Reply To: How reintegration can look so different for our clients

Home – NEW Forums Module 8 – Groups & Reintegration Fall 2023 How reintegration can look so different for our clients Reply To: How reintegration can look so different for our clients


The pacing of reintegration and motivation toward group and recovery program is a common challenge that I experience with clients during the recovery phase. I have one client who was diagnosed with schizoaffective disorder before attending comprehensive mental health and substance residential treatment. The client mostly engaged in physical recreational leisure activities vs PSR groups and programming while at treatment. While the client achieved his goals of sobriety and better managing positive symptoms, the client had a rigid vision of work and education reintegration that was his primary psychiatrist consistently reflected as “unrealistic”. Once discharged, the client’s overriding goal was to apply for a mental health worker program at the local college, regardless of ongoing experiences of cognitive deficit from negative symptoms of early psychosis. The client has denied interest in working on adaptive strategies or attending groups, whether for structured toward MHSU. In this case, it was helpful to gamify and connect group participation with the client’s interest. One of the client’s main strengths and goals is money management and to reduce debt incurred during a prolonged period of homelessness and daily substance use. We were able to get the client to participate in SU contingency management groups and a paid youth job re-training program, which both have monetary incentives for participation. While he does not feel like he would benefit from the group content, it has allowed him a chance to build on social skills development and expand social supports/peer network. Further, it has been helpful for the client to reflect on readiness to attend a full-time college program. In particular, the 5-days/week job re-training program offers a lower stake opportunity for the client to identify and work with our clinicians to problem-solve cognitive deficits around memory and attention-span.