Occupational Therapy and Mental Health
Casey Walker Priscilla Flores Enrique Rivera
Living Life to Its Fullest
OCCUPATIONAL THERAPY
Occupational Therapy ď‚—
Addressing the desires of individual clients to participate in the meaningful occupations they want and need to do
Occupations ď‚—
Occupations are meaningful daily activities that individuals want and need to do.
ď‚—
Occupational therapists help individuals achieve success in these occupations though the use of therapeutic activities.
Occupational Therapy
Client-Centered Holistic Evidence-based
Settings Mental Health Facilities Pediatric Clinics School District Outpatient Rehabilitation Clinics Inpatient Hospitals Home-based Therapy Acute Care Hospitals Skilled Nursing Facilities
Areas of Focus Children Healthy Living Building Life Skills Disability and Rehabilitation Work Related Mental Health Aging
Diagnoses
Autism Developmental Delay Cerebral Palsy Multiple Sclerosis Parkinson’s Spinal Cord Injuries Traumatic Brain Injuries Down Syndrome
Arthritis Muscular Dystrophy Cancer Stroke Depression Anxiety Mood disorders Schizophrenia
OCCUPATIONAL THERAPY AND MENTAL HEALTH
History Much of occupational therapy’s history is in mental health Moved from rehabilitation to community based practice First seen in 18th century in the Moral Treatment movement in asylums Engaged client participation in activities to facilitate a better quality of life
Mental Health
EMERGING PRACTICE
OT in Transitions Occupational therapists work with clients across the lifespan Transitional Areas
◦ Young adults with disabilities moving out of the public school system ◦ Older adults moving out of work force and into retirement ◦ Mental Health: Community Re-entry
Goal: Help individuals live a productive life
Exposures
Abuse Neglect Emotional Trauma
OT Role
Sensory Processing Self-Regulation Facilitate occupation ◦ PLAY
Children
Exposures
Social Pressure Cyber-bullying Cutting Promiscuity
OT Roles
Identify Sensory Seekers Facilitate Stress Management Promote Self-Esteem Instruct Life skills
Adolescents
Exposures & Conditions
OT Roles
Addiction Psychological Diagnoses Emotional Distress Traumatic Life Events Sandwich Generation
ADLs IADLs Life Skills Vocational Skills Stress Management Promote Self-Esteem Emotional Regulation Social Participation Medication Management Community Involvement Self Advocacy Money Management
Adults
Conditions
OT Role
Depression Cognition Deficits Dementia Alzheimer's Physical Deficits Social Isolation Psychological Diagnoses
Sequencing Memory Finding purpose Adaptation & Remediation to Life Skills Promote Social Participation Engagement in Community Driving Assessments
Older Adults
WHAT MAKES OT DIFFERENT
Multidisciplinary Approach How OT Enhances MH Work together to provide the best possible care to the client Enhance MH therapeutic interventions Prepare clients for community re-entry Prevention of relapse by promotion of life skills and independent living
Activities & Problem-Solving
ADLs & IADLs ◦ ◦ ◦ ◦ ◦
Remediate Adapt Teach Model Educate
Life Skills ◦ ◦ ◦ ◦ ◦ ◦ ◦
Cooking Menu Planning Shopping Job Searching Resume Writing Navigation of the bus system Finding volunteer opportunities
Diagnoses In Mental Health
Pervasive Development Disorders Attention and Disruptive Behavior Disorders Intellectual Disabilities Eating Disorders Personality Disorders Mood Disorders Anxiety Disorders Schizophrenia Substance-Related Disorders Co-Occurring Disorders Dementia
Diminished Quality Of Life
OT Interventions Supporting MH
Impaired Abilities In:
Support System to Maintain Treatment Effectiveness
◦ ADLs
Planning for Client’s Cognitive & Functional Impairments
◦ IADLs
Cognitive-Based Therapy Problem-Solving
◦ Rest & Sleep
◦ Education
◦ Work
◦ Leisure
◦ Social Participation
Decision-Making Coping Life Skills
Self-Esteem Self-Advocacy Promote Participation in Occupations
Supportive Employment Social Skills Training Family Interventions
Motivational Interviewing
Dialectical Behavioral Therapy
Co-Occurring Disorders
Gary & Martina
CASE STUDIES
OUR EXPERIENCES
My First OT Intervention in MH
Methodology: I. II. III. IV.
Awareness of population Client-centered Evidence-based practice Application: Person-environment-occupation model (PEO)
Activity: ‘Planting a Seed for Hope’
◦ Cognitive Behavioral Therapy (CBT) approach
Meaningful and purposeful activity Freedom of choice Engaging and personalized Positive personal attitudes- making it fun! (Brown, Stoffel, & Munoz, 2008)
References The American Occupational Therapy Association; www.atoa.org Brown, C. & Stoffel,V. C. (2010). Occupational therapy in mental health: A vision for the future. Philadelphia: F.A. Davis.
Contact Nevada OT’s www.aota.org www.nvota.org www.tun.touro.edu