Treatment and Rehabilitation of Severe Mental Illness

by Spaulding, William D.; Sullivan, Mary E.; Poland, Jeffrey S.

• ISBN13: 9781572308411
• ISBN10: 1572308419
• Edition: 1st
• Format: Hardcover
• Copyright: 2003-01-24
• Publisher: The Guilford Press

Summary

Synthesizing the growing body of biomedical and psychosocial research on the nature and treatment of severe mental illness, this volume presents an innovative framework for planning and implementing effective rehabilitation services. An integrative model of case formulation is described that conceptualizes the individual's recovery on multiple levels: physiological, cognitive, interpersonal, behavioral, and environmental. The authors draw on outcome research and extensive clinical experience to identify interventions of known effectiveness, including psychopharmacology, functional assessment, behavioral analysis, and cognitive therapies. Outlining a comprehensive approach to assessment, treatment, and progress evaluation, the book also provides practical recommendations for program development and staff training.

Author Biography

William D. Spaulding, PhD, received his doctorate in clinical psychology at the University of Arizona in 1976. He completed a postdoctoral fellowship in mental health research and teaching at the University of Rochester School of Medicine and Dentistry. Dr. Spaulding is currently Professor of Psychology in the Clinical Psychology Training Program, Department of Psychology, University of Nebraska/n-/Lincoln, and a Clinical Psychologist in the Community Transition Program, Lincoln Regional Center.

Mary E. Sullivan, MSW, received her masters in social work from Syracuse University in 1978. She also received a certificate in health studies from the Maxwell School of Citizenship and Public Affairs, Syracuse University, in 1978. She is currently Program Director of the Community Transition Program, Lincoln Regional Center, and Adjunct Clinical Assistant Professor in the Department of Psychology, University of Nebraska/n-/Lincoln.

Jeffrey S. Poland, PhD, received an MA in clinical psychology from Southern Connecticut State University in 1982 and a doctorate in the philosophy of science from Massachusetts Institute of Technology in 1983. He has held positions at Colgate University and the University of Nebraska/n-/Lincoln, and he currently teaches in the Department of History, Philosophy, and Social Science at the Rhode Island School of Design. Dr. Poland has published articles on such topics as the unity of science, psychiatric classification, and psychopathology.

Table of Contents

PART I. KEY CONCEPTS	1	(70)
An Integrated Paradigm: Origins in Psychopathology, Rehabilitation, and Clinical Practice	3	(20)
The Psychopathology of Severe Mental Illness	23	(23)
The Structure of Clinical Assessment, Formulation, and Rehabilitation Planning	46	(25)
PART II. ASSESSMENT AND TREATMENT TECHNIQUES	71	(178)
The Neurophysiological Level of Functioning	73	(30)
The Neurocognitive Level of Functioning	103	(19)
Mechanisms of Neurocognitive Recovery	122	(18)
Neurocognitive Interventions	140	(17)
Social-Cognitive Processes in Research and Treatment	157	(29)
The Sociobehavioral Level of Functioning	186	(35)
Person-Environment Interactions	221	(28)
PART III. THE ORGANIZATIONAL CONTEXT OF REHABILITATION	249	(56)
The Rehabilitation Team: Structures and Processes	251	(26)
Administration and Management of Rehabilitation Services	277	(28)
Appendix 1. A Prototype Problem Set for Assessment, Treatment, and Rehabilitation of People with Severe Mental Illness	305	(16)
Appendix 2. Rehabilitation Plan and Progress Evaluation Documents	321	(24)
Appendix 3. An Algorithm for Treatment and Rehabilitation of Schizophrenia	345	(4)
References	349	(28)
Index	377