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185 Cards in this Set

  • Front
  • Back

Disorientation

disturbance of orientation to person, place, time and sometimes situation

Delirium

an acute, reversible disorder that presents as a disoriented reaction with confusion, lability, and disturbances in behavior (ex. aggression)




may be associated with fear and hallucinations

Confusion

inappropriate reactions to environmental stimuli, manifested by a disordered orientation in relation to person, place, and time

Sundowner Syndrome

occurs in the late afternoon and at night in older people, often seen in individuals with dementia




characterized by drowsiness, confusion, ataxia, falling, agitation, and sometimes aggression




associated with sedation/over sedation, dementia, and changes in orienting cues such as light, familiar people, and objects

Distractibility

inability to concentrate one's attention without attention being drawn to unimportant or irrelevant stimuli

Selective Attention

blocking out those activities, objects, or concepts that produce anxiety

Hypervigilance

excessive attention and alertness that guards against potential danger

Affect

the observable component of emotions



appropriate - consistent/congruent with the accompanying idea, thought, or speech


Inappropriate Affect

inconsistent/incongruent with the accompanying idea, thought, or speech

Blunted Affect

severe lack of affect




doesn't demonstrate the ability to change

Restricted or Constricted Affect

reduced affect, but less than blunted affect

Flat Affect

the absence of any affective signs of emotion

Labile Affect

rapid and abrupt changes in affect

Anxiety

feeling of apprehension or worry associated with anticipation of future danger

Free-Floating Anxiety

pervasive anxiety that does not have a specific focus

Fear

anxiety focused on a real danger

Echopraxia

meaningless imitation of another person's movements

Catatonia

characterized by immobility or rigidity

Stereotypy

repetition of fixed patterns of movement and speech (ex. echolalia)

Psychomotor Agitation

excessive motor and cognitive activity, usually nonproductive and in response to inner tension

Hyperactivity

restless, sometimes aggressive, or destructive activity, often associated with brain pathology

Psychomotor Retardation

decreased or slowed motor and cognitive activity

Aggression

forceful, angry, or destructive speech or behavior

Acting Out

physical expression of thoughts and impulses

Akathisia

state of restlessness characterized by an urgent need for movement, usually as a side effect of medication

Ataxia

the irregularity or failure of muscle coordination upon movement

Thinking

goal-directed reasoned flow of ideas and associations




when it follows a logical sequence, it is considered normal

Circumstantiality

speech that is delayed in reaching the point and contains excessive or irrelevant details

Tangentiality

abrupt changing of focus to a loosely associated topic

Perseveration

a persistent focus on a previous topic or behavior after a new topic or behavior has been introduced

Flight of Ideas

rapid shifts in thought from one idea to another

Thought Blocking

the interruption of a thought process before it is carried through to completion

Loosening of Associations

disorder of the logical progression of thought where seemingly unrelated and unconnected ideas shift from one subject to another

Delusions

false beliefs about external reality without an appropriate stimulus that cannot be explained by the individual's intelligence or cultural background

Compulsions

a need to act on specific impulses to relieve associated anxiety

Obsessions

a persistent thought or feeling that cannot be eliminated by logical thought

Concrete Thinking

characterized by actual things, events, and immediate experience




inability to think abstractly

Pressured Speech

rapid and increased in amount




may be difficult to understand and/or interrupt

Poverty of Speech

limited in amount




ex. one word answers to questions

Poverty of Content

speech that is adequate in amount by conveys little information due to vagueness, lack of specificity, and limited detail

Nonspontaneous Speech

responses that are given only when spoken to directly

Stuttering

the repetition or prolongation of sounds or syllables

Perseveration in Speech

continued, persistent repetition of a word or phase, often in response to different stimuli or different questions

Nominal Aphasia

inability to name objects

Hallucinations

false sensory perceptions that are not in response to an external stimuli

Illusions

misperceptions or misinterpretations of real sensory events

Agnosia

inability to understand and interpret the significance of sensory input

Adiadochokinesia

inability to perform rapidly alternating movements

Disturbances Associated with Conversion and Dissociative Phenomena

disturbances that are in response to repressed material and involve physical symptoms and distortions that are not under voluntary control or associated with a physical disorder

