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799 Cards in this Set

  • Front
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As an OT you will be looking at people's (1)roles in life
primary
in OT the occupation we use in treatment are (1)
purposeful activities
NAME SOME POSSIBLE AREA OF INTEREST FOR PATIENT
20S
socalization
NAME SOME POSSIBLE AREA OF INTEREST FOR PATIENT
30s
caring for family
NAME SOME POSSIBLE AREA OF INTEREST FOR PATIENT
60s
geting out/ being productive/feeling indpendent
What are some big events that shaped mental health practice? (13)
(1)moral treatment (2)World War I (3)medical model (4)biological treatments such as lobotomy. insulin shock treatment and ECT (5)World War II (6)antipsychotic drugs (7)Community Mental Health Centers Act (8)Medicare and Medicaid/transinstutionalization (9)staff positions in mental health are filled by other disciplines (10)psychiatric rehabilitation evolves (11)research discovers a biological basis for mood disorders (12)Other professions claim occupation as part of their practice (13)increased emphasis on research and outcome studies
What are some big events that shaped mental health practice? (13)
(1)moral treatment (2)World War I (3)medical model (4)biological treatments such as lobotomy. insulin shock treatment and ECT (5)World War II (6)antipsychotic drugs (7)Community Mental Health Centers Act (8)Medicare and Medicaid/transinstutionalization (9)staff positions in mental health are filled by other disciplines (10)psychiatric rehabilitation evolves (11)research discovers a biological basis for mood disorders (12)Other professions claim occupation as part of their practice (13)increased emphasis on research and outcome studies
What is moral treatment movement?
says patients should be treatd equally and deserve respect as humans beings (2)need to give them structure and purposeful activity
NAME
this says that patients should be treated equally and deserve respect as humans beings (2)need to give them structure and purposeful activity
moral treatment
T or F
at work it is a good idea to give mental health patients a hug
false
should you give patients are hug?
no
Moral treatment and occupational therpay come to the US from the (1)
England and Franc
What are graded activites?
this is when an OT makes certain activites harder or easier for the person
NAME
this is when an OT makes certain activites harder or easier for the patient
graded activites
What is the medical models?
says that we should be able to see what wrong and treat the patient by parts
NAME
says that we should be able to see what wrong and treat the patient by parts
medical model
What happened during world war II that influenced occupational therapy?
(1)hospitals where created for everyone (2)soliders needed rehab (3)antibiotics where allowing soliders to live who would hve died before.
NAME
during this time period hospitals where created for everyone and soliders needed rehab
world war II
What is the community mental health Center act?
is a law that says that hve commmunity centered treatments for mental health patients
NAME
this is a law that says that you hve to hve community centered treatments for mental health patients
commmunity mental health center act
The Community Mental health Center act resulted in (1) and (2)
(1)transintuilization (2)the closing of public mental hospitals
NAME
this act resulted in transintulization and the closing of public mental health patients
commmunity mental health Center act
What is transintuilization?
is when mental health patients went from long term care in public hospitals to the community to jail, nursing homes, homeless etc
NAME
this is when mental health patients went from long term care in public hospitals to the community to jail, nursing homes, homeless etc
transintulization
What is one problem w medicare?
it looks for productivity and does not care about improving quality of life
Give some example staff positions in mental health are where filled by other discplines that OTs did? (5)
(1)social workers (2)art therapy (3)music therapy (4)recretional theraly (5)social workers
Give some examples that started claiming to use occupation as part of their practice?
PTs
What are the (4) big steps in I message?
(1)the situation is (describe what you saw or heard) (2)I feel... (the emotion) (3)because (self talk) (4)why dont we or could you
What are the (4) big steps in I message?
(1)the situation is (describe what you saw or heard) (2)I feel... (the emotion) (3)because (self talk) (4)why dont we or could you
what are some behavioral descriptors of someone is healthy mentally? (7)
(1)ability to orgainize, thoughts feelings and actions (2)positve attiude toward self (3)growth and self actualization (4)balance of moods and feelings (5)autonomoy and resposibility for one's decisions and actions (6)accurate perception of reality (7)mastery of work, leisure, and self-care skills
what are some behavioral descriptors of someone is healthy mentally? (7)
(1)ability to orgainize, thoughts feelings and actions (2)positve attiude toward self (3)growth and self actualization (4)balance of moods and feelings (5)autonomoy and resposibility for one's decisions and actions (6)accurate perception of reality (7)mastery of work, leisure, and self-care skills
What are some behavioral descriptors of someone who has a mental illness? (7)
(1)disorganization(2)negative attiude towards self such as low self-esteem (3)stagnation such as substance abuse and alohicism when noting else matters but the drug (4)emotional labiltiy (5)dependence on other people (6)no perception of reality (7)unable to master work, leisure, and self-care skills
What are some behavioral descriptors of someone who has a mental illness? (7)
(1)disorganization(2)negative attiude towards self such as low self-esteem (3)stagnation such as substance abuse and alohicism when noting else matters but the drug (4)emotional labiltiy (5)dependence on other people (6)no perception of reality (7)unable to master work, leisure, and self-care skills
What is self-actualization?
is when the indivudal is aware of feelings and can integrate them w the intellect while interacting openly w the evirionment
NAME
this is when the indivudal is aware of feelings and can integrate them w the intellect while interacting openly w evironment
self-actualization
What is therapeutic use of self?
being aware of ones self and the patient and being able to control what one communicates
NAME
this is being aware of ones self and the patient and being able to control what one communicates
therapeutic use of self
What are some things that you can do be aware of therpeutic self?(3)
(1)body langage (2)choice of words (3)controling reactions/how coming across
What are (3)types of communication skills?
(1)passive (2)aggresive (3)assertive
NAME
there are three types of this: passive, aggressive, and assertive
communication skills
What is passive communication style?
person who bottles up all their emotions and likes to please people
NAME
people w this type of communication skill bottle up all their emotions and likes to please people
passive communiction style
What is aggresive communication style like?
(1)like controling things (2)keep everything bottles up but anger
NAME
people w this type of communication skill bottle up all their emotions but anger and like controling things
aggressive communication style
What are some types of real emotions or reasons why people dont shart emotions? (4)
(1)anger (2)hurt (3)fear (4)abandonment/manipulation
What are some types of real emotions or reasons why people dont shart emotions? (4)
(1)anger (2)hurt (3)fear (4)abandonment/manipulation
NAME
bc of these emotions-anger, hurt, fear, and abandonment and manipulation people do this
keep emotions bottled up
What are some common ways to tell if a person has a aggressive communication style? (4)
(1)want "my way" (2)the least you could hve done (3)you "always" or "never" think of me (4)label and make judgments
What are some common ways to tell if a person has a aggressive communication style? (4)
What are some common ways to tell if a person has a aggressive communication style? (4)
What is the body langauge like of a passive person?
closed (2)avoids conflict
People w passive style communication styles tend to become (1)
doormats
NAME
people w this type of communication skill tend to become doormats
passive communication style
People w passive communication skills hve trained people to (1)
not ask what they want
People w passive communciation skills expect people to read there (1)
minds
People w passive communication styles tend to play the (1)or the (2)
victim (2)martyer
T or F
there is a cycle btwn passive and aggressive communication styles
True
Is there a cycle btwn passive and aggressive communciation styles?
yes
There is a cycle btwn (1)and (2)of communication styles
(1)passive (2)aggressive
NAME
people w this type of communication style make desicions based on what others feelings
passive style
People w passive style communication make desciions based on what (1)
others think
What are some feelngs of a person w passive communication style? (4)
(1)feel anixious, hurt, manipulated, and disappointed w self (2)become hurt then angry and resentful (3)are so busy pleasing others that they lose track of own needs, desires, and feelings (4)may feel the need to constantly be in a relationship w.out it they may not feel whole
(1)feel anixious, hurt, manipulated, and disappointed w self (2)become hurt then angry and resentful (3)are so busy pleasing others that they lose track of own needs, desires, and feelings (4)may feel the need to constantly be in a relationship w.out it they may not feel whole
(1)feel anixious, hurt, manipulated, and disappointed w self (2)become hurt then angry and resentful (3)are so busy pleasing others that they lose track of own needs, desires, and feelings (4)may feel the need to constantly be in a relationship w.out it they may not feel whole
NAME COMMUNICATION STYLE
may feel anixous, hurt, manipulated, and disappointed w yourself, later they may become angry and resentful. THey are so busy trying to pleasing others they lose track of their own needs, desires, and feelings. THey may feel the need to constantly be in a relationship. w.out they are not whole
passive communication style
What is a goal of passive communication style?
to please (2) to be liked
NAME COMMUNICATION STYLE
their goal is to be pleased and to be liked
passive communication style
What are some payoffs of passive style of communication?(2)
(1)avoid unplesant situations, conflicts,and short-term tension and confrontations (2)dont hve to take responisbiltiy for choices
NAME COMMUNICATION STYLE
some payoffs for this style include avoiding unplesant situations, conflicts,and short-term tension and confrontations and dont hve to take responisbiltiy for choices
passive style
What are some probable outcomes of hving a passive style of communication?
you seldom get what you want. you feel emotionally dishonest. others acheive their goals at your expense. Your rights are violated and others may manipulate you. your anger builds up and you either push it down or redirect it toward other people who are less powerful. you may find yourself procrastinating, suffering in silence, doing things halfheartedly, being sloppy or becoming forgetful. feelings of loneliness and isolation may be common in life.
NAME COMMUNICATION STYLE
you seldom get what you want. you feel emotionally dishonest. others acheive their goals at your expense. Your rights are violated and others may manipulate you. your anger builds up and you either push it down or redirect it toward other people who are less powerful. you may find yourself procrastinating, suffering in silence, doing things halfheartedly, being sloppy or becoming forgetful. feelings of loneliness and isolation may be common in life.
passive style
NAME COMMUNICATION STYLE
some probable outcomes of this communication style include you often get what you want but at the expense of others. you hurt people by making choices and infantilizing the, others feel they hve the right to get even. you may even hve increasing diffucility realxing and unwinding
aggressive style
What are some probale outcomes of an agressive style of communiction
you often get what you want but at the expense of others. you hurt people by making choices and infantilizing the, others feel they hve the right to get even. you may even hve increasing diffucility realxing and unwinding
What are some probally outcomes of an assertive communication style?
you often get what you want, if it is reasonable. you often achieve your goals. you feel good by converting to win-lose to win-win. the outcome is determined by above-board negoations. your rights and others rights are respected
NAME COMMUNICATION STYLE
you often get what you want, if it is reasonable. you often achieve your goals. you feel good by converting to win-lose to win-win. the outcome is determined by above-board negoations. your rights and others rights are respected
assertive style of communiction
What are some payoffs of an aggressive communication style? (2)
(1)you usally get what you want w.out revealing your feelings (2)you dont let people get close so that they cannot hurt u
NAME COMMUNICATION STYLE
some payoffs include (1)you usally get what you want w.out revealing your feelings (2)you dont let people get close so that they cannot hurt u
aggresive communication style
What are some payoffs of an assertive communication style? (3)
(1)your relationship w others improve-they know that you can be honest w u. (2)you hve little physical distress as you are not "bottling up" feelings. (3)you are in touch w your feelings and hve a sense of who u are--your relationships are authentic
NAME COMMUNICATION STYLE
some payoffs of this include (1)your relationship w others improve-they know that you can be honest w u. (2)you hve little physical distress as you are not "bottling up" feelings. (3)you are in touch w your feelings and hve a sense of who u are--your relationships are authentic
assertive style
What are some feelings a people might hve w an aggressive communication style?
you feel self-righteous, controlling, and superior. you view yourself as a leader
NAME COMMUNICATIO STYLE
you feel self-righteous controlling, and superior, you view yourself as a leader
aggressive style
What are some feelings a person w an assertive communication style might feel?
feel confident and succesful. you feel good about your self bc you are honest. you feel in control, and has self-respect
NAME COMMUNICATION STYLE
feel confident and succesful. you feel good about your self bc you are honest and you feel in control and hve self-respect
assertive style
What is the goal of w an aggressive communication style?
they like to dominate and humilate
NAME COMMUNICATION GOAL
to dominate and humiliate
aggressive style
NAME COMMMUNICATION STYLE
the goal is to to communicate. to be respected
assertive style
What is the goal of an assertive communication style?
to communicate and to be respected
What is self-talk?
is what you are saying in your head
NAME
this is what you are telling yourself in your head
self-talk
If you walk and everyone looks at u and laughs. what are some emotions and self-talks a person might experience? (5)
(1)embrassed-making fun (2)curious-wrong (3)anger-oh yeah (4)hurt (5)anxious
Professionalism is marked by (1)
reflexective professional devoplemnt
the future of the OT will depend on the recongintion of (1)
emerging roles and professional development
What is a portifolio?
is a collection of evidence indicating that learning or skills acquistion has taken place as well as the outcomes specfic to professional development
NAME
this is a collection of evidence indicating that learning skills aquistion has taken place as well as the outcomes specific to professional development
portfolio
What are the (2)sections of a traditional portifolio?
