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Psychosocial Approaches Eval and Int.
Chapter 14
67
Other
Post-Graduate
06/19/2014

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Term
MOHO
Definition
volition (having alternatives), habituation, and performance
environment impacts individual's
evaluation focuses on occupational history, goals, volition, habits, occupational performance
Intervention focuses on occupational engagement purposeful, relevant and meaningful to people
Term
Lifestyle performance model
Definition
a doing environment
match the environment with pt.s needs
Master and competence of society's tasks
Activity has reality based meanings
Mastery and competence are achieved with pleasure
Competence is seen with outcomes
Ten fundamental human needs:
Autonomy, individuality, affiliation, volition, consensual validation, predictability, self-efficacy, adventure, accommodation, reflection.
performance in: self care, intrinsic gratification, service to others and receprocal relationships
Intervention focuses on what will enhance person's life and what are they able and willing to do.
Term
Ecology of Human Performance
Definition
role of individual in their context of environment
across lifespan
constructs include: person, tasks, context, and personal-context-task-transaction
evaluation: checklists, task analysis, priorities checklist, the environment (ie: sensory profile)
Interventions: Establish restore, Alter, Adapt/Modify, prevent, create.
Term
occupational adaptation
Definition
pt. goes through process to adapt to environment
The person, the occupational environment and the interaction between the two.
Evaluation is on occupational environment, role expectation and pt.s' potential for adaptation
Intervention focues on skill for occupational adaptation, the individual and the environment
Term
MOHO
Definition
volition (having alternatives), habituation, and performance
environment impacts individual's
evaluation focuses on occupational history, goals, volition, habits, occupational performance
Intervention focuses on occupational engagement purposeful, relevant and meaningful to people
Term
Lifestyle performance model
Definition
a doing environment
match the environment with pt.s needs
Master and competence of society's tasks
Activity has reality based meanings
Mastery and competence are achieved with pleasure
Competence is seen with outcomes
Ten fundamental human needs:
Autonomy, individuality, affiliation, volition, consensual validation, predictability, self-efficacy, adventure, accommodation, reflection.
performance in: self care, intrinsic gratification, service to others and receprocal relationships
Intervention focuses on what will enhance person's life and what are they able and willing to do.
Term
Ecology of Human Performance
Definition
role of individual in their context of environment
across lifespan
constructs include: person, tasks, context, and personal-context-task-transaction
evaluation: checklists, task analysis, priorities checklist, the environment (ie: sensory profile)
Interventions: Establish restore, Alter, Adapt/Modify, prevent, create.
Term
occupational adaptation
Definition
pt. goes through process to adapt to environment
The person, the occupational environment and the interaction between the two.
Evaluation is on occupational environment, role expectation and pt.s' potential for adaptation
Intervention focues on skill for occupational adaptation, the individual and the environment
Term
role acquisition
Definition
acuisition of specific skills,
Term
Allen's Cognitive Disabilities
Definition
based on Piaget's stages of cognitive development and biological factors
Term
ACL Level 1 - Automatic Actions
Definition
Automatic motor responses and changes in the autonomic nervous system
Conscious response to the external environment
Term
ACL Level II - Postural Actions
Definition
Movement for comfort.
Awareness of large objects and assist with care and simple tasks
Term
ACL Level III - Manual Actions
Definition
Beginning to manipulate objects
Perform a limited number of tasks with repetitive training
Term
ACL Level IV - Goal Directed Actions
Definition
Ability to carry simple tasks to completion
Relies heavily on visual cues
Perform established routines but not unexpected events
Term
ACL Level V - Exploratory Actions
Definition
Overt trial and error problem solving, new learning
20% of the population
Term
ACL Level VI - Planned Actions
Definition
absence of disability
Can think of hypothetical situations and
Do mental trial and error problem solving
Term
The Allen Cognitive Level Screen - 5
Definition
3 increasingly complex leather lacing stitches
Term
Routine Task inventory
Definition
ADL performance
Term
Cognitive Performance test
Definition
For Alzheimer's disease
Term
Intervention for ACL
Definition
Elicit activities at highest level
maintain highest level
environmental changes and activity adaptations
Term
CBT
Definition
effective for depression
can alter distorted reality and dysfunctional thought processes
used with schizophrenia, anxiety, bipolar, panic, OCD, personality, somatoform, eating disorders
change someones negative thinking
Term
Beck Depression Inventory BDI-II
Definition
self completed questionnaireneed training and knowledge in BDI and CBT
Term
Intervention for CBT
Definition
identify current problems
use collaborative process
learn how to identify distorted thinking
gaining insight and acquiring skills for healthy patterns
providing homework
self-monitoring
behavioral techniques (scheduling activities, self-reliance training, role playing, engage in activities, provide meaningful tasks,
Term
DBT
Definition
form of CBT
need diagnosis
get functional performance levels
Intervention: teaches assertiveness, coping, social skills,
Term
ACL Test
Definition
Pt. performs stitching
Level 3 - running stitch
Level 4 - whipstitch
Level 5 - cordovan stitch
Scores 3.0-5.8
Term
Indicators for 1-1 groups
Definition
refusal to attend groups
inability to tolerate group interaction
presence of behaviors that are disruptive
issues that can only be spoken 1-1
Term
Indicators for group intervention
Definition
more cost effective
good for social
Term
Evaluation Groups
Definition
gather information and eval task and interaction skills
helps to establish goals and intervention
Term
Task oriented groups
Definition
Assist members with issues while performing a task
Term
Developmental Groups
Definition
Assist people in social interaction
Term
Parallel groups
Definition
individual tasks within group setting
Term
Project groups
Definition
some interaction with common activities
Term
egocentric cooperative groups
Definition
joint interaction on long term tasks, completion of the task is not finished
Term
cooperative groups
Definition
learn to work together cooperatively to enjoy other's company and meet emotional needs
Term
mature group
Definition
responsive to all members neds and carry out a variety of tasks and good balance
Term
thematic groups
Definition
learning specific skills
Term
topical groups
Definition
discussion of activities and issues outside of group are discussed
Term
instrumental groups
Definition
meeting health needs and maintaining function
Term
considerations for group planning
Definition
demographics, gender, age, culture, ethnicity,cognitive level
Cog. level, functional level, goals, safety issues.
Number of people, length, number of times, space, budget, leaders, frame of reference, etc.
Term
group potocol
Definition
title
purpose
rationale
theoretical base
criteria for membership
goals/anticipated outcomes
method and format
Term
Role of therapist
Definition
materials, facilitates, safety, QA,
Term
Considerations for activity selection
Definition
degree of structure
type and degree of instruction provided
degree of new learning required
complexity of the activity
length of time for completion
nature and degree of skill required for engagement
degree of challenge to members' skills.
Term
Kaplan's group intervention
Definition
Orientation
Introductions
Warm up activities
One or more main activities
Closure and activity to give meaning
Term
Ross's Five stage
Definition
SI,
Orientation
Movement and vigorous stimulating and alerting gross motor activities
Perceptual Motor designed to be calming and focused
Cognitive activities to promote organized thinking
Closure for satisfaction
Term
Hallucinations
Definition
create distraction free environment
perform reality-based activity
use simple concrete activities
redirect w/ reality thinking
Term
Delusions
Definition
Redirect thoughts to reality based
Avoid discussions and experiences that focus on delusional material
Term
Akathisia
Definition
Allow person to move around without causing disruption
select gross motor activities over fine motor or sedentary ones
Term
Offensive behavior
Definition
Set limits
Provide reasons why it's not acceptable in non-judgemental manner
define consequences
remove pt.s and focus on needs of group
Term
lack of initiation / participation
Definition
Identify reasons (skill, attention deficits, depression)
personalize and client centered
succes
fun
positive feedback
food, curiosity
Term
Manic or monopolizing behavior
Definition
design structured activities that hold attention
thank individual for participation
and re-direct to others
Term
Escalating behavior
Definition
Avoid challenging behavior
maintain comfortable distance
actiely listen
use cal nonpatronizeing tone
speaker softer and lower
speak simple, clear
do not communicate value judgements
present clear instruction
avoid feelings of trapped
If these do not work. . . . . .. .
Remove Pt.
Get other staff to help
Term
Alzheimers
Definition
make ey-contact
validate person
be positive and friendly
don't give orders
use short simple words
do not argue
use non-verbal communication
create a routine
grade activities carefully
go slow
attend to safety
Term
Reasons for failure to report abuse or leave situation
Definition
Economic pressure, religious beliefs, feeling of love, believe its deserved, viewed as normal, fear or retailiation, belief things will change, nowhere to go, concern for children, lack of support
Term
Developing a trusting relationship
RADAR
Definition
Routinely ask
Affirm and Ask
Document findings
Assess and Address safety
Review options and referrals

