Topic: Employment, Social Competency, Emotional Competency
Target Population: Adults
Sector: Community-Based, Medical Setting
This program is for adults who have severe mental disorders.
The Boston Psychiatric Rehabilitation (BPR) program is a person-centered therapeutic approach designed to help adults diagnosed with severe mental disorders achieve a desired residential, educational, vocational, or social goal. Practitioners encourage individuals to develop skills, identify supports, and locate resources they possess or need to attain in order to achieve their goals.
Multiple randomized controlled trials and quasi-experimental studies have produced mixed results. Several studies suggested this approach positively impacts occupational functioning; however, other studies found no differences between experimental and control participants on occupational outcomes. Additionally, studies provide contradictory results in terms of impacts on quality of life, meeting basic needs, and living independently. A further complicating factor is that studies did not always focus on similar outcomes, and they did not always operationalize their outcomes in a consistent manner.
BPR is a versatile therapeutic approach that can be delivered across a range of settings, disciplines, and mental health services. This highly individualized program helps participants work with practitioners to accomplish the following:
The Center for Psychiatric Rehabilitation at Boston University was created in 1979. BPR has been implemented across the United States and around the world.
BPR is delivered by individuals such as social workers, nurses, and employment specialists. Training is mandatory and is available in person at Boston University or onsite or via live webinars. Please use details in the Contact section for more information.
Considerations for implementing this program include acquiring participant buy-in, recruiting suitable facilitators who are comfortable working with individuals who have mental disorders, and ensuring facilitators receive training.
The Clearinghouse can help address these considerations. Please call 1-877-382-9185 or email Clearinghouse@psu.edu
If you are interested in implementing BPR, the Clearinghouse is interested in helping you! Please call 1-877-382-9185 or email Clearinghouse@psu.edu
Implementation time varies. Participants are generally offered at least one session every 2 weeks; however, there is no predetermined number of total sessions.
Information on implementation costs was not located.
To move BPR to the Promising category on the Clearinghouse Continuum of Evidence, additional evaluations should be performed that demonstrate consistently positive results on desired outcomes.
The Clearinghouse can help you develop an evaluation plan to ensure the program components are meeting your goals. Please call 1-877-382-9185 or email Clearinghouse@psu.edu
Contact the Clearinghouse with any questions regarding this program.
Phone: 1-877-382-9185 Email: Clearinghouse@psu.edu
You may also contact the Center for Psychiatric Rehabilitation by mail 940 Commonwealth Ave. West, Boston, MA 02215, phone 1-617-353-3549, fax 1-617-358-3066, email psyrehab@bu.edu, or visit https://cpr.bu.edu/contact-us/
https://cpr.bu.edu/ and Rogers, Anthony, Luass, and Penk (2006).
Goering, P. N., Wasylenki, D. A., Farkas, M., Lancee, W. J., & Ballantyne, R. (1988). What difference does case management make? Hospital & Community Psychiatry, 39(3), 272-276.
Rogers, E. S., Anthony, W. A., Lyass, A., & Penk, W. E. (2006). A randomized clinical trial of vocational rehabilitation for people with psychiatric disabilities. Rehabilitation Counseling Bulletin, 49(3), 143-156. https://doi.org/10.1177/00343552060490030201
Sanches, S. A., Swildens, W. E., Schaefer, B., Moerbeek, M., Feenstra, T. L., van Asselt, Antoinette D I, … van Busschbach, J. T. (2020). Effectiveness of the Boston University approach to psychiatric rehabilitation in improving social participation in people with severe mental illnesses: A randomized controlled trial. Frontiers in Psychiatry, 11, 571640-571640. https://doi.org/10.3389/fpsyt.2020.571640
Shern, D., Tsemberis, S., Anthony, W., Lovell, A., Richmond, L., Felton, C., … Cohen, M. (2000). Serving street-dwelling individuals with psychiatric disabilities: Outcomes of a psychiatric rehabilitation clinical trial. American Journal of Public Health, 90(12), 1873-1878. https://doi.org/10.2105/AJPH.90.12.1873
Svedberg, P., Svensson, B., Hansson, L., & Jormfeldt, H. (2014). A 2-year follow-up study of people with severe mental illness involved in psychosocial rehabilitation. Nordic Journal of Psychiatry, 68(6), 401-408. https://doi.org/10.3109/08039488.2013.851737
Swildens, W., van Busschbach, J. T., Michon, H., Kroon, H., Koeter, M. W. J., Wiersma, D., & van Os, J. (2011). Effectively working on rehabilitation goals: 24-month outcome of a randomized controlled trial of the Boston Psychiatric Rehabilitation Approach. The Canadian Journal of Psychiatry / La Revue Canadienne De Psychiatrie, 56(12), 751-760. https://doi.org/10.1177/070674371105601207
Jormfeldt, H., Svensson, B., Hansson, L., & Svedberg, P. (2014). Clients’ experiences of the Boston psychiatric rehabilitation approach: A qualitative study. International Journal of Qualitative Studies on Health and Well-being, 9, 9.
Jormfeldt, H., Svensson, B., Hansson, L., & Svedberg, P. (2014). Relatives’ experiences of the Boston psychiatric rehabilitation approach: A qualitative study. International Journal of Qualitative Studies on Health and Well-being, 9, 8.