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)