The clinician’s goal for every adult with serious mental illness should be recovery, moving beyond symptom control toward the promotion of an individual’s functioning, autonomy, and sense of purpose. This chapter highlights some of the nonpharmacological, evidence-based practices that have been shown to further recovery for adults with serious mental illness. The case-based discussion highlights illness management, supported employment, supported housing, assertive community treatment, mobile crisis teams, cognitive–behavioral therapy for psychosis, peer support, and clubhouses as best practice models of care. Strategies to enhance medication adherence are discussed. The use of court-ordered assisted outpatient treatment as a strategy to prevent hospitalizations is also explored.
Lithium and pregnancy