Intervention & Groups Flashcards
Prevention interventions are designed to:
Promote wellness, prevent disability/illness and maintain health
Primary Prevention
Reduction of incidence/occurrence of disease/dx with in a pop that is currently well or at risk
Create/Promote
Secondary Prevention
Early detection of probs in at risk pop to reduce duration of a dx and/or minimize effects
Tertiary Prevention
Elimination/reduction of the impact of dysfunction on an individual
Define “disability prevention”
Used to designate interventions that address the needs of persons with/wo disabilities who are considered at risk for probs w OP
Meeting Health Needs Intervention
Designed to satisfy inherent, universal human needs that are not met automatically:
Psychophysical, Temporal balance/regularity, safety, love/acceptance, group association, mastery, esteem, sexual, pleasure & self actualization
Change Process Interventions
Designed to achieve fx’al/behavioral outcomes - most commonly used in the OT practice/most reimbursable
Establish/restore/remediation/restoration
Mngt Interventions
Designed to reduce/minimize disruptive/undesirable behavior that interfere with therapeutic activities
Modify/compensation/adaptation
Compensation/Adaptation techniques are used to
Alter the context or demands of an activity to support the persons ability to engage in areas of occupation
Maintenance Interventions
Designed to support/preserve the individuals current functional level - no improvement of function is planned but decline of function is prevented
Not always reimbursable
7 Phases of group development
Origin, Orientation, Intermediate, Conflict, Cohesion, Maturation & Termination
Origin phase of group development
Leader composing group protocol/planning for group
Orientation phase of group development
Members learning what the group is about, making prelim commitment to group and developing initial connections
Intermediate phase of group development
Members developing interpersonal bonds, group norms, specialized member roles thru involvement in goal-directed activities/discussion
Conflict phase of group development
Members challenging group structure, purposes/processes - disagreement
Unsuccessful resolution = dissolution
Successful = Mods to group enabling group to proceed in next phase of development
Cohesion phase of group development
Members regrouping after conflict with a clearer sense of purpose and reaffirmation of group norms/values
Maturation phase of group development
Members using their energies/skills to be productive/achieve group goals
Termination phase of group development
Dissolution of group d/t lack of engagement, inability to resolve conflict, admin constraints, goal attainment or task accomplishment
Behavior that falls out of groups range of acceptable
Considered deviant and negatively sanctioned
Group Leadership Style: Directive
OT is responsible for planning/structuring of much of what takes place in group - select activities, provide clear verbal/demo instruction, maintenance/feedback provided mostly by OT - used with pts with limited cog/soc/verb skills
Goal: Task accomplishment
Group Leadership Style: Facilitative
OT shares responsibility for group/process with members - increased collaboration with selection, instruction, feedback, maintenance - used with pts with mod skill level
Goal: Have members acquire skills thru experience
Group Leadership Style: Advisory
OT functions as resource - members set agenda/structure group function, interactions are natural and member driven
Goal: Have members understand/self direct process
Medicare indicators for Group Membership
Engage willingly in group; attend to group guidelines/procedures; actively participate in group process; benefit from group leadership /membership/peer input; Respond appropriately thru group process; incorporate feedback; complete activities toward goal attainment and attain greater benefit from group than 1:1 intervention
Medicare indicators for Group Leadership
Provides active leadership; instructs members as a group; monitors/docs participation and response to intervention; provides individualized guidance/feedback and docs persons progress toward goals defined in pt intervention plan in objective, measurable/fx’al terms
Eval Groups
To enable pt/ot to assess pt skills, assets and limitations regrading group interaction
Thematic Groups
To assist members in acquiring knowledge, skills and/or attitudes needed to perform a specific activity
Topical Groups
To discuss specific activities that members are engaged in outside of groups to enable them to engage in activities in a more effective, needs-satisfying manner
Task-orientated Groups
To increase pts awareness of needs, values, ideas, feelings, behaviors as then engage in a group task - and - To improve intra- and interpsychic functioning by focusing on problems which emerge in process of choosing planning and implementing group activity
Developmental Groups
To teach/develop members group interaction skills
Continuum of groups consisting of parallel project, egocentric-cooperative, cooperative and mature groups
Instrumental Group
To help members function at their highest possible level for as long as possible - and - To meet mental health needs
Establishment of norms of _________ are a priority in all group situations
Safety, respect and confidentiality