Depersonalization

subjective sensation of unreality about oneself or the environment

Derealization

a subjective sense that the environment is unreal

Fugue

a state of serious depersonalization, often involving travel and relocation, in which the individual takes on a new identity with amnesia for their old identity

Dissociative Identity Disorder

involves the appearance that an individual has developed two or more distinct personalities

Dissociation

the separation of a group of mental or behavioral processes from the rest of the person's psychic activity




may involve separating an idea from its emotional tone

Immediate Memory

ability to recall material withing seconds or minutes




short-term memory

Recent Memory

ability to recall events of the past few days

Recent Past Memory

ability to recall events of the past few months

Remote Memory

ability to recall events of the distant past




long-term memory

Procedural Memory

automatic sequence of behavior such as conditioned responses

Declarative Memory

recall specific to consciously learned facts, such as school subjects

Semantic Memory

knowing the meaning of words and the ability to classify information

Episodic Memory

knowledge of one's personal experiences

Prospective Memory

the capacity to remember to carry out actions in the future, such as knowing you have appointments scheduled, to turn off the stove, and to pay bills on time.




important for an individual to be able to live independently and safetly

Amnesia

inability to recall past experiences or personal identity




can be caused by organic or emotional dysfunction

Schizophrenia Diagnostic Criteria



Criterion A - the presence of two or more of the following symptoms: delusions, hallucinations, disorganized speech, positive symptoms, negative symptoms




Criterion B - disturbance in one or more areas of function such as work, interpersonal relations, or self care




Criterion C - continuous signs of illness for 6 months including at least one month of symptoms that meet criterion A

Schizophrenia Positive Symptoms

the excess or distortion of normal function




grossly disorganized or catatonic behavior

Schizophrenia Negative Symptoms

Restricted emotion (affective flattening)


Difficulty in experiencing pleasure (anhedonia)


Decreased thought and speech (alogia)


Lack of energy and initiative


Inability to relate to others

Paranoid Schizophrenia

characterized by preoccupation with one or more delusions of persecution or grandeur




auditory hallucinations are frequently present




tend to exhibit fewer of the negative symptoms

Disorganized Schizophrenia

marked regression demonstrating primitive, disinhibited, and disorganized behavior

Catatonic Schizophrenia

characterized by severe disturbances in motor behavior involving stupor, negativism, rigidity, excitement, or posturing

Undifferentiated Schizophrenia

used to classify those patients who do not clearly fit into one of the other categories

Residual Schizophrenia

used when there is continued evidence of schizophrenic behavior in the absence of a complete set of diagnostic criteria

Schizophrenia Onset

usually between early adolescence and the mid thirties




recovery is possible with effective intervention

Schizophreniform Disorder

individual meets criteria for schizophrenia; however, the episode lasts more than one month but less than 6 months

Schizoaffective Disorder

uninterrupted period of illness during which, at some time, there is a major depressive episode, a manic episode, or a mixed episode concurrent with symptoms that meet Criterion A

Delusional Disorder

predominant symptoms are non-bizarre delusions with the absence of other criterion A symptoms

Brief Psychotic Disorder

individual experiences a least one day but less than one month with one or more Criterion A symptoms resulting from severe psychological stress

Traditional Anti-psychotic Medications

Thorazine, Prolixin, Haldol, Navane, Mellaril, Stelazine, and Trilafon




infrequently used




Haldol and Prolixin are available in long acting injections which improve/assist in medication compliance

Traditional Anti-psychotic Medications


Side Effects

dry mouth, blurry vision, photosensitivity, constipation, orthostatic hypotension, Parkinsonism, dystonias, akathisia, and cardiovascular disorders

Traditional Anti-psychotic Medications


Neuroleptic Malignant Syndrome

autonomic emergency leading to increased BP, tachycardia, swearing, convulsions, and coma

