W9

Question 0

4 principles of MI

Answer 0

Expression of empathy
Develop discrepancy
Rolling with resistance
Support self-efficacy

Question 1

OT interventions for dual diagnosis

Answer 1

• Needs analysis: motivational interviewing, sensory needs, values , roles, functioning
• Meaningful activity
• skill development
• coping strategies
• relapse preventions
• group psychoeducation
• harm minimization

Question 2

Stages of change model

Answer 2

Pre-contemplation(provide info)
Contemplation (increase ambivalence)
Determination (provide options)
Action (practical strategies)
Maintenance (relapse prevention)
Relapse (avoid demoralization)

Question 3

MI and DD considerations

Answer 3

Low levels of motivation
Severe symptoms
Multiple failed treatments attempts
Poor functional adjustments
Substance used to reduce positive and negative symptoms
Counter transference and negative attitudes of staff
Social stigma
Impaired capacity to make decisions

Question 4

How do we modify MI and DD clients

Answer 4

Target a wider range of behaviors e.g. Treatment compliance
Accommodate cognitive impairment
Explain MI - more directive authoritarian interventions
Emphasis on self efficacy
Avoid excessive focus on negative and despairing statements

Question 5

What are some general OT aspects of working with people with intellectual disability (take home notes)

Answer 5

Avoid assumptions
Take care with standardized assessments
Observations/discussions are important
Build your knowledge about sensory/movement differences 
Understand and support accomodations