MH Quiz 2 Flashcards
Axis II
Personality disorder & mental retardation. Gen. Used to describe mail adaptive aspects of personality and defense mechanisms.
12 conditions, commonly: borderline schizo, schizotypal pers. dis, antisocial, narcissistic, mild mental retardation
Axis I
Clinical disorders (major mental dev. & learning dis.) Depression,anxiety, bipolar, ADHA, schizo
Axis III
Medical conditions that may be relevant to understanding tx and dis.
Physical probs evoking psych reactions
Axis IV
Psychosocial & environmental factors contributions to dis.
Mainly neg. cond.
support group/ social env. (Death of family)
Educational/ occ probs. ( job loss)
Housing probs, economic probs, probs with health care n legal system
Axis V
Global assessment of functioning GAF score
GAF scale
Codes the persons level of function on scale of 1-100
91-100 GAF
Superior functioning in. Wide range of activities, life’s probs never seem to get out of hand, is sought out by others because of their many qualities. No symptoms.
81-90 GAF
Absent or minimal symptoms, good functioning in all areas, interested and involved in a wide range of activities, socially effective, generally satisfied with life, no more than everyday problems or concerns. Ex. Mild exam anxiety
71-80 GAF
If symptoms present they are transient and expectable reactions to psychological stresses; no more than slight impairment in social, occupational, or school functioning. Ex. Hard to concentrate after a fight.
61-70 GAF
Some mild symptoms OR some difficulty in social, occupational, or school functioning, but generally functions pretty well, has some meaningful interpersonal relationships. Ex. Depressed mood, truancy
51-60 GAF
Moderate symptoms OR any moderate difficulty in social, occupational, or school functioning. Ex. Flat affect, few friends
41-50 GAF
Serious symptoms OR any serious impairment in social, occupational,nor school functioning. Ex. Suicidal ideation, unable to keep job
31-40 GAF
Some impairment in reality testing or communication OR major impairment in several areas, such as work or school, family relations, judgement, thinking, or mood. Ex. Neglects family, child failing at school
21-30 GAF
Behavior is considered influenced by delusions or hallucinations OR serious impairment in communications or judgement OR inability to function in all areas
11-20 GAF
Some danger of hurting self or others OR occasionally fails to maintain minimal personal hygiene OR gross impairment in communication. Ex. Suicidal attempts, mute
1-10 GAF
Persistent danger of severely hurting self or others OR persistent inability to maintain minimum personal hygiene OR serious suicidal acts with clear expectation of death. Ex. Recurrent violence
0 GAF
Not enough info to provide GAF-comatose
Claudia Allen’s cognitive levels
Used to predict rehab potential for pts w cognitive disability.
Areas to use cognitive levels
Psychiatric dx, Alzheimer’s, Parkinson’s, MS, AIDS, dementia, mentally retarded, head injury, CVA
Allen battery
ACL screening screening tools (ACLS, LACLS), Allen diagnostic module, sensory kit for low ACLS & safety series for high ACLS
Books : OT tx goals, understanding modules, documentation software
Assessment
Battery measures functional disability. First: interview, build rapport, pt. describes a typical day before trauma. Use ACLS as screening tool. If screening too unsuccessful, go to tiles. Sensory kit 1.0-3.2. Craft project 3.0-5.8. Safety series 4.6-5.
6.0
Premeditated activities
5.6
Social bonding occurs, can anticipate safety, driving, childcare
5.0
Has intonation in speech
4.6
Can live alone
4.4
Can be alone for a few hours
4.2
Discharge to street
4.0
Is independent in self care
3.6
Can see cause and effect
3.4
Refer to OT to work on ADL
2.8
Grab bars
2.2
Walking
1.8
Pivot transfer
1.4
Swallow
1.0
Conscious
Routine task delivery: four main scales
ADL, IADL, communication, work readiness
CPT cognitive performance
6 subtexts: dress, shop, toast, phone, wash, travel
Frameworks relevance to mental health
It holds the key to areas of occupation which involve the improvements for learning and teaching the mentally ill.
Frame of reference
Structure of concepts, values, views, etc by means of which an individual or group perceives or evaluates data, communication, ideas, and regulates behavior
Theory
Set of ideas intended to explain something.
Model
A standard or example for imitation or comparison, way of executing frame of reference.
