W6 Flashcards
OT intervention modalities
Individual therapy Group work Vocational rehabilitation Case management Shared care
8 categories of ACE
Abuse 1. Recurrent psychological 2. Recurrent physical 3. Contact sexual Household dysfunction 4. Substance abuse 5. MI 6. Mother treated violently 7. Incarcerated member 8. Loss of parent
Name 3 standardized assessments
MOHO COPM AMPS Allen's cognitive levels Kohlman evaluation of living skills Executive function performance test Sensory profile Clinical observation Activity analysis Interest checklist
Mental health OT role includes:
Access to activity (art/creative expression self care etc.)
Environmental adaptation
Group or individual psychoeducation and skills work
Individual work to maintain
Facilitating community integration
Contributions to preventative interventions
Considerations from an OT perspective for mania
Simplify tasks & distraction free environment
Impact of over-spending & other behaviours during manic state
Assist to organise health checks subsequent to risk-taking behaviour
Considerations from an OT perspective for depression
Empathy & one-step-at-a-time approach
Validation of feelings
Encourage to engage in activity of interest
Slowly add in other activities to build daily routine, as clinical recovery progresses, to a weekly routine
To-do-lists
Grading activity & modify environment to maximise success
Brief CBT
Simplify tasks of daily living & grade as person gets better
Considerations from an OT perspective for anxiety
Focus on simplifying routines Brief CBT Mindfulness (psychology strategy) Graded exposure therapy Interpersonal skills training Self-management & problem-solving Focus on self-efficacy to reduce fear Balance of social, leisure, self-care, sleep Coping skills
Considerations from an OT perspective for schizophrenia
Interventions depend on stage of clinical recovery
Acute recovery: focus on basic ADLs, organising the day, managing finances (bills and budgeting)
Structured tasks
Self-care (meal preparation, groceries, public transport, money management)
Social participation: church, community PCYC gym, self-help groups
Social skills training
Prevocational & vocational skills: skill preparation, time management, social skills, self-presentation, supported employment
Leisure & recreation, identifying interests
Fitness & physical health (e.g. Healthy Lifestyles Program)
Considerations from an OT perspective for the elderly
Need to consider social context and age related health issues
Falls prevention strategies
Routines & time use, leisure activities
Modify the environment: include adaptive equipment when it is needed
Facilitate “ageing in place” stay in own home as long as possible, increase supports & adaptive equipment
Social connections & support groups
Referrals to community support through community health centres, Home Assist Secure Program (install grab rails, shower hoses, door bells) and Home Help
Individualised care and lifestyle considerations
Monitor for elder abuse.
Work in teams or with teams of service providers.
Considerations from an OT perspective for forensic clients
Regular risk assessment and management
Meaningful occupation: interests, expression through art
Activities in the community
Establish daily and weekly routines
Social networks: support to link with positive networks free from criminal behaviour
Monitor alcohol and substance use»_space; substance use will impact on rapport & therapeutic alliance due to legal requirements
Four broad categories of mental health problems that are likely to impact on work:
general symptoms of mental ill health e.g. irritability and sleep problems
common mental disorders like anxiety and depression
severe mental illness such as schizophrenia, bipolar disorder or severe depression
stigma
Some approaches (4) for vocational rehabilitation/intervention
Individual placement and support model
transitional employment
clubhouse model
sheltered employment
Conceptual framework for ACE
Adverse childhood experience social/emotional/cognitive impact health-risk behaviours disease/disability/social death
adulthood attachment styles (perception of self/perception of others)
secure ++
preoccupied -+
dismissing +-
fearful –
