Week One Lab: Standardized Assessment and Evaluation of Mental Health in OT

Question 1

What is the purpose of evaluation in OT mental health practice?

Answer 1

• to determine need for change in client, their occupations, and their environments
• guides collaborative intervention
• uncover info that will guide what intervention is used
• see progress
• see baseline function

Question 2

What are 2 things to consider for evaluation and assessment?

Answer 2

1. standardization
2. ecological validity

Question 3

What is ecological validity?

Answer 3

consider the environment of the assessment vs the clients home environment

try to assess in the most home-like context if possible

Question 4

we typically perform better in home environment than assessment environment. true or false

Answer 4

true

Question 5

What 4 things make a good quality evaluation tool?

Answer 5

1. validity
2. reliability
3. relevance
4. clinte-centredness

Question 6

What are some desired outcomes for clients as OTs in mental health?

Answer 6

1. enhanced occupational performance
2. increased satisifaction
3. increased meaning
   4/ role competence
4. adaptation
5. health and wellness
6. improved quality of life

Question 7

What 3 things can OTs use to assess occupation?

Answer 7

1. occupational profile
2. analysis of occupational performance
3. functional assessments

Question 8

What is an occupational profile?

Answer 8

summarizes the person’s occupational history

Question 9

What is an analysis of occupational performance?

Answer 9

determines which areas of occuaptional performance to assess

Question 10

What are functional assessments?

Answer 10

• focus on self-care and independent living skills
• blend of standardized tools, observation, interview
• natural environment is ideal

Question 11

What are MOHO- based assessments?

Answer 11

focus on motivation, habits, roles, and occupational participation

Question 12

What are 4 MOHO-based assessments?

Answer 12

1. Occupational Circumstances Assessment Interview and Rating Scale (OCAIRS)
2. Occupational Performance History Interview - II (OPHI-II)
3. Model of Human Occupation Screening Tool (MOHOST)
4. Volitional Questionnaire (VQ)

Question 13

what is Occupational Circumstances Assessment Interview and Rating Scale (OCAIRS)?

Answer 13

• MOHO-based assessment
• semi structured interview that assess volition, roles, routines, and environment

Question 14

what is Occupational Performance History Interview - II (OPHI-II)?

Answer 14

• MOHO based Assessment
• examines life history, roles, and identity

Question 15

what is Model of Human Occupation Screening Tool (MOHOST)?

Answer 15

• MOHO based assessment
• observational/interview based assessment of occupational participation

Question 16

What is Volitional Questionnaire (VQ)?

Answer 16

• MOHO based assessment
• assess motivation and volition
• suitable for clients with cognitive or communication challenges

Question 17

What are “pyschosocial and emotional well-being assessments”?

Answer 17

focus on emotional regulation, coping skills, and mental well-being

Question 18

What are 8 psychosocial and emotional well-being assessments?

Answer 18

1. Beck Depression Inventory (BDI-II)
2. Generalized Anxiety Disorder -7 (GAD-7)
3. Patient Health Questionnaire – 9 (PHQ-9)
4. Depression, Anxiety, and Stress Scale (DASS-21)
   *short form
5. Beck Anxiety Inventory (BAI)
6. Role Checklist
7. Occupational Self-Assessment (OSA)
8. Coping Inventory for Stressful Situations (CISS)

Question 19

What does the Beck Depression Inventory (BDI-II) measure?

Answer 19

• psychosocial and emotional well being assessment
• measures severity of depression

Question 20

What does the Generalized Anxiety Disorder -7 (GAD-7) measure?

Answer 20

• pyschosocial and emotional well being assessment
• brief screening for depression

Question 21

What does the Patient Health Questionnaire – 9 (PHQ-9) measure?

Answer 21

• psychosocial and emotional well being assessment
• assesses symptoms of depression

Question 22

WHat does the Depression, Anxiety, and Stress Scale (DASS-21)
*short form measure?

Answer 22

• psychosocial nad emotional well being assessment
• evaluates emotional distress levels

Question 23

What does the Beck Anxiety Inventory (BAI) measure?

Answer 23

• psychosocial and emotional well-being assessment
• assesses severity of anxiety symptoms

Question 24

What does the Role Checklist measure?

Answer 24

• examines past, present, and future roles

Question 25

What does the Occupational Self-Assessment (OSA) measure>

Answer 25

evaluates occuaptional competence and values

Question 26

What does the coping inventroy for stressful situations (CISS) measure?

