Rehabilitation counselors and psychologists (RCPs) assist people with physical, cognitive, emotional, and developmental disabilities. They conduct assessments, provide personal and vocational counseling, plan and implement rehabilitation programs, and provide support to families. A primary goal of rehabilitation counseling is to increase a client's capacity to become independent or remain self-sufficient. In addition, RCPs attempt to change environmental or social barriers that create obstacles for people with disabilities. RCPs are employed by medical and rehabilitation hospitals, government agencies (especially departments of rehabilitation), publicly supported agencies working with disabled persons, drug and alcohol rehabilitation, and insurance companies.
Although rehabilitation counseling and rehabilitation psychology are technically different fields (the former is a division of the American Counseling Association and the latter is a division of the American Psychological Association), the work roles, responsibilities, and goals of the two professions overlap significantly. In terms of training, RC programs are likely to provide a broader introduction to different types of disabilities and a greater focus on vocational rehabilitation, whereas RP programs are more likely to emphasize psychological assessment as well as other areas of psychology (e.g., biopsychology, learning, social, and developmental). In terms of numbers, there are many more rehabilitation programs in counseling than in psychology and, consequently, more practicing RCs than RPs.
Typical Job Duties
interviewing a disabled individual regarding personal or occupational adjustment
evaluating a disabled individual's strengths and limitations
helping individuals and their families deal with the personal and social impact of disabilities
conferring with allied health professionals (e.g., physicians, psychologists, occupational therapists, physical therapists) about a disabled person's progress
advising clients about education and training opportunities, careers, and job-finding skills
planning a client's rehabilitation program and working individually with the client to help implement it
providing outreach programs that attempt to educate the public regarding myths about disabilities prevalent in society
Rehabilitation may refer to:
Drug rehabilitation, for dependency on psychoactive substances such as alcohol, prescription drugs, and illicit drugs such as cocaine, heroin or amphetamines.
just rehab) is an umbrella term for the processes of medical and/or psychotherapeutic treatment, for dependency on psychoactive substances such as alcohol, prescription drugs , and so-called street drugs such as cocaine, heroin or amphetamines. The obvious intent is to enable the patient to cease their previous level of abuse, for the sake of avoiding its psychological, legal, social, and physical consequences, especially in extreme abuse.
Drug rehabilitation tends to address the two fold nature of drug dependency; physical and psychological dependency. Physical dependency involves a detoxification process to cope with withdrawal symptoms from regular use of a drug. With regular use of many drugs, legal or otherwise, the brain gradually adapts to the presence of the drug so that normal functioning can occur. This is how physical tolerance develops to drugs such as heroin, amphetamines, cocaine, nicotine or alcohol. It is also why more of the drug is needed to get the same effect with regular use. The abrupt cessation of taking a drug can lead to withdrawal symptoms where the body may take weeks, to possibly months (depending on the drug involved) before things get back to normal.
Psychological dependency is addressed in many drug rehabilitation programs by attempting to teach the patient new methods of interacting in a drug free method. In particular, patients are generally encouraged or required not to associate with friends who still use the addictive substance. Twelve-step programs encourage addicts not only to stop using alcohol or other drugs, but to examine and change habits related to their addictions. Many programs emphasize that recovery is a permanent process without a culmination. For legal drugs such as alcohol complete abstention rather than attempts at moderation, which may lead to relapse are also emphasized ("One drink is too many; one hundred drinks is not enough.") Whether moderation is achievable by persons with a history of abuse remains a controversial point but is generally considered unsustainable.
There are various types of programs that offer help in drug rehabilitation, including: residential treatment (in-patient), out-patient, local support groups, extended care centers, and sober houses.
Pharmacotherapies to a greater or lesser extent have come to play a part in drug rehabilitation. Medications such as methadone and more recently buprenorphine are widely used and show significant efficacy in the treatment of opioid dependence, that is to drugs such as heroin, morphine or oxycontin. Methadone and buprenorphine are maintenance therapies used with an intent of stabilizing an abnormal opioid system and used for long durations of time though both may be used to withdraw patients from narcotics over short term periods as well. Ibogaine, an experimental medication is proposed to interrupt both physical dependence and psychological craving to a broad range or drugs including narcotics, stimulants, alcohol and nicotine. Some antidepressants also show use in moderating drug use particularly to nicotine and it has become common for researchers to reexamine already approved drugs for new uses in drug rehabilitation.
Drug rehabilitation is sometimes part of the criminal justice system. People convicted of minor drug offenses may be sentenced to rehabilitation instead of prison, and those convicted of driving while intoxicated are sometimes required to attend Alcoholics Anonymous meetings.
2006-10-23 03:32:58
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