(1)collection and showcase (2)reflective journal
NAME
this has two sections: collection and showcase and reflective journal
traditional portifolio
What does the showcase section of a portfolio contain?
documents showing excetiopnal performance, finished items such as a copy of ones thesis
What are the parts of a transitional portfolio?
(1)collection and showcase (2)working piece (3)reflective journal
NAME
this has 3 parts: collection and showcase, working piece, and reflective journal
transitional portfolio
transitional portfolio should be a (1)
active transitional portfolio
students can apply (1)in their fieldwork experiences
active transitional portfolio
reflective journal provides a place to document and review (1)
new learning questions
Compare the portfolio's of a student vs clinical practitioner vs scholar (3)
(1)has bigger collecting section and a smaller showcase and working section (2)has a bigger working section (3)has a bigger showcase section
What are (3)purpose for transitional portfolio for an OT?
(1)as an assesment tool to move from what they are currently able to do to what they want to do (2)as a learning and planning tool to guide thoughtful professional development (3)as a historical record of professional competence that includes knowledge, practice applications, and contribuations to the field that can be reconstructed for career tranistion
NAME
this has (3)purposes for OTs--(1)as an assesment tool to move from what they are currently able to do to what they want to do (2)as a learning and planning tool to guide thoughtful professional development (3)as a historical record of professional competence that includes knowledge, practice applications, and contribuations to the field that can be reconstructed for career tranistion
transitional portifolio
T or F
the move from hospital to community is expensive and many people hve fallen through the cracks bc of lack of room for them
true
T or F
many states hve not cut their mental health programs
false
T or F
the more willing people are to follow through on a treatment plan, the more the cost rises
true
T or F
the cost of psycotropic drugs has increased
true
(1)is currently fiting the bill for more than 50% of mental health expenditures nationwide
Medicaid
T or F
bc lack of cash, many acute care beds are not available for patients in hospitals
true
What is one problem w mental health in rural America?
hve no mental health treatment plans
T or F
mental health patients hve trouble finding community based housing
true
What is one popular attempt by states to improve mental health treatments/
parity laws
A parity law is on attempt by states to (1)
improve mental health treatment plans
What is parity law?
says the federal and state govt require private insurance companies provide equal coverage for physical and mental illness
NAME
this says that the federal and state govt must make sure that private insurance companies provide equal coverage for physical and mental illness
parity law
What are some goals of the final report from the Presidents New Freedom Commision? (6)
(1)americans understand that mental health is essential to overall health (2)mental health care is consumer and family driven (3)disparities in mental health are eilimenated (4)early mental health screening (5)excellent mental health care is develiored and research is accerelated (6)technology is used to access mental health info
As patients engage in activities or create objects in a task oriented group, they express (1)
charaterological diffuclties and attention to these difficulties in here and now
In a task oriented group, there appears to be a relationship btwn (1)
problems demonstrated by the patient in task group and the diffucilties that he or she encounters in the work by day world
NAME
in this type of group, there appears to be a relationshop btwn problems demonstrated by the patient in the task group and the diffucitlies that he or she encounters in the work by day world
task oriented groups
During a task oriented group in the nature of the OT setting expects(1)and provides a (2)
(1)active involvement in doing (2)a "microsom" of life work situations that can be seen and explored as they occur
In a task oriented group, there is a relationship btwn (1)
btwn verbal skills and learning and personal growth is enhanced when the problems in "doing" are ids and explored
in a task oriented group, the shared group experience is conductive to (1)
exploration and remediation in ego function
in a task oriented group, the (1) is conductive to exploration and remediation in ego function
shared group experience
What are some observations that OTs have made about task oriented groups? (4)
(1)as patients engage in activties or create objects, they express characterological diffuclties and attention to these diffucilites here and now (2)there appears to be a relationship btwn problems demonstrated by patients in task group and real life (3)there is a relationship btwn verbal skills and learning and personal growth is enhanced when the problems in doing are id and explored (4)the shared group experience is conductive to exploration andremediation in ego function
What is a task?
is any activity or process directed toward creating or producing an end product for the group as a whole and/or for persons outside the group
NAME
this is any activity or process directed toward creating or producing an end product for the group as a whole and/or for persons outside the group
task
What the intent of a task-oriented group?
is to provide a shared work experiences wherein the relationship btwn thinking, feeling, and behavior are explored, along w the impact that these functions have on others and on task accomplishment
NAME
is to provide a shared work expereinces where in the relationship btwn thinking, feeling, and behavior are explored, along w the impact that these functions have on others and on task accomplishments
task-oriented group
T or F
task accomplishment is not the purpose of the group, but rather the means by which the purpose is realized
true
task accomplishment is not the purpose of the group but rather the mean by which (1)
the purpose is realized
T or F
task accomplishment is the purpose of a task oriented group
false
The task oriented group combines the (1) in order that the learning may be integrated
the patient's doing w his thinking and bringing these relationshps into awarness
in a task oriented group, this promotes reality testing
the group structure along clearly defined task
in task oriented group, what are some benefit of the need to work together and talk about one's doing?
its helps the cleint to learn to conceptaulize and verbalize more accurately and directly
in a task oriented group, the learning that occurs in the grou p correlates direclty w those (1)
skills and expectations required in community adjustment
NAME TYPE OF GROUP
issues concerning feelings, perceptions and behavior are discussed only in so far as they are shared by others and impede or contribute to the problem-solving in the group
task group
NAME TYPE OF GROUP
provides the opportunity to explore personal and interpersonal perceptions in depth
psychotherapy
NAME TYPE OF GROUP
interrelates the unconscious, the historical, the personal, and the interpesonal to the here and now
psychotherapy
NAME TYPE OF GROUP
provides a life-like action setting in which insights gained in psycotherapy can be tested
task group
T or F
you cannot expect from the group what you are unwilling to do yourself
true
What is the differ btwn a task group and psychotherapy?(2)
(1)task group
-issues concerning feelings perceptions, and behavior are dicussed only in so far as they are shared by others and impede or contribute to the problem solving the group
- provides a life-like action setting in which insights gained in psycotherapy can be tested
(2) psychotherapy
-provides the opportunity to explore personal and interpersonal perceptions in depth
-intterrelates the unconcisous, the historical, the personal, and the interpersonal to the here and now
What are some important leadership characteristics required in a task group? (10)
(1)the ability to facilitate the a process that will be conductive to the kind of learning and growth to which these groups are directed (2)confidence in the inherent capacity of the group to be constructively self-determining, recognizing problems and reaching realistic solutions (3)a belief in the right of the patient to be self-determining (4)trust sufficient to allow exercises of freedom of the client in exploring and testing his own capacities (5)the perceptions that the group is a therapeutic agent in its own right and leadership not as giving treatment but rather as an agent which helps to maximze the therapeutic and learning potential of the group (6)an innate knowledge of and skills in problem solving procedures (needed for assisting the group toward learning ) (7)a receptivity to looking at himself and his relation to others (8)a freedom to participate in the learning and growth of the person (9)the ability to share perceptions (10)openness to exploring all aspects of the group
What are some important leadership characteristics required in a task group? (10)
(1)the ability to facilitate the a process that will be conductive to the kind of learning and growth to which these groups are directed (2)confidence in the inherent capacity of the group to be constructively self-determining, recognizing problems and reaching realistic solutions (3)a belief in the right of the patient to be self-determining (4)trust sufficient to allow exercises of freedom of the client in exploring and testing his own capacities (5)the perceptions that the group is a therapeutic agent in its own right and leadership not as giving treatment but rather as an agent which helps to maximze the therapeutic and learning potential of the group (6)an innate knowledge of and skills in problem solving procedures (needed for assisting the group toward learning ) (7)a receptivity to looking at himself and his relation to others (8)a freedom to participate in the learning and growth of the person (9)the ability to share perceptions (10)openness to exploring all aspects of the group
What are some important leadership characteristics required in a task group? (10)
(1)the ability to facilitate the a process that will be conductive to the kind of learning and growth to which these groups are directed (2)confidence in the inherent capacity of the group to be constructively self-determining, recognizing problems and reaching realistic solutions (3)a belief in the right of the patient to be self-determining (4)trust sufficient to allow exercises of freedom of the client in exploring and testing his own capacities (5)the perceptions that the group is a therapeutic agent in its own right and leadership not as giving treatment but rather as an agent which helps to maximze the therapeutic and learning potential of the group (6)an innate knowledge of and skills in problem solving procedures (needed for assisting the group toward learning ) (7)a receptivity to looking at himself and his relation to others (8)a freedom to participate in the learning and growth of the person (9)the ability to share perceptions (10)openness to exploring all aspects of the group
Draw the Borg Model of an open system
see pic
Draw the Borg Model of an open system
see the pic
Draw the Borg Model of an open system
see the pic
according to the the Borg Model of an open system, what are some things you need to input about the environment?
(1)the specfic physical attriubtes such as blinds and openness of the room (2)time parameters
according to the the Borg Model of an open system what are some things you have to input/observe about the participant? (6)
(1)the individuals strength and limiations (2)preferred communication style (3)values (4)interest perception about self as a group memember (5)personal goals (6)observe the extent to which the patient can participate and contributes in the group by considering his/her energy level, ability to select information, maintain personal boundaries, and orgainze info and respones
according to the the Borg Model of an open system what are some things you have to input/observe about the participant? (6)
(1)the individuals strength and limiations (2)preferred communication style (3)values (4)interest perception about self as a group memember (5)personal goals (6)observe the extent to which the patient can participate and contributes in the group by considering his/her energy level, ability to select information, maintain personal boundaries, and orgainze info and respones
What are some things you need to know about yourself as therapist (6)
(1)area of expertise (2)limitations (3)preferred style (4)expectations (5)energy levels (6)theoretical beleifs
What are some things you need to know about yourself as therapist (6)
(1)area of expertise (2)limitations (3)preferred style (4)expectations (5)energy levels (6)theoretical beleifs
What are some important parts of the group structure? (4)
(1)group goals (2)therapeutic activity (3)organization (4)specfic rules as to how group should run such as no swearing, touching, yelling etc
What are some important parts of the group process? (4)
(1)interactions among group members (2)the manner in which group roles are assumed and filled (3)communication patterns in the group (4)how the therapeutic activuty is used and processed
What are some important parts of the group process? (4)
(1)interactions among group members (2)the manner in which group roles are assumed and filled (3)communication patterns in the group (4)how the therapeutic activuty is used and processed
What are some treatment outcomes in the Borg model of openess? (2)
change in idnv's thoughts feelings, attiudes, and behaviors (2)change in environment as a whole
What are some treatment outcomes in the Borg model of openess? (2)
What are some important parts of the group process? (4)
What are some reasons that an idvl may behave in a way that interferes w the group process?(5)
(1)role conflict (2)a lack of info or understanding about what is expected (3)the patient is in some way being reward by the group for his behavior (4)the behavior is related to or symptomatic of the individuals patient's problems (5)the behavior is symptomatic of unhealthy group norms
NAME
some reasons for this include (1)role conflict (2)a lack of info or understanding about what is expected (3)the patient is in some way being reward by the group for his behavior (4)the behavior is related to or symptomatic of the individuals patient's problems (5)the behavior is symptomatic of unhealthy group norms
why individuals may behave in a way that interferes w the group process
What are some reasons why people may be silent or not participated in a group? (3)
(1)the members may feel that they have nothing to offer (2)they may be anxious (3)the leader should question whether there are hidden agendas in the group that are promoting nonparticipation
NAME
some reasons for this may include (1)the members may feel that they have nothing to offer (2)they may be anxious (3)the leader should question whether there are hidden agendas in the group that are promoting nonparticipation
lack of nonparticipantion or silence
What is one key fact to remember about people that do not particpate?
