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Client-Centered Occupational Therapy Interviewing

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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 â—¦Intended to guide the therapist when interviewing â—¦(eg, the Occupational History Interview)
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Open-ended interview:
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~Questions & format determined by the therapist â—¦Used during interventions to solve emerging problems â—¦Re-evaluate a changing situation