Mental Health 3 Midterm – Flashcards
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mentally ill chemically addicted
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MICA
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is that the substance abuse is so serious it is what needs to be addressed first“Dual – diagnosed”
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CAMI
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occupational alienation,occupational deprivation
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Substance dependency can lead to:
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deterioration in performance may lead to loss of meaningful and satisfying occupational roles (Wilcock, 1998, in Cara & MacRae)
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occupational deprivation
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a loss of meaning that is associated with performance (due to substance abuse)
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occupational alienation
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Case formulation aims to describe a person’s presenting problems and use theory to make explanatory inferences about causes and maintaining factors that can inform interventions.
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Case Formulation
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A. biological formulation, psychological formulation and social formulationB. descriptive formulation, etiological formulation and treatment & prognosis C. formulation psychodynamic formulation, behavioral formulation and cognitive formulation
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Case formulation is a theoretically-based conceptualization of information obtained in a clinical assessment that usually has three components:
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trying to put together everything what happened, why it happened, and why it still exists
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Assessment and case formulation
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Are you trying to change the deficits or build on the skills they already have -more and more there is a push to be more compensatory in your approach in this population
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Problem focused treatment v. strength based treatment
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- make a list for yourself the patients problems and strengths -You may not have time to work on all problems.- Or you may have to work on one problem over anotherThey may be inter-related, is one problem cascading and affecting other problems
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Prioritization of problems
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you want to be client centered so you want to engaged the client and work with their interests
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Client’s interest or identification of problems
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how much its impacting and in a number of ways
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Severity of problems
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destructiveness – to self or othersdisorganization – problems with reality testing or life managementdeviancy – breaking rules,dysphoria – withdrawal of interest dependency – exhibits dependency needs which interfere with independent functioning
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Abrom’s 5-Ds- A way to prioritize problems (highest to lowest)
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-want to have a stimulating room and a room thats calming-you want to have furniture that facilitates the goal of your groups-money comes into play with space
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Treatment Milieu
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. It is the responsibility of the occupational therapy assistant who performs the delegated responsibilities to demonstrate service competency.
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Role of the OTA
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it is the responsibility of occupational therapists and occupational therapy assistants to recognize when supervision is needed and to seek supervision that supports current and advancing levels of competence.
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Supervision of the OTA
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Level 1 – Randomized controlled studiesLevel 2 – Un-randomized controlled studiesLevel 3 – Observational studies with controlsLevel 4 – Observational studies without controls
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Levels of Evidence
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1. Start w/ patient2. Construct a well built clinical question derived from case 3. Select appropriate resource and conduct a search4. Appraise that evidence for its validity & applicability5. Return to the patient6. Evaluate your performance
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Steps in the EBP process