in general persons cannot be forced to participate. they need to interact at their own pace
What are some strategies in dealing with someone who is silent and does not want to particpate? (4)
make frequent eye contact w a silent or inactive memeber (2)ask what is causing the group to be silent today? (3)what is making it hard to get invoilved todey? (4)the leader may chose to talk to the person outside of the group and encourage them to particpatat
A group atmosphere of tolerance, where less than (1)is more likely to encourage participation
perfect performances are clearly appreciated
A group atmosphere of tolerance, where less than perfect performaces are clearly appreciated, is more likley to encourage (1)
participation
Why do some people monopolize the activity? (6)
(1)to manage their anxiety (2)satisfy a need for attention (3)bc they are unaware that they are monopolizing (4)their contributions may relate to their activity or detract from the group purpose and theme. if they relate the leader may acknowledge the member's contribution but solicit the opninion and involvement of other group memembers (5)if the persons verbal contributions do not relate to the specfic experience==the leader thanks the participant for the contribution and the returns the focus of the discussion to the orginial topic and may need to summarize the previous discussion (6)the leader may also suggest that the non related/distracting comment may be a possible agenda item for the future group discussion


A group atmosphere of tolerance, where less tha
What does one do when the person's verbal contributions do not relate to the specific activity experience?
the leader thanks the participant for the contribution and the returns the focus of the discussion to the orginial topic and may need to summarize the previous discussion
How do you deal with hostility and aggression in a group? (4)
it is usually best to let him or her have some distance to "cool off" before you try to let them manage their feelings (2)if you fear they may hurt someone ask them to leave the group (3)it may be neccesary to have a staff memember w them to provide extra safety and support (4)it is important that the indivdual not view leaving as a punishment..it is helpful if you talk to the person 1;1 and help them to id the cues taht tell him/her that they need to removes themselves physically or emotionally before lose control
How do you deal with hostility and aggression in a group? (4)
it is usually best to let him or her have some distance to "cool off" before you try to let them manage their feelings (2)if you fear they may hurt someone ask them to leave the group (3)it may be neccesary to have a staff memember w them to provide extra safety and support (4)it is important that the indivdual not view leaving as a punishment..it is helpful if you talk to the person 1;1 and help them to id the cues that tell him/her that they need to removes themselves physically or emotionally before lose control
How do you deal with abusive langauge or swearing in a group? (4)
(1)some are tolerant and others are not (2)it is alright to inform group members that swearing is offensive and ask that they find other ways to protect themselves (3)some therapists may ask other group memembers to explain how this lanaguage impacts on their ability to participate in group (4)once the issue is resolved, the leader returns to the group topic
How do you deal with the tardiness in a group? (3)
(1)can ask them to sit quietly, listen, and observe (2)ask a fellow participant to orient them to the process or taking time from the group process to do so him or hersel f (3)some groups have a rule that no latecomers will be allowed into that particular session
How do you deal with the tardiness in a group? (3)
(1)can ask them to sit quietly, listen, and observe (2)ask a fellow participant to orient them to the process or taking time from the group process to do so him or hersel f (3)some groups have a rule that no latecomers will be allowed into that particular session
How do you deal with threat to quit or leaving the group? (2)
(1)ask them why they want to leave and then give group memembers an opportunity to discuss the person's decision to quit (2)tell them that it is their choice..make sure not giving the message to leave
Why might patients may want to leave the group?(3)
(1)it is uncomfortable w the present group experience (2)the group is not meeting the patient's needs (3)the patient is not ready to make the commitment to change (4)may want to test yours and the group reaction
NAME
some reasons for this may be that it is uncomfortable w the persent group experience, the group is not meeting the patient's needs, and the patient is not ready to make the commitment to change and to test reaction of the group to see if others care about them
patients leaving the group
How do you deal with consistent absence in the group? (2)
(1)provide an alterantive group treatment (2)pull the person aside and encourge the person to attend and participate so that he/she can benefit from the experience
How do you deal with crying in a group? (4)
(1)allow the person to express their emotion but not so much as to derail the group process indefinetly. (2)the leader can encourage the members to recoginze the person's sadness and be supportive but he or hse should discourage others from overeacting or trying to make the sadness go away (3)at times, the leader can shift attention to the activity or discussion (4)if the persons burst of emotion are uncontrollable, the leader can offer to escort the person from the group and find a staff memember to sit and be w them privately
How do you deal with crying in a group? (4)
(1)allow the person to express their emotion but not so much as to derail the group process indefinetly. (2)the leader can encourage the members to recoginze the person's sadness and be supportive but he or hse should discourage others from overeacting or trying to make the sadness go away (3)at times, the leader can shift attention to the activity or discussion (4)if the persons burst of emotion are uncontrollable, the leader can offer to escort the person from the group and find a staff memember to sit and be w them privately
How do you deal w skeptical group member? (5)
(1)ask the other group's members opinions and how they feel about the interfernce (2)ask the complaining member for a suggestion on how to improve the group (3)the leaders needs to listen careful bc some of the compliaments may be legiate (4)the group should not be sidetracked permeantly (5)if the indivudal conts to complain, can ask them to leave and meet w them after the sesion is over
How do you deal with 3-degree questioning a group?
(1)use a I message
How do you deal with fault finding, blaming and scapegoating in the group? (4)
(1)try to prevent it (2)redirect the assault to a problem on which all group members can focus ex Paul do you feel that your team had an alternative which would have helped it complete the project on time? or Joe, you suggest that plaulette is avoding the issue. Do you feel that you react similarly under the that type of work circumstance? (3)encourage each person to take responsibilty for their actions (4)may need to talk w them outside of class or to leave
How do you deal with a person who making excuses? (3)
(1)ask group members to give their reactions to the defensive behavior (2)the intent should not be to put them on the hot seat. (3)it may be useful to encourage other group members to think of times they too made exuses and to reflect on they where feeling
What is group treatment?
is a planned process for creating changes in idnvls by bringing them together
NAME
is a planned process for creating changes in indvls by bringing them together
group treatment
What are (4)purposes of group treatment?
(1)several indivudals can receive treatment simultaneously (2)cost effective (3)offers more opportunities for learning and change (4)peer learning feels comfortable to people
NAME
some purposes of this include (1)several indivudals can receive treatment simultaneously (2)cost effective (3)offers more opportunities for learning and change (4)peer learning feels comfortable to people
group treatment
What is group cohesiveness?
is the sense of solidarity the mmembers feel toward each other and the group,based on a sense of closeness and ids w each other or the group itself
NAME
this is the sense of solidarity the members feel toward each other and the group based on a sense of closeness and ids w each other or the group itself
group cohesiveness
WHat are some purposes of group cohesiveness?
(1)gives a group strength to achieve its goals (2)allows group members to try out unfamiliar roles bc they trust that they will not be rejected if they fail (3)altough it cna occur spontanesouly, it must often be faciliated (4)can be encouragesd by adjusting the length and freqeuncy of meetings and by enhancing perceptions of intermember similarity
NAME
the purpose of this includes to (1)gives a group strength to achieve its goals (2)allows group members to try out unfamiliar roles bc they trust that they will not be rejected if they fail (3)altough it cna occur spontanesouly, it must often be faciliated (4)can be encouragesd by adjusting the length and freqeuncy of meetings and by enhancing perceptions of intermember similarity
group cohesiveness
What is the length of group?
the amount of time group meetings run
NAME
this is the amount of time the group meetings runs
length of group
What is the frequency of the group?
refers to how often the group occurs
NAME
this refers to how often the group meets
frequency
What is intermember similarity?
is the degree to which group members belief they are like each other or share a sense of purpose or reason for being together in a group
NAME
this is the degree to which group members belief they are like each other or share a sense of purpose or reason for being together in a group
intermember similarity
What is interpersonal learning output?
refers to the learning succesful ways to relate to each other
NAME
this refers to the learning succesful way to relate to each other
interpersonal learning
What is instillation of hope?
is based on an increasing sense of hopefulness from seing that other group members improve
NAME
this is based on an increasing sense of hopelness from seing that other group members improve
instillation of hope
What is a group goal?
are the purposes for which the group meets
NAME
this is the purposes for which the group meets
group goal
What are the group norms?
are the rules or standards for behavior that are expected in a group
NAME
these are the rules or standards for behavior that are expected in a group
group norms
What are some purposes for group goals?
(1)establishes a commonality that supports cohesiveness (2)provides a reason for meeting and set of expections as to what will be accomplished
NAME
this established a commonality that supports cohesiveness and provides a reason for meeting and set of expection as to what will be accomplshed
group goals
What is the purpose of the grouop norms? (2)
(1)they define the limit of permissible and acceptable behavior (2)they enable social interactions to proceed safely bc they range of things that can happen is predictable
What is a "seasoned member"?
is someone that has been in the group for more than one day
NAME
this is someone that has been in the group for more than one day
"seasoned member"
What is socialization?
is the process in which "seasoned members" group members teach or tell a new group member what kind of behavior is expected
NAME
this is the process in which
"seasoned members" group members teach or tell a new group member what kind of behavior is expected
socilization
What are some examples of group norms?(5)
(1)no swearing (2)no touching (3)no yelling (4)be respectful though above (5)no interrupting poeple (
T or F
you do not need to tell the group members about group norms
false not everyone knows about them
What is an interactive groups?
are those in which every member communicates w every other member and w the group leader
NAME
are those in which every group member communicates w every other member and w the group leader
interactive group
NAME
these groups provide the greatest opportunity for interpersonal learning
interactive group
Interactive groups provide the greatest opportunity for (1)
interpersonal learning
What is interpersonal learning?
is learning that consists of all of the processes or relationship btwn indvls that result in a change of behavior, knowledge, or attiude on the part of any one or more indvls involved
NAME
is learning that consists of all of the processes or relationship btwn indvls that result in a change of behavior, knowledge, or attiude on the part of any one or more indvls involved
interpersonal learning
What is leader mediated groups?
are groups in which group members communicate only though the leader
NAME
this is are gorups in which group members only communicate through the leader
leader mediated groups
WHen is the term patient used?
usally in the hospital inpatient
What are some of the different labels for recipents of mental health care services? (6)
(1)patient (2)client (3)consumer (4)member (5)inmates (6)resident
Describe the label--patient
suggests a dependent relationship to professional staff and is used on a person who is hospitalized or recieving services as an outpatient
NAME
this label suggests a dependent relationship to professional staff and is used on a person who is hospitalized or receiving services as an outpatient
patient
Describe the label-client (2)
suggests that the person is hiring the OT practitioner to perform a service (2)is sometimes used to day tretment programs
NAME
this suggests that the person is hiring the OT practioner to perform services and is sometimes used in a day treatment program
client
Describe the label-consumer (2)
(1)preferred by persons w severe and persistent mental illness bc its suggests a voluntary use of mental health services
NAME
this is preferred by persons w severe and persistent mental illness bc it suggests a voluntary use of mental health services
consumer
Describe the label-member
preferred by persons who belong to a psychosocial club program
NAME
this is a preferred by persons who belong to a psychosocial club program
member
Describe the label-resident
used when the person w mental illness lives in a nursing homes or other supervised living environment
NAME
this is used when the person w mental health illness lives in a nursing homes or other superivsed living envirnment
resident
Describe the lable-inmates
connotes that a pesron has been jailed and correclty only used in forensic environments
NAME
this lable connotes that a person has been jailed and correclty only used in forensic environments
inmates
What are some setting where you might find mental health inpatient unit? (3)
(1)hospitals (2)skilled nursing facilities (3)large state hospitals and other public instiutions
NAME
you might find this type of mental health setting at hospitals, skilled nursing facilties, and large state hospitals and other public instituations
inpatient mental health
Describe inpatient mental health at a hostpial (3)
(1)average stay is 7 days (2)usally hve mental health history (3)focus is on geting them back into the community
What is the average stay for someone in a inpatient mental health unit in a hospital?
7 days
What is the average stay for someone in a inpatient mental health unit in a hospital?
7 days
the average stay for someone in a inpatient unit on a hospital for mental health is (1)
7 days
T or F
the inpatient mental health unite on the hospital might be mixed w acute and long term care
true
NAME
when people are in this type of setting the focus is usally on geting them back into the community
inpatient hospital
What are some examples of large state hospitals and other public institutions that have inpatient mental health care?
