Rehabilitation in the United Kingdom: Research, Policy, and Practice

Author:

Holloway Frank1,Carson Jerome2,Davis Sarah3

Affiliation:

1. Consultant Psychiatrist, Bethlem Royal Hospital, Monks Orchard Road, Beckenham, Kent, UK

2. Senior Lecturer in Clinical Psychology, Institute of Psychiatry, De Crespigny Park, London, UK

3. Senior Occupational Therapist, Westways Rehabilitation Unit, Croydon CR0 2UR

Abstract

Objective: To review research, policy, and practice in psychiatric rehabilitation in the UK. Method: We undertook a literature review and review of government policy documents. Findings: Most individuals with severe, disabling mental illnesses are cared for by generic community mental health services under the Care Programme Approach (CPA). Current government policy requires the introduction of assertive outreach and early psychosis services and is highly consistent with the adoption of the recovery paradigm within UK mental health services. Research and development activities have demonstrated the success of the UK hospital-closure program and have contributed to the worldwide resurgence of interest in psychosocial interventions in psychosis. Conclusions: A need remains to focus research and practice on those who are most disabled by their illnesses and to improve the skills of the workforce in psychosocial interventions.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

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