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Occupational Therapy in Community and Forensic Settings
- 1. Occupational Therapy in the Community Emily Bryce, Elisa Escobar, Nicole McCarthy, & Rosaura Saenz
- 2. Nicole McCarthy, OTS San Francisco State University B.A. Child and Adolescent Development: Research and Public Policy Stanbridge University MS Occupational Therapy
- 3. Elisa Escobar, OTS California Lutheran University B. S. Psychology with an emphasis in Biopsychology Minor in Spanish Stanbridge University MS Occupational Therapy
- 4. Emily Bryce, OTS Long Beach State University B.A. Human Development and Anthropology Minor in Theater and Psychology Stanbridge University MS Occupational Therapy
- 5. Rosaura Saenz, ots University of California, San Diego BA International Studies Economics ○ Minor Ethnic Studies Stanbridge University MS Occupational Therapy
- 6. Agenda What is Occupational Therapy? Occupational Therapy Practice Framework III: Domain & Process Occupational Deprivation Meaningful Occupations Population Project Kinship Services OT in Forensic Settings Gaps
- 7. What is Occupational Therapy? https://youtu.be/ETcPH5-LmDw
- 8. Occupational Therapy Practice Framework: Domain & Process OTPF-3/Framework-III Official Document of AOTA Summarizes interrelated constructs that describe OT practice 2 Sections: Domain and Process
- 9. Domain: Occupations Activities of daily Living (ADLs) Instrumental activities of daily living (IADLs)
- 10. Domain: Occupations Rest and sleep Education Work Play Leisure Social Participation
- 11. Domain: Client Factors Values, beliefs, and spirituality Body functions Body structures
- 12. Domain: Performance Skills Motor skills Process skills Social interaction skills
- 14. Domain: Contexts and Environments Cultural Personal Physical Social Temporal Virtual
- 15. Process: Evaluation Occupational Profile Analysis of Occupational Performance
- 16. Process: Intervention Intervention Plan Intervention Implementation Intervention Review
- 17. Process: Targeting Outcomes Health Participation Engagement in Occupations
- 18. Client Centered Holistic Approach
- 19. Meaningful Occupations Promotes, facilitates, supports, and maintains health and participation Health Well-being Participation Engagement OT focuses on creating/ facilitating opportunities
- 20. Occupational Deprivation External circumstances: Illnesses, Mental health Physical Disabilities Incarceration
- 21. Occupational Deprivation Often causes social and behavioral deficits
- 22. Occupational Therapy in Community Forensic Settings Multidisciplinary Approach Client-Centered Focus Meaningful Goals Holistic view of limitations
- 23. Who is the Population? Issues faced by Formerly Incarcerated Individuals: Recidivism Employment Housing Mental Health Factors Coping Skills Social/ community reintegration
- 24. How OT can address Recidivism Leisure in offender rehabilitation Guidance & instruction Training professionals working w/ offenders Provide programs
- 25. How OT can help with Community Reintegration Address skills: Social skills Financial Management Job performance Leisure Social participation Coping skills Time management Routines
- 26. Assessment tools within a forensic setting Model of Human Occupation Screening Tool (MOHOST) The MOHOST aims to give a broad overview of occupational participation It is a flexible assessment; it provides a comprehensive evaluation of the person using a mixed data collection method The method of gathering data consists of “getting to know your client” through observation, informal conversation, proxy report, team feedback, or medical records
- 27. MOHOST
- 28. MOHOST The rating process generates a profile of strength and weaknesses affecting the client’s occupational participation
- 29. AOTA Occupational Profile Is a summary of a client’s occupational history and experiences, patterns of daily living, interests, values, and needs The information is obtained from the client’s perspective through both formal interview techniques and casual conversation and leads to an individualized, client-centered approach to intervention
- 31. Requirements for completing the assessment MOHOST: MOHOST rating form Know how to use the rating scale Gather information from observation and interview AOTA Occupational Profile Occupational profile template Identify priorities and desired targeted outcomes
- 32. Summary Occupational Therapy Occupational Therapy Practice Framework III Domain & Process Occupational Deprivation Meaningful Occupations Population Project Kinship Current Services Occupational Therapy in Forensic Settings
- 34. References American Occupational Therapy Association. (2014). Occupational therapy practice framework: domain and process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1), S1-S48. http://dx.doi.org/10.5014/ajot.2014.682006 Bullis, M., & Yovanoff, P. (2002). Those who do not return: Correlates of the work and school engagement of formerly incarcerated youth who remain in the community. Journal Of Emotional & Behavioral Disorders, 10(2), 66-78. Bullis, M., & Yovanoff, P. (2006). Idle hands: Community employment experiences of formerly incarcerated youth. Journal Of Emotional & Behavioral Disorders, 14(2), 71-85. Forsyth, K., Parkinson, S., Kielhofner, G., Kramer, J., Mann, L. S., & Duncan, E. (2011). The measurement properties of the model of human occupation screening tool and implications for practice. New Zealand Journal Of Occupational Therapy, 58(2), 5-13. Whiteford G. (2000). Occupational deprivation: global challenge in the new millennium. British Journal of Occupational Therapy, 63(5), 200-04.