(1)rehabilitation programs (2)behavorial units (3)transitional services (4)prisions
T or F
there are not many large state hospitals and other public institutions left
true
Give examples of some of the types of settings in outpatient mental health? (5)
(1)community mental health centers (2)community rehabilitiation programs (3)partial hospitalization programs (4)day hospitals/day treatment programs (5)other community programs
NAME
some setting this type of mental health care can be found include (1)community mental health centers (2)community rehabilitiation programs (3)partial hospitalization programs (4)day hospitals/day treatment programs (5)other community programs
outpatient mental health care
What are some examples of other community programs that do outpatient mental health care? (6)
(1)halfaway houses (2)supervised living (3)clubhouses (4)transitional employment placement programs (5)home health care (6)prevention programs
NAME
some examples of community programs in this type of mental health care setting include (1)halfaway houses (2)supervised living (3)clubhouses (4)transitional employment placement programs (5)home health care (6)prevention programs
outpatient mental health care
What are community outpatient mental health care centers like?
part state and federal funds (2)large agencies w residendial communities
What is one problem w outpatient community mental health care centers?
you are puting on a sliding payment...which means you have to pay 5 dollars everytime you come in..that can get expensive and the spots are limited and there is a waiting list.
Describe partial hospitalization programs (3)
have 2 purposes (1)to serve as a transition them out of the hospital (2)group program unlike inpatient has goals (3)created as an alternative to inpatient
NAME
this was created as alternative to inpatient. Serves as a way to transition them out of the hospital. unlike hostpials has a group program that includes goals
partial hospitalization programs
What is a CRP?
like a vocational treatment group
NAME
this is like a vocational treatment group
CRP
What does CRP stand for?
community rehabiliation programs
What does CMHC?
community mental health centers
What is a halfway house?
half freedom...other day dont have freedom have to go to classes lke AA etc
NAME
in this type of house..residents have half freedom and the other day they dont..they have to go to classes like AA
halfway house
Give some examples of supervised living settings? (4)
(1)group houmes (2)boarding homes (3)SROs (4)shelters
NAME
some examples of this include group homes, boarding homes, SROs, and shelters
supervised living settings
What does SROs stand for?
single room occupancy
What are some environmental concepts that you need to pay attention to about space?
(1)includes the size and kind of space (2)objects w.in that space (3)how they are arranged
NAME
these includes the size and kind of space, objects w.in that space and how they are arranged
space
What are some environmental concepts you should observe about people? (3)
(1)the number of people (2)the roles that they fill (3)expectation of each other
What are some environmental concepts you should observe about tasks?(2)
(1)objects in the environment that compel certain task behaviors (2)social pressures
What is micro latin for?
small
What is meso latin for?
middle
NAME
this is latin for small
micro
NAME
this is latin for middle
meso
What is macro latin for?
large
nAME
this is latin for large
macro
What is a microenvironment?
this is the client centered level using simple person-environment interaction.
NAME
this is the client centered leve using simple person-environment interactions
microenvironment
NAME
this is the level at which most OT intervention occurs
microenvironment
WHat is the level at which most OT internvention occurs?
microenvironment
microenvironment is the level at which most (1)occurs
OT internvention
What are the levels of environmental intervention? (3)
(1)microenvironment (2)mesoenvironment (3)macroenvironment
NAME
these incluce microenvironment, mesoenvironment, and macroenvironment
evironmental intervetions
What is mesoenvironment?
This is the community level at which consultant and program directors can improve occupational functioning conditions for clients
NAME
this is the community level at which consultants and program directors can improve occupational functioning conditions for clients
mesoenvironment
NAME
this level is found in community barriers to emplyment, transportation, and accesibility
mesoenvironment
What is the marconevironment?
this occurs at the poltical and social level at which consumer adovcates and their professional supporters have struggled for social policy changes
NAME
this occurs at the poltical and social level at which consumer adovcates and their professional supporters have struggled for social policy changes
marcoenvironment
What does NAMI stand for?
national alliance for mentally ill
What does PACT stand for?
program for assertive community treatment
WHat are some of the types of treatment theories and practice models in mental health care? (7)
(1)PACT (2)Mileau therapy (3)psychosocial rehabiliation: the psychosocial club (4)family therapy (5)stress management (6)crisis intervention (7)wellness model
NAME
these include (1)PACT (2)Mileau therapy (3)psychosocial rehabiliation: the psychosocial club (4)family therapy (5)stress management (6)crisis intervention (7)wellness model
treatment and theorie and practice models for mental health care in OT
What are PACT?
are intensive care programs for people cannot get to hospital
NAME
these are intensive care programs for people who cannot get to the hostpial
PACT
PACT are similar to (1)
hospitals on wheels
NAME
this model is similar to hospitals on wheels
PACT
What is the mileau therapy?
is seen primarly inpatient. patients are asked to take as much responisbility as they can

ex make beds, pick out meals, and set daily goals
NAME
this treatment theory/model usally occurs inpatient mental health care. Patients are asked to take as much resposnibility for their actions as they can...ex make beds, pick out meals,and set daily goals
mileau therapy
What is psychosocail rehab: the pscyhosocial club=?
people get together ..may do activity. it is about social interaction and to provide support.
NAME
for this type of treatment theory/model in mental healh. poeple get together...may do activity. it about social interaction and providing support
psychosocial rehabiliation: psychosocial club
What is family therapy?
is when all family particpates i n therapy
NAME
this is when all family participates in therapy
family therapy
What is an example of crisis intervention?
sucide hotelines
NAME
example of this includes sucide hotelines
crisis intervention
What is wellness model?
similar to stress managements and run groups
NAME
these similar to stress managements and run groups
wellness model
What are some key components of long term inpatient programs in MH?
(1)protective environment (2)indl programming (3)group programing
NAME
this type of MH programing has 3 main parts" protective enironment, invdl programming, and group programming
inpatient programs in mh
What does MH stand for?
mental health
what is the protective environment in inpatient mh long term care like?
has a structured routine and provides patients w basic needs
WHat is the group programming like in the inpatient long term mental health care like?
expected to go and follow schedule
What is the indvl programming like in the inpatient long term mh like? (6)
(1)behavior managment (2)compensatory treatment for congintive deficts (3)basic ADLs (4)instrumental ADLS (5)leisure (iding interest, finding free or inexpensive events, excerise etc) (5)work (meaningful, productive, employment, volunteer work) (6)age-specific and gender specific support group (women's issues and parenting groups)
What are some things you can do help some w memory deficits to remember daily activities/schedule? (4)
(1)have notebook (2)yellow dot on door or something they will remember (3)post schedules in all rooms (4)buddy system
In acute inpatient programs, what is the treatment focus?
(1)rapid invdl assessment and mutal collarborative goal setting (2)goal-discharge (3)group programming
NAME
this has two treatment focuses: rapid indvl assesment and mutual collaborative goal settings and group programing
acute inpatient mh programs
What do you have group programing in acute mh?
bc of the short stay and rapid turnovers. ..have more chance of treating more people that way
What are some things you cover in group programing during acute inpatient mh? (4)
(1)normal daily routines (mix of ADL, work, play/lesiures) (2)self expression and self awareness activities (3)psychosocial skills (coping skills, stress management) (4)discharge planning (relapse prevention and symptom id and reduction)
T or F
can you be assertive if you know how you are feeling
false
What is one beneift of running a group in acute mental health care setting?
can treat everyone in short amount of stay
What are is the treatment focus in community mh programs? (3)
(1)careful idvls functional assesment, mutal collaborative goal setting (2)indvl:mix of group acivties and indvl activties (3)therpaeutic social milieu that gives a message of ability and empowerment
NAME
some focus of this mh treatment include (1)careful idvls functional assesment, mutal collaborative goal setting (2)indvl:mix of group acivties and indvl activties (3)therpaeutic social milieu that gives a message of ability and empowerment
community mh programs
What does indvl programing consist of in community mh programs? (5)
(1)basic ADLs (hygeine, grooming, dressing, nutrition, and social skills (2)instrumental ADLs (3)leisure (id interests, developing leisure habits) (4)work (supportive employment, transitional placement, volunteer jobs etc (5)age related and gender specfic groups
Give some examples of age related and gender specfic group you might run?
parenting
WHat are some exmaples of instrumental ADLS? (3)
(1)public transporatation (2)clothing care (3)emergency responses
NAME
some exmaples of this include public transporation, clothing care, and emergency responses
instrumental ADLs
What is the treatment focus of psychiatric mh home care? (4)
(1)client directed goals and plans (2)naturally occuring activties such as unloading groceries in the cutomary environment (3)intervention and education as needed (basic ADLS, instrumental ADLS and leisure ) (4)eduication of family and caregivers about the person's illness and meds etc.
NAME
the treatment focus of this type of health care includes(1)client directed goals and plans (2)naturally occuring activties such as unloading groceries in the cutomary environment (3)intervention and education as needed (basic ADLS, instrumental ADLS and leisure ) (4)eduication of family and caregivers about the person's illness and meds etc.
psychiartic mh home care
What are some of the treatment focuses in the psychosocial clubohouse? (6)
(1)clients are members (2)members and staff are equals (3)staff are resoucres rather than authorities (4)peer counseling and meetings (5)client directed goals and plans (6)indvl programming:mix of group activties and indnvidual activities that include basic ADLS, instrumental ADLS, leisure, work, and other age related and or gender specfic groups
NAME
the main focus of this type of mh care includes(1)clients are members (2)members and staff are equals (3)staff are resoucres rather than authorities (4)peer counseling and meetings (5)client directed goals and plans (6)indvl programming:mix of group activties and indnvidual activities that include basic
psychosocial clubhouse
What is the secret to preventing a power struggle w another indvl?
is to sit onto of your ego and to step out of the emotional reaction that usally occurs when you are challenged
T or F
the conflict is a win/lose situation
false
T or F
it is important who is right in a conflict
false
What should be the goal in a conflict?
to solve a mutual problem through good communication
T or F
it is not usfeul to say "you are lazy"
true
Instead of judging the client who not work and saying "you are wrong". what can you do?
try to get the cleint to work for half of hte normal time then go from there.
What should you do when several problems arise?
deal with one at a time
T or F
when dealing with a problem, you should be able to adimt when you are wrong
true
When dealing with a problem, what is one thing you should not due?
focus on the problem instead focus on the solutions to the problem you cannot change the past
In a conflict, when you find yourself confused what should you do?
paraphrase what you have heard and use any I'Message" to ask them if this is what they mean
T or F
during a conflict, you should talking about the past and focus on the presnet
false
during a conflict, you should talk avoid talking about the (1)and focus on the (2)
(1)past (2)future
T or F
when dealing w conflicts, you should develop abilities to see when you should reschedule the discussion bc your emotions are impairing good communications, probleming solving, and compromise
true
What is the initiator-contributor?
suggests new ideas, innovaite solutions to problems, unique procedures, and new ways to organize to accomplish the group goal
NAME ROLE
suggests new ideas, innovaites solutions to problems, unique procedures and new ways to organize to accomplish the group goal
initiator-contributor
What is the information seeker?
asks for clarification of values and attitudes presented
NAME ROLE
asks for clarification of values and attiudes presented
information seeker
What is the opinion seeker?
seeks the clarification of suggetions..focuses on facts
NAME
this person seeks the clarification of suggestions and focuses on facts
opinion seeker
What is the info giver?
gives facts based on experience or authority
NAME ROLE
gives facts based on expereince or authority
info giver
What is elaborator?
explands and clarifies the outcome of the suggestion made by other group members
NAME ROLE
explans and clarifies the outcome of the suggestion made by other group members
elaborator
What is coordinator?
attempts to combine ideas, to coordinate activties and to suggest relationships among ideas
NAME ROLE
this attempts to combine ideas, to coordinate activites and to suggest relationship among ideas
coordinator
What is the orienter?
summarizes group process and raises questions regarding future directions of the group
NAME ROLE
summarizes group process and raises questions regarding future directions of the group
orienter
What is the evulator?
compare the group's progress to group performance standards
NAME ROLE
compare the group's progress to group performance standards
evaluator
WHat is energizer?
attempts to increase group interaction
NAME
this attempts to increase group interaction
energizer
What is procedure assistant?
helps the group to achieve its goals by performing routine tasks
NAME
this helps the group to acheive its goals by perofrming routine tasks
procedure assistant
What is recorder?
documents suggests, group decisions and outcomes so that the group can see tangible results
NAME
this documents suggests, group decisision and outcomes so that the group can see tangible results
recorder
What are some indvl group roles that impede group progress? (7)
(1)aggressor (2)blocker (3)recognition seeker (4)self-confessor (5)playboy (5)dominator (6)the help-seeker (7)special interest pleader
What is aggressor? (3)
takes advantage of others (2)Disapproves or may attack the thoughts and ideas of other group members (3) May take credit for the accomplishments of others and may use the malicious humor
NAME
this takes advantage of others. Disapproves or may attack the thoughts and ideas of other group memembers. May take credit for the accomplishments of others and may use a malicous humor
aggressor
What is the blocker?
engages in behavior that prevents group progress and development.
