therapeutic alliance

• Rehabilitation is a treatment or treatments designed to facilitate the process of recovery from injury, illness, or disease to as normal a condition as possible. 
• Rehabilitation involves facilitating independence not conditioning dependence 

   
• Goals: 

  • Most human behaviour is goal directed – we act for a reason  

  • Rehabilitation involves influencing behaviour  

  • Generally accepted that goals are essential in rehabilitation 
• Purpose of goal setting in rehabilitation: 

  • Increase motivation and therefore behaviour change  

  • Shared goals improves team focus  

  • Efficiency  

  • Effectiveness 

  • Monitoring of intervention  

  • ?reduce anxiety  

  • ?improve insight into recovery +ve/ -ve 
• SMART  

  • Specific  

  • Measurable  

  • Achievable  

  • Realistic  

  • Time-specified 
• Summary  

  • Many reasons for/goals of rehab  

  • Sometimes you need to be expert  

  • But not all expertise lies with you  

  • ICF guides us to consider personal/individual expertise  

  • Goal setting (done well) can assist  

  • How you do it is essential  

  • Rehab is a collaborative activity and an alliance between you and client