Notes de l'éditeur
- Emily
- Emily
- Rosa
- Emily ADLs are activities oriented toward taking care of one’s own body. For ex: bathing, toileting, dressing, eating, personal hygiene & grooming IADLs- Activities to support daily life within the home and community that often require more complex interaction than those used in ADLs. For ex: Child rearing, care of pets, driving, meal preparation and clean up
- Emily
- Emily
- Emily
- Emily Habits- specific, automatic behaviors Routines- established sequences of occupations or activities that provide a structure for daily life. They can promote or damage health Roles-Sets of behaviors expected by society and shaped by culture and context Rituals- Symbolic actions with spiritual, cultural, or social meaning
- Emily
- ROSA Occupational Profile- a summary of a client’s occupational history and experiences, patterns of daily living, interests, values, and needs -Use client-centered approach to gather what is meaningful to client and identify past experiences and interests Analysis of occupational performance-
- ROSA Intervention plan- the plan that will guide actions taken and that is developed in collaboration with the client. It is based on selected theories, frames of reference, and evidence. Intervention Implementation-Is the process of putting the intervention plan into action. Interventions may focus on a single aspect of the domain or on several aspects of the domain such as occupation and performance skills. Intervention Review- Is the continuous process of reevaluating and reviewing the intervention plan, the effectiveness of its delivery, and progress towards outcomes. Collaboration with the client is important Intervention review includes: 1. Reevaluating the plan and how it is implemented relative to achieving outcomes 2. Modifying the plan as needed 3. Determining the need for continuation or discontinuation of occupational therapy services and for referral to other services
- ROSA Outcomes are the end result of the occupational therapy process; they describe what clients can achieve through occupational therapy intervention. The benefits of occupational therapy intervention.
- Nicole By using active listening skills aka therapeutic use of self Considers individual learning styles, personal goals, and activities that are meaningful to each individual. Also includes grading activities to personalize and facilitate success thus increasing motivation
- Nicole- Maybe add info here about the importance of promoting healthy occupations and how OT services help increase engagement in meaningful occupations/activities ... (info from Framework S4) Health: physical, mental, social Well-being: includes total universe of human life domains- physical, mental, and social Participation: actively involved in carrying out meaningful occupations Engagement: as a result of choice, motivation, and meaning within a supportive context and environment. Includes objective and subjective aspects of experiences, & involves the transactional interaction of the mind, body, & spirit.
- Nicole - What does it mean for clients/people who don’t have access/ ability to engage in typical/ necessary occupations (ADLs + IADLs) The influence of an external circumstance that prevents a person from engaging in desired or necessary occupations over an extended period of time
- Nicole Occupational deprivation often causes social and behavioral deficits for prisoner that translate to an inability to integrate into the community after release, this contributes to recidivism rates.
- Elisa- Add slide below about OT in community setting/ with ex-offender population (i.e. how this population may benefit from OT services) Through the use of assessment, activity analysis and client-centered and occupation-based interventions, occupational therapists can 1) identify individual limitations pertaining to community reentry, 2) help create individualized and meaningful goals to remediate those limitation, 3) teach or rehabilitate the skills necessary for successful community reentry, and design and implement programs that can serve the needs of an entire institution
- Elisa As well as at risk youth in the community
- Elisa use analogy about hospital readmissions (similar to how OTs have been recognized in preventing hospital readmissions, we aim to prevent incarceration readmissions by becoming more involved in the