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Week 2

Terms in this set (20)

Levels of intervention
-Tier 1
-Tier 2
-Tier 3
Tier 1
Universal, whole school approaches focus on promotion
Tier 2
Targeted strategies that focus on accommodations for students at-risk
Tier 3
Intensive/Direct intervention
DSM-5 consists of
-Diagnostic classification
-Diagnostic criteria
-Descriptive text
Diagnostic classification
-Official list of recognized mental disorders
-Each diagnosis includes a diagnostic code, which is typically used for data collection and billing purposes
Diagnostic criteria
-Symptoms that must be present (and for how long) as well as a list of other symptoms, disorders, and conditions that must first be ruled out to qualify for a particular diagnosis
Descriptive text
Provides info about each disorder under the following headings:
•Diagnostic Features
•Associated Features Supporting Diagnosis
•Subtypes and/or Specifiers
•Prevalence
•Development and Course
•Risk and Prognostic Factors
•Diagnostic Measures
•Functional Consequences
•Culture-Related Diagnostic Issues
•Gender-Related Diagnostic Issues
•Differential Diagnosis
7 major changes to DSM-5
-Elimination of the multiaxial system of diagnosis
-Autism Spectrum Disorder
-Elimination of childhood Bipolar Disorder
-Revisions of ADHD diagnosis
-Increasing details on PTSD symptoms
-Reclassification of Dementia
-Intellectual disability
Autism Spectrum Disorder
Previous categories of autism, Asperger's, childhood disintegrative disorder, and pervasive developmental disorder were unified under the header of Autism Spectrum Disorder
Elimination of childhood Bipolar Disorder
Due to over-diagnosis and over-treatment of childhood bipolar disorder, removed childhood bipolar disorder and replaced it with Disruptive Mood Dysregulation Disorder (DMDD)
Revisions to ADHD diagnosis
Broadened the ADHD diagnosis, allowing for adult-onset
Increasing details on PTSD symptoms
Four main types of symptoms:
-Arousal
-Avoidance
-Flashbacks
-Negative impacts on though patterns and mood
Reclassification of Dementia
Dementia and memory/learning difficulties combined into a new category: Neurocognitive Disorder (major and mild)
Intellectual disability
Previously referred to as "mental retardation" now classified as "intellectual disability"
Diagnosis
The process of determining, through examination and analysis, the nature of a patient's illness
-Ongoing process
Why is diagnosis important in mental health?
-Communication
-Reimbursement
-Research
Why do OT's use the DSM?
To examine the relationship between the clinical presentation and function
How can we use the DSM in OT practice?
To gain more information on a diagnosis prior to providing treatment, provide a framework for assessment and intervention
Why aren't the DSM diagnoses that helpful in OT?
Not related to function (especially with elimination of multiaxial system), disease model focused, and culturally biased
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