Psychosocial Occupational Therapy : A Clinical Practice

by Cara, Elizabeth; MacRae, Anne

• ISBN13: 9781401812324
• ISBN10: 1401812325
• Edition: 2nd
• Format: Paperback
• Copyright: 2004-07-16
• Publisher: Cengage Learning

Summary

An excellent resource for coursework in psychosocial occupational therapy, this revised edition focuses on the clinical applications of psychosocial occupational therapy to prepare the reader for working with actual clients in real-life contexts. With a novice friendly approach focusing on diagnosis, this book is filled with case illustrations to demonstrate therapy in clinical practice. Current issues with a clinical focus have been contributed by experts in the field and include an international perspective. Keeping current with developments in the profession, extensive revisions and reorganization reflect the recent Occupational Therapy Practice Framework (AOTA, 2002). Chapters have been reorganized to reflect the long-standing value placed on treating the whole person. This reorganization mirrors the general trend in psychiatry and mental health to intervene more aggressively using medicine and assessments, to evaluate and treat more briefly, to focus on function, and to use community settings. Thoroughly revised and restructured, this text is an important addition to any occupational therapy library. New to the Edition: Reorganized into seven sections on the mental health context, theoretical concepts, diagnosis and dysfunction, mental health across the lifespan, mental health with physical disorders, occupational therapy intervention in mental health, expanded roles for occupational therapists in mental health, and clinically related roles to better reflect clinical practice. New chapter on assessment including an overview of the evaluation process, observation, and interview techniques. New, separate chapters on mental health of children, mental health of adolescents, and mental health of the elderly provide more detailed information for each of these populations. Includes a new chapter on environmental and cultural considerations.

Author Biography

Elizabeth Cara, PhD, OTR/L, MFT: Associate Professor, San Jose State University, California Anne MacRae, PhD, OTR/L: Professor, San Jose State University, California