NAME ROLE
this person engages in behavior that prevents group progress and development
blocker
What is the recoginition seeker?
engages in attention-seeking behavior such as excessive talking, boasting, or assuming in a superior attidue
NAME
this person engages in attention seeking behavior such as excessive talking, boasting , or assuming in a superior attiude
recoginition seeker
What is self-confessor?
promotoes personal concerns rather than supporting the group theme or focus
NAME ROLE
promotoes personal concerns rather than supporting the group theme or focus
self confessor
What is the playboy?
interfers and detracts from the group task by his nonchalant attitude "goofing off" andor horse play
NAME ROLE
interfers and detracts from the groups task by his nonchalant attiude "goofing off" and/or horse play
playboy
What is dominator?
intentionally controls and mainpulates others in the group through flattery, interrupting others or "pulling rank"
NAME
intentionally controls and manipulates others in the group through flattery, interrupting others or "pulling rank"
dominator
What is the help seeker?
uses self-derogatory statements to get attention from others such self-criticism and expressing
NAME ROLE
uses self-derogatory statements to get attention from others such self-criticism and expressing
help seeker
What is the special interest pleader?
predominatly speaks about his own biases under the guise of speaking "on behalf of the others"
NAME
uses predominatly speaks about his own biases under the guise of speaking "on behalf of the others"
special interest pleader
Who is the encourager?
acknowledges the contributions of others by listening, praising, being tolerant, and verbalizing support for the ideas, feelings, and actions of others
NAME ROLE
acknowledges the contributions of others by listening, praising, being tolerant, and verbalizing support for the ideas, feelings, and actions of others
encourager
What are some group maintenance roles? (6)
(1)encourager (2)harmonizer (3)compromiser (4)gatekeeper (5)standard setter (6)follower
NAME ROLE
mediates conflicts and tension among members during the group experience
harmonizer
What is the harmonizer?
mediates the conflicts and tension among members during the group experience
What is the compromiser
yields during the conflict to meet a person halfway or puts side personal needs for the betterment of the group
NAME ROLE
yields during the conflict to meet a person halfway or puts side personal needs for the betterment of the group
compromiser
What is gatekeeper
monitors the group's participation and faciliates communication to increase the opportunity for all to be heard, and limits members who try to monopolize the group
NAME ROLE
monitors the group's participation and faciliates communication to increase the opportunity for all to be heard, and limits members who try to monopolize the group
gatekeeper
What is the standard setter
verbalizes the group's rules of conduct and protool for interaction, procedures etc
NAME ROLE
verbalizes the group's roles of conduct and protool for interaction, procedures etc
standard setter
what is the follower
passively participate in the group through listening
NAME ROLE
passively participate in the group through listening
follower
What are (2)discordant roles?
(1)role strain (2)role conflict
NAME
these two roles include: role strain and role conflict
discordant roles
What is role strain?
occurs when the group expects a member to assume a role the includes behaviors beyond what he/she is capable
NAME ROLE
this occurs when the group expects a member to assume a role that includes behaviors beyond what he/she is capable of
role strain
What is role conflict?
results when a member is asked to assume a role that is contradictory to the one that the indvls typically performs in groups
NAME
this results when a member is asked to assume a role that is contradictory to the one that the indvls typically performs in groups
role conflict
What are some things that might happen if a person asked to assume a role that he or she is inconsistent or uncomfortable w? (6)
(1)they may remove themselve from the group (2)indvl may reassess his or her own self perception (3)indvl may seek clarification of what is expecte of an indvl in that role (4)the indvl may risk discomfort and try to adapt to the new role (5)other patients may modify what is expected of any member in that role (6)other members may choose someone eles to fill that role
What are some things that might happen if a person asked to assume a role that he or she is inconsistent or uncomfortable w? (6)
(1)they may remove themselve from the group (2)indvl may reassess his or her own self perception (3)indvl may seek clarification of what is expecte of an indvl in that role (4)the indvl may risk discomfort and try to adapt to the new role (5)other patients may modify what is expected of any member in that role (6)other members may choose someone eles to fill that role
Describe parallel group?
a group of patients who have the ability to trust each other enough to tolerate being w more than one person at a time
NAME
this is a group of patients who have the ability to trust each other enough to tolerate being w more than one person at a time
parallel group
What are the differ types of developmental groups? (5)
(1)parallel group (2)project group (3)egocentric cooperative group (4)cooperative group (5)mature group
NAME
some examples of these include (1)parallel group (2)project group (3)egocentric cooperative group (4)copperative group (5)mature group
developmental groups
In a parallel group, what role does the OT play?
serves as a leader
NAME (2)
in these types of developmental groups, the OT serves as a leader
(1)parallel group (2)project group
In a project group, what role does the OT play?
serves as the leader
What is parallel group?
patient work on his/her chosen task while sharing space w other patients
NAME
the goal of this group is to hve the patient work on his/her chosen task while sharing space w other patients
parallel group
Give example of parallel group?
a craft group
NAME GROUP
example of this is a craft group
parallel group
NAME GROUP
the ot provides an environment that is safe place to work and where the patient can feel valued and accepted
parallel group
What is a project group?
is a group expereince in which the patients are expected to come together to interact w each other in causal conversation and in order to complete a short term task (1-1.5 hours). (patients are expected to work together cooperatively share space, materials and tools and be able to cope w limited competition)
NAME GROUP
is a group expereince in which the patients are expected to come together to interact w each other in causal conversation and in order to complete a short term task (1-1.5 hours). (patients are expected to work together cooperatively share space, materials and tools and be able to cope w limited competition)
project group
What is the goal of a project group?
is to provide patients w an oppotrunity for trial and error learning, group interaction around a task and for a balance of cooperative and competitive experiences
NAME GROUP
is to provide patients w an oppotrunity for trial and error learning, group interaction around a task and for a balance of cooperative and competitive experiences
project group
What are some examples of a project group? (4)
(1)team sports (2)games (3)creating holiday decorations for the unit (4)planning/preparing a patient party
NAME GROUP
some examples of this include (1)team sports (2)games (3)creating holiday decorations for the unit (4)planning/preparing a patient party
project group
What is an egocentric cooperative group?
a group in which the patients come together to work on one task that is completed in 1 to 2 sessions
NAME
this is a group in which the pateints come together to work on one task that is completed in 1 to 2 sessions
egocentric cooperative group
What is the role of the OT in the egocentric-cooperative group?
act as a resource for faciliating task completion and support that promotes a atmosphere of safety and acceptance
NAME GROUP
the OT acts as a resource for faciliating task completion and support that promotes a atmosphere of safety and acceptance
egocentric-cooperative group
What is the goal of the egocentric-cooperative group? (7)
(1)id group norms and goals (2)use their own knowledge and skills to respond to the group (3)experiment w different group roles (4)id themselves as group members w rights (5)respect the rights of others (6)respond empathetically to the group members' needs (7)gain satisfaction from particpating in group experiences
NAME
some goals of this group include (1)id group norms and goals (2)use their own knowledge and skills to respond to the group (3)experiment w different group roles (4)id themselves as group members w rights (5)respect the rights of others (6)respond empathetically to the group members' needs (7)gain satisfaction from particpating in group experiences
egocentric-cooperative group
What is cooperative group?
a group in which members come together to express and share their needs thoughts and feelings and in which they listen to one another
NAME
this is a group in which members come together to express and share their needs thoughts and feelings and in which they listen to one another
cooperative group
What role does the OT serve in a cooperative group?
adviser..he or she helps form the group and initiate the task and then becomes a participant who freely shares her thoughts and feelings
NAME GROUP
the role of the OT is to become an adivser....he or she helps form the group and initiate the task and then becomes a participant who freely shares her thoughts and feelings
cooperative group
What is the goal of the cooperative group?
to provide an experience for the patient that helps him/her share his or her thoughts,feelings, values, common interests, and to gain pleasure and satisification from his shared experiences.
NAME GROUP
the goal of this group is to to provide an experience for the patient that helps him/her share his or her thoughts,feelings, values, common interests, and to gain pleasure and satisification from his shared experiences.
cooperative group
T Or F
the goal of the cooperative group is behavior change
false
What are some examples of a cooperative group? (3)
(1)art (2)poetry (3)other creative experiences and values clarification groups
NAME GROUP
examples include art and poetry and other creative experiences and values clarification groups
cooperative groups
What is a mature group?
is a group experience in which patients independently select plan and complete a group task which is time limited and produces a specific end product
NAME GROUP
is a group experience in which patients independently select plan and complete a group task which is time limited and produces a specific end product
mature group
WHat is the OT's role of the mature group?
is a group member
NAME GROUP
the role of the OT is to act as a group member
mature group
What is the goal of a mature group?
to provide an acitvity that will allow the indvl patient to put aside his/her indvl needs for the betterment of the group and to help the group to accomplish its goal
NAME GROUP'

to provide an acitvity that will allow the indvl patient to put aside his/her indvl needs for the betterment of the group and to help the group to accomplish its goal
mature group
NAME GROUP
an example is "survivor"
mature group
Give an example of a mature group?
"survivor"
WHat are development groups?
are task oriented groups structured in such a manner as to stimulate the various types of nonfamilial groups encountered in the normal development process
NAME
are task oriented groups structured in such a manner as to stimulate the various types of nonfamilial groups encountered in the normal development process
development groups
NAME
are when members are actively engaged in the accomplishment of definable project of task
task oriented groups
Developmental groups are jst (1)groups
task-oriented
NAME
this was formulated originally to define and treat deficiency in the group interaction
developmental groups
developmental groups was formulated originally to define and treat deficiency in the (1)
group interaction
Group interaction is considered to be an (1)
adapative skill
What is an adaptive skill?
is the ability to participate in a variety of groups in a manner that is satisfying to oneself and for one's fellow group members
NAME
is the ability to participate in a variety of groups in a manner that is satisfying to oneself and for one's fellow group members
adaptive skill
How is group interaction skill acquired in a developmental group?
through participation in developmental groups in conjunction w the opportunity to experience the consequences of appropriate and inappropriate behavior
NAME
this is learned through through participation in developmental groups in conjunction w the opportunity to experience the consequences of appropriate and inappropriate behavior
group interaction
ideally in a developmental group, what do the therapists and the patient need to id together? (3)
(1)stages of the skill the patient has succesfully intergrated (2)id the behavior needed for succesful group interaction (3)id the current behavior that is interfering w successful participation
Describe the treatment process in a developmental group? (3)
(1)first step is engagement of the patient in that type of developmental group that is compatible or nearly compatible w his current capacity for meaningful social interaction (2)the treatment process consists of providing postive reinforcers for behaviors or approximation of bheviors that are inconsistent w sucessful participation (3)the group provides the structure; it sets and defines classes of behavior that are to be learned
Describe the treatment process in a developmental group? (3)
(1)first step is engagement of the patient in that type of developmental group that is compatible or nearly compatible w his current capacity for meaningful social interaction (2)the treatment process consists of providing postive reinforcers for behaviors or approximation of bheviors that are inconsistent w sucessful participation (3)the group provides the structure; it sets and defines classes of behavior that are to be learned
What some things can OT can do in a developmental group to increase the probability of the patient demonstrating desirable behaviors? (7)
(1)Wait until the patient exhibits an approximation of the behaviors he needs to acquire (2)encourage imitation of the therapist or other group members (3)suggest specific patterns of behvior to the patient (4)id the patient's ineffectual responses and encourage him to experiement w other forms of bebehavior (5)group discussion regarding the behevior of self and other mutual encouragement for engaging in appropriate and effective group of behviors (6)experimentation w various behaviors through role playing excercises (7)patients are encouraged to give and withhold reinforcers on the basis of behavior demonstracted by group member
(1)first step is engagement of the patient in that type of developmental group that is compatible or nearly compatible w his current capacity for meaningful social interaction (2)the treatment process consists of providing postive reinforcers for behaviors or approximation of bheviors that are inconsistent w sucessful participation (3)the group provides the structure; it sets and defines classes of behavior that are to be learned
(1)Wait until the patient exhibits an approximation of the behaviors he needs to acquire (2)encourage imitation of the therapist or other group members (3)suggest specific patterns of behvior to the patient (4)id the patient's ineffectual responses and encourage him to experiement w other forms of bebehavior (5)group discussion regarding the behevior of self and other mutual encouragement for engaging in appropriate and effective group of behviors (6)experimentation w various behaviors through role playing excercises (7)patients are encouraged to give and withhold reinforcers on the basis of behavior demonstracted by group member
in developmental group, when can the OT end the therapy? (3)
(1)the patient has attained the ability to function in the type of group that is typical for his age (2)he is able to participate in the kind of groups that he is likely to encounter in his community environment, given his culture and lifestyle
in developmental group, when can the OT end the therapy? (3)
(1)the patient has attained the ability to function in the type of group that is typical for his age (2)he is able to participate in the kind of groups that he is likely to encounter in his community environment, given his culture and lifestyle
What is the treatment focus for children w psychosocial problems in mh? (6)
(1)occupation based assessment and intervention focusing on age appropriate roles--play (2)mutual collaborative goal setting, including child, family, and where relevant teacher (3)as needed, group programming for development of social skills and play behaviors such as taking turns, sharing, and raising your hand (4)education of and consultation w parents (appropriate expectations, behviors management) (5)as needed, special interventions (behavioral anaylsis and sensory integration) (6)creating a compatible treatment schedule w family needs and schoool
What is the treatment focus for children w psychosocial problems in mh? (6)
(1)occupation based assessment and intervention focusing on age appropriate roles--play (2)mutual collaborative goal setting, including child, family, and where relevant teacher (3)as needed, group programming for development of social skills and play behaviors such as taking turns, sharing, and raising your hand (4)education of and consultation w parents (appropriate expectations, behviors management) (5)as needed, special interventions (behavioral anaylsis and sensory integration) (6)creating a compatible treatment schedule w family needs and schoool
What are some things you may want to work on in mh w adolescents 12-18? (or intervention focusing on age appropriate roles)(5)
(1)ADL (2)help them to firgue out who they are (3)what is important to them (4)tell them they have choices (5)transation to adult to work, student, to budgeting
children w pyschosocial problems usally refers to children btwn the ages of (1)
12 and under
What age group does adolscents usally refer to?