Traditional Anti-psychotic Medications


Tardive Dyskinesia

neurological disorder resulting from long-term or high-dose use of anti-psychotic medications characterized by abnormal, involuntary, irregular movements of the head, limbs, and trunk, often presenting as slow, rhythmic, automatic, stereotyped movements

Traditional Anti-psychotic Medications


Neuroleptic-induced Parkinsonism

a disorder that presents with muscle stiffness, cog-wheel rigidity, shuffling gait, stooped posture, and drooling




pill-rolling is rare, but coarse tremors may be present as well as tremors of the lips and mouth

Atypical Anti-psychotic Medications

Clozaril, Risperdal, Zyprexa, Seroquel, Geodon, Sphris, Fanapt, Latuda, Symbyax, Invega, and Abilify




long-acting injections available (Risperdal Consta, Invega Sustenna)

Atypical Anti-psychotic Medications


Clozaril Complications

agranulocytosis - decrease in certain white blood cells that is potentially fatal




weekly blood count monitoring initially, biweekly after 6 months, and monthly after a year

OT Considerations for Treatment of Schizophrenic Individuals

communicate simply, clearly, and concisely




external structure and consistency to organize the individual's thinking, environment, and daily activities is often required

Major Depressive Disorder

one or more depressive episodes




may be a single episode or recurrent episodes

Bipolar I Disorder

one or more manic episodes




may be combined with depressive episodes

Bipolar II Disorder

one or more major depressive episodes




must be at least one hypomanic episode




no history of a manic episode

Dysthymia

characterized by at least two years of a depressed mood, most days, with depressive symptoms that are not severe enough to meet the criteria for a major depressive episode

Cyclothymic Disorder

characterized by at least two years with numerous periods of hypomanic and depressive symptoms that do not meet the criteria for a manic episode or a major depressive episode

Manic Episode Diagnostic Criteria

distinct period of abnormally and persistently elevated, expansive, or irritable mood lasting at least one week




Including 3 or more of the following symptoms:


1. Inflated self-esteem or grandiosity


2. Decreased need for sleep


3. More talkative than usual or pressured speech


4. Flight of ideas or feeling of racing thoughts


5. Distractibility


6. Increase in goal-directed activity or psychomotor agitation


7. Excessive involvement in pleasurable activities that have a high potential for painful consequences

Manic Episode Behaviors

1. Treatment resistance resulting from failure to recognize illness


2. Suggestive or flamboyant dress


3. Gambling, promiscuity, excessive spending, or giving things away


4. Irritable, assaultive, or suicidal behavior

Manic Episode Medications

Mood Stabilizing Medications


1. Lithium


2. Anticonvulsants


3. Anti-psychotics

Manic Episode OT Considerations

Limit-setting to set and improve boundaries, reduce fears of losing control, increase participation in the intervention process, and promote safety




Engagement in activities that provide structure and the opportunity for release of excess energy in a positive and therapeutic manner




Education of individual, family, and significant others on symptom managment

Major Depressive Episode Diagnostic Criteria

2-week period of depressed mood or loss of interest or pleasure




Including 5 or more of the following symptoms:


1. Depressed mood most of the day


2. Markedly diminished interest or pleasure


3. Weight loss/gain, increase/decrease in appetite


4. Insomnia/hypersomnia


5. Psychomotor retardation/agitation


6. Fatigue, loss of energy


7. Feeling of worthlessness or guilt


8. Diminished ability to concentrate/make decisions


9. Recurrent thoughts of death/suicide, suicide attempt

Major Depressive Episode Behaviors

1. Irritability, anxiety, phobias, and obsessive thinking


2. Difficulties in social interactions, relationships, and sexual functioning


3. Self-destructive behavior including suicide and substance abuse


4. May be manifested as somatic complaints


5. Increased use of medical services

Selective Serotonin Reuptake Inhibitors (SSRIs)

