A year 2009 that was teething troubles with the establishment of a psychiatric rehabilitation unit in a regional area
Objectives: The purpose of the paper is twofold. First, to reflect on the policy framework and factors that led to the development of the Inpatient rehabilitation unit in a regional area. Secondly, to provide information about strategies utilized in the initiative that may be transferable to other settings. Key Message: Possible obstacles that may be encountered are physical and psychological barriers found at an individual level, and structural barriers at the service level. Analysis of the physical and psychological obstacles indicated that fluctuating illness was the major barrier, with mobility the least problematic issue. Low expectations on the part of mental health practitioners were seen as the least important service-related issue. Recommendations for service development highlight the role of education in recovery from mental illness. Conclusion: Lessons learned are presented supporting the need for the following: (a) a model and external expertise to guide the implementation process; (b) dedicating staff to lead and monitor the implementation effort; (c) providing training, consultation, coaching, and in-vivo clinical supervision to help practitioners use clinical skills into practice; and (d) partnering with consumers of services to actively participate in the multileveled implementation process.
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