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518 Class > Class 9 > Flashcards

Class 9 Flashcards

1
Q

What are the two different situations related to coping

A
  • short term/acute stressful situation

- chronic or permanent stressors

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2
Q

What is the coping cycle process

A

1) Process information
2) Appraise the situation
3) Choice-consider available options and assume a course of action to adress situation
4) Reappraise the situation
- >if the threat is still present, repeat the appraisal situation

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3
Q

What is a crisis

A
  • an acute emotional upset
  • > arising from situational, developmental or sociocultural sources
  • > result in a temporary inability to cope by means of one’s usual problem-solving devices
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4
Q

Is stress crisis

A

-no it is tension

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5
Q

How do you assess level of crisis

A

1) Person’s perception of the event or situation
2) Supports available to the person
3) Adequacy of coping mechanisms

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6
Q

Describe mild, moderate and severe levels of crisis

A

Mild

  • > client is able and willing to mobilize their own resources
  • > at their own pace to resolve the situation

Moderate

  • > pressure is present with decompensation pending
  • > crisis intervention is needed but can be deferred for a short time(impaired problem solving)

Severe
->the identified client presents the likelihood of a life threatening situation

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7
Q

Is suicide a life threatening situation

A

-yes

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8
Q

How do you evaluate risk for suicide

A
  • feelings/emotion
  • > feeling trapped, pain
  • cognitive thoughts
  • > wanting to die or kill themselves
  • actions/behaviors
  • > they are acting anxious and agitated
  • physical changes
  • > do not do self care activities
  • demographics associated with suicide
  • > a certain area of people that lack mental health resources, financial issues
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9
Q

What should an OT do if suicidal intent in a client is present

A
  • first know the rules in your jurisdiction
  • > know procedures in your workplace

-further training like applied suicide intervention skills training

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10
Q

What are the crisis intervention principles

A

1) Immediacy
- >crisis are hazardous and immediacy is required immediately

2) Understanding
- facilitate understanding of what has occurred or the situation
- >meaning to the person
- >meaning within larger social network
- ventilation and the sharing of negative emotions as a force of change

3) Stabilization
- >restore some semblance of order
- >create conditions so that adaptive coping can be enabled through quick exercise like breathing
- >get routine and order

4) Focus on problem solving
- >enable individual to use available internal and external resources to gain control

5) Encourage self-reliance
- >enables ongoing management of situation
- >supports personal capacities

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11
Q

How do people receive crisis intervention services

A
  • mobile/phone/office
  • > distress line, kids help phone
  • police
  • emergency room
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12
Q

What is the Appraisal Model of Coping

A

-this is to help you understand the process of coping

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13
Q

What is cognitive appraisal

A

-individual interpretation of what is happening in the environment

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14
Q

What are the two types of cognitive appraisals

A

Primary appraisal
->determine whether what is happening could be harmful, threatening, challenging, beneficial or of no importance

Secondary Appraisal
->evaluate the physical, psychological, social and material resources available to cope with the event

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15
Q

What are the two types of coping plan

A

-it is the interaction between primary and secondary appraisal

1) Emotion-focused coping
- >alter the emotional reaction
- >perception-focused coping where we alter the meaning of the event

2) Problem-focused coping
- >change the situation

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16
Q

What are the different types of emotion-focused coping

A

1) Avoidance
- >commonly seen to be used as a first response to a stressor

2)Self-blame

3) Wishful thinking
- >change your belief, so you think it is manageable

17
Q

What did the solution-focused brief therapy model come from

A

-it evolved out of the brief family therapy approach

18
Q

What does solution-focused brief therapy mean

A

Solution
->the changes that clients make regarding their perception and patterns of interacting and the meanings they give to experiences

Focused

  • > what clients want to achieve through therapy rather than on the problem that made them seek help
  • > focus on the present and future, while building on that which worked in the past

->what clients are doing that is right, on what the past has taught them, what works and what they are able to do now

19
Q

What are the core therapeutic elements of solution focused brief therapy

A
  • use of conversations centered on clients’ concerns
  • conversations focused on co-constructing new meaning surrounding clients’ concerns
  • > create a solution
  • use of specific techniques to help clients co-construct a vision of a preferred future and to draw upon past successes and strengths
20
Q

What is the tasks of a therapist in solution focused brief therapy

A

1) Help clients to clarify what they want to happen in their lives
- >design strategies

