Allen's Cognitive Levels Flashcards

1
Q

Level 1

A
  • Characterized by automatic actions and awareness
  • Client is DEPENDENT on caregiver for ADLs
  • Participants would not benefit from the dynamics of a group for therapy (i.e., individual treatment only)
  • Clients at Level 4 and below require 24-hour, close supervision and support for all needs (including all/some self-care)
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2
Q

Level 2

A
  • Characterized by postural actions (gross body movements)
  • For group therapy, participants will be successful in situations in which they can move about and copy movement that is modeled
  • Clients at Level 4 and below require 24-hour, close supervision and support for all needs (including all/some self-care)
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3
Q

Level 3

A
  • Characterized by manual actions and manipulating objects
  • For group therapy, participants focus on elements of repetition and manipulation
  • Activities involve relatively repetitive and routine tasks
  • Clients at this level are NOT able to be goal directed and would do best with projects/activities that are unstructured and focus on object hands-on manipulation and tactile cues
  • Clients at Level 4 and below require 24-hour, close supervision and support for all needs (including all/some self-care)
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4
Q

Level 4

A
  • Characterized by goal-directed, familiar activities
  • For group therapy, participants work on goal-directed activities, such as craft projects
  • Activities typically require a model of the completed project for the client to imitate as a guide to task completion, simple directions, and un-shared tools
  • Clients at this level will have difficulty with problem-solving and require supervision for cues and guidance when needed
  • Clients at Level 4.0 should live in a supported living arrangement, but would be expected to complete habitual routines independently (e.g, morning self-care)
  • Clients at Level 4 and below require 24-hour supervision
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5
Q

Level 5

A
  • Level 5 is characterized by exploratory actions
  • Client abilities include performing dressing, eating, and grooming activities WITHOUT assistance
  • For group therapy, participants engage in activities with a graded structure, such as a clay modeling or mosaic project
  • These activities allow participants to exercise control over the medium and require them to control their impulses (e.g., when they have difficulty placing the tiles within the boundaries of a mosaic tile base or feel the urge to smash a clay form)
  • Activities typically include mostly familiar steps, but have one or two steps requiring new learning
  • Clients at Level 5 are still challenged by problem-solving, but can engage in trial-and-error learning and use inductive reasoning to find new ways of performing activities
  • A client at Level 5.2 could be discharged home alone with weekly checks for novel safety issues and health maintenance needs/reminders
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6
Q

Level 6 - Groups

A
  • Characterized by planned actions
  • Client is INDEPENDENT
  • For group therapy, activities are designed to encourage relatively independent planning and organizing to complete tasks
  • Clients at Level 6 can anticipate problems and resolve problems or challenges mentally
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7
Q

Cognitive Disabilities Model

A
  • Assesses the client’s current cognitive functioning to maximize supports in the environment that will facilitate maximal occupational performance
  • Focus is on using the client’s strengths to allow for function, with appropriate environmental supports
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8
Q
A
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