(410) 800-4226. referrals@davidsloft.com

Psychiatric Rehabilitation Program (PRP)

 
 

Population

David’s Loft Clinical Programs (DLCP) provides Psychiatric Rehabilitation Program (PRP) services to adults (18 years of age and up) and youth (5 – 17 years old) old who have adjudicated in either the child welfare/foster care court or the juvenile services court.

Services Provided

DLCP will provide services and supports necessary to facilitate rehabilitation and recovery. Services to adults will include but not limited to:

  1. Self-care skills, including personal hygiene, grooming, nutrition, dietary planning, food preparation, and self-administration of medication;
  2. Social skills, including community integration activities, developing natural supports, and developing linkages with and supporting the individual’s participation in community activities;
  3. Independent living skills, including:
    • Skills necessary for housing stability;
    • Community awareness;
    • Mobility and transportation skills;
    • Money management;
    • Accessing available entitlements and resources;
    • Supporting the individual to obtain and retain employment; and
    • Wellness self-management; and
    • Activities that support the individual’s cultural interests.

Services to children and adolescents will include but not be limited to:

  1. Age-appropriate self-care skills, including:
    • Personal hygiene;
    • Grooming;
    • Nutrition;
    • Dietary planning;
    • Food preparation; and
    • Self-administration of medication;
  2. Social skills, including community integration activities, developing natural supports, and developing linkages with and supporting the minor’s participation in community activities;
  3. Independent living skills, including:
    • Maintenance of the minor’s living environment;
    • Community awareness;
    • Mobility skills;
    • Money management; and
    • Accessing available entitlements;
    • Activities that support the minor’s cultural interests;
    • Conflict resolution;
    • Anger management;
    • Interactive skills with peers and authority figures;
    • Maintaining personal living space;
    • Maintaining age-appropriate boundaries;
    • Maintaining personal safety in a social environment; and
    • Time management, including constructive use of structured and unstructured time.

Modality

As with all services provided by DLCP, evidence based practices will be used to provide psychiatric rehabilitation to adults, adolescents, and children. These practices will include motivational interviewing, systemic instruction, and self-management. When engaging clients in both groups and individually, clinical and lay staff will be trained and expected to implement the strategies associated with these evidenced based practices. It is important to note that skills associated with each of these practices can be easily taught to unlicensed staff.

Motivational Interviewing (MI):

MI is a client-centered cognitive behavioral approach that seeks to address and engage an individual’s reluctance and ambivalence to change their behavior through the application of four principles:

  • Empathy (Conceptualizing the world through the experiences of the individual);
  • Self-efficacy (Accountability to change);
  • Roll with resistance (Working with the individual’s resistance); and
  • Discrepancy identification (Identification of where the individual is and where he or she wants to be).

The use of MI in rehabilitation is a promising practice whose efficacy has been supported by research. Multiple researchers (Craig et al., 2014; Gross, Park, Rayani, Norris, & Esmail, 2017; Hampson, Hicks, & Watt, 2015) found the use of MI not only increased clients participation in rehabilitation activities but promoted increased goal achievement.

Systemic Instruction (SI):

SI originating in applied behavioral analysis is a process of teaching skills ranging from independent living skills to socialization skills. SI employs multiple techniques to include skill definition, least intrusive prompts, and generalization.

  • Skill definition (Breaking components of the task into discrete steps);
  • Least intrusive prompts (The delivery of prompts only as needed to teach discrete or chained tasks); and
  • Generalization (Teaching skills in contexts in which skills are most likely to occur naturally home, community, etc).

Like MI, multiple researchers (Browder, Ahlgrim-Delzell, Spooner, Mims, & Baker, 2009; Spooner, Browder, & Mims, 2011a) have found SI effective in teaching a wide range of skills necessary for psychiatric rehabilitation.

Self-Management: With self-management, individuals can learn to discriminate between appropriate and inappropriate behaviors, monitor their own behaviors, and reward themselves for appropriate behaviors (Riffel et al., 2005).

Program participants are offered a wide range of experiences in an effort to support skill acquisition, rehabilitation, and recovery. These activities will include but not be limited to individual skill building sessions, community integration, psychoeducational groups, in-home support, and recreational activities.

Goals and Outcomes

The goal of service provision is consistent with the mission of DLCP which is to provide clinically sound therapeutic services. Clinically sound is defined by the use treatments, strategies, and interventions that have been proven effective through empirical research and peer review.

The outcomes will include stabilization of program participants as evidenced by reduced improved educational performance, improved relationships, improved choice-making, placements, reduced criminal behavior, reduced institutional/hospitalization stays, and or achievement of reunification with children.

Program Site

2641 Maryland Avenue
Baltimore, MD 21218
 

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Hours of Operation

Monday – Friday
9:00 am – 5:00 pm

Contact Information

Office:        (410) 800 – 4226
On Call:      (410) 800 – 4226
Referrals:   (410) 800 – 4820
Fax:             (667) 223 – 0287

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Or Fax to (667) 223 - 0287

Locations

South Charles Village
2641 Maryland Avenue
Baltimore, MD 21218
410-800–4226 Office
667-223-0287 Fax

Towson
21 West Road, Suite 111
Towson, MD 21204
410-494-9440 Office
667-223-0289 Fax