Contents

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Contents
SECTION I HISTORY AND THEORY
Chapter 1 History and Basic Concepts
Mental Health and Mental Illness
Relation of Occupation to Mental Health
Historical Understanding
The Role of the Occupational Therapy Assistant
Chapter 2 Medical and Psychological Models of Mental Health and Illness
Theory of Object Relations
Developmental Theory
Behavioral Theories
Cognitive-Behavioral Therapy
Client-Centered Therapy
Neuroscience Theories
Psychiatric Rehabilitation
Chapter 3 Some Practice Models for Occupational Therapy in Mental Health
Development of Adaptive Skills
Role Acquisition and Social Skills Training
Psychoeducation
Sensory Integration
Cognitive Disabilities
The Model of Human Occupation
Chapter 4 The Occupational Therapy Practice Framework
Structure of the Occupational Therapy Practice Framework
Thinking About Mental Health Practice
Concepts Relevant to Mental Health Practice
Mental Health Theories and Occupational
Therapy Practice Models
Chapter 5 Human Occupation and Mental Health Throughout the Life Span
Motivation Toward Occupation
Changes in Occupation over the Life Span
Mental Health Factors Throughout
the Life Span
SECTION II CONTEXT
Chapter 6 Understanding Psychiatric Diagnosis: The DSM-IV-TR
Psychiatric Diagnosis: An Evolving Science
The Diagnostic Categories of the DSM-IV-TR
Applications of DSM-IV-TR Diagnoses to Occupational Therapy
Comorbidity
DSM-V: Plans and Potential
Chapter 7 Contexts of Intervention, Service, and Care
The Scope of Patients, Clients, and Consumers
The Scope of Settings
Inpatient Settings
Outpatient Settings
Consumer-Operated Programs
Other Community Programs
Home Health Care
Community Residences
Settings for Children and Adolescents
Environmental Concepts
Additional Theories and Practice Models
Chapter 8 Psychotropic Medications and Other Biological Treatments
Psychotropic Medications
Other Biological Treatments
Herbal and Alternative Therapies
Chapter 9 Who Is the Consumer?
Populations by Age Group
Family Members
Family Caregivers
Cultural Difference
Social Problems—Ending the Cycle of Violence
Medical Problems and Physical Disabilities
Understanding and Supporting Recovery
SECTION III INTERACTING WITH PATIENTS AND CONSUMERS
Chapter 10 Therapeutic Use of Self
The Therapeutic Relationship
Stages in the Therapeutic Relationship
Roles in the Therapeutic Relationship
Therapeutic Qualities
Developing Therapeutic Qualities
Techniques for Relating to Patients
Issues That Arise in Therapeutic Relationships
Ethics
Ending the Therapeutic Relationship
Chapter 11 Responding to Symptoms and Behaviors
A Framework of Concepts About Symptoms
Response Variables
Response Strategies
Self-Monitoring for Self-Mastery of Symptoms
Chapter 12 Safety Techniques
Universal Precautions
Controlling the Environment
Medical Emergencies and First Aid
Psychiatric Emergencies
Teaching Consumers About Safety
Modifying Environments to Enhance Safety
Chapter 13 Group Concepts and Techniques
Definition and Purpose of Group Treatment
Group Dynamics: Review of Basic Concepts
Development of Group Skills
How Therapy Groups Are Different from Other Groups
Role of the Leader in an Activity Group
Program Development
Starting a New Group
Adaptations of Groups for Very Regressed Individuals
Other Models for Groups
Program Evaluation
SECTION IV OCCUPATIONAL THERAPY PROCESS
Chapter 14 Overview of the Intervention Process
Occupational Therapy Practice Framework: Process
Eight Stages in the Intervention Process
A Holistic Perspective—A Dynamic Process
Theory and the Occupational Therapy Process
Clinical Reasoning
Evidence-Based Practice
Chapter 15 Evaluation and Data Collection