2) Encourage clients to stop doing what doesn’t work
3) Take small steps toward change
4) Focus on exceptions to the problem
5) Help clients shift their thinking, words and actions from being problem oriented to being solution-oriented

21
Q

What is a miracle question

A
  • it is the cornerstone of solution focused brief therapy
  • the miracle question is designed to help clients
  • > develop and clarify treatment goals
  • > promote hope
  • > prepare clients to notice exceptions(“Tell me a time when you didn’t get angry” or “Sometimes my husband is not angry towards me”
22
Q

What are scaling questions

A
  • ask clients to rank their problems, goals and other relevant clinical issues on a scale of 1 to 10
  • > with 1 representing baseline first therapy appointment and 10 representing the miracle
23
Q

What are the purpose of scaling questions

A

1) Identify useful differences for a client
2) Assess the client’s level of motivation and confidence
3) Help to set small identifiable goals
4) Establish priorities for action
5) Measure progress

24
Q

What are coping questions

A
  • helps to find information about client resources that will have gone unnoticed by them
  • purpose is to draw out coping resource
25
Q

Why do you look for exceptions

A
  • even when a client does not have a previous solution that can be repeated, most clients have recent examples of exceptions to their problem
  • > connect the exception to the goal

the goal of this is to

  • > discover, acknowledge and reclaim their own resources, strengths, and qualities
  • > gain confidence in making improvements for the future
26
Q

Why are compliments important in solution based brief therapy

A
  • it is about validating what clients are already doing well and acknowledging how difficult their problems are
  • > encouraging clients to change while sending the message that the therapist has been listening and cares
27
Q

What are the advantages and limitations of solution focused brief therapy

A

Advantages

  • > practice strength-focused dialogue
  • > can be applied to a variety of problems

Limitations
->solution focused brief therapy has limitations when working problems that have an early onset such as in the experience of trauma

28
Q

When does discharge planning begin

A
  • starts in the beginning of OT service
  • setting goals with clients, you are beginning with a framework for therapy and moving towards discharge
  • > goal created helps define the timelines for therapeutic intervention
29
Q

What are components of OT service that influence the discharge process

A

Role

  • > therapist
  • > consultant
  • > case management

Type of Program

  • > inpatient vs outpatient
  • > free flowing services vs time limited

Length Program

  • > ie; 3 day stabilization vs 8-10 week admission
  • > community group/program with set participation timeline

Funding Structure
->there is a limited amount of sessions based on cost

30
Q

Is PEO model helpful towards discharge

A

-yes

31
Q

How is the person themselves related to discharge

A

1) Do they have the skills and abilities that will increase their ability to cope after discharge
- >ei; they may be better at emotional regulation, increased awareness of though patterns

2) What are their beliefs regarding their mental health condition and how in control do they feel about their situation
3) What is the relationship the person has with their mental health condition. What are their beliefs about components of their treatment?
4) What is the person’s cultural beliefs about mental health and accessing support
5) Are expectations and ability well matched?

32
Q

How does discharge relate to occupation

A

-in terms of occupation, it is really the interaction between the person and environment that affect engagement in meaningful occupation

33
Q

What would your discharge summary be like for a person’s family doctor/community therapist vs giving a discharge summary to your patient

A

Family Doctor/Community Therapist

  • > less personal than when you give it to the individual
  • > more background for the professional than the individual
34
Q

Describe a discharge documentation

A
  • reason for referral/appropriate history
  • diagnoses
  • course of treatment/care summary
  • medications
  • referrals or community organizations following
  • client goals upon discharge
35
Q

What are two factors that affect documentation

A

Program format
->there may be a program form for a discharge

OT role

  • > consultant, care manager
  • > consultant is there assess and provide information
  • > case manager has a more global description of care
36
Q

Is termination a process or an event

A

-it is a process

37
Q

What are the benefits of termination

A
  • it empowers the client and therapist
  • brings closure to the relationship for both client and therapist
  • can be an opportunity to experience the relationships that can end in a positive manner
38
Q

What are the types of termination

A

Mutual

  • > both client and therapist are in agreement that therapy is no longer necessary
  • > other indicators of termination is related to the content of discussions; there are more social chit chat, missed appointments
39
Q

What are termination goals

A

1) Consolidate gains
2) Empower clients
3) Process losses associated with termination

518 Class (6 decks)

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