Psychosocial approaches (ch 14) Flashcards
ACL level 1
Automatic Actions: automatic motor responses and changes in the autonomic nervous system. Conscious response to the external environment is minimal.
ACL level 2
Postural Actions: movement that is associated with comfort. There is some awareness of large objects in the environment, and the individual may assist the caregiver with simple tasks.
ACL level 3
Manual Actions: beginning to use hands to manipulate objects. The individual may be able to perform a limited number of tasks with long-term repetitive training.
ACL level 4
Goal Directed Actions: the ability to carry simple tasks through to completion. The individual relies heavily on visual cues. He may be able to perform established routines but cannot cope with unexpected events.
ACL level 5
Exploratory Actions: overt trial and error problem solving. New learning occurs. This may be usual level of functioning for 20% of the population.
ACL level 6
Planned Actions: absence of disability. The person can think of hypothetical situations and do mental trial-and-error problem solving.
The 3 components of CBT are didactic aspects, cognitive techniques, and behavioral techniques… define them…
- didactic aspects involve the therapist explaining the basic concepts and principles of CBT to the client.
- cognitive techniques involve eliciting automatic thoughts, testing automatic thoughts, identifying maladaptive underlying assumptions, and testing the validity of maladaptive assumptions.
- behavioral techniques are used with cognitive techniques to test and challenge maladaptive and inaccurate cognitions.
In CBT, what is the “cognitive triad”?…
A pattern of negative thinking… comprised of negative self-evaluation, pessimistic world view, and sense of hopelessness regarding the future.
Dialectical Behavior Therapy (DBT) is a form of CBT that focuses on…
addressing suicidal thoughts and actions and self-injurious behaviors. Commonly used with borderline personality disorder; also used to treat patients with depression, substance abuse, and/or eating disorders.
DBT uses assertiveness, coping, and interpersonal skills training.
The goal of psychiatric rehabilitation is…
to help individuals develop the skills necessary to compensate for, adapt to, and/or control the influence symptoms have on function, including any disability caused by social or enviro barriers.
The recovery model’s primary focus is…
to improve quality of life and the ability to attain desired life goals through self-advocacy.
Short Portable Mental Status Questionnaire (scoring)
1-10. 0 is intact intellectual functioning; 8-10 is severe intellectual impairment.
Hamilton Depression Rating Scale (population, focus, method, scoring)
Population: individuals with mood disorder.
Focus: measures severity of illness and changes over time in people with depressive illness.
Method: interview and consultation with family/staff.
Scoring: each item rated 0-2, with 0= absent and 2= present; 17 items rated. No significance to score, just notes changes.
Bay Area Functional Performance Evaluation (BAFPE)
Population: adults with psychiatric, neurological, or developmental diagnoses.
Focus: assess the cognitive, affective, performance, and social interaction skills required to perform ADLs
Method: interview, Task Oriented Assessment, Social Interaction Scale.
Scoring: scores of TOA and SIS are not combined. Scores give idea of overall function and person’s cognitive affective, social, and perceptual motor skills.
Comprehensive Occupational Therapy Evaluation Scale (COTE scale)
Population: adults with acute psych diagnoses.
Focus: structured method for observing and rating behaviors and changes in areas of general, interpersonal, and task skills.
Method: behavior observed during therapy session while person does a task.
Scoring: each item rated 0 (normal) to 4 (severe)