Prozac, Zoloft, Paxil, Celexa, and Lexapro




SE: nausea, headache, sexual dysfunction, insomnia

Tricyclics

Elavil, Tofranil, Norpramin, Pamelor




rarely used




SE: dry mouth, blurred vision, sedation, postural hypotension, and other anticholinergic effects

Selective Norepinephrine Reuptake Inhibitors (SNRIs)

Effexor, Cymbalta, Wellbutrin (similar with fewer sexual side effects)




SE: hypertension, anxiety, dizziness, sedation, nervousness, weight gain, nausea, sweating

Monoamine Oxidase Inhibitors (MAOIs)

Nardil and Parnate




SE: weight gain, hypotension, insomnia, liver damage




Dietary Restrictions: Foods and Beverages with Tyramine (increase BP and lead to stroke and other cardiac conditions) such as aged cheeses, pickled food, cured or smoked meats, liver, yogurt, sour cream, fruits that must ripen to eat, fava beans, peapods, chocolate, beer, red wine, meat tenderizers, soy products, yeast extracts

Electroconvulsive Therapy

very effective and the treatment of choice for those who have been unresponsive to trials on medications and other interventions




can produce memory loss and confusion for the period surrounding treatment

Mixed Episode

criteria for manic episode and major depressive episode are met for at least one week

Hypomanic Episode

symptoms are the same for a manic episode but not severe enough to cause marked impairment in social or occupational function or to require hospitalization

Substance Dependence

must be evidence of tolerance and withdrawal




continued use despite serious consequences

Substance Abuse

continued use despite serious consequences

Panic Attacks

symptom of anxiety




discrete periods of intense fear or discomfort, in which four or more symptoms develop abruptly and reach a peak within 10 minutes


1. palpitations or accelerated HR


2. sweating


3. trembling or shaking


4. sensations of SOB or smothering


5. feelings of choking


6. chest pain or discomfort


7. nausea or abdominal stress


8. feeling dizzy, unsteady, lightheaded, or faint


9. derealization or depersonalization


10. fear of losing control or going crazy


11. fear of dying


12. paresthesias

Agoraphobia

associated with panic attacks




anxiety about being in places or situations from which escape may be difficult or embarrassing, or in which help may not be available if needed




situations are avoided or endured with anxiety about having a panic attack

Panic Disorder

recurrent panic attacks followed at least once by concern for recurrence

Specific Phobia

a clinically significant anxiety form a specific object or situation leading to avoidant behavior

Social Phobia

a clinically significant anxiety from certain types of social or performance situations leading to avoidance

Obsessive-Compulsive Disorder

Obsessions are recurrent and persistent thoughts, images, or impulses that are disturbing, intrusive, and inappropriate




Compulsions are repetitive behaviors that the person is driven to perform to reduce anxiety or prevent a dreaded event or situation




these are time-consuming and distressing despite the individual's awareness of irrationality

Post-traumatic Stress Disorder

the persistent re-experiencing (>1 month) of an extremely traumatic event that produces symptoms of increased arousal




avoidance of stimuli associated with the traumatic event

Acute Stress Disorder

similar to PTSD, but it immediately follows the event




symptoms do no persist past one month

Generalized Anxiety Disorder

consists of 6 months of persistent and excessive unfocused anxiety and worry

Anxiolytic Medications

Xanax, Valium, Librium, Ativan, Klonopin, BuSpar




SE: drowsiness, ataxia, headache, nausea, depression, and dependence

Anti-Obsessional Medications

Anafranil, Paxil, Prozac, Zoloft




used at high doses




SE: similar to SSRIs

Personality Disorders Diagnostic Criteria

behavior must be inflexible and maladaptive across a broad range of personal and social situations




must be evidence of onset in late childhood or adolescence




Cluster A: paranoid, schizoid, schizotypal


(often perceived as odd and eccentric)




Cluster B: antisocial, borderline, histrionic, narcissistic (often perceived as dramatic, emotional and erratic)




Cluster C: dependent, obsessive-compulsive, NOS (often perceived as anxious or fearful)

