Lecture 3 Flashcards
Discuss the role of sensory processing in the field of CYMHS
- OTs observe how sensory systems relate to everyday living
- When observing a behaviour, sensory trained OTs look for triggering factors
- These include not only social and emotional (e.g. shark music and ANS arousal) causes, but sensorimotor issues as well
- OTs are looking for physical sensations that precede behaviours
- These are increasingly well understood interventions associated with modifying sensory environments
What are 6 reasons that play and art techniques might be the preferred medium for use with children
- A non threatening medium for child
- An opportunity for the child to project their issues and to ‘experience’ themselves
- Child can recreate experiences in manageable and controlled circumstances
- The child has control - something that might rarely happen outside therapy
- Provides an opportunity to make sense of the adult environment
- Provides an outlet for anxieties and may help the child gain insight into the anxieties
What are some occupational based tests/assessments?
- COPM
- Test of playfulness
What are some skill/component based tests/assessments?
- Sensory: sensory profile
- Allen’s Cognitive Measures
OT role in CYMH
- Emphasis on participation and capacity for fulfilment through engaging in occupations
What are the broad trauma therapy principles?
- Must be client centred/therapist willing to abandon planned intervention to “be with the client if required”
- Trauma is put “into perspective” amongst all of the goals and roles that are health promoting
- Recovery and processing needs to occur when the client has capacity to “put the brakes on”
- Children require a “physical self” in which ego development can occur
- Children should have strategies for “here and now”
OT role in practice
- Client centred practice; occupation vs role
- Balance: roles, lifestyle
- Regulation: modulation, sensory, integration
Why might adolescents consider ‘work’ as an intervention with their OT?
It is often associated with:
- reduced hospitalisations
- better social and family role performance
- improved self-efficacy
Why is it important to consider the child’s context as a part of therapy?
- Home visiting is the strongest indicator for positive outcomes
- Supports real-time and -place understanding of the issues and provides opportunity for contextual skill building
What aspects of the child’s context need to be considered?
- Home
- School
- Social
What is the BASK model of dissociation?
Identifies the aspects that a child can dissociate
- Behaviour
- Affect
- Sensation
- Knowledge/thoughts
What is dissociation?
- Divides traumatic experience into parts (sensory, cognitive, physical) so that there is no connection between the components - makes it easier to cope with
What type of emotions would be prevalent in CYMH?
- Anger
- Anxiety
- Same
- Grief
What is the aim of a mental health assessment of a child/adolescent?
- Better understanding of the mental health concern and the impact on functioning, wellbeing
Why is the therapeutic relationship your greatest tool?
- Can benefit children who haven’t learnt to build a trusting relationship with someone
>offers containment
>offers a space for co-regulation
>space where the unthinkable may be thought
