CARe Ambassador in Lithuania
MD, Consultant Psychiatrist
Jan Hilbig, MD, Consultant Psychiatrist,
Head of Department of Psychosocial Rehabilitation at the Vilnius Municipal Mental Health Centre Resident trainer at Vilnius University
Cognitive behaviour therapy, Dialectic behaviour therapy, Imagery rescripting and reprocessing therapy Medicine studies at Greifswald (Germany) and Vilnius (Lithuania) universities, Residency of Psychiatry in Vilnius (Lithuania) and Egenhausen (Germany) Currently studies of integrated psychotherapy at de'ignis institute, Germany (until February 2018)
Recent publications: Patients' resilience and distress over time: Is resilience a prognostic indicator of treatment? Pakalniškienė V, Viliūnienė R, Hilbig J. Compr Psychiatry. 2016 Aug;69:88-99. doi: 10.1016/j.comppsych.2016.05.010. Epub 2016 May 20. Resilience in a reborn nation: Validation of the Lithuanian Resilience Scale for Adults (RSA). Hilbig J, Viliūnienė R, Friborg O, Pakalniškienė V, Danilevičiūtė V. Compr Psychiatry. 2015 Jul;60:126-33. doi: 10.1016/j.comppsych.2015.02.003. Epub 2015 Feb 17.
Translating the Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM) into Lithuanian. Viliūnienė R, Evans C, Hilbig J, Pakalniškienė V, Danilevičiūtė V, Laurinaitis E, Navickas A. 1. Nord J Psychiatry. 2013 Oct;67(5):305-11. doi: 10.3109/08039488.2012.745599. Epub 2012 Dec 11. Brief description of our Rehabilitation unit: Learning to live: Inclusion through enhancement of skills Our Psychosocial Rehabilitation Centre is offering evidence-based skills training enabling our clients to pursue essential life goals and values in spite of severe mental disorder. Most of our clients come to our department for rehabilitation services one to several times a week, a small minority can stay in hospital at the beginning of the rehabilitation process. Or basic approach to each client's situation is Case management, mainly delivered by occupational therapists.
The department was created by the help of Jean-Pierre Wilken and Dirk den Hollander, who conducted training according to the CARe model. Some of the therapeutic methods used include: - Occupational therapy - Cognitive behaviour therapy (MCT, DBT, ACT, Behavioural activation) - Art and Music therapy - Cognitive remediation - Sports therapy - Pharmacologic therapy
On the 10th and 11th of May, an inspiring conference on recovery and psychosocial rehabilitation was organised by the rehabilitation centre Rastis of Vilnius City Mental Health Centre, Lithuania. The rehabilitation centre is an active member of the CARe Network. Around 75 people from all over Lithuania were participating. The conference was chaired by Jan Hilbig, psychiatrist connected to the rehabilitation department and CARe ambassadors in Lithuania.
On Thursday 10th, the conference was opened by dr. Martynas Marcinkevičius director of Vilnius City Mental Health Centre and Igoris Baikovskis on behalf of Ministry of Health of the Republic of Lithuania. Prof. Arūnas Germanavičius described the history of psychosocial rehabilitation in Lithuania and pictured future perspectives. Prof. Germanavičius was one of the initiators of the Rehabilitation Centre which was established almost 15 years ago with the support of Global Initiative on Psychiatry and CARe Europe (at the time Storm Rehabilitation). Prof. Jean Pierre Wilken from the Netherlands outlined in his presentation the concept of recovery and the principles of recovery supportive care. Rūta Lukošaitytė Všį, one of the rehabilitation pioneers in Lithuania, together with Arūnas Germanavičius and Daiva Kalantienė, and the current director of the centre, described how the CARe model is applied in the centre.
The first day was concluded by a workshop guided by Triin Vana from Estonia, head trainer in the CARe model. She described the basic elements of the CARe Model and let the participants experience in a lively manner what strengths-based work really means.
The second day, Friday May 11th, continued with a number of interesting presentations. Ramunė Mazaliauskienė, psychiatrist and psychotherapist addressed the role of the family in psychosocial rehabilitation, followed by an impressive personal story of Eglė Mikalajūnė, who has been a client of the rehabilitation centre and is currently working as a peer worker. Being artist, she illustrated the presentation with her own drawings depicting her recovery story. She emphasized the importance of personal support and having the freedom of working on recovery at her own pace, so not being pushed by staff or standardised programmes.
The last presentation in the morning was delivered by Karilė Levickaitė, psychologist and director of “Mental Health Perspectives”. She addressed the human rights perspective in mental health.
After the coffee break, there were a number of workshops. Mantvilė Grybauskaitė and Tadeuš Polionis occupational therapists and case managers guided a workshop on “Case Management in Vilnius City Mental Health Centre Practice”. Both are currently following the Tepla 4 CARe international training. Jan Hilbig, psychiatrist-psychotherapist conducted a workshop on “Motivational Interviewing”. Jean Pierre Wilken and Triin Vana made participants more familiar with the methodical steps and tools of the CARe Approach.
After the lunch break, the conference continued with another round of workshops. Agnė Railė and Miglė Marcinkevičiūtė, psychologists, explained the principles of Integrated Psychological Therapy in psychosocial rehabilitation. Triin Vana showed how strength-based coaching is used in the CARe approach as a powerful method of implementing the model.
- Updates from Jean Pierre Wilken
Recovery Conference Vilnius
Inspiring conference on recovery and psychosocial rehabilitation in Vilnius
Updates by Jean Pierre Wilken / Jan Hilbig