Paranoid Personality Disorder

long standing suspiciousness and mistrust of people in general




refuse responsibility for their own feelings and assign responsibility for them to others




appear hostile, irritable, angry

Schizoid Personality Disorder

lifelong pattern of social withdrawal




discomfort with human interaction



introverted




bland, constricted, affect




appear eccentric, isolated, or lonely

Schizotypal Personality Disorder

appear odd or strange in their thinking and behavior to those who come in contact with them




magical thinking, peculiar ideas, ideas of reference, illusions, and derealization are part of this individual's everyday world

Antisocial Personality Disorder

continual antisocial or criminal acts, but it is not synonymous with criminality




inability to conform to social norms that involves many aspects of their adolescents and adult development




no regard for the safety or feelings of others and they lack remorse




individuals diagnosed with a conduct disorder that does not respond to treatment or is untreated can be a precursor to developing this disorder





Borderline Personality Disorder

extraordinarily unstable affect, mood, behavior, relationships, and self-image




fear of real or imagined abandonment leads to frantic efforts to avoid it




recurrent self-destructive or self-mutilating behavior may be threatened or carried out




majority have history of trauma such as physical, sexual, emotional abuse

Histrionic Personality Disorder

colorful, dramatic, extroverted behavior in excitable, emotional persons




inability to maintain deep, long-lasting attachments with accompanying flamboyant presentation

Narcissistic Personality Disorder

heightened sense of self-importance and a grandiose feeling that they are special in some way

Avoidant Personality Disorder

extreme sensitivity to rejection, which may lead to a socially withdrawn life




not asocial, they show a great desire for companionship but consider themselves inept or unworthy




need unusually strong and repeated guarantees of uncritical acceptance




commonly referred to as having an inferiority complex

Dependent Personality Disorder

subordinate their own needs to those of others and need others to assume responsibility for major areas in their lives




lack self-confidence




experience discomfort when alone for more than a brief period

Obsessive-Compulsive Personality Disorder

emotional constriction, orderliness, perseverance, stubbornness, and indecisiveness




pervasive pattern of perfectionism and inflexibility

Personality Disorders NOS

Passive-aggressive


Depressive


Sadomasochistic


Sadistic

Dementia

often includes personality changes




Alzheimer's and other vascular dementia (75%)




Other causes: AIDS, Pick's Disease, Huntington's, Parkinson's, alcoholism

Reversible Causes of Mental Confusion

Sensory Changes and Problems: age-related, unavailable/inadequate prostheses, sensory overload/deprivation, loss of cue that aid memory and orientation




Drug Use/Misuse: interactions, SE, build-up, OTC cold, sleeping and pain medications




Infections/Inflammation: viral or bacterial infections, UTI, pneumonia, gallbladder disease




Metabolic Problems caused by: liver or kidney disease, thyroid disorders, dehydration, poorly controlled diabetes

Reisburg's Stages For Dementia

Stage 1: no disability is noted


Stage 2: person complains about forgetting normal age-related information


Stage 3: beginning signs and deficits are noted (compensates, avoids)


Stage 4: deficits are noted in all IADL


Stage 5: person cannot function independently


Stage 6: person cannot perform ADL without cues


Stage 7: vegetative state; usually bebound and unable to response verbally or non-verbally to stimuli

Anorexia Nervosa

refusal to maintain body weight at or above normal or failure to make expected weight gain during growth period leading to a body weight less than 85% of expected




intense fear or gaining or becoming fat even though still underweight




disturbance in the way which one's body weight or shape is experienced (ex. denial)




amenorrhea




food restrictive or binge eating/purging type

Bulimia Nervosa

recurrent episodes of binge eating defined as a lack of control over discrete periods of excessive eating of an abnormally large amount of food




recurrent, inappropriate compensatory behavior in order to prevent weight gain (vomiting, laxatives, diuretics, fasting, excessive exercise)




binge/purge behaviors both occur at lease 2x/week for three months

Binge-Eating Disorder (BED)

recurrent episodes of binge eating until uncomfortably full without purging




eating is more rapid than typical and is often initiated when not hungry and/or when alone due to embarrassment about the amount of food being consumed

