Standards for private organizations

2020 Edition

Psychiatric Rehabilitation Services (PSR) 6: Service Elements

The program encourages individuals to achieve their highest level of functioning by helping enhance coping abilities and create a supportive community in which to learn and grow.
2020 Edition

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Purpose

Adults with serious and persistent mental illness who participate in Psychiatric Rehabilitation Services achieve their highest level of self-sufficiency and recovery through gains in personal empowerment, hopefulness, and competency. 
1
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions, procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
  • Active client participation occurs to a considerable extent.
3
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • Several client records are missing important information; or
  • Client participation is inconsistent. 
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or 
  • Documentation is routinely incomplete and/or missing.      
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Crisis/safety planning procedures
  • Curriculum for all educational/training components of the program
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records
  • Observe the program

PSR 6.01

The program offers at least three of the following services:
  1. case management;
  2. pre-vocational and vocational training;
  3. housing/residential care;
  4. peer support services;
  5. individual supportive therapy;
  6. social rehabilitation services; and/or
  7. educational services.

PSR 6.02

Core service components focus on helping individuals improve and manage the quality of their lives through:
  1. development of self care and independent living skills;
  2. medication adherence and an understanding of how to manage their illness;
  3. socialization and use of leisure time;
  4. organizational skills;
  5. anger management;
  6. coping skills;
  7. conflict skill training;
  8. housing, education, and family support services; and
  9. vocational development.

PSR 6.03

The program offers persons served a variety of opportunities to achieve service goals through individual, group, and/or milieu activities, focused on:
  1. learning how to relate positively to others;
  2. anticipating and controlling behaviors that interfere with inclusion in the community;
  3. experiencing peer support and feedback;
  4. developing personal awareness and boundaries;
  5. engaging in positive problem solving methods;
  6. building on strengths and enhancing self-reliance and productivity; and
  7. celebrating competence and success.

Fundamental Practice

PSR 6.04

The organization directly provides, coordinates, or formally arranges for:
  1. 24-hour crisis intervention;
  2. crisis residential and other emergency services;
  3. inpatient and outpatient psychiatric services;
  4. medical and dental services;
  5. medication management;
  6. integrated mental health and substance use services;
  7. substance use education and treatment;
  8. public assistance and income maintenance;
  9. work-related services and job placements;
  10. financial services;
  11. legal advocacy and representation; and
  12. transportation.

PSR 6.05

The organization: 
  1. provides most of its services in the community;
  2. helps persons served to identify and use natural resources and peer support to create a social support network; 
  3. identifies and develops opportunities for persons served to develop positive ties to the community based upon interests and abilities;
  4. presents opportunities for persons served to participate in group activities where they can meet, support, and share experiences with peers; and
  5. supports the development of life skills necessary to support social and community integration.

PSR 6.06

The families or significant others of persons served are offered services, including:
  1. family psychoeducation;
  2. emotional support and therapy;
  3. linkage to community services;
  4. self-help referrals; and
  5. care coordination, as needed.