Mental Health Concepts and Techniques for the Occupational Therapy Assistant

by Early, Mary Beth

• ISBN13: 9780781719759
• ISBN10: 0781719755
• Additional ISBN(s): 9780781778398
• Edition: 3rd
• Format: Hardcover
• Copyright: 1999-12-03
• Publisher: LWW
• More Book Details
• Purchase Benefits

Summary

The Third Edition of this classic text provides the basic foundation for the practice of occupational therapy for persons with mental health problems. This invaluable reference reflects new developments in basic neuroscience, psychopharmacology, occupational therapy theory and treatment methods. The text is written in an engaging, user-friendly style, offering ample tables, group protocols, case studies, and text boxes. In addition to providing information on newer medications such as SSRIs and atypical antipsychotics, this edition offers three additional treatment models: cognitive-behavioral, psychoeducation, and psychiatric rehabilitation. A new chapter on "Who Is the Consumer?" as well as increased information on the applications of DSM-IV diagnoses are covered.

Table of Contents

Preface	v
Acknowledgements	vii
List of Figures	xiii
List of Tables	xv
List of Boxes	xvii
SECTION I HISTORY AND THEORY
History and Basic Concepts	3	(14)
Mental Health and Mental Illness	3	(1)
Relation of Occupation to Mental Health	4	(1)
Occupational Therapy in Mental Health: History and Trends	5	(4)
The Role of the Certified Occupational Therapy Assistant	9	(5)
Summary and Conclusion	14	(3)
Medical and Psychological Models of Mental Health and Illness	17	(28)
Theory of Object Relations	18	(5)
Developmental Theory	23	(3)
Behavioral Theories	26	(4)
Cognitive-Behavioral Therapy	30	(4)
Client-Centered Therapy	34	(3)
Neuroscientific Theories	37	(2)
Psychiatric Rehabilitation	39	(4)
Summary and Conclusion	43	(2)
Some Practice Models for Occupational Therapy in Mental Health	45	(42)
Development of Adaptive Skills	47	(5)
Role Acquisition and Social Skills Training	52	(11)
Psychoeducation	63	(5)
Sensory Integration	68	(6)
Cognitive Disabilities	74	(10)
Summary and Conclusion	84	(3)
The Model of Human Occupation	87	(16)
Basic Concepts	87	(1)
An Open and Dynamic Systems Model	87	(2)
Occupational Behavior As an Energetic Exchange Among Individual, Task, and Environment	89	(1)
The Self-Organizing Nature of Occupational Behavior	89	(2)
Volition Subsystem	91	(2)
Mind-Brain-Body Performance Subsystem	93	(1)
Interaction Among the Subsystems	94	(1)
The Environment	95	(3)
Human Occupation in Relation to Other Practice Models	98	(5)
Human Occupation and Mental health Throughout the Life Span	103	(22)
Motivation Toward Occupation	103	(1)
Changes in Occupation Over the Life Span	104	(3)
Later Adulthood	107	(1)
Summary	108	(1)
Mental Health Factors Throughout the Life Span	108	(12)
Summary and Conclusion	120	(5)
SECTION II CONTEXT
Understanding Psychiatric Diagnosis: The DSM-IV	125	(24)
Psychiatric Diagnosis: An Evolving Science	125	(2)
The Diagnostic Categories of DSM-IV	127	(19)
Applications of DSM-IV Diagnoses to Occupational Therapy	146	(1)
Summary and Conclusion	147	(2)
Treatment Settings	149	(32)
The Scope of Patients, Clients, and Consumers	149	(1)
The Scope of Settings	150	(1)
Inpatient Settings	151	(8)
Outpatient Settings	159	(5)
Home Health Care	164	(1)
Community Residences	165	(1)
