The authors share a number of intervention models that have helped individuals with accept their psychiatric disabilities and develop a positive self-image. The Clubhouse Model, developed by the Fountain House in New York, provides interpersonal and occupational training within the context of a community-based support system for individuals with psychiatric disabilities.

Members are able to enhance their self-confidence, improve their work habits, and build up their work experience on entry-level, part-time transitional employment (TE) in the community lasting 3 to 9 months. Supported employment (SE) has also been very effective in helping individuals with psychiatric disabilities find and retain competitive employment. Supported education (SEd), using both the structured classroom and on-site support models, has also been effective in improving employment rates among this population.

Individuals with psychiatric disabilities may not look as though they need special assistance. Often they enter the relationship with rehabilitation professionals having to verify their symptoms. The authors cite studies showing the further intensification of alienation and feelings of low self-worth as individuals attempt to convince service providers that their psychiatric symptoms are real and not delusions. Along with the “invisibility” of psychiatric illnesses come the stigma and rejection that do not accompany more visible, physical disabilities.

• Establish academic specialized tracks in psychiatric rehabilitation;
• Offer special topics courses in psychiatric rehabilitation; and,
• Incorporate information about psychiatric rehabilitation into existing courses, including psychotropic medications, psychiatric diagnoses, functional limitations, and reasonable accommodations.