Mental Health Midterm

Question Answer
Recovery Model Comes out of the consumer movement, and recognizes the need to empower the consumer. Emphasis is on client-centered goals.Key goals: get back to the community, get good quality of life
What is the main goal the the recovery model? The ultimate goal of the recovery movement, and of psychiatric rehabilitation, is the re-establishment of normal roles in the community, the development of a personal support network, and an increased quality of life.
How does the recovery model reach thier goals? building on the existing strengths of each individual, and facilitating reintegration into the community. Mutual support and self-help enhance this goal by adding an emphasis on the individual’s right to direct his or her own affairs
SAMHSA(substance abuse and mental health service association) hope, Empowerment, Medication/Treatment , Support, Education/Knowledge, Self-help, Spirituality ,Employment/Meaningful Activity
William Anthony, Director of the Boston Center for Psychiatric Rehabilitation developed the cornerstone definition of mental health recovery. Recovery with a chronic mental illness its not the removal of all the symptoms. Its really adapting to the illness and finding a way to function and have QOL with the illness.
Person The person incorporates observable occupational performance components (affective, cognitive and physical), as well as social and cultural experiences, and spirituality.
Environment The context in which a person engages in occupational performance
Occupation The “clusters of activities and tasks in which people engage while carrying out various roles.”
Maureen Niestadt (1995) (AJOT 50: 676) identifies 5 forms of clinical reasoning: Procedural, pragmatic, conditional, interactive, narrative
Procedural systematic gathering of data, identification of problems, development of hypothesis, focus on client’s disease.
Pragmatic considers treatment environment insurance coverage, the therapist’s own knowledge and skills
Conditional involves an ongoing revision of treatment to meet the client’s changing needs
Interactive deals with how the disease or disability affects the client, focuses on the client as a person and on the therapeutic relationship
Narrative deals with the client’s occupational story and focuses on the process of change needed to meet an imagined future
Cheryl Mattingly Occupational therapy often begins with a linear form of theoretical reasoning but eventually evolves into a more interactive process, the therapy becomes part of the client’s unfolding story.
Restitution narratives tell a story of the illness as transitory or temporary.Very common with simple orthopedic injury and the client expects to get full recoveryThis is a “bump in the road”
Chaos narratives tell a story of a helplessness, in which nothing will get better…no one is in control…there is nothing that can be done.”
Quest narrative the illness experience is described as a challenge or trial, a place to go, a journey.They talk about getting back to a normal life. More serious illness but the client hopes that they get a full recovery, or at least some sort of recovery.
Occupational Profile provides an understanding of the client's history and experiences, patterns of daily living, interests, values and needs. clinician and client identify the client's problems and concerns about performing and determine priorities
Trombly advised occupational therapists to enact “top–down” evaluations, that is, to first focus on clients' occupational performance issues rather than the underlying occupational performance limitations.

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