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Quality of Life (cont,)

Most persons with severe and chronic psychiatric disabilities live in poverty. They are provided with a minimum standard of income and health benefits to survive. Residents of group homes and residential rehabilitation units have little if any money to pursue their personal goals.The situation is made worse by the fact that a large majority of people with psychiatric illness smoke cigarettes. The use of tobacco on a daily basis is a very expensive way to pass the time. I am convinced ,however, that smoking tobacco offers some relief to the residents and for many of them makes their lives tolerable, The psychiatric resident does not have a great deal to look forward to when they get up in the morning. They look forward to having a cigarette and perhaps a coffee and a Coke. In many cases the clients are not provided with caffeinated coffee. Apparently, there is scientific evidence that caffeine interferes with the efficacy of their medications. Ironically,smoking is usually allowed even though nicotine has a significant effect on the efficacy of psychotropic medications.
When a resident of a treatment facility or general residence wakes up they may have a medical appointment scheduled for that day. They could also have a meeting with a social worker or mental health worker. The residents are typically expected to perform a chore of some type which usually involves cleaning part of the facility. They often have three regularly scheduled times during the day in which to take their medications.
The clients are also expected to keep their own rooms clean and to keep up with their personal hygiene.
This is the typical routine of your average mental heath resident. If these activities don't sound too exciting you are right. They are not.
If the residents are very fortunate they may live in a residential setting that provides at least one class per day. The subject of these classes  most often involves the teaching of basic life skills. The life skills courses may cover units on medication management, symptom management, self esteem, community resources and a host of other courses designed to give the participant some basic survival skills. If these courses are well taught by a competent and creative teacher they can be of significant benefit to the clients.

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