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summer 2021 Cog Behavioral

Terms in this set (60)

occupation centered
occupation as foundational core
occupation based
emphasizes client's engagement in occupation as necessary part of OT process
Occupation focused
directed towards lasting occupation(s), which generates positive feedback
acquisition
acquisition, re-development, or maintenance of performance skill
restoration
restoration, development, or maintenance of body functions or other client elements
compensation
compensation for diminished performance skill
4 criteria for continuing OT services
client centered
ecologically relevant
occupation based
occupation focused
Organ Function Target
function of an organ or organ system
Organ Function Ingredients
verbal and non verbal therapist actions: biologically active chemicals, forms of energies or delivery vehicles, delivered to different tissues, organs
Organ Functions MoA
biological or physiological change
Representation Target
knowledge focused
attitude focused
action focused
Representation Ingredients
information, instruction, guidance, persuasion, scheduling, goal setting, rapport, feedback, reinforcement, learning
Representation MoA
information processing (cognitive or affective)
Skills and habits target
activity like, function like, habits
Skills and Habits Ingredients
action or activity person is to perform, level of assistance or cues, skilled use of devices
Skills and Habits MoA
learning by doing
Behavioral models
antecedent controls
reinforcement
direct instruction
relies on external support
Social skills model
break down skills
teach and practice skills'
fail to generalize skills
self management models
gradual shift from external to internal control
self talk, blurring treatment and natural environments, use of modeling and behavioral rehearsal
peer mediated models
premise: modeling and social acceptance will influence behavior
effectiveness of these interventions is scarce
psychoeducation models
cognitive mediation and improved problem solving skills to distinguish cognitive distortions and behavior deficits
acquisitional occupation
uses occupation focused intervention to develop process skills (IADL to work on process skills)
Restorative Occupation
uses occupation based ort occupation focused interventions to restore, develop, or maintain underlying cognitive functions (working memory, attention)
adaptive occupation
uses adaptive strategies to compensate for decreased occupational performance due to cognitive deficits/capacity
stimulated occupation
uses contrived or stimulated elements rather than natural context for intervention
rote exercise or practice
use of repetitive cognitive drills with no attempt to stimulate occupation to restore, develop, or maintain underlying cognitive functions
preparatory
preparatory activities to restore, develop, or maintain underlying cognitive functions
Tier 3 (intensive intervention)
tier 3 refers to more intensive intervention for individuals.
Tier 2: Targeted Interventions
prevention of mental health problems in persons who are at risk of developing mental health challenges
Tier 1: universal services
focus on mental health promotion and prevention for all
discharge and discontinuation of services
should be included in POC; helps to set realistic goals and allow adequate time for all necessary services to be arranged
TBOTE rules and regs- discharge
Only an OT may initiate, modify, develop, or complete an occupational therapy POC
only an OT has the authority to discharge clients from OT services
Discharge considerations
where client will go, whether environment will support client, necessary/possible modifications, support services needed, payment of services, home program needs
discharge may include
referral to next level of care, planned home visit, carryover training for caregiver, development and training of home program
ideal discharge
occurs when client has achieved intervention goals and no longer needs OT services
discharge report purpose
summarize the OT services, the changes in the client's occupational performance/participation and make recommendations as applicable
Discharge report content
client identifying and background info
summary of intervention process
summary of outcomes
description of functional status at initiation and discharge
client's assessment of efficacy of OT services
recommendations
signature, credentials, and date
mood disorders and motivation
depression linked to higher sensitivity to avoidance and mania linked to higher sensitivity to approachy
schizophrenia and motivation
symptom of avolition due to dysfunctional dopamine system (hallucinations and delusions interfering with concentration), sedating effects of medications, spirit breaking, and social withdrawal
ADHD and motivation
compelled to seek out rewards but often lack persistence with task
Intellectual disability and motivation
more frustration and less persistence with more complex activities
substance abuse and motivation
association between high reward sensitivity and =
basic level of volition
relates to immediate feelings of comfort; simple judgements/interpretation
higher level of volition
involves process of experiencing, interpreting, anticipating, and choosing
exploration (emerging self efficacy)
goal: to facilitate a sense of capacity, personal significance, and security with the environment
exploration stage 1 (validation)
sense of personal significance, basic sense of capacity, sense of security with the environment
exploration stage 2 (disposition for environmental exploration)
exploration of interests in novel contexts, self initiated occupational behavior, confidence in trying new things
exploration stage 3 (choice making)
continue to develop exploratory feelings, initiate process of self-validation, sense of personal significance and capacity through opportunities to choose activites
exploration stage 4 (pleasure and efficacy in action)
reinforce exploratory feelings, sense of personal significance and capacity through preliminary participation in roles, continue process of self validation, reinforce self efficacy in decision making, develop awareness of one's skills
competency (facing new challenges)
those who show readiness for some challenges, responsibility, and goal setting
competency stage 1 (internalized sense of efficacy)
increase emerging sense of self efficacy, begin looking at experiences as they relate to meeting goals, develop a sense of responsibility with personal and collective projects
competency stage 2 (living and telling one's story)
prepare for spontaneous participation in valued roles, increase ability to process experiences and relate them to goals, increase the process of planning, increase sense of responsibility and autonomy on meeting demands
achievement
autonomy
OTIPM 3 purposes
acquisition, restoration, compensation
OTIPM 4 continua
client centered, ecologically relevant, occupation based, occupation focused
SOAP
subjective, objective, assessment, plan
S in SOAP
Subjective: the patient's complaint, thoughts demeanor
O in SOAP
objective data, numbers, measurable
A in SOAP
assessment, clinician thoughts
P in SOAP
Plan: treatment and therapies for the future
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