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Client-Centered Occupational Therapy Interviewing – Flashcards

Edwin Holland

7 July 2022

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Client-Centered Practice:

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Resembles Carl Roger's "person-centered" therapy approach

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Client-Centered Practice:

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Client seeks the advice for life management

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Client-Centered Practice:

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Intended to be holistic & global

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Client-Centered Practice:

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Collaborative partnership

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Client-Centered Practice:

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Empowerement is key

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Therapist cannot be the instrument of change, only the __________

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facilitator

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Client-Centered Practice in Psychosocial Tx

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Ultimate relevance of the client's perspective on problems

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Six Principles of Client-Centered Practice:

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The client is capable of choice

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Six Principles of Client-Centered Practice:

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Flexibility & individualized approach

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Six Principles of Client-Centered Practice:

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The therapist's role as enabler:Therapist shares power and empowers client

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Six Principles of Client-Centered Practice:

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Success measured by client's attainment of goals: Client sets own priorities

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Six Principles of Client-Centered Practice:

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Need for contextual congruence: Interventions have meaning in client's own life settings

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Six Principles of Client-Centered Practice:

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Client readiness to use therapist expertise

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Dyadic Interaction Skill—Mosey:

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"Ability to engage in meaningful interactions with another individual"

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Dyadic Interaction Skill—Mosey:

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Variety increases with maturity

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Dyadic Interaction Skills: The ability to enter into trusting familial relationships

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8 to 10 months

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Dyadic Interaction Skills: The ability to enter into association relationships

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3 to 5 years

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Dyadic Interaction Skills: The ability to interact in an authority relationship

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5 to 7 years

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Dyadic Interaction Skills: The ability to interact in a "chum" relationship

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10 to 14 years

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The Helping Interview:

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A client-centered approach to learning about the client's perspective on the problems for which he or she seeks •Facilitating deeper self-understanding of the problems •Exploring the choices for action

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The Helping Interview:

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Requires professional training & practice

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The Helping Interview: Goal

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Establish rapport: Enable client to define, understand & solve problems with occupational functioning

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Interviewing:

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Select a place for the interview, which respects the client's need for privacy & lack of interruption.

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Interviewing:

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Set aside a pre-arranged amount of time for the interview: Give the client your full attention during that time.

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Basic Guidelines: Convey a healing attitude:

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Convey a healing attitude ~Demonstrate interest, respect, genuineness, acceptance & positive regard, and a willingness to listen.

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Basic Guidelines::

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Be confident in your professional knowledge, skill, experience, information & resources. •Don't hide behind a position of authority

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Basic Guidelines:

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Ask questions that encourage the client to elaborate & do not imply bias.

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Basic Guidelines:

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Remain in the role of facilitator: Do not rush to solve the client's problem for him or her

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Basic Guidelines:

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Do not assume that changing behavior is easy

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Basic Guidelines:

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Be sure you understand all the parts of a problem before suggesting a solution

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Types of Interviews in OT: Initial Admission to Treatment interview-

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Identifying data gathered

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Types of Interviews in OT: Initial Admission to Treatment interview-

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History & referral questions

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Types of Interviews in OT: Initial Admission to Treatment interview-

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Build rapport & trust

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Types of Interviews in OT: Initial Admission to Treatment interview-

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May involve informal screenings or assessments

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OT Interviews:

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Structured interview: Specific questions asked Typical Goal in Mind: such as, level of cognitive functioning

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Semi-structured interview:

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General topic areas or questions given ◦Intended to guide the therapist when interviewing ◦(eg, the Occupational History Interview)

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Open-ended interview:

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~Questions & format determined by the therapist ◦Used during interventions to solve emerging problems ◦Re-evaluate a changing situation

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