Oppositional Defiant Disorder (ODD)

Negativistic, hostile, and defiant behaviors that result in functional impairment

Conduct Disorder

disregard for the rights of others leading to aggressiion toward people and animals, destruction of property, deceitfulness, theft, or serious violation of rules

Autism Diagnostic Characteristics


Impaired Social Interaction (2)

Impaired Nonverbal Behaviors (eye contact, impaired attachment behavior, anxiety with change)




Difficulty relating to others and forming relationships at an age appropriate level




Lack of spontaneous social seeking behavioral interactions and lack of awareness of others who are seeking interactions




Lack of social reciprocation due to decreased ability to infer feelings and intentions of others



Autism Diagnostic Characteristics


Communication Difficulties (1)

lack of initiation, reflection, development of spoken language or alternative means




difficulty initiating or engaging in conversation and lack of appropriate context




stereotyped echolalia and/or indiscernible language




lack of spontaneous pretend, imaginative, or exploratory play

Autism Diagnostic Characteristics


Repetitive or Stereotyped Behaviors and Movements (1)

ritualistic nonfunctional routines, preoccupation




rigid observance of nonfunctional routines or behavioral patterns




repetitive motor action




restrictive fixation on parts of a whole object

Asperger's Disorder

difficulty with social interaction


restricted interests and behaviors


characterized by clumsiness


delayed developmental motor milestones




differentiated from autism by adequate language and the level of social interaction and engagement in activities with others

Reactive Attachment Disorder (RAD)

Inhibited Type: persistent failure to initiate or respond in a developmentally appropriate way to most social interactions; interactions are excessively inhibited, hypervigilant, or highly ambivalent and contradictory in nature




Disinhibited Type: indiscriminate sociability with inability to exhibit appropriate selective attachments; demonstrated by excessive familiarity with relative strangers or lack of selectivity

RAD Behaviors

-need to be in control


-frequent lying


-affectionate and overly related with strangers


-frequent episodes of hoarding or gorging on food without physical need


-denial of responsibility


-projecting blame for their actions on others

Intellectual Disability


IQ 55-69

Mild Intellectual Disability




focus on acquiring social and vocational skills to function independently in desired occupational roles




Minimal support required

Intellectual Disability


IQ 40-54

Moderate Intellectual Disability




acquiring independence in routine daily skills and skills necessary to perform desired occupational roles with supports and structure




limited support and assistance may be required in specific occupational performance areas on a daily basis




supervised living required

Intellectual Disability


IQ 25-39

Severe Intellectual Disability




acquiring communication skills and some basic health habits




assistance required to perform most tasks in all areas of occupation on a daily basis




supervising living required




significant impairments in motor functioning and physical development are typical

Intellectual Disability


IQ 25 and Below

Profound Intellectual Disability




assistance and ongoing supervision are required for basic survival skills




significant impairments in motor functioning and physical development are typical




supervised living is required

Model of Human Occupation (MOHO)

"Occupation is dynamic and context-dependent"




Personal occupational choices and engagement in occupation shape the individual




Volition, Habituation, Performance Capacity




The environment impacts on the individual through the opportunities, demands, resources, and constraints it provides

Person-Environment-Occupation Model

Occupational Performance is dynamic in nature




Occupational Performance is the outcome of the transactional relationship between people, their occupations, and the environment




Changes across the lifespan

Life-Style Performance Model

seeks to identify and describe the nature and critical "doing" elements of an environment that support and foster achievement of a satisfying, productive life-style

Ecology of Human Performance Model (EHP)

emphasizes the role of an individual's context and how the environment impacts a person and their task performance




person-task-context transaction

Occupational Adaptation

concerned with the processes that the individual goes through to adapt to their environment




person and occupation environment and their ineraction

Role Acquisition

individual employs task and social skills to meet the demands of personally desired and necessary roles




dysfunction continuums in seven categories: task skills, interpersonal skills, family interaction, ADLs, school, work, play/leisure/recreation

