Week 5 Lecture Flashcards
name 3 goals of the recovery movement of psychiatric rehabilitation.
- re-establishment of normal roles in the community
- the development of a personal support network
- increased quality of life
name the 2 primary methods used to achieve the ultimate goal of recovery.
- building on the existing strengths of each individual.
- facilitating reintegration into the community
a desire accompanied by confident expectation; the foundation for ongoing recovery from mental illness. even the smallest belief that we can get better, as others have, can fuel the recovery process.
hope
the belief that one has power and control in their life, including their illness; also involves taking responsibility for self and advocating for self and others.
empowerment
what is the goal/role of medications in the treatment of MH conditions?
most ppl with a psychiatric disorder indicate the medications are critical to their success. for many the goal is not to be medication-free, but to take the least amount necessary.
why is support from peers, family, friends, and MH professionals essential to recovery from mental illness?
reduces sense of isolation, increases activity in the community
in order to maximize recovery, it is important to ___ about our illnesses, medications, best treatment practices, available resources, and ourselves and our symptoms so we can gain better control over our illnesses.
education/knowledge
__ __ is often viewed as the conduit to growth in recovery.
self-help
a partnership with one’s higher power; provides hope, solace during their illness, peace and understanding and a source of social support.
spirituality
common for a person’s identity to be significantly impacted by this; increases a sense of purpose and value
employment/meaningful activity
Name some fundamental components of recovery according to SAMHSA.
- hope
- empowerment
- medication/treatment
- support
- education/knowledge
- self-help
- spirituality
- employment/meaningful activity
name 2 challenges of client-centered OT.
- therapists will develop into reflective practitioners.
- develop new skills in areas such as negotiation
Name the 2 types of reasoning that clinical reasoning includes.
theoretical reasoning and practical reasoning
includes evaluation of data, postulates regarding change and procedures for intervention
theoretical reasoning
involves deliberation about what is an appropriate action in a particular case
practical reasoning
name the 5 forms of clinical reasoning according to Maureen Niestadt.
- procedural
- pragmatic
- conditional
- interactive
- narrative
systematic gathering of data, identification of problems, development of hypothesis, focus on client’s disease.
procedural clinical reasoning
considers treatment environment insurance coverage, the therapist’s own knowledge and skills
pragmatic clinical reasoning
involves an ongoing revision of treatment to meet the client’s changing needs
conditional clinical reasoning
deals with how the disease or disability affects the client, focuses on the client as a person and on the therapeutic relationship.
interactive clinical reasoning
deals with the client’s occupational story and focuses on the process of change needed to meet an imagined future.
narrative clinical reasoning
describe the 2 phases to narrative reasoning in OT.
- client and therapist explore the client’s past life story and begin to understand what the events have meant to the client.
- client and therapist begin to make out a story of what could be the future
name the 3 types of narratives.
- restitution narratives
- chaos narratives
- quest narrative
tell a story of the illness as transitory or temporary
restitution narratives
tell a story of a helplessness, in which nothing will get better… no one is in control… there is nothing that can be done.
chaos narrative
the illness experience is described as a challenge or trial, a place to go, a journey.
quest narrative
which drug has the highest levels of addiction in the US?
tobacco (nicotine)
what is the rate of cigarette smoking deaths in the US?
1 out of every 5 deaths per year
T/F - a substance abusing TBI client is at a higher risk of sustaining a second or third brain injury.
true
what does MICA stand for?
mentally ill chemically addicted
a loss of meaning that is associated with performance
occupational alienation
deterioration in performance may lead to loss of meaningful and satisfying occupational roles
occupational deprivation
evaluate the client’s readiness for change in order to select motivational change strategies that match the client’s stage
motivational interview
little or no awareness of the relationship btwn alcohol and drug use and occupational performance problems
precontemplation
some awareness of the relationship btwn alcohol and drug use and occupational performance problems but no attempts made to address the problem.
contemplation
considering some possible ways of changing alcohol and drug use and for improving occupational performance, but has not implemented these strategies.
preparation
implementing some change strategies for reducing alcohol and drug use and for improving occupational performance.
action
addressing how to maintain changes in alcohol and drug use patterns, finding community support networks to augment newly learned coping and relapse prevention skills and how to maintain improved occupational performance.
maintenance
name the 5 stages of readiness for change regarding addiction (motivational interviewing).
- precontemplation
- contemplation
- preparation
- action
- maintenance
returning to drug or alcohol use after a period of maintenance and occupational performance declines.
relapse
describe motivational interventions that match readiness for change at the precontemplation stage.
- strategies that help increase awareness of the drug and alcohol problem and its impact of occupational performance
- self-assessment questionnaires
- eval of occupational habits and dysfunctions
- giving feedback with motivational interviewing techniques.
describe motivational interventions that match readiness for change at the contemplation stage.
-decisional balance exercises to find the pros and cons of using and not using
describe motivational interventions that match readiness for change at the preparation stage.
-exploration of a range of alternatives and community resources
describe motivational interventions that match readiness for change at the action stage.
-CBT approaches and community support networks to learn new coping and relapse prevention skills
not a complete elimination of symptoms and illness, but getting back to a purposeful, satisfying life
recovery
OT often begins with which types of clinical reasoning?
procedural and pragmatic clinical reasoning
OT usually turns into which types of clinical reasoning?
interactive and narrative clinical reasoning
include both MH and substance use management
integrated programs
individualized program based on one illness
disease-specific program
occupational ____ leads to occupational ____.
deprivation, alienation
CAGE questionnaire
used to screen for alcohol abuse
