Week 8 Flashcards
(15 cards)
occupational performance and participation issues commonly experienced by people with schizophrenia and psychotic disorders
- Difficulty with self-care, work, relationships
- Social withdrawal, low motivation (avolition)
- Disorganised thinking impacts routine tasks
- Poor coping and reduced independence
clinical features of schizophrenia
- Positive symptoms: hallucinations, delusions
- Negative symptoms: flat affect, lack of motivation
- Disorganised thinking and behaviour
- Functional decline in
work/social life - Symptoms must persist (DSM-5: 6+ months; ICD-11: 1+ month)
Identify current theories about the aetiology of schizophrenia
- Genetic vulnerability
- Neurochemical imbalance (dopamine hypothesis)
- Brain structure abnormalities
- Psychosocial stressors and environmental triggers
- Stress-vulnerability model integrates biological + environmental risk
thirteen key principles described in the Mental Health and Wellbeing Act (2022), and the meaning of voluntary and involuntary treatment
- Dignity and autonomy
- Diversity of care
- Least restrictive practices
- Supported decision-making
- Family and carers
- Lived experience
- Physical and mental health
- Dignity of risk
- Children and young people
- Diversity
- Gender safety
- Cultural safety
- Wellbeing of dependent
- Voluntary treatment: With informed consent
- Involuntary treatment: Without consent when there’s risk to self/others
MOHOST
Assess volition, habituation, skills, environment
Broad functional view, low-verbal clients
Volitional Questionnaire (VQ)
Observe motivation in real-time
Low insight/verbal clients
OCAIRS
Role-based structured interview
Clients with insight and verbal ability
OSA
Self-rated occupational competence
Goal setting and client reflection
OPHI-II
Life history, roles, values
Narrative and deeper engagement
potential family and carer issues to consider when working with a person with a severe and persistent mental illness, including ethical issues related to consent and confidentiality
- Stress, burnout, role strain
- Limited involvement due to confidentiality and consent laws
- Ethical balance: respecting client privacy vs carer need for info
Describe accommodation and community support options
- Public housing, Supported Residential Services (SRS), CCUs, PARC
- NDIS-funded supports, peer services, respite, daily living assistance
OT role: Assess needs, match housing/support, promote safety and engagement
role of mental health case management
- Coordinate care and services
- Support recovery planning
- Monitor risk and safety
- Link to community and clinical supports
support options available to families and carers of people experiencing mental illness
- Carer Gateway, SANE, Mind Australia
- Peer support, respite, carer payment (Centrelink)
- Psychoeducation and advocacy groups
types of income support and financial assistance that a person with a disability may be eligible to access from the government
- Disability Support Pension (DSP) – for permanent disability
- JobSeeker – for partial work capacity
- NDIS – funds disability-related supports
- Carer Payment & Allowance – for informal carers
Jim’s medication
Medication: Clozapine
Positive:
- ↓ Hallucinations/delusions → better reality orientation
- ↑ Mood stability → improved social interaction & routine participation
- ↑ Focus → better task completion
Negative:
- Sedation/drowsiness → ↓ alertness & motivation
- Cognitive slowing → impacts memory, attention, planning
- Weight gain/metabolic issues → ↓ physical activity, self-esteem
- → requires frequent blood tests → disrupts routine
- Constipation, drooling, dizziness → ↓ comfort, sleep, social engagement
