilitators to service provision.

Methods: A multimethod survey distributed via Qualtrics was used to collect responses from 108 peer recovery specialists, supervisory staff, and individuals receiving services across 23 programs. Qualitative responses were coded using an inductive coding strategy, whereas quantitative questions were analyzed using descriptive statistics and between-role comparisons.

Results: Participants endorsed lived experience and support as the primary roles of the peer recovery specialist, which facilitated connection to care and higher quality relationships. Several short-term outcomes were consistently endorsed across roles, including engagement in recovery services, social support, and crisis stabilization. Long-term outcomes were more variable. Peer specialists expressed challenges with maintaining boundaries with individuals given their personal experience and professional identities.

Conclusions and implications for practice: Findings point to a shared understanding of the role of the peer recovery specialist and consistency in short-term outcomes across programs, both of which support the feasibility of establishing shared implementation (process) and outcome measures to guide evaluation efforts of peer recovery programs. We provide a short form, the Peer Recovery Services Checklist, to facilitate this goal. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: Promoting community integration is a major aim for psychiatric rehabilitation, yet research shows that some consumers suffer from poor quality of life and inadequate community participation. The present study focused on the Power of Dependable Souls intervention that aimed to increase community participation and examined psychiatric rehabilitation professionals' and consumers' experiences to identify factors that contribute to independence in community integration.

Methods: We conducted individual and focus group interviews with psychiatric rehabilitation professionals (n = 6) and consumers (n = 14). Interviewees were asked about their experience of the Power of Dependable Souls intervention and how the intervention differs from other programs. Transcripts were analyzed with Reflexive Thematic Analysis.

Results: Four themes were generated: (a) "It's always a hole": Independent community participation is missing in psychiatric rehabilitation practice; (b) "putting the power and freedom into their hands": Giving them chances is a key toward independence; (c) "the hardest thing is to be hands-off": Facilitation for independence may challenge current practice; and (d) "It was a valuable reminder that they are capable of doing things": Possible unconscious provider stigma.

Conclusions and implications for practice: Trusting in consumer abilities and giving them opportunities to pursue activities they desire was identified as a key for increasing independent community participation. Unconscious provider stigma and prejudices may be additional important underlying factors to be addressed to facilitate greater community participation. The Power of Dependable Souls intervention and its approach can possibly offer an important corrective for some psychiatric rehabilitation agencies to fully adopt recovery-oriented care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).