Table of Contents

Preface to Second Edition	p. ix
Preface to First Edition	p. xiii
About the Authors	p. xxiii
Contributors	p. xxv
The Mental Health Context	p. 1
The Client and Family Experience of Mental Illness	p. 3
Introduction	p. 4
The Family Perspective--Who Is the Client?	p. 4
Responses to Mental Illness	p. 10
Conflicts	p. 14
Involvement of Family in the Treatment Regime	p. 16
The Professional Working with Families	p. 20
The Role of Occupational Therapy	p. 22
Advocacy and Support Networking	p. 22
Summary	p. 23
Environmental and Cultural Considerations	p. 26
Introduction	p. 27
Environment	p. 27
Culture	p. 37
Summary	p. 52
Theoretical Concepts	p. 55
The History and Philosophy of Psychosocial Occupational Therapy	p. 57
Introduction	p. 58
Treatment of the Insane before the Twentieth Century	p. 58
The Founding of Occupational Therapy	p. 61
Treatment of Mental Illness in the Twentieth Century	p. 69
The Evolution of Psychosocial Occupational Therapy	p. 71
Summary	p. 75
Theories of Mental Health and Illness	p. 80
Introduction	p. 81
Humanistic Perspective	p. 82
Biological Perspective	p. 86
Psychodynamic Perspective	p. 94
Behavioral Perspective	p. 102
Cognitive Perspective	p. 108
Summary	p. 111
Diagnosis and Dysfunction	p. 117
Psychopathology and The Diagnostic Process	p. 119
Introduction	p. 120
Psychopathology	p. 121
Diagnosis	p. 129
Summary	p. 138
Schizophrenia	p. 140
Introduction	p. 141
Myths and Misconceptions	p. 141
Etiology of Schizophrenia	p. 144
Diagnosis of Schizophrenia	p. 145
Positive Symptomatology	p. 147
Negative Symptomatology	p. 150
Prognosis	p. 151
Interdisciplinary Treatment	p. 152
Occupational Therapy Intervention	p. 155
Summary	p. 158
Mood Disorders	p. 162
Introduction	p. 163
Diagnostic Criteria	p. 163
Causes, Occurrence, and Theories of Mood Disorders	p. 166
Clinical Picture	p. 170
Common Evaluation and Management	p. 173
Occupational Therapy Treatment	p. 176
Summary	p. 189
Anxiety Disorders	p. 193
Introduction	p. 194
Encountering People with Anxiety Disorders: Settings	p. 195
Description of Anxiety Disorders	p. 196
Impact on Daily Functioning	p. 199
DSM-IV Descriptions of Anxiety	p. 199
General Treatment Strategies	p. 204
Occupational Therapy and Self-Management Techniques	p. 209
Summary	p. 230
Personality Disorders	p. 235
Introduction	p. 236
The Personality Continuum and Etiology of Personality Disorders	p. 236
The DSM-IV Personality Disorders	p. 240
Interdisciplinary Assessment and Treatment	p. 249
Occupational Therapy Treatment Interventions	p. 253
Summary	p. 258
Mental Health Across the Lifespan	p. 263
Mental Health of Children	p. 265
Introduction	p. 266
DSM-IV Diagnoses	p. 267
Helpful Concepts for Treating Children	p. 271
Child Settings and Programs	p. 278
Implementing Programming for Children	p. 280
Summary and Current Trends	p. 292
Mental Health of Adolescents	p. 298
Introduction	p. 299
Adolescent Development	p. 300
Diagnoses and Presenting Problems	p. 302
Helpful Concepts for Treating Adolescents	p. 302
Adolescent Settings and Programs	p. 312
Implementing Programs	p. 315
Summary and Current Trends	p. 325
Mental Health of the Older Adult	p. 334
Introduction	p. 335
The Demographics of Aging	p. 335
Psychiatric Diagnosis	p. 336
Mental Health Assessment	p. 340
Occupational Therapy Intervention	p. 345
Summary	p. 353
Mental Health with Physical Disorders	p. 357
Psychosocial Issues in Physical Disability	p. 359
Introduction	p. 360
Occupational Therapy and the International Classification of Functioning	p. 361
Cultural and Societal Factors	p. 362
Concept of Self	p. 364
Models of Adapting to Physical Disability	p. 366
Life Satisfaction and Quality of Life	p. 372
Specific Psychosocial Issues with Select Disabilities	p. 375
Summary	p. 388
The Cognitive, Behavioral, and Psychosocial Sequelae of Brain Injury	p. 394
Introduction	p. 395
Diagnosis and Etiology	p. 396
Prognosis for Recovery	p. 397
Premorbid Psychosocial Factors	p. 401
Cognitive Sequelae following Brain Injury	p. 402
Behavioral Sequelae following Brain Injury	p. 406
Psychosocial Sequelae following Brain Injury	p. 409
Interdisciplinary Assessment and Treatment	p. 411
Occupational Therapy Interventions	p. 419
Summary	p. 419
Psychosocial Aspects of Chronic Pain	p. 423
Introduction	p. 424
Diagnostic Criteria	p. 425
Neurobiological Basis of Pain	p. 427
Mental Attitude	p. 428
Factors in Chronic Pain	p. 430
Multidisciplinary Treatment Approach	p. 436
Specific Occupational Therapy Assessments and Treatment	p. 440
Summary	p. 440
Occupational Therapy and Substance Use Disorders	p. 446
Introduction	p. 447
Diagnostic Criteria	p. 448
Assessment and Intervention for Substance Use	p. 452
Summary	p. 469
Occupational Therapy Intervention in Mental Health	p. 475
Evaluation and Assessment	p. 477
Introduction	p. 478
The Evaluation Process	p. 478
Criteria for Selecting Tools	p. 493
Communicating Evaluation Findings and Intervention Recommendations	p. 498
Other Considerations in Evaluation: Assessment, Screening, and Outcome Evaluations	p. 499
Summary	p. 503
Methods and Interpersonal Strategies	p. 508
Introduction	p. 509
Interpersonal Strategies	p. 510
Occupational Therapy Methods	p. 515
Summary	p. 527
Groups	p. 529
Introduction	p. 530
Overview of Group Therapy	p. 532
Occupational Therapy Groups	p. 549
Summary	p. 563
Expanded Roles for Occupational Therapy in Mental Health	p. 565
Occupational Therapy in the Criminal Justice System	p. 567
Introduction	p. 568
Criminal Justice Settings	p. 569
Clinical Competencies in a Criminal Justice Setting	p. 578
Summary	p. 585
Vocational Programming	p. 591
Introduction	p. 592
History of Work Programming in Occupational Therapy	p. 593
Expanding Roles of Occupational Therapists	p. 595
Implementation of Occupational Therapy Services	p. 597
Summary	p. 616
Case Management	p. 620
Introduction	p. 621
History of Case Management	p. 621
Models of Mental Health Case Management	p. 622
Case Management Service Interventions	p. 625
The Client-Case Manager Relationship	p. 646
Summary	p. 647
Clinically Related Roles	p. 651
Fieldwork Supervision in the Mental Health Setting	p. 653
Introduction	p. 654
Dimensions of Fieldwork Education and Supervision	p. 656
Theoretical Models of Supervision	p. 658
Practical Models and Methods of Supervision	p. 659
Maximizing Learning--Benefiting from Supervision	p. 675
The Transition to Fieldwork Educator or Supervisor	p. 677
Summary	p. 683
Demonstrating Effectiveness in Occupational Therapy	p. 687
Introduction	p. 688
Communication	p. 689
Evidence-Based Practice	p. 690
Documentation	p. 691
Research	p. 696
Promotion	p. 701
Presentation and Publication	p. 703
Summary	p. 704
Psychopharmacology for the Occupational Therapist	p. 711
Resources	p. 719
Glossary	p. 725
Index	p. 735
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