Environmental Concepts	166	(4)
Additional Treatment Theories and Practice Models	170	(6)
Summary	176	(5)
Psychotropic Medications and Other Biological Treatments	181	(14)
Psychotropic Medications	181	(8)
Other Biological Treatments	189	(3)
Summary	192	(3)
Who is the Consumer?	195	(24)
Populations by Age Group	195	(5)
Family Members	200	(2)
Family Caregivers	202	(3)
Cultural Difference	205	(1)
Populations in Economic Distress	206	(3)
Medical Problems and Physical Disabilities	209	(4)
Summary	213	(6)
SECTION III INTERACTING WITH PATIENTS
Therapeutic Use of Self	219	(16)
Roles in the Therapeutic Relationship	220	(1)
Therapeutic Qualities	221	(3)
Developing Therapeutic Qualities	224	(1)
Techniques for Relating to Patients	225	(2)
Issues That Arise in Therapeutic Relationships	227	(2)
Ethics	229	(3)
Ending the Therapeutic Relationship	232	(1)
Summary	232	(3)
Responding to Symptoms and Behaviors	235	(36)
A Framework of Concepts About Symptoms	235	(3)
Response Variables	238	(1)
Response Strategies	239	(28)
Summary and Conclusion	267	(4)
Safety Techniques	271	(14)
Universal Precautions	271	(3)
Controlling the Environment	274	(3)
Medical Emergencies and First Aid	277	(3)
Psychiatric Emergencies	280	(3)
Teaching Consumers About Safety	283	(1)
Summary and Conclusion	283	(2)
Group Concepts and Techniques	285	(36)
Definition and Purpose of Group Treatment	285	(1)
Group Dynamics: Review of Basic Concepts	286	(7)
Development of Group Skills	293	(2)
How Therapy Groups Are Different From Other Groups	295	(1)
Role of the Leader in an Activity Group	295	(8)
Program Development	303	(8)
Starting a New Group	311	(3)
Adaptations of Groups for Very Regressed Individuals	314	(1)
Other Models for Groups	315	(1)
Program Evaluation	315	(1)
Summary and Conclusion	316	(5)
SECTION IV OCCUPATIONAL THERAPY PROCESS
Overview of the Intervention Process	321	(14)
Eight Stages in the Intervention Process	321	(8)
A Holistic Perpective	329	(1)
How Theory Relates to the Occupational Therapy Process	329	(1)
Clinical Reasoning	330	(3)
Summary and Conclusion	333	(2)
Data Collection and Evaluation	335	(30)
Definition and Purpose of Evaluation	335	(1)
Assets and Deficits	336	(1)
Concepts Central to the Evaluation Process	337	(2)
Roles of the Registered Occupational Therapist and the Certified Occupational Therapy Assistant	339	(2)
The COTA's Methods and Areas of Data Collection	341	(1)
Review of Medical Records	341	(1)
Interviewing	342	(3)
Observation	345	(6)
Structured Assessments	351	(10)
The Performance Context for Evaluation	361	(1)
Documentation and Communication of Evaluation Data	361	(1)
Summary and Conclusion	362	(3)
Treatment Planning	365	(22)
Treatment Planning in Psychiatry	366	(1)
Using Practice Models to Apply Clinical Reasoning in Treatment Planning	367	(1)
Steps in Treatment Planning	368	(2)
Partnership with the Client or Consumer	370	(1)
General Goals of Psychiatric Occupational Therapy	371	(4)
How to Write a Treatment Goal	375	(3)
Identifying Treatment Principles	378	(1)
Selecting Treatment Methods	379	(2)
Implementing and Monitoring Treatment and Modifying the Plan	381	(1)
Continuity of Care Across Settings	381	(1)
Quality Assurance	381	(3)
Continuous Quality Improvement	384	(1)
Summary and Conclusion	384	(3)
Medical Records and Documentation	387	(28)
