Self care for Health professionals (wk 5)

Question 1

Role of supervision for OT

Answer 1

• Decision making
• Assessment
• Treatment planning
• Implementation
• Evaluation

Question 2

What are the 6 things to do in crisis?

Answer 2

1. Ensure your safety
2. Alert people of the issue
3. Talk to someone, someone more senior for advice.
4. Reduce the impact of your stress response
5. Try and remain calm, talk through the issues
6. Avoid drinking and drugs

Question 3

What are the high risk groups? (Psychiatric disorders):

Answer 3

• Suicide 40-60X more frequent in recently discharged psychiatric patients than general pop.
• Depression – highest prevalence of suicidal people
• Bipolar disorder
• Schizophrenia
• Personality disorders
• Substance use disorders

Question 4

5 stages of Assessment of Risk for one’s self/pt:

Answer 4

1. Assessment
2. Management
3. Monitor/Review
4. Prevention
5. Self Care for you

Question 5

Define Self Harm

Answer 5

• High correlation with personality disorders
• a coping strategy
• a way of communicating their distress

Question 6

When is appropriate to do a risk assessment?

Answer 6

• pt. statements-hopelessness, no future plans
• Changes in presentation and/or behaviour
• Routine MSE & assessment
• Referral from other health professionals
• Concerned family/friends

Question 7

A Risk Assessment Interview involves what?

Answer 7

• rapport
• observation
• counselling
• problems over past few months & last 24-48 hours
• explore risk factors (hopelessness/suicide)
• protective factors (children, parents)

Question 8

Levels of Risk: Low Risk

Answer 8

• Fleeting thoughts of suicide,
• no plan, minimal/no substance misuse, stable environment
• no availability of means
  Action:
  • Diffuse emotional distress
  • Lower stress demands
  • Increase mental health interventions
  • Monitor mental state as appropriate

Question 9

Levels of Risk: Medium Risk

Answer 9

• Discrete suicidal ideation
• vague/no specific plans,
• some likelihood of rescue or intervention.
• Passive precautions (door unlocked)
• significant mental illness, substance misuse, unstable environment, dangerous behaviour
  Action
  • Diffuse emotional distress
  • Involve significant others immediately
  • Safety contract
  • Once safety is obtained, full assessment & daily monitoring required, crisis management plans, intensive interventions
  • Prevention strategies
  • Coping strategies

Question 10

Levels of Risk: High Risk

Answer 10

• Intense thoughts of death, seem impossible to get rid of.
• Definite suicide plan, significant mental illness, significant substance misuse, unstable environment, escalating dangerous behaviour
• Has a imminent date/time in mind. Clear threats
  Action
  • Ensure immediate safety (voluntary/involuntary admission)
  • Immediate communication with relevant personnel
  • Attend to own safety
  • Where safety can be guaranteed, full assessment, crisis management, intensive interventions (regular contact)

Question 11

The range of risks include… (in the chronically suicidal)

Answer 11

• Recognise distress
• Heighten sensitivity to rejection
• Avoid minimising the seriousness
• Avoid hospitalisation
• Develop a plan that is consistently followed