12 to 18
What is the treatment focus for adolscents w psychosocial problems in mh? (7)
(1)occupation based assessment and intervention focusing on age appropriate roles (2)mutual collaborative goal settings, empowering the adolescent to set goal for self (3)attention to the development of occupational choice for carerer (4)as needed, group programming for development of communication and skills (5)education in special needs of this group (6)education of and consultation w parents regarding approopriate expecations, behavior management (7)schedule is compatible w the school and needs of the family
What is the treatment focus for adolscents w psychosocial problems in mh? (7)
(1)occupation based assessment and intervention focusing on age appropriate roles (2)mutual collaborative goal settings, empowering the adolescent to set goal for self (3)attention to the development of occupational choice for carerer (4)as needed, group programming for development of communication and skills (5)education in special needs of this group (6)education of and consultation w parents regarding approopriate expecations, behavior management (7)schedule is compatible w the school and needs of the family
What are some speacil needs of the adolscents group w psychosocial problems you may want to address? (4)
(1)sexuality (2)gender (3)id (4)substance abuse and prevention
What are some treatment focus for elders w psychosocial problems? (5)
(1)occupation based assessment and intervention focusing on relevant age appropriate roles (2)mutual collaborative goal setting, encouraging elder to id valued goals, including family or other caregiver when relevant (3)collaborative approch to intervention (4)education in speacil needs of this group (5)education of and consultation w caregiver regarding apporpiate expectations, behavior management etc
What are some treatment focus for elders w psychosocial problems? (5)
(1)occupation based assessment and intervention focusing on relevant age appropriate roles (2)mutual collaborative goal setting, encouraging elder to id valued goals, including family or other caregiver when relevant (3)collaborative approch to intervention (4)education in speacil needs of this group (5)education of and consultation w caregiver regarding apporpiate expectations, behavior management etc
NAME
some speacil educational needs of this group may include (1)sexuality (2)gender (3)id (4)substance abuse and prevention
adolscents
What are some speacil educational needs for the elder you may want to address? (3)
(1)safety (2)fall prevention (3)nutrition
NAME
some speacil needs of this group include safety, fall prevention, and nutrition
elder
What is labile?
used to describe frequent and unpredictable mood changes
NAME
this is used to describe frequent and unpredictable mood changes
labile
In the article managed mental health care:reflections in a time of turmoil, the author discusses many opportunities and challenges for occupational therapsits in the changing field of mental healh. please one of those opporutnites or challenges cited in the text
lack of fund lead to discontinuation of services , lack of oTs going into the field etc
What is empathy?
is the ability to understand how the other person is feeling
NAME
this is the ability to understand what other person is feeling
empathy
What are (3)styles of leadership?
(1)autocratic (2)democractic (3)laisezz faire
What is autocratic leadership?
is when the decision making is strictly up to the leader. (2)dictates what is done and produce high quality but poor quaility
NAME
this style of leadership dictates what is done a
autocratic
NAME
this produces high quality but poor quality
autocratic leadership
When might people use autocratic leadership style?
(1)inmates (2)little kids (3)dementia patients
NAME LEADERSHIP STYLE
this leadership style might be used w inmates, little kids, and dementia patients
autocratic leadership
Describe democratic leadership?
this is when the power is in the group but under the guidance of the leader (2)policies are open for decision making (3)leader acts as a guid e(4)leader is a resource (5)creates high moral and cohesiveness
NAME
in this type of leadership, the power is in the group but under the guidance of the leader
democratic leadership
NAME
in this type of leadership, the leader is a resource
democratic leadership
NAME
this type of leadership creates high moral and group cohesiveness
democractic leadership
Describe the Laissez faire leadership? (3)
(1)the leader may as well not be there (2)only answer questions when asked (3)all desciion making is made from the group
NAME
in this type of leadership, the leader may as well not be there and all decisions are made by the group
laissez faire leadership
NAME
in this type of leadership, the leader only answers questions when asked
laissez faire leadership
When might a leader chose to use the laissez faire type of leadershiP/
in a clubhouse
What are defense mechanisms?
are unconscious intrapshic processes by which anxiety-producing info or wishes are kept out of conscious awareness
NAME
these are unconscious intrasphic processes by which anxiety-producing info or wishes are kept out of conscious awarness
defense mechanisms
T or F
defense mechanisms are used by everyone jst on lesser or greater degrees
defense mechanisms
NAME
these processes keep the indvl from knowing himself and from changing his behavior
defense mechanisms
What are some common defense mechanisms?(11)
(1)denial (2)displacement (3)projection (4)regression (5)rationalization (6)sublimination (7)identification (8)repression (9)fixation (10)reaction-formation (11)conversion reaction
NAME
some of these include (1)denial (2)displacement (3)projection (4)regression (5)rationalization (6)sublimination (7)identification (8)repression (9)fixation (10)reaction-formation (11)conversion reaction
defense mechanisms
What is denial?
when an indvl protects himself against info by refusing to accept the truth
NAME
this is when the idvl protects himself against info by refusing to accept the truth
denial
What is displacement?
when indvl puts feelings about one person onto another person or object
nAME
this is when indvl puts feelings about one person onto another person or object
displacement
Give an ex of denial?
on the first time someone hear their loved one died...they dont believe it
NAME
ex of this is on the first time someone hears their loved one dies...they dont beleive it
denial
Give an ex of displacement?
when a student has disagreement w an instructor and then comes home and yells at his roomate
NAME
this is when a student has a disagreement w an instructor and then come home and yells at his roomate
displacement
What is projection?
when a person attributes to another person the feelings he is really having himself
NAME
this is when a person attributes to another person the feelings he is really having himself
projection
Give an ex of projection
stating you "dont want to upset" someone, when you are the one who fears becoming angry
NAME
an ex of this is stating you "dont want to upset" someone when are the one who fears becoming angry
projection
What is regression?
is the process by which an indvl reverts back to a more infantile way of meeting his needs
NAME
this is the process by which an indvl reverts back to a more infantile way of meeting his needs
regression
Give an ex of regression?
when an indvl feels overwhelmed by his job and personal setbacks, refuses to go to work, stays in bed, snuggles up against the covers, and seeks to be taken care of.
NAME
an ex of this when an indvl feels overwhelmed by his job and personal setbacks, refuses to go to work, stays in bed, snuggles up against the covers, and seeks to be taken care of.
regression
What is rationalization?
when an indvl makes exuses for himself, or justifies his own or someone else's behavior --a behavior that would otherwise be considered unacceptable or hurt self-esteem
NAME
this is when an indvl makes exuses for himself, or justifies his own or someone else's behavior --a behavior that would otherwise be considered unacceptable or hurt self-esteem
rationalization
Give an ex of rationalization?
when a person diets overeats, the n rationalizes the behavior by telling himself it was a bad day and he deserves to go off the diet
NAME
an ex of this is when a person diets overeats, the n rationalizes the behavior by telling himself it was a bad day and he deserves to go off the diet
rationalization
NAME
an ex of this is when a person is late for a job interview thereby loosing his job for the bid. He or she blames the traffic
rationalization
What is sublimation?
this is a channeling of unacceptable impulses into personally and acceptable channels.
NAME
this is the channeling of unacceptable impuleses into perosnally and acceptable channels
sublimation
NAME
this is defense mechanism is considered a healthy process
sublimation
Give an ex of sublimation?
is when aggressive impulses might be channeled into a game of handball
NAME
an ex of this is aggressive impulses are channeled into a game of handball
sublimation
Freud felt that all artistic endeavors, work, hobbies were a function of (1)
sublimation
What is identification?
is when an indvl takes on the qualities or attriubtes of a person he admires by this process
NAME
this is when an indvl takes on qualities or attriubutes of a person he admires by his process
identification
GIve an ex of identification?
young lady smokes cigarettes to model after a super model
NAME
an ex of this is a little boy wears a superman cape to emulate his hero
identification
NAME
an ex of this is a young lady smokes cigarettes to model after a super model
identification
What is repression?
is a process by which the ego pushes painful memories or anxiety-producing stimuli out of consciousness
NAME
this is a process by which the ego pushes painful memories or anxiety producing stimuli out of consciousness
repression
T or F
some repression is necesary to deal w unacceptable wishes
true
NAME
this is at the core of many other defense mechanisms
repressions
What is fixation?
is the process by which the indvls get stuck at a stage of psychosocial development bc there is anxiety associated w moving to the next stage
NAME
this is the process by which the indvls get stuck at a stage of psychosocial development bc there is anxiety associated w moving to the next stage
fixation
Give an ex of fixation?
a women who can only carry on superficial relationships w men bc of her fear of mature heterosexuality
NAME
an ex of this is a women who can only carry on superficial relationships w men bc of her fear of mature heterosexuality
fixation
what is reaction-formation?
the conscious thought and feelings that develop in the ego are jst the opposite of the unfelt, unconscious thoughts and wishes.
NAME
this is the conscious thought and feelings that develop in the ego are jst the opposite of the unfelt, unconscious thoughts and wishes.
reaction-formation
What is the conversion reaction?
when an unconscious wishes or thoughts are channeled and make their appearance via a variety of physical or somatic symptoms
NAME
this when an unconscious wishes or thoughts are channeled and make their appearance via a variety of physical or somatic symptoms
conversion reaction
Give an ex of reaction-formation?
a person who is highly pious and overly moral might be responding to unconscious wishes to engage in immoral behavior
NAME
ex of this is na person who is highly pious and overly moral might be responding to unconscious wishes to engage in immoral behavior
reaction-formation
Give an ex of conversion reaction?
when an indvl who is fighting w her spouse and doesnt want to listen develops a hearing problem
NAME
an ex of this is when an indvl who is fighting w her spouse and doesnt want to listen develops a hearing problem
conversion reaction
What is the theory of object relations?
it states that the mental health and mental illness are determined by our relations w objects in the environment
NAME
this states that the mental health and mental illness are determined by our relations w objects in the environment
theory of object relations
WHo came up w the theory of object relations?
frued
Freud came up w the theory of (1)
objects relations
the infant develops relationships w object and environment to (1)
satisfy needs such as hunger and thrist
What is a drive?
an inborn tendency to actively satisfy needs
NAME
is an inborn tendency to actively satisfy needs
drive
according to Freud, humans are born a drives for (1)
pleasure, exploration and presevation
What is the superego?
is our conscience
NAME
this is our conscience
superego
Conflict btwn superego and id cause (1)
anxiety
According to Freud's theory of object relations, what causes mental illness?
when the ego is unable to compromise btwn one id, ego, and superego
NAME
this is when the ego is unable to comprise btwn one id, ego, and superego
theory of object relations
NAME
these are used to ward off or defend against anxiety and other uncomfortable feelings. they usally work unconsciously and dominate behavior
defense mechanisms
What are some problems w the theory of object relations? (4)
(1)the theory suggests that patients do not need to develop real life skills (2)it takes a long time (3)it ignores the value of individually chosen occupation and activties (4)it does not address neurolgoical impairments seen in shizophrenia and other major mentally illness
NAME
some problems w this include (1)the theory suggests that patients do not need to develop real life skills (2)it takes a long time (3)it ignores the value of individually chosen occupation and activties (4)it does not address neurolgoical impairments seen in shizophrenia and other major mentally illness
theory of object relations
What is the developmental theory?
says a person matures through a series of stages that occur in a fixed sequence
NAME
this says that a person matures through a series of stages that occur in a fixed sequence
developmental theory
What is a developmental lag?
is when many factors can interrupt the growth process such as disease, poverty, and trauma
NAME
this is when many factors can interrupt the growth, process such as disease, poverty, and trauma
developmental lag
What is Ericksons theory about development?
failure at one stage does not prevent the person from conting to develop. however problems may occur late bc the foundation is weak.