Purpose and Uses of Medical Records	387	(2)
Types of Records	389	(1)
Documentation of Occupational Therapy Services	390	(6)
Essential Content for Occupational Therapy Notes	396	(2)
Specific Types of Documentation	398	(11)
Documentation Review	409	(1)
Summary and Conclusion	409	(6)
SECTION V OCCUPATIONAL THERAPY METHODS
Activities of Daily Living	415	(16)
Daily Living Skills	417	(11)
Summary and Conclusion	428	(3)
Work, Homemaking, and Child Care	431	(18)
Vocational Activities	431	(11)
Educational Activities	442	(1)
Home Management and Caregiver Skills	443	(2)
Summary and Conclusion	445	(4)
Leisure Skills	449	(8)
Leisure Exploration	449	(1)
Leisure Planning	450	(1)
Leisure Activities	451	(4)
Summary and Conclusion	455	(2)
Psychosocial Skills and Psychological Components	457	(14)
Needs and Their Relationship to Psychosocial Skills and Psychological Components	457	(2)
Occupational Therapy's Domain of Concern	459	(1)
Performance Components and the Roles of Occupational Therapy Practitioners	460	(1)
Psychological Components	461	(1)
Social Skills and Components	461	(3)
Self-Management Skills	464	(5)
Summary and Conclusion	469	(2)
Cognitive and Sensorimotor Activities	471	(8)
Cognitive Integration and Cognitive Components	471	(4)
Sensorimotor Components	475	(2)
Summary and Conclusion	477	(2)
Analyzing, Adapting, and Grading Activities	479	(18)
Selection of Activities	479	(1)
Analysis of Activities	480	(1)
Adaptation of Activity	481	(4)
Gradation of Activity	485	(3)
Activity Analysis Based on Theory: Cognitive Disabilities	488	(4)
Analysis: An Ongoing Process	492	(1)
Summary and Conclusion	492	(5)
SECTION VI PROFESSIONAL DEVELOPMENT
Supervision	497	(16)
Definition and Functions of Supervision	497	(1)
Goals of Supervision	498	(3)
Responsibilities of the Supervisor	501	(3)
Factors Affecting Communication in Supervision	504	(1)
The Supervisory Contract	505	(1)
Getting the Most From Supervision	506	(1)
Resolving Conflicts in Supervision	506	(2)
Emerging Models of Supervision	508	(1)
Becoming a Supervisor	508	(3)
Summary and Conclusion	511	(2)
Organizing Yourself	513	(32)
Priorities	513	(1)
Scheduling	514	(2)
Paperwork	516	(1)
The Electronic Revolution: Myths and Reality	517	(1)
Management of Supplies and Equipment	518	(1)
Organizing Space	519	(2)
Delegating	521	(1)
Summary and Conclusion	521	(2)
APPENDICES
Appendix A: Case Examples	523	(18)
Case 1: A 21-Year-Old Woman with Depression	523	(1)
Case 2: A 72-Year-Old Woman with Alzheimer's Disease	524	(2)
Case 3: A 54-Year-Old Woman with Schizophrenia, Paranoid Type	526	(1)
Case 4: A 22-Year-Old Man with Chronic Schizophrenia and Mild Mental Retardation	527	(2)
Case 5: A 30-Year-Old Man with Bipolar I Disorder	529	(3)
Case 6: A 22-Year-Old Woman with Polysubstance Dependence and Dependent Personality Disorder	532	(2)
Case 7: A 37-Year-Old Man with Alcohol Dependence Disorder	534	(2)
Case 8: A 21-Year-Old Woman with Cocaine Dependence, Polysubstance Abuse, Bulimia, and Borderline Personality Disorder	536	(3)
Case 9: A 12-Year-Old Boy with Attention Deficit-Hyperactivity Disorder and Oppositional Defiant Disorder	539	(2)
Appendix B: Sample Group Protocols	541	(4)
Homemaker's Management Group	541	(1)
Family Recreation Skills	542	(1)
Adolescent Cooking Group	542	(1)
Dementia Cooking Group	543	(2)
Index	545