Definition and Purpose of Evaluation
Assets and Deficits
Concepts Central to the Evaluation Process
Areas for Data Collection
Roles of the OT and the OTA
The OTA’s Methods of Data Collection
Concepts Related to Assessment and Measurement
Some Assessments Suitable for OTA Administration
The Performance Context for Evaluation
Documentation and Communication of Evaluation Data
Chapter 16 Treatment and Intervention Planning
Treatment Planning in Psychiatry
Using Practice Models to Apply Clinical Reasoning in Planning
Steps in Intervention Planning
Partnership with the Client or Consumer
General Goals of Psychiatric Occupational Therapy
How to Write an Intervention Goal
Selecting Appropriate Intervention Principles
Selecting Intervention Methods
Implementing and Monitoring Interventions and Modifying the Plan
Outcome Assessment
Continuity of Care Across Settings
Quality Assurance
Continuous Quality Improvement
Chapter 17 Medical Records and Documentation
Purpose and Uses of Medical Records
Types of Records
Documentation of Occupational Therapy Services
Essential Content for Occupational Therapy Notes
Specific Types of Documentation
Documentation Review and Quality Assurance
SECTION V OCCUPATIONAL THERAPY METHODS
Chapter 18 Activities of Daily Living
Factors in Learning and Using Skills
Daily Living Activities (Basic and Instrumental)
Practice, Repetition, and Habit Development
Chapter 19 Education and Work
Education Work
Chapter 20 Leisure and Social Participation
Leisure Exploration
Leisure Performance
Leisure Activities
Social Participation
Chapter 21 Management of Emotional Needs: Self-Awareness Skills and Coping Strategies
Needs
Occupational Therapy’s Domain of Concern
Self-Awareness
Issues Related to Engagement in Occupation
Self-Management Skills
Chapter 22 Cognitive, Sensory, and Motor Factors: Performance Skills and Activities
Cognitive Factors
Sensory and Motor Factors
Chapter 23 Analyzing, Adapting, and Grading Activities
Selection of Activities
Analysis of Activities
Adaptation of Activity
Gradation of Activity
Activity Analysis Based on Theory: Cognitive Disabilities
Dynamic Performance Analysis
Analysis: An Ongoing Process
SECTION VI PROFESSIONAL DEVELOPMENT
Chapter 24 Supervision
Functions and Definition of Supervision
Goals of Supervision
Responsibilities of the Supervisor
Responsibilities of the Supervisee
Factors Affecting Communication in Supervision
The Supervisory Contract
Getting the Most from Supervision
Resolving Conflicts in Supervision
Emerging Models of Supervision
Becoming a Supervisor
Chapter 25 Organizing Yourself
Priorities
Scheduling
Paperwork
The Electronic Revolution: Myths and Reality
Management of Supplies and Equipment
Organizing Space
Delegating
APPENDIX A: CASE EXAMPLES
Case : A 21-Year-Old Woman with Depression
Case : A 72-Year-Old Woman with Alzheimer’s Disease
Case : A 54-Year-Old Woman with Schizophrenia, Paranoid Type
Case : A 22-Year-Old Man with Chronic Schizophrenia and Mild Mental Retardation
Case : A 30-Year-Old Man with Bipolar Disorder
Case : A 22-Year-Old Woman with Polysubstance Dependence and Dependent Personality Disorder
Case : A 37-Year-Old Man with Alcohol Dependence Disorder
Case : A 21-Year-Old Woman with Cocaine Dependence, Polysubstance Abuse, Bulimia, and Borderline
Personality Disorder
Case : A 12-Year-Old Boy with Attention Deficit-Hyperactivity Disorder and Oppositional Defiant
Disorder
APPENDIX B: SAMPLE GROUP PROTOCOLS
Homemaker’s Management Group
Family Recreation Skills
Adolescent Cooking Group
Dementia Cooking Group
Managing Work-Related Stress
The Green Team (Horticulture Clubhouse Group)
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