NAME
he said that failure at one stage does not prevent the person from conting to develop. however problems may occur late bc the foundation is weak.
Ericksons
NAME
this theory is compatible w OT since the concept of grading activties is very familiar to us and there is a focus on problem solving, skill acquistion, and matching tasks to interests
developmental theory
What are some problems w the developmental theory? (3)
(1)anyone w a major mental illness inevitably lags in the very first stage (2)this requires long term treatment (3)Ot practioners must be very well trained in this theoretical model in order for the patient to progress
NAME
some problems w this theory include (1)anyone w a major mental illness inevitably lags in the very first stage (2)this requires long term treatment (3)Ot practioners must be very well trained in this theoretical model in order for the patient to progress
developmental theory
What is the behavioral theory?
all behavior is learned
T or F
all behavior is learned
true
behaviors that hve pleasureable results tend to be (1)
repeated
behaviors that are negative tend to be (1)
not repeated
socially accepted behavior are (1)while unacceptbed behaviors are (2)
(1)rewarded (2)punished or ignored
What is the first step in in the treatment program according to the behavioral theory?
id of normal or adaptive behavior
What is the baseline?
is how the person behaved before the treatment is started
NAME
this is how the person behaved before the treatment is started
baseline
What is reinforcement?
says that the consequences of behavior that either encourages or discourages the repetition of the behavior
NAME
this says that the consequences of behavior that either encourage or discourages the repetition of the behavior
reinforcement
NAME
this is how often the reinforcement given
schedule
What is the schedule lke in the behavorial theory?
this is how often the reinforcement given
what is continouous?
is a reward is given each time the action is performed. it is used at the begining of the treatment
NAME
this is a reward given each time the action is performed. it is used at the begining of the treatment
continuous
What is intermittent?
is when a reward is given "now and then".
NAME
this schedule is more effective than a continouous schedule once the behavior is established
intermittent
What is shaping?
a method of working toward a terminal behavior through successful approximation--similar to working toward a long term goal though objectives.
NAME
this a method of working toward a terminal behavior through successful approximation--similar to working toward a long term goal though objectives.
shaping
when the terminal behavior is very far from how the patient currently functions the therpist will use (1)
shaping method
What is terminal behavior?
is either adaptive or maladaptive behavior
NAME
this is either adaptive or maladaptive behavior
terminal behaviors
when the terminal behavior involves learning a complicated routine w several steps (1)is used
chaining
When is chaining used?
when the terminal behavior involves learning a complicted routine
When is shaping used?
when the terminal behavior is very far from how the patient currently functions
NAME
this involves teaching a multi-step activity one step at a time
chaining
What are (2)types of chaining?
(1)forward (2)backward
NAME
there are 2 types of doing this--forward and backward
chaining
What is forward chaining?
beging w the firs step such as laundry
NAME
this begins w the first step such as laundry
foward chaining
What is backward chaining?
begins w the last step such as laundry
NAME
this begins w the last step such as laundry
backward chaining
What are some problems w the behavioral theory?(2)
(1)a behavior modification program is only as succesful and effective as thinking behind it (2)effective treatment requires consistent behavior from all indvls involved w the patient
NAME
these include (1)a behavior modification program is only as succesful and effective as thinking behind it (2)effective treatment requires consistent behavior from all indvls involved w the patient
behaviorial theory
What is one common theme of all the cogintive behavorial theory?
behavior is based on what we think and believe
NAME
this says that behavior is based on what we think and believe
cogintive-behavioral theory
What is coginition?
is what we think
NAME
this is what we think
coginition
What is behavior?
how we act
nAME
this is how we act
behavior
People w mental illness hve maladaptive patterns of thinking that lead to (1)
unsuccessful problematic behavior
NAME
this theory helps the patient understand and change negative thoughts which brings about a change in behavior
cognitive-behavioral theory
Cognitive behavioral theory helps the patient understand and change a (1)
negative thoughts which brings about a change in behavior
What are the basic parts to undestand and negative thoughts and bringing about a change?
(1)events (2)thoughts (3)feelings (4)behavior
thoughts lead to (1)
feelings
(1)lead to feelings
thoughts
feelings stimualte (2)
behavior
(1)stimulate behavior
feelings
What is cogintive behavorial treatment?
focuses on congintiion and behevior that involves challenging and moifyin g the negative thoguhts /behaviors
What does RET stand for?
rational Emotive therapy
What is RET?
claims that beliefs or self talk are either rational or irrational
NAME
this says that thoughts are either irrational or rattional
RET
NAME
this often used to develop typical stress management, anger management and assertiveness groups used w inpatient and outpatient pop in mental health settings
cognitive-behavorial theory
NAME
this centers around the beliefs that people direct in their own lives
client centered therapy
What is client centered therapy?
centers around the beliefs that people direct in their own lives
A client's personal development is best fostered by a relationship w a (1)therapist
warm, nondirective who is nonjudegmental
NAME
a central concept of this is that humans can direct their own growth and development
client centered therapy
T or F
the patient must determine the action to take not the therpist
true
NAME MODEL
mental illness occurs when the person is not aware of feelings and of available choices
client centered therapy
According to the client centered theory, why do people get mental illness?
bc they not aware of their own feelings
What are some problems w the client centered therapy?
(1)therapists must be totally aware of their own personal feelings and attiudes and be comfortable expressing them (2)they must be able to provide unconditional postive regard, no matter how bizarre the cleint's behavior (3)certain medical conditions preclude an indvls from self awarness
NAME
some problems w this model include (1)therapists must be totally aware of their own personal feelings and attiudes and be comfortable expressing them (2)they must be able to provide unconditional postive regard, no matter how bizarre the cleint's behavior (3)certain medical conditions preclude an indvls from self awarness
client centered therapy
What is the neuroscientfic theory?
refers to study of the ns
NAME
this is jst the study of the ns
neuroscientfic theory
the neuroscientific theroy is like the (1)
medical mdoel
NAME
this model is jst like the medical model
neuroscientific theory
NAME
this model is based on the assumption that the normal human functioning requires a brain that is anatomically normal
neuroscientific theory
What are some treatments according to the neuroscientific theory? (3)
(1)drug therapy (2)psychosurgery (3)ECT
NAME MODEL
treatments include drug therapy, psychosurgery, and ECT
neuroscientific theroy
What is the psychiartic rehab model?
it is a rehab approach
NAME MODEL
is simple a rehab approach that builds upon all the theories
psychaitric rehab model
What is eclectic mean
it draws upon many theories
NAME
this means it draws upon many theories
eclectic
NAME MODEL
this is eclectic and atheoretical
psychiatric rehab model
The psychiatric rehab model is (1)and (2)
eclectic and atheoretical
T or F
the psychaitric rehab model is a theory about why or how mental illness occur
no it builds upon all the theories is a model
psychiatric rehab model mirrors (1)
OT
NAME MODEL
mirrors OT
psychiatric rehab
How does psychiatric rehab mirror OT?
in that is oriented in the present, future, and focuses on the development of skills and resources and uses activties and environmental adapations as a base for intervention
According to the psyc rehab model, what are (2)ways to improve competencies?
(1)develop cleint skills (2)improve environmental supports
NAME MODEL
according to this, there are 2 ways to improve competencies..develop cleint skills and improve environmental supports
psyc rehab
NAME MODEL
is future oriented
psyc rehab model
one of the most important concepts is that the evaluation and intervention focus on the environment in which the (1)or (2)
cleint is functioning or intends to be functioning
What is rehab diagnosis?
is a statment of environment in which the cleint would like to function and the resources and skills needed to succeed in the environment.
NAME
this is a statment of environment in which the cleint would like to function and the resources and skills needed to succeed in the environment.
rehab diagonosis
What are (3)steps of the rehab diagonosis?
(1)set the overall rehab goal (2)evaluate cleint for specfic skills needed in that environment (3)conduct a resource assesment
NAME
this has (3)steps(1)set the overall rehab goal (2)evaluate cleint for specfic skills needed in that environment (3)conduct a resource assesment
rehab diagnosis
NAME
this ignores symptoms of pathology and disease
rehab diagnosis
rehab diagnosis ingores (1)
symptoms of pathology and disease
What is the rehab plan?
is the OT and the client priortize the problem areas, discuss them, and select internvetions
NAME
this is the OT and the cleint prioritize the problem areas, discuss them and select interenvtions
rehab plan
What is the rehab readiness?
a reflection of the consumer's interest in their rehab and self confidence
T or F
rehab readiness is a relfection of their a capacity to complete a program
false
NAME
is a reflection of the consumer's interest in their rehab and self confidence
rehab readiness
What are some important assumptions about psy rehab model? (5)
(1)it is possible for everyone to function adquately in the environment of his choice (2)one must posses certain skills and rescources to function succesfully (3)skills can be developed through training (4)environmental supports and rescources enable functioning (5)belief in and hope for the future faclitates rehab outcomes
NAME
this has some assumptions (1)it is possible for everyone to function adquately in the environment of his choice (2)one must posses certain skills and rescources to function succesfully (3)skills can be developed through training (4)environmental supports and rescources enable functioning (5)belief in and hope for the future faclitates rehab outcomes
psyc rehab model
What are (6)areas of adapative skills?
(1)sensory integration skills (2)cognitive skills (3)dyadic interaction skills (4)group interaction skill (5)self identity skill (6)sexual identity skill
NAME
these include (1)sensory integration skills (2)cognitive skills (3)dyadic interaction skills (4)group interaction skill (5)self identity skill (6)sexual identity skill
adaptive skills
What is vestibular?
refers to balance
NAME
this refers to balance
vestibular
What does tactile?
refers to touch
NAME
this refers to touch
tactile
What is propriorecpetive?
is being able to know where you body in relation to space and time
NAME
this is being able to know where your body in relation in space and time
propriocepetive
What is sensory integration skill?
is the ability to receive, select, combine, and use info from the vestibular, tactile, and position senses to perform functional activties
NAME
this is the ability to receive, select, combine, and use info from the vestibular, tactile, and position senses to perform functional activties
sensory integration
What is cogintive skill?
is the ability to perceive, represent, and organize sensory info for thinking and problem solving
NAME
this is the ability to perceive, represent, and organize sensory info for thinking and problem solving
cognitive skill
What is dyadic interaction skill?
is the ability to participate in a variety of relationships involving one other person
NAME
this is the ability to participate in a variety of relationships involving one other person
dyadic interaction
What is group interaction skill?
the ability to participate successfully in a variety of groups and become a productive group member
NAME
the ability to participate successfully in a variety of groups and become a productive group member
group interaction skill
What is self-idenitity skill?
the ability to recognize one's own assets and limitations and to perceive the self as worthwhile, self directed, consistent and reliable
NAME
this the ability to recognize one's own assets and limitations and to perceive the self as worthwhile, self directed, consistent and reliable
self-identity skill
What is sexual identity skill?
the ability to accept one's sexual nature as natural and pleasurable and to participate in a relatively long-term sexual relationship that considers the needs of both partners
NAME
this is the ability to accept one's sexual nature as natural and pleasurable and to participate in a relatively long-term sexual relationship that considers the needs of both partners
sexual identity skill
Adaptive skills are required in a series of (1)
stages and no one can be skipped
What is role acquisition?
is the teaching of daily life, work, leisure skills at as they converge in the ability to particpate in a variety of social and productive roles
NAME
is the teaching of daily life, work, leisure skills at as they converge in the ability to particpate in a variety of social and productive roles
role acquisition
What is the aim of the role acquisition?
to help the person acquire the specific skills needed to function in the occupational roles he/she has chosen
NAME
the purpose of this treatment is to help the person acquire the specific skills needed to function in the occupational roles he/she has chosen
role acquisition
What is social skills training?
the teaching of interpersonal skills needed to relate to other people effectively in social situations.