Answer 26

assesses coping styles

Question 27

What are cognitive assessments?

Answer 27

measure cognitive abilities, executive function, and problem-solving skills

Question 28

What are 5 cognitive assessments?

Answer 28

1. Allen Cognitive Level Screen (ACLS-5) : Leather lacing task assessing cognitive levels 2. Montreal Cognitive Assessment (MoCA): Quick screening for mild cognitive impairment 3. Mini-Mental State Examination (MMSE) : Assesses cognitive function in orientation, memory language, and attention 4. Executive Function Performance Test (EFPT): Performance-based test measuring executive functioning in daily tasks 5. Cognitive Performance Test (CPT): Assesses how cognitive deficits impact functional performance

Question 29

What are functional and ADL-based assessments?

Answer 29

measures a person's ability to perform daily activities

Question 30

What are 4 Functional and ADL-based assessments?

Answer 30

1. Assessment of Motor and Process Skills (AMPS): Observational assessment of functional performance in ADLs 2. Kohlman Evaluation of Living Skills (KELS): Assesses daily living skills 3. Independent Living Skills Survey (ILSS): Measure functional living skills 4. Performance Assessment of Self-Care Skills (PASS) : Observational assessment of ADLs and IADLs

Question 31

What are work and vocational assessments?

Answer 31

focus on work readiness and vocational participation

Question 32

What are 3 Work and Vocational Assessments?

Answer 32

1.Worker Role Interview (WRI): Assesses psychosocial and environmental factors in work 2. Work Environment Impact Scale (WEIS) : Identifies how work environments impact function 3. Assessment of Work Performance: Measures cognitive and motor skills related to work tasks

Question 33

What are sensory processing assessments?

Answer 33

help understand sensory regulation and its impact on function

Question 34

What are 4 Sensory Processing Assessments?

Answer 34

1. Adolescent/Adult Sensory Profile : Self-report measure of sensory processing preferences 2. Sensory Integration and Praxis Test : Assesses sensory-motor coordination and processing 3. Sensory Processing Measure (SPM) : Examines sensory processing in different environments 4. Quick Neurological Screening Test (QNST): Identifies sensory-motor processing issues

Question 35

What are social and communication Skills Assessments>

Answer 35

evaluate interpersonal and communication skills in social settings

Question 36

What are 3 Social and Communication Skills Assessments?

Answer 36

1. Social Skills Rating Systems (SSRS) : Measures social behaviours and communication 2. Assessment of Communication and Interactions Skills (ACIS) : Observes communication during tasks 3. Evaluation of Social Interaction (ESI) : Measures quality of social interactions

Question 37

What are some examples of functional assessments at the PERSON level?

Answer 37

- COPM - AMPS - Functional Independence Measure (FIM)

Question 38

What are some examples of functional assessments at the ENVRIONMENT level?

Answer 38

Safety assessment of Fucntion and the Environment for Rehab

Question 39

What are some examples of functional assessments for OCCUPATION level?

Answer 39

Test of Grocery Shopping Skills Kitchen Task Assessment Executive Function Performance Tesst

Question 40

Before the assessment, what should OT do?

Answer 40

- be aware of their own competence to perform the assessment * ensure that their client is aware that they are being assessed * follow the Standard for Consent * apply culture, equity, and justice considerations. * decide whether it is safe to proceed with the services and what method of delivery is best (for example, in-person or virtual). (COTO, 2023)

Question 41

During the assessment, what should OT do?

Answer 41

- co-create an assessment process with clients that is culturally safer, is accessible, and will assess their occupational participation and needs. * select assessment methods and tools that are most suitable for clients and that consider the scope of services. * know the properties of standardized assessments, including reliability, validity, and administration criteria. * manage any risks or limitations to using the selected assessment tools and methods with clients * Collaborate and communicate with clients, other professionals, partners, and interested parties to support evidence-informed decision-making. (COTO, 2023)

Question 42

AFTER the assessment, what do OTs have to do?

Answer 42

- identify any gaps in the assessment findings, and decide whether additional information is needed, including assessments by other health professionals. * ensure that assessments represent a fair and balanced evaluation of clients. * analyze clients’ strengths, challenges, contexts, and occupations and the impacts these have on occupational participation. * develop evidence-informed recommendations and documentation * work with clients to develop context-specific occupational therapy goals, * collaborate and communicate with clients, other professionals, partners, and interested parties to support evidence-informed decision-making. (COTO, 2023)