2022 Edition

Psychiatric Rehabilitation Services (CA-PSR) 6: Service Elements

The program encourages individuals to achieve their highest level of functioning by helping enhance coping abilities and create a supportive community in which to learn and grow.




Adults with serious and persistent mental illness who participate in Psychiatric Rehabilitation Services achieve their highest level of self-sufficiency and recovery through gains in personal empowerment, hopefulness, and competency. 
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions, procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
  • Active client participation occurs to a considerable extent.
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • Several client records are missing important information; or
  • Client participation is inconsistent. 
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or 
  • Documentation is routinely incomplete and/or missing.      
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Crisis/safety planning procedures
  • Curriculum for all educational/training components of the program
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records
  • Observe the program


CA-PSR 6.01

The program offers at least three of the following services:
  1. case management;
  2. pre-vocational and vocational training;
  3. housing/residential care;
  4. peer support services;
  5. individual supportive therapy;
  6. social rehabilitation services; and/or
  7. educational services.


CA-PSR 6.02

Core service components focus on helping individuals improve and manage the quality of their lives through:
  1. development of self care and independent living skills;
  2. medication adherence and an understanding of how to manage their illness;
  3. socialization and use of leisure time;
  4. organizational skills;
  5. anger management;
  6. coping skills;
  7. conflict skill training;
  8. housing, education, and family support services; and
  9. vocational development.


CA-PSR 6.03

The program offers persons served a variety of opportunities to achieve service goals through individual, group, and/or milieu activities, focused on:
  1. learning how to relate positively to others;
  2. anticipating and controlling behaviours that interfere with inclusion in the community;
  3. experiencing peer support and feedback;
  4. developing personal awareness and boundaries;
  5. engaging in positive problem solving methods;
  6. building on strengths and enhancing self-reliance and productivity; and
  7. celebrating competence and success.

Fundamental Practice

CA-PSR 6.04

The organization directly provides, coordinates, or formally arranges for:
  1. 24-hour crisis intervention;
  2. crisis residential and other emergency services;
  3. inpatient and outpatient psychiatric services;
  4. medical and dental services;
  5. medication management;
  6. integrated mental health and substance use services;
  7. substance use education and treatment;
  8. public assistance and income maintenance;
  9. work-related services and job placements;
  10. financial services;
  11. legal advocacy and representation; and
  12. transportation.


CA-PSR 6.05

The organization: 
  1. provides most of its services in the community;
  2. helps persons served to identify and use natural resources and peer support to create a social support network; 
  3. identifies and develops opportunities for persons served to develop positive ties to the community based upon interests and abilities;
  4. presents opportunities for persons served to participate in group activities where they can meet, support, and share experiences with peers; and
  5. supports the development of life skills necessary to support social and community integration.


CA-PSR 6.06

The families or significant others of persons served are offered services, including:
  1. family psychoeducation;
  2. emotional support and therapy;
  3. linkage to community services;
  4. self-help referrals; and
  5. care coordination, as needed.