Two Paths: Psychiatric Rehabilitation and the Consumer/Lived Experience Movement

Two Paths: Psychiatric Rehabilitation and the Consumer/Lived Experience Movement
(10:00 AM - 12:00 PM)
Pacific Time (GMT-8)

Chad Costello

Guyton Colantuono

The history of psychiatric rehabilitation and the consumer/lived experience movement represents two distinct but increasingly interconnected paths toward recovery, self-determination, and community inclusion. This presentation traces the parallel development of these movements—from institutional care and deinstitutionalization through disability rights, recovery, peer support, and lived experience leadership. By comparing their origins, values, contributions, and points of tension, participants will explore how each movement has influenced contemporary mental health practice and the continuing shift from professionally directed care toward partnership, choice, shared power, and meaningful participation in community life.

By the end of this presentation, participants will be able to:
• Describe the major historical developments in the psychiatric rehabilitation and consumer/lived experience movements.
• Compare the origins, values, and goals of the two movements.
• Identify key points of convergence, including deinstitutionalization, disability rights, recovery, peer support, and co-production.
• Explain how the consumer/lived experience movement influenced psychiatric rehabilitation toward greater choice, self-determination, and shared decision-making.
• Discuss the continuing tensions between professional support, personal autonomy, and lived-experience leadership.
• Recognize how both movements have contributed to contemporary recovery-oriented, person-centered, and community-based practice.