NAME
this is the teaching of interpersonal skills needed to relate to other people effectively in social situations
social skills training
What are (4)types of social skills training?
(1)self-expressive skills (2)other-enhancing skills (3)assertive skills (4)communication skills
NAME
there are (4)types of these: they include self-expressive skills, other enhancing skills, assertive skills, and communication skills
social skills training
What is self-expressive skills?
stating feelings and opinions, stating postive things about onself, stating ones values and beliefs
NAME
this is stating feelings and opinions, stating postive things about onself, stating ones values and beliefs
self-expressive skills
What are other-enhancing skills?
is giving compliments, smiling and expressing interest, giving support and encouragement
NAME
this is giving compliments, smiling and expressing interest, giving support and encouragement
other-enhancing skills
What are assertive skills?
making requests, disagreeing w another's opinion, refusing requests, and setting limits
NAME
this is making requests, disagreeing w another's opinion, refusing requests, and setting limits
assertive skills
What is communication skills?
is controlling the quality and tone of one's voice, articulating words clearly, and choosing the proper words for the situation
NAME
this is controlling the quality and tone of one's voice, articulating words clearly, and choosing the proper words for the situation
communication skills
T or F
psychoeducation is a treatment model
false
What is psycoeducation?
is an educational approach to behavioral change
In the psycoeducation, what represents mental illness?
a deficient in living skills
NAME
this is an educational approach to behavioral change
psycoeducation
What is sensory integration ?
combines info from the 5 basic senses w kineasthesia, propriorception, and vestibular awarness to interpret what is going on, allowing the indvl to act on it
NAME
this combines info from the 5 basic senses w kineasthesia, propriorception, and vestibular awarness to interpret what is going on, allowing the indvl to act on it
sensory integration
What does the sensory integration theory and the practice model say about schizophrenia?
proprioceptive deficit
the sensory integration theory and the practice model says that schizophrenia suffer from a (1)
proprioceptive deficit
the sensory integration theory and the practice model says that (1)suffer from a proprioerceptive deficit
schizophrenia
Persons in a psychotic episode may have problems w (1)
maneuvering in the environment due to diffucility in knowing where things are, as well as hving consciously plan for each and every movment. nothing happens automatically
Why may be that person w psychotic episode may hve problems w maneuvering in the environment ?
due to diffucility in knowing where things are, as well as hving consciously plan for each and every movement. nothing happens automatically
What are the (6)postural and movement patterns commonly observed in chronic schizophrenia?
(1)an S curve, a shuffling gait (2)diffucilty raising the arms above the head (3)inflexibility of the neck and shoulder joints (4)a resting posture in which the shoulders and hips are flexed, adducted, and internally rotated (5)change in the hand
NAME
people w this experience 5 different postural and movement patterns--(1)an S curve, a shuffling gait (2)diffucilty raising the arms above the head (3)inflexibility of the neck and shoulder joints (4)a resting posture in which the shoulders and hips are flexed, adducted, and internally rotated (5)change in the hand
schizophrenia
What are (2)treatment princples w schizophrenia?
(1)attention should be focused on the outcome of the avitivty or the objects used in it rather than on the movements. the must must have to move w out having to think about it (2)activity must be pleasurable
NAME
some treatment for people w this include (1)attention should be focused on the outcome of the avitivty or the objects used in it rather than on the movements. the must must have to move w out having to think about it (2)activity must be pleasurable
schizophrenia
What are (5)areas that treatment areas for people w schizophrenia?
(1)balance (2)range of motion (3)spontaneity of motion (4)posture (5)correction of abnormal hip and shoulder positions
What is easy way to remember the parts to groups?
I am so Pissed at Chris

I=intro
A=activity process
S=sharing
P=processing
C=closure
What is easy way to remember the parts to groups?
I am so Pissed at Chris

I=intro
A=activity process
S=sharing
P=processing
C=closure
What is easy way to remember the parts to groups?
I am so Pissed at Chris

I=intro
A=activity process
S=sharing
P=processing
C=closure
What should the intro include in a group?(7)
(1)intro (2)warm up look for how alert are they, how preoccupied are they, how are they feeling, do they need to be warmed up,? (3)setting the mood (4)setting the mood ...look at the environment and the therapist's facil expression (5)expectation of the group......therapists manner and expression and note therapists become role model (6)explain the purpose clearly (7)breifly outline the agenda ex time, steps
What should the intro include in a group?(7)
(1)intro (2)warm up look for how alert are they, how preoccupied are they, how are they feeling, do they need to be warmed up,? (3)setting the mood (4)setting the mood ...look at the environment and the therapist's facil expression (5)expectation of the group......therapists manner and expression and note therapists become role model (6)explain the purpose clearly (7)breifly outline the agenda ex time, steps
Describe the activity process?(5)
(1)timing (2)therapeutic goals (3)physical and mental capacities of the members (3)knowledge and skill of the leader (4)physical and mental capacities of the members (5)adapation of the activity
Describe the activity process?(5)
(1)timing (2)therapeutic goals (3)physical and mental capacities of the members (3)knowledge and skill of the leader (4)physical and mental capacities of the members (5)adapation of the activity
What is the differ btwn adaptation and gradation?
(1)adaptation=is a change that facilitates performance..it may entail a change in the task or the environment (2)gradation-is the process of advancing step by step
What is the differ btwn adaptation and gradation?
(1)adaptation=is a change that facilitates performance..it may entail a change in the task or the environment (2)gradation-is the process of advancing step by step
What is adaptation?
is a change that facilitates performance...it may ential a change in the task or the environment
NAME
is a change that facilitates performance...it may ential a change in the task or the environment
adaptation
What is gradation?
gradation-is the process of advancing step by step
NAME
this is the process of advancing step by step
gradation
What are some things you need to pay attention to during the sharing process of a group?(4)
(1)each member is invited to share her own work or experience w the group (2)they share what the experience was like for them or what it meant for them (3)make sure each member's contribution is acknowleged (4)if a patient refuses to share this must be accepted
What are some things you need to pay attention to during processing part of the group? (2)
(1)processing involves how the members felt about the group experience, the leader, and each other (2)if done correctly, processing reveals important and relevent info.
What are some things you need to pay attention to pay attention to during closure? (5)
(1)closure (2)reflect-review goals, content, and process of group, thank members for participating, and emphasize the most important aspects of the gorup (3)shcedule for next session (4)end group on time (5)clean up
What are some things you need to pay attention to pay attention to during closure? (5)
(1)closure (2)reflect-review goals, content, and process of group, thank members for participating, and emphasize the most important aspects of the gorup (3)shcedule for next session (4)end group on time (5)clean up
What are the parts of the group structure?
(1)organization-(2)procedures
What are some characteristics of groups? (5)
(1)group structure (2)group context or climate (3)group composition (4)group cohesivness (5)stages of group development
The group structure can be either (1)or (2)
structured or unstructured
group procedures can be either (1)or (2)
formal or informal
What is group context?
refers to the environment outside of the group and the reason for being
NAME
this refers to the environment outside of the gorup and the reason for being
group context
What is the group climate?
physical and social environment w in the group
NAME
this is the physical and social environment w in the group
group climat
What is the differ btwn the group climate and group context?
(1)group context refers to the environment outside of the group and reasons for being (2)group climate-physical and social environment w in the group
Describe the group composition?
(1)size (2)open or closed (3)voluntary or involuntary (4)group goals-specfic or unspecfic .....personal or group (5)leaders and memembership organization
What is the ideal group size?
8-12
the ideal group size is btwn (1)
8-12
NAME
refers to the intensity of the feeling that members have for the group and sense of solidarity
group cohesiveness
What are the stages of developmental stages of a group? (4)
(1)forming (2)storming (3)norming (4)performing
NAME
these stages include-forming, storming, norming, and performing
stages of development of a group
What is the forming stages?
coming together, getting to know one anther's resoucres and talents and the task at hand
NAME
during this stage, the group comes together, gets to know each other's resources, and talents and the task at hand
forming stages
What is the storming stage of a group?
a time of conflict, w disagreement concerning the task and how to complete it, and perhaps disagreement on the grou p leader
NAME
during this stage of the group is a time of conflict, w disagreement concerning the task and how to complete it, and perhaps disagreement on the grou p leader
storming stage
What is the norming stage of group?
is developing the norms and procedures to carry out the activties
NAME
during this developmental stage....the group is developing the norms and procedures to carry out the activties
norming stage of the group
What is the performing stage of the group?
when the group is in control and work effectively w the task of the hand
NAME
during this stage of development in a group, the group is in control and work effectively w the task at hand
performing stage
What does GAF stand for?
Global assessment of functioning scale
What is the GAF?
is scale for insurance companies
what GAF score determines whether insurance companies will pay for inpatient mh?
35
Any score above (1)on the GEF and the insurance companies will not pay for mental heatlth inpatient
35
Draw the GAF scale
see notes
Draw the GAF scale
see notes
Draw the GAF scale
see notes
What is axis 1?
diagnoses of specific syndrome w info about major symptoms
NAME AXIS
diagnoses of specfic syndrome w info about major symptoms
axis 1
NAME AXIS
depression
1
NAME AXIS
bipolar disorder
axis 1
NAME AXIS
ADD
axis 1
NAME AXIS
learning disorders
axis 1
NAME AXIS
autism
axis 1
NAME AXIS
mental retardation
axis 2
What is axis 2?
includes mental retardation and all personality disordesr
NAME AXIS
this includes mental retardation and all personality disorders
axis 2
What is the main difference btwn inpatient and partial hospitalization programs?
INPATIENT
-more expensive
-more structured
-there 24 hrs
-goal is getting the patient out of the hospital


PARTIAL
-not there 24 hours
-cheaper
What is group treatment?
a planned process for creating change not just working together
NAME
this is not jst working together....it is a planned process for creating change
group treatment
W this type of group leadership, there is greater dependency and less individuality?
autocratic
according to the Borg Model,

list up to (4) elements of input that contribute to group design
(1)leader (2)participant (3)activity (4)environment
according to the Borg Model,

list up to (5) elements of throughput that affect the group
(1)group structure (2)group process (3)leader strategies (4)activity processing (5)activity structure
according to the Borg Model,

list (5) ways that output can be viewed
(1)change (2)group maintenance (3)group effectiveness (4)group closure/termination (5)feedback
T or F
The majority mentally ill are not in hostpials
true
T or F
there are more people w schizophrenia in hospitals than homeless
false
What are two reasons why there are not enough OTs in community based MH
What are two reasons why there are not enough OTs in community based MH
What is planning program?
Liaisons w family members and friends and caregivers, recommending programs etc
what is the boundary spanner
Providing direct service to both community based therapist and their hospital counterparts
give ex of how to do be a boundary spanner?
5. One who interfaces to bridge gaps in service provisions
what are some ways that OTs are serving the community mh?
Doing planning programming, evaluation and implementation, collaboration w othe community based professionals, and being a boundary spanner
OT is both a (1)and (2)
art and science
OTs often help the w (1)component of the practice
environment
)T or F
sometimes we must learn to w.hold our values
t
)What are (3)vital compents of the scope of pratice?
Big picture, environment, and art
What is rehab?
Process of working w indvl to improve function
treatment vs rehab?
Rehab
What is envisioning mean?
Seeing the person as they are and what they want not what the OT wants
Try to change the (1)not the (2) unless they want to change
environment-indvl
Remember each person is a (1)of the community
citzen
who is Rachel
had schizophrenia, hospital was closing and was being placed in group home..did not care anymore and uncopperative. OT found out that about it was meaningful to her taking care of her kids. SO gave her the role of watching the house so that she would not feel useless.
in community based mh, what is the art of OT?
Offering the person a sense of hopefulness
How does an OT offer a person a sense of hopefulness?
Respect the patient, do not judge, accept them for who they are in the moment, and envisioning a person w hope