Week 12 Tute - Depression

Question 1

OT role in mental health

Answer 1

• Broader perspectives
• Consider functional and role-related approaches and consequences
• Focus on different treatment approaches and goals
• Use different measurements
• Distinctive OT lens we bring to mental health

Question 2

MOHO: What do we need to understand about the person?

Answer 2

• Volition, intrinsic motivation
  >re-motivate process: a continuum from exploration to competency and achievement
• Skills, abilities and strengths
• Personal appraisals of self, and of skills and abilities
• Stress and its management
• Meaningful life roles

Question 3

MOHO: Roles of the person

Answer 3

• Support activities in their daily schedule that are positive (mother/father, worker, student, friend)
• Help them to adapt their responsibilities in order to participate and gain a sense of accomplishment

Question 4

What is behavioural activation?

Answer 4

Principles:
- Increase level of activity
>the more people do, and the more pleasant activities they get involved in, the better they feel
- Uses activity scheduling to encourage patients to approach activities they are avoiding
- Important to not wait until feeling good in order to participate in occupations- do it anyway!
- Mood follows behaviour
- Might need to start small
- People still have to power to make:
>choices that affect their life
>accomplishing even minor tasks is a step towards overcoming depression

Question 5

How do OTs look at routine and structure?

Answer 5

• Talk to client about routine and structuring the day/week

- Identify and replace bad habits/routines with good ones (better sleeping, self-care and eating routines)

Question 6

How do OTs grade activities when it comes to working with people with depression

Answer 6

• Consider the demands of activities that individuals need to want to do
• Use activities with an increased degree of structure, or find ways to increase the structure for an activity
• As the person recovers, the degree of structure can be lessened

Question 7

Grading activities for people with severe depression

Answer 7

• Structured –> unstructured
• Simple –> complex
• Concrete –> abstract
• Brief –> prolonged
• Familiar –> unfamiliar
• Extrinsic motivation –> intrinsic motivation
• No distractions –> distractions
• Therapist selected activity –> client initiated

Question 8

Examples of achievable goals

Answer 8

“Call my son today to wish him well”
“I will get out of bed today, even if I only brush my teeth”

RECOGNISE SUCCESSES

Question 9

What environmental aspects need to be considered?

Answer 9

• Physcial environment
  >where does the person spend most of their day?
  >what sort of sensory input is there in that environment (too little/too much)
• Social environment
  >help the individual identify and draw on social supports (family, friends, community groups)
  >helping the individual to ask for that they need
  >understand cultural beliefs about depression