AOTA Pediatrics and Adolescent Mental Health Flashcards
describe sensory integration
adaptive repsonse occurs in optimal arounsal states and are prerequistite to senosry integration; use of just right challenge
intervention is directed to underlying deficits in sensory modulation, discrimination, and integration and to foundational abilities
design therapeutic environment ot tap into child’s inner drive to play
describe the PEO model
person, environment, occupation and occupational performance.
family centered approach; consider skills, abilities, task, and activities that re meaningful to child and envfiornments where ocupational engaement occurs
recognize infljuence of culture adn values in implementing evaluation process
describe the MOHO model
works on basis of volition, habituation and environment.
use of self assessments and volutional questionnaires.
persons desire to particpate in certain ocucpations, which help them become internally ready to demonstrate consistent patterns of behavior.
describe the ocupational adaptation model
person, occupational environment and interaction between person and ocucpational environment.
must understand person and occupational enviornment wiht desired outcomes.
use of occupational readiness and activities.
describe the ecology of human performance model
person is composed of sensorimotor, cognitive, and psychosocial skills
demands of task determine whichi specific behaviors the person wil need to particpiate successfully
dynamic relationship exist between children and context
identify what child needs and wants to do
use of create/prmote, establish/restore, alter, modify, and prevent.
describe the response to intervention approach
tier 1 - assisting in schoolwide prevention efforts, coolab with school personnel to create positive enviornments and observing all children’s behaviors
tier 2 - developing and running prograsm for at risk students and consulting with teachers to modify learning demands for at risk students
tier 3 - providing indivudla or group intervention for students with mental health concerns and collaborating with school-based mental health providers.
describe some cognitive-behavioral therapy strats
psychoeducation - educate child and family about disorder
affective education - teach skills to identify and recognize emotions and influences on emotions
cognitive resturcturing - teach skills to recognize faulty or anxious thinking
relaxation training -teach rpogress muscle relaxation techniques, deep breathing and guided imagery
exposure to fears and contingency management - provide exposure ivnovlving gradual introduction of feared events and rewards for brave behavior.
how does autism impact function
impairments in communcation, social skills, and performance in most activities.
difficulties in adl/iadl performance, play and ability to study/work
failure to develop speech or failure to use speech functionally
impaired social interactions
describe treatment and implications on autism for OTs
behavioral intervention
early intervention services
behavioral and sensory integration intervention may be most efective
interventions fcus on self-care and communication, emphasizing motivation and attention to task
describe asperger syndrome
qualitative impairment in social interaction
marked impairment in use of mutiple nonverbal behaviors
failure to develop peer relationships appropriate to devleopmental level
loack of spontaneous seeking to share enjoyment, interest or achievements
lack of social or emotional reciprocity
restrticted repetitive and stereotyped patterns of behavior, interest and activities
inflexible adherence to specifif,c nofunctional routines or rituals
describe interventions for asperger syndrome
behavioral analysis that leads to using positive or negative consequences social skills training consisten routines transition preparations reducing distractions planned breaks
describe depression
symptoms - irritability, anhedonia, unintentional weight loss or gain, insomnia or hypersomnia, psychomotor agiktation or retardation, fatgieu, feelings of guilt or worhtlessness, poor concentration
how does depression impact function
school and social dysfunction, inabilty to participate in leisure, adl and iadl activities
cognitive impact
slowed or increaed psychomotor activiti
describe treatment for dperession
pharmacological tratment
electroconvulsive threapy
psychotherapy and cognitive therapy
describe interventions for depression
opportunities for self-expression social skills training eliminate decision making offer simple, structured, familiar task encourage daily routines invite participation, but do not force it. just right challenge