Discuss, stress, safety, fear, abuse, family, friends, support network and emergency plan
provide information and intervention
inform supervisor
mandatory reporting is required
Term
Routinely Ask
Definition
Ask about potential abuse, is first step
Term
Affirm and Ask
Definition
Acknowledge and support person who discloses, ask direct questions to determine risk.
Term
Document
Definition
record client statements and quotes, describe bruises, etc.
Term
Review options and referrals
Definition
Refer person to hotlines, shelters, safe houses, etc.
Term
Psych. Reaction to Disability
Definition
Factors - permanancy, sudden or chronic, appraisal of life, spiritual, support, cultural
Term
Adjustment to Disability
Definition
Active participation in all areas of life
successful negotionation of environment
awareness of strengths and weaknessness
Term
Phases of adjustment to Disability
Definition
Shock
Anxiety
Denial
Depression
Internalized anger
Externalized anger
Acknowledgement
Adjustment
Term
OT intervetnion to Disability
Definition
Focus on what pt. is able to do
Assist is looking at pt.s active roles
provide empowerment
reduction of limitations
adaptation, modification
development of skills
acquistion of resources
Term
Suicide - Identification of Risk
Definition
Are they trying to hurt themself
The degree of detail indicates seriousness
Potential of plan to succeed increases risk
Term
Risk Factors of suicide
Definition
Previous attempt
ansiety depression exhaustion, hopelessness
availability of firearms for example
concern for family members
verbalized it
preparation of a will
life crisis
family history
violence
clinical diagnosis
alcohol and substance abuse
Term
OT intervention
Definition
identify motivation
develop problem solving skills
stress management
positive gal setting
interest identification
recovery motivation
identification of positive attributes
successful activities
physical activities
new skill development
Term
Adjustment to death and dying
Stages
Definition
Denial
Anger
Bargaining
Depression
Acceptance

This may vary
Term
Death and dying interventions
Definition
Maintain control
respond honestly
assist with coping skills
positive life review
make gifts and mementos for others
assist in pursuing interests
actively listen
incorporate family and friends
never deprive of hope
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