A client with chronic paranoid schizophrenia was recently referred to a psychosocial rehabilitation "clubhouse" program following discharge from the inpatient psychiatric unit

Question

Which of the following client goals is most appropriate for this situation? 1. The client will attend recreational and educational group activities on a daily basis.
2. The client will obtain food, clothing, and transportation services.
3. The client will obtain a sponsor and attend weekly AA meetings.
4. The client will identify career goals and develop a resume of job experiences.

Answer 1

1
Rationale: Psychosocial rehabilitation centers or clubhouses emphasize a collaborative relationship between staff and members, and provide experiences in a supportive but realistic milieu for the development of abilities for functioning in the real world. Recreational and educational group attendance is a realistic and measurable goal for this environment and is most appropriate for the client with severe and persistent mental illness (SPMI). Identifying career goals and developing a resume is the focus of vocational rehabilitation programs. Obtaining support for basic needs such as food, clothing, and transportation is a goal for case management rather than clubhouse programs. Obtaining an AA sponsor and attending AA meetings is the focus of an outpatient setting that focuses on treatment rather than rehabilitation.