Levels of Cognitive Disabilities

Level I: Automatic Actions


Level II: Postural Actions


Level III: Manual Actions


Level IV: Goal Directed Actions


Level V: Exploratory Actions


Level VI: Planned Actions

Defense Mechanisms


Denial



the failure to acknowledge the existence of some aspect of reality that is apparent to others





Defense Mechanisms


Projection

attributing attributes or unacknowledged feelings, impulses or thoughts to others

Defense Mechanisms


Splitting

rigid separating of positive and negative thoughts and of feelings

Defense Mechanisms


Passive-Aggression

aggression toward others which is indirectly or unassertively expressed

Defense Mechanisms


Regression

returning to an earlier stage of development to avoid the tension and conflict of the present one

Defense Mechanisms


Somatization

the conversion of psychological symptoms into physical illness

Defense Mechanisms


Rationalization

creating self-justifying explanations to hide the real reasons for one's own or another's behavior

Defense Mechanisms


Repression

blocking from consciousness painful memories and anxiety-provoking thoughts

Defense Mechanisms


Displacement

redirecting an emotion or reaction from one object to a similar but less threatening one

Defense Mechanisms


Reaction Formation

the switching of unacceptable impulses into it opposite

Defense Mechanisms


Humor

using comedy to express feelings and thoughts without provoking discomfort in self and others



Defense Mechanisms


Sublimation

redirecting energy from socially unacceptable impulses to socially acceptable activities

Defense Mechanisms


Suppression

consciously or semi-consciously avoiding thinking about disturbing problems, thoughts, or feelings

Cognitive Behavioral Therapy (CBT)

combines principles of cognitive and behavioral therapy




cognitive - looks at a person's thoughts and beliefs


behavioral - looks at a person's actions and attempts to change maladaptive patterns of behavior

Recovery Model

conceptualizes recovery from illness as a journey of healing and transformation that enables individuals with mental health problems to live a meaningful lief in a community of their choice

Psychiatric Rehabilitation

help individuals develop the skills necessary to compensate for, adapt to, and control the influence symptoms have on function, including any disability caused by social or environmental barriers

Mini-Mental Status Examination (MMSE)

a widely, used quick screening of cognitive funcitoning

Short Portable Mental Status Questionnaire

a short questionnaire including 9 questions that assess intellectual function

Adult/Adolescent Sensory Profile

allows clients to identify their personal behavioral responses to daily sensory experiences and develop strategies for enhanced participation

Allen Cognitive Level Screen

assesses the cognitive level of the individual according to the ACL levels

Beck Depression Inventory

measurement of the presence and depth of depression

Elder Depression Scale

assesses depression in the elderly




30-item checklist

Hamilton Depression Rating Scale

measures the severity of illness and changes over time in individuals diagnosed with a depressive illness

Bay Area Functional Performance Evaluation

assesses the cognitive, affective, performance, and social interactions skills required to perform ADLs




consists of Task Oriented Assessment and the Social Interaction Scale

Comprehensive Occupational Therapy Evaluation Scale (COTE)

a structured method for observing and rating behaviors and behavioral changes in the areas of general, interpersonal, and task skills

Activity Card Sort

identification of a person's level and amount of involvement in instrumental, leisure, and social activities




89 cards

Activities Health Assessment

time usage, patterns and configurations of activities, roles, and underlying skills and habits

Adolescent Role Assessment

assesses the development of internalized roles within family, school, and social settings

Canadian Occupational Performance Measure (COPM)

identifies the individual's perception of satisfaction with performance and changes over time in the areas of self-care, productivity, and leisure

Occupational Circumstances Assessment Interview Rating Scale (OCAIRS)

semi-structured interview assessing the nature and extent of an individual's occupational adaptation

Occupational Self-Assessment

self-report checklist of individual's perceptions of efficacy in areas of occupational performance and their importance

The Role Checklist

assesses self-reported role participation and the value to specific roles to the individual