Mental Health Concepts and Techniques for the Occupational Therapy Assistant / Edition 5

by Mary Beth Early

Overview

Mental Health Concepts and Techniques for the Occupational Therapy Assistant offers a solid foundation in occupational therapy processes to identify and address the needs of persons with mental health problems. This edition reflects important new developments in basic neuroscience, psychopharmacology, occupational therapy theory, and evaluation and treatment methods, and remains the only text of its kind written specifically for the occupational therapy assistant. New content in this expanded text fulfills criteria set out in the American Occupational Therapy Association's Standards for an Accredited Educational Program for the Occupational Therapy Assistant.

Special Fourth Edition Features-: New Chapter dedicated to the Occupational Therapy Practice Framework. Enhanced Art Program provides more content for visual learners. Chapter Review Questions test comprehension, enabling the reader to advance in the text. Point-of-View boxes offer differing perspectives on key topics. Case Examples provide the bridge from theory to practice. Concepts Summary and Vocabulary Review boxes reinforce the chapter content.

Additional features include ample tables and boxes, which highlight key information, show examples of group protocols and documentation, and list common acronyms. In short, this one text provides the information needed by the occupational therapy assistant working with clients with mental health problems in a variety of clinical or community settings.

About the Author:
Mary Beth Early, M.S., OTR Professor, Occupational Therapy Assistant Program, LaGuardia Community College, City University of New York, New York, New York

Product Details

ISBN-13:	2901496309623
Publisher:	LWW
Publication date:	08/17/2016
Edition description:	Fifth
Pages:	662
Product dimensions:	6.50(w) x 1.50(h) x 9.50(d)

