Week 5 Lecture

Question 1

name 3 goals of the recovery movement of psychiatric rehabilitation.

Answer 1

1. re-establishment of normal roles in the community
2. the development of a personal support network
3. increased quality of life

Question 2

name the 2 primary methods used to achieve the ultimate goal of recovery.

Answer 2

• building on the existing strengths of each individual.

- facilitating reintegration into the community

Question 3

a desire accompanied by confident expectation; the foundation for ongoing recovery from mental illness. even the smallest belief that we can get better, as others have, can fuel the recovery process.

Answer 3

hope

Question 4

the belief that one has power and control in their life, including their illness; also involves taking responsibility for self and advocating for self and others.

Answer 4

empowerment

Question 5

what is the goal/role of medications in the treatment of MH conditions?

Answer 5

most ppl with a psychiatric disorder indicate the medications are critical to their success. for many the goal is not to be medication-free, but to take the least amount necessary.

Question 6

why is support from peers, family, friends, and MH professionals essential to recovery from mental illness?

Answer 6

reduces sense of isolation, increases activity in the community

Question 7

in order to maximize recovery, it is important to ___ about our illnesses, medications, best treatment practices, available resources, and ourselves and our symptoms so we can gain better control over our illnesses.

Answer 7

education/knowledge

Question 8

__ __ is often viewed as the conduit to growth in recovery.

Answer 8

self-help

Question 9

a partnership with one’s higher power; provides hope, solace during their illness, peace and understanding and a source of social support.

Answer 9

spirituality

Question 10

common for a person’s identity to be significantly impacted by this; increases a sense of purpose and value

Answer 10

employment/meaningful activity

Question 11

Name some fundamental components of recovery according to SAMHSA.

Answer 11

• hope
• empowerment
• medication/treatment
• support
• education/knowledge
• self-help
• spirituality
• employment/meaningful activity

Question 12

name 2 challenges of client-centered OT.

Answer 12

• therapists will develop into reflective practitioners.

- develop new skills in areas such as negotiation

Question 13

Name the 2 types of reasoning that clinical reasoning includes.

Answer 13

theoretical reasoning and practical reasoning

Question 14

includes evaluation of data, postulates regarding change and procedures for intervention

Answer 14

theoretical reasoning

Question 15

involves deliberation about what is an appropriate action in a particular case

Answer 15

practical reasoning

Question 16

name the 5 forms of clinical reasoning according to Maureen Niestadt.

Answer 16

• procedural
• pragmatic
• conditional
• interactive
• narrative

Question 17

systematic gathering of data, identification of problems, development of hypothesis, focus on client’s disease.

Answer 17

procedural clinical reasoning

Question 18

considers treatment environment insurance coverage, the therapist’s own knowledge and skills

Answer 18

pragmatic clinical reasoning

Question 19

involves an ongoing revision of treatment to meet the client’s changing needs

Answer 19

conditional clinical reasoning

Question 20

deals with how the disease or disability affects the client, focuses on the client as a person and on the therapeutic relationship.

Answer 20

interactive clinical reasoning

Question 21

deals with the client’s occupational story and focuses on the process of change needed to meet an imagined future.

Answer 21

narrative clinical reasoning

Question 22

describe the 2 phases to narrative reasoning in OT.

Answer 22

• client and therapist explore the client’s past life story and begin to understand what the events have meant to the client.
• client and therapist begin to make out a story of what could be the future

Question 23

name the 3 types of narratives.

Answer 23

• restitution narratives
• chaos narratives
• quest narrative

Question 24

tell a story of the illness as transitory or temporary

Answer 24

restitution narratives

Question 25

tell a story of a helplessness, in which nothing will get better... no one is in control... there is nothing that can be done.

Answer 25

chaos narrative

Question 26

the illness experience is described as a challenge or trial, a place to go, a journey.

Answer 26

quest narrative

Question 27

which drug has the highest levels of addiction in the US?

Answer 27

tobacco (nicotine)

Question 28

what is the rate of cigarette smoking deaths in the US?

Answer 28

1 out of every 5 deaths per year

Question 29

T/F - a substance abusing TBI client is at a higher risk of sustaining a second or third brain injury.

Answer 29

true

Question 30

what does MICA stand for?

Answer 30

mentally ill chemically addicted

Question 31

a loss of meaning that is associated with performance

Answer 31

occupational alienation

Question 32

deterioration in performance may lead to loss of meaningful and satisfying occupational roles

Answer 32

occupational deprivation

Question 33

evaluate the client's readiness for change in order to select motivational change strategies that match the client's stage

Answer 33

motivational interview

Question 34

little or no awareness of the relationship btwn alcohol and drug use and occupational performance problems

Answer 34

precontemplation

Question 35

some awareness of the relationship btwn alcohol and drug use and occupational performance problems but no attempts made to address the problem.

Answer 35

contemplation

Question 36

considering some possible ways of changing alcohol and drug use and for improving occupational performance, but has not implemented these strategies.

Answer 36

preparation

Question 37

implementing some change strategies for reducing alcohol and drug use and for improving occupational performance.

Answer 37

action

Question 38

addressing how to maintain changes in alcohol and drug use patterns, finding community support networks to augment newly learned coping and relapse prevention skills and how to maintain improved occupational performance.

Answer 38

maintenance

Question 39

name the 5 stages of readiness for change regarding addiction (motivational interviewing).

Answer 39

- precontemplation - contemplation - preparation - action - maintenance

Question 40

returning to drug or alcohol use after a period of maintenance and occupational performance declines.

Answer 40

relapse

Question 41

describe motivational interventions that match readiness for change at the precontemplation stage.

Answer 41

- strategies that help increase awareness of the drug and alcohol problem and its impact of occupational performance - self-assessment questionnaires - eval of occupational habits and dysfunctions - giving feedback with motivational interviewing techniques.

Question 42

describe motivational interventions that match readiness for change at the contemplation stage.

Answer 42

-decisional balance exercises to find the pros and cons of using and not using

Question 43

describe motivational interventions that match readiness for change at the preparation stage.

Answer 43

-exploration of a range of alternatives and community resources

Question 44

describe motivational interventions that match readiness for change at the action stage.

Answer 44

-CBT approaches and community support networks to learn new coping and relapse prevention skills

Question 45

not a complete elimination of symptoms and illness, but getting back to a purposeful, satisfying life

Answer 45

recovery

Question 46

OT often begins with which types of clinical reasoning?

Answer 46

procedural and pragmatic clinical reasoning

Question 47

OT usually turns into which types of clinical reasoning?

Answer 47

interactive and narrative clinical reasoning

Question 48

include both MH and substance use management

Answer 48

integrated programs

Question 49

individualized program based on one illness

Answer 49

disease-specific program

Question 50

occupational ____ leads to occupational ____.

Answer 50

deprivation, alienation

Question 51

CAGE questionnaire

Answer 51

used to screen for alcohol abuse