Week 11: Interventions to Promote Social Participation Flashcards

1
Q

Self Regulartion and Ability to Cope

A
  • Self Regulation (ability to adapt activity level, attention span for activities = effortful control =social competence)
  • Modify Feelings (ability to act on or change feeling to meet personal and interpersonal goals
  • Coping (how a person deals w new or difficult situation
  • The goal of OT (assist the child in identifying coping strategies)
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2
Q

How do we measure competency and Mastery in Self-Regulation and Ability to cope

A

Initially interpreted by caregiver (Look at verbal and non-verbal signals
-As child gets older, needs to develop internal control (need to understand signals, interpret internal/external stimuli, initiate appropriate action/interaction)

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3
Q

Attachment: A Dynamic Interaction of Biology and Environment

A
  • Infants are biologically prepared to participate in interactions with a caregiver
  • Parent/child traits and behaviors interact to determine the quality of attachment
  • Pattens of attachment
  • Children with developmental problems are at a higher risk for attachment
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4
Q

Child abise and neglect

A
  • Federal Child Abuse Prevention and Treatment Act (CAPTA
  • Keeping Children and Families Safe Act of 2003 defines child abuse as: Any recent act or failure to act on the part of a parent or caretaker that results in death, serious physical or emotional harm, sexual abuse, or exploitation, An act or failure to act that presents and imminent risk for serious harm
  • Categories: Neglect, physical abuse, sexual abuse, Medical Neglect, others (developmental and psychosocial outcomes)
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5
Q

Physical and Emotion Abuse: Risk Factors for Child abise

A

Parent: Age, substance abuse, limited coping skills, difficulty interpreting Childs communication, lack of knowledge of child development, history of abuse, unrealistic expectations
Child: Prologed dependency for developmental or medical reasons
-Social isolation, lack of support, Poverty, Culture

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6
Q

Child Neglect: Risk Factors for Child abise

A

Parent: Depression or Mental condition, cognitive limiitations, substance abuse, history of extreme deprivation
Child: Prolonged depency for developmental or medical reasons, “difficult”, temperament, high activity level, displeasing appearance to parent
Environmental: Social isolation, lack of support, poverty, family disorganization

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7
Q

OT Role in Child Abuse and Neglect

A
  • Reporting

- Referral to CPS

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8
Q

Mental Health Factors Affecting Social Participation

A

Developmental profress and occipational performance depend on psychosocial needs

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9
Q

Psychotropic Medication in Children

A
High use in students who receive special education services 
   Responsibilities of the OT
-Know clients meds
-Know expected effects and side effects
-Know precautions
-Report issues to physician
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10
Q

Early childhood Intervention Programs: Practice Environments

A
  • Be aware of high-risk families
  • Mothers with depression or other mental illness
  • Parents who are addicted to drugs
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11
Q

Public School Systems: Practice Environments

A
  • Emotional disturbance is a primary disability category
  • Social skills training can be helpful to psychosocial dysfunction
  • Addressiing psychosocial needs is a part of intervention
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12
Q

Mental Health Services: Practice Environments

A
  • Outpatient MH servises are commonly accessed by kids
  • Often provided by social worker psychologist, psychiatrist,or or liscesnced counselor p
  • Program uses cognitive behavioral, family systems, neurobiological and psychodynamic theories
  • May be…
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13
Q

Residential Treatment Centers: Practice Environments

A

ractice Environments

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14
Q

Juvenile Corrections: P

A
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15
Q

Inpatient Psychological Hospitals: Practice Environments

A

-Hospital admissions

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16
Q

Evaluation

A
  • Begins with Occupational Profile: COPM; Draw a picture of yourself
  • Interview teachers or parents
  • Observe social participation
  • Standardized MeasuresL Social Skills Rating System. SFA, Occupational Therapy Psychosocial Assessment of learning
17
Q

Intervention

A
  • Goals that directly address concerns
  • Developing effective routines
  • Build positive relationship with family and child
  • Working out differences with others
  • Peer Interactions
  • Play
18
Q

General Guidelines for intervention

A
  • Every adult/child interaction is a learning session
  • Intervention begins with the adults consistent enactment of respectfulness and caring toward the child
  • Maing goal of intervention are all persons immediate safety and the continuous improvement of the child ability to make decisions that support successful participation
  • Opportunities for making decisions
  • Adults should impose the least amount of external control needed to maintain safety and promote positive functional behavior
19
Q

Interventions for Social Skills

A
  • Promoting specific social behavior and adherence to social rules
  • Video Modeling: Promotes skill acquisition
  • Social Scrips: Seq of interactions that involve specific verbal routines
  • Power Cards: Using superheroes as models
  • Social stories: Teach social skills
  • Applied Behavior Analysis (ABA)
  • Privacy Circles
20
Q

Intervention to Enhance Social Awareness and Relationships

A

Mind reading
Emotional Charades
-Video Detectives
-Social Autopsies (more for learning disables, ASD, ADHD, to come past problems they have with social skills)

21
Q

Interventions for Self Regulation

A

Enhancing Executive Function: Self-management able to discriminate between appropriate and inappropriate behaviors, monitor and record their own behaviors accurately, and rewards themselves
-Stress Thermometers
-Alert Program: How does your engine run?
Comic Strip COnversation
-Relationship Development Intervention (RDI)

22
Q

Facilitation: Response Options in Intervention

A
  • Observe unobtrusively

- Improve the enviromental supports

23
Q

Monitoring

  • Observe visibly so children are aware of adult presence
  • Express encouragement meant as needed
  • Facilitate children’s problem solving by asking guiding questions
A
24
Q

Gentle Corrections

  • After the environment as needed
  • Remind children of rules, expectation, or new skills that may be used
  • Join the activity and model adaptive behavior
  • Redirect the child to an alternate activity
  • Disciss alternatives to the current behavior
A
25
Q

Moderate Corrections

A

Gice the child a break from the activity through redirection

26
Q

Stron Correction

A

Formal time-out

-Phsycial management of the child ad removal deom the activity or activity area