Table of Contents

Preface     v
Acknowledgments     vii
List of Figures     xiii
List of Tables     xv
List of Boxes     xvii
History and Theory
History and Basic Concepts     2
Mental Health and Mental Illness     3
Relation of Occupation to Mental Health     4
Historical Understanding     4
The Role of the Occupational Therapy Assistant     10
Medical and Psychological Models of Mental Health and Illness     20
Theory of Object Relations     21
Developmental Theory     26
Behavioral Theories     30
Cognitive-Behavioral Therapy     33
Client-Centered Therapy     38
Neuroscience Theories     41
Psychiatric Rehabilitation     44
Some Practice Models for Occupational Therapy in Mental Health     52
Development of Adaptive Skills     54
Role Acquisition and Social Skills Training     59
Psychoeducation     71
Sensory Integration     76
Cognitive Disabilities     82
The Model of Human Occupation     93
The Occupational Therapy Practice Framework     106
Structure of the Occupational TherapyPractice Framework     108
Thinking About Mental Health Practice     108
Concepts Relevant to Mental Health Practice     112
Mental Health Theories and Occupational Therapy Practice Models     118
Human Occupation and Mental Health Throughout the Life Span     123
Motivation Toward Occupation     124
Changes in Occupation over the Life Span     125
Mental Health Factors Throughout the Life Span     129
Context
Understanding Psychiatric Diagnosis: The DSM-IV-TR     146
Psychiatric Diagnosis: An Evolving Science     147
The Diagnostic Categories of the DSM-IV-TR     151
Applications of DSM-IV-TR Diagnoses to Occupational Therapy     174
Comorbidity     176
DSM-V: Plans and Potential     176
Contexts of Intervention, Service, and Care     182
The Scope of Patients, Clients, and Consumers     183
The Scope of Settings     185
Inpatient Settings     186
Outpatient Settings     192
Consumer-Operated Programs     195
Other Community Programs     199
Home Health Care     201
Community Residences     202
Settings for Children and Adolescents      203
Environmental Concepts     204
Additional Theories and Practice Models     208
Psychotropic Medications and Other Biological Treatments     216
Psychotropic Medications     217
Other Biological Treatments     230
Herbal and Alternative Therapies     231
Who Is the Consumer?     234
Populations by Age Group     235
Family Members     240
Family Caregivers     242
Cultural Difference     243
Social Problems-Ending the Cycle of Violence     250
Medical Problems and Physical Disabilities     252
Understanding and Supporting Recovery     257
Interacting with Patients and Consumers
Therapeutic Use of Self     264
The Therapeutic Relationship     265
Stages in the Therapeutic Relationship     266
Roles in the Therapeutic Relationship     266
Therapeutic Qualities     268
Developing Therapeutic Qualities     270
Techniques for Relating to Patients     272
Issues That Arise in Therapeutic Relationships     274
Ethics     277
Ending the Therapeutic Relationship     280
Responding to Symptoms and Behaviors      284
A Framework of Concepts About Symptoms     285
Response Variables     288
Response Strategies     289
Self-Monitoring for Self-Mastery of Symptoms     318
Safety Techniques     324
Universal Precautions     325
Controlling the Environment     327
Medical Emergencies and First Aid     330
Psychiatric Emergencies     331
Teaching Consumers About Safety     335
Modifying Environments to Enhance Safety     335
Group Concepts and Techniques     339
Definition and Purpose of Group Treatment     340
Group Dynamics: Review of Basic Concepts     341
Development of Group Skills     346
How Therapy Groups Are Different from Other Groups     348
Role of the Leader in an Activity Group     349
Program Development     357
Starting a New Group     365
Adaptations of Groups for Very Regressed Individuals     365
Other models for Groups     369
Program Evaluation     369
Occupational Therapy Process
Overview of the Intervention Process     376
Occupational Therapy Practice Framework: Process     377
Eight Stages in the Intervention Process      378
A Holistic Perspective-A Dynamic Process     387
Theory and the Occupational Therapy Process     388
Clinical Reasoning     389
Evidence-Based Practice     392
Evaluation and Data Collection     397
Definition and Purpose of Evaluation     398
Assets and Deficits     399
Concepts Central to the Evaluation Process     399
Areas for Data Collection     403
Roles of the OT and the OTA     403
The OTA's Methods of Data Collection     405
Concepts Related to Assessment and Measurement     413
Some Assessments Suitable for OTA Administration     414
The Performance Context for Evaluation     428
Documentation and Communication of Evaluation Data     428
Treatment and Intervention Planning     434
Treatment Planning in Psychiatry     435
Using Practice Models to Apply Clinical Reasoning in Planning     437
Steps in Intervention Planning     437
Partnership with the Client or Consumer     439
General Goals of Psychiatric Occupational Therapy     441
How to Write an Intervention Goal     442
Selecting Appropriate Intervention Principles      449
Selecting Intervention Methods     450
Implementing and Monitoring Interventions and Modifying the Plan     452
Outcome Assessment     452
Continuity of Care Across Settings     452
Quality Assurance     453
Continuous Quality Improvement     454
Medical Records and Documentation     458
Purpose and Uses of Medical Records     459
Types of Records     460
Documentation of Occupational Therapy Services     462
Essential Content for Occupational Therapy Notes     468
Specific Types of Documentation     469
Documentation Review and Quality Assurance     481
Occupational Therapy Methods
Activities of Daily Living     484
Factors in Learning and Using Skills     485
Daily Living Activities (Basic and Instrumental)     487
Practice, Repetition, and Habit Development     502
Education and Work     506
Education     507
Work     512
Leisure and Social Participation     527
Leisure Exploration     528
Leisure Performance     529
Leisure Activities     530
Social Participation     533
Management of Emotional Needs: Self-Awareness Skills and Coping Strategies     537
Needs     538
Occupational Therapy's Domain of Concern     538
Self-Awareness     541
Issues Related to Engagement in Occupation     542
Self-Management Skills     544
Cognitive, Sensory, and Motor Factors: Performance Skills and Activities     554
Cognitive Factors     555
Sensory and Motor Factors     559
Analyzing, Adapting, and Grading Activities     566
Selection of Activities     567
Analysis of Activities     567
Adaptation of Activity     568
Gradation of Activity     572
Activity Analysis Based on Theory: Cognitive Disabilities     575
Dynamic Performance Analysis     579
Analysis: An Ongoing Process     579
Professional Development
Supervision     584
Functions and Definition of Supervision     585
Goals of Supervision     585
Responsibilities of the Supervisor     588
Responsibilities of the Supervisee     589
Factors Affecting Communication in Supervision     591
The Supervisory Contract     593
Getting the Most from Supervision      593
Resolving Conflicts in Supervision     595
Emerging Models of Supervision     595
Becoming a Supervisor     596
Organizing Yourself     602
Priorities     603
Scheduling     604
Paperwork     606
The Electronic Revolution: Myths and Reality     607
Management of Supplies and Equipment     609
Organizing Space     611
Delegating     613
Case Examples
A 21-Year-Old Woman with Depression     616
A 72-Year-Old Woman with Alzheimer's Disease     617
A 54-Year-Old Woman with Schizophrenia, Paranoid Type     619
A 22-Year-Old Man with Chronic Schizophrenia and Mild Mental Retardation     620
A 30-Year-Old Man with Bipolar I Disorder     622
A 22-Year-Old Woman with Polysubstance Dependence and Dependent Personality Disorder     625
A 37-Year-Old Man with Alcohol Dependence Disorder     627
A 21-Year-Old Woman with Cocaine Dependence, Polysubstance Abuse, Bulimia, and Borderline Personality Disorder     629
A 12-Year-Old Boy with Attention Deficit-Hyperactivity Disorder and Oppositional Defiant Disorder     631
Sample Group Protocols
Homemaker's Management Group     633
Family Recreation Skills      634
Adolescent Cooking Group     635
Dementia Cooking Group     635
Managing Work-Related Stress     636
The Green Team (Horticulture Clubhouse Group)     637
Index     639

Editorial Reviews

A textbook for the student of occupational therapy, providing the basic foundation for dealing with patients who have mental health problems. Assumes previous courses in human growth and development, group process, and crafts and other popular occupational therapy activities. The date of the first edition is not noted. Annotation c. Book News, Inc., Portland, OR (booknews.com)

Booknews