Psychosocial Rehabilitation (PSR) is a skill-building program delivered by trained professionals for children with severe emotional disturbances as well as for adults with severe and persistent mental illnesses. This is a home and community based service, with the goal of helping persons diagnosed with mental illness remain in the community and residence of their choice without requiring a more restrictive living arrangement. Many recipients of this supportive service have experienced multiple inpatient hospitalizations, yet with the right level of support and the belief that recovery is a possibility, they are able to manage the symptoms of their mental illness without requiring further inpatient care. At Family Support Services, we believe that HOPE is essential and that RECOVERY is a possibility for everyone. We also believe that every person has the right to self-determination and that treatment should be directed by the participant and supported by our professionals.
Dr. David Wait, Board Certified Psychiatrist, serves as our Medical Director. He provides medication management to adults receiving PSR services who are in need of specialized psychiatric support. Dr. Duane Craddock, pediatrician with Coeur d'Alene Pediatrics, provides supervision to our staff for the children we serve.
Identifying if you or someone you love could benefit from PSR:
Adults must have a DSM IV-TR diagnosis of one of the following: Major depression, severe and recurrent; Bipolar disorder; Delusional disorder; a Psychotic disorder; or Borderline personality disorder. Additionally, the person in recover must be experiencing significant functional impairment in one or more of the following areas: psychiatric, health/medical, educational/vocational, social, financial, family, or community. Functional impairment means that the symptoms of the mental illness are impacting the person in recovery’s ability to manage and participate in activities in a specific domain. An example would be that a person cannot make it to their classes at the local community college because they are too depressed to get out of bed; or that they cannot stick to a monthly budget because they impulsively overspend and it is causing negative consequences.
Children must have an Axis I DSM IV-TR diagnosis. This includes Depression, Anxiety, Bipolar disorder, Adjustment disorders, and Behavioral disorders with the exception of Conduct disorder. Children also must experience significant functional impairment, as evidenced by an assessment called the CAFAS (Child and Adolescent Functional Assessment Scale, PECFAS for pre-school aged children). This will all be explained at intake.
What to expect:
To fully benefit from PSR services, the participant or person in recovery needs to be ready. This means, they must want to experience change that will positively impact their life, and they must need to be willing to do some work to make this happen. Our staff of caring, educated and trained professionals will be there with you and/or your loved one every step of the way. They won’t do the work for you, but they will give you the tools you need and provide you with the training and instruction to use those tools until such time as the person in recovery can use these independently or with the help of their natural support network.
We will review the person in recovery’s progress at a minimum of every 4 months to make sure progress is being made, make modifications to the participant’s goals and interventions to meet these goals, and to make sure the treatment team is working together in a manner that is facilitating recovery.
People in recovery can also expect that when PSR services are no longer needed, a transition plan will be put in place to ensure the changes made will be supported and are likely to be sustained long term. Bottom line, we want people to succeed at meeting their goals. We know we have done this when our services are no longer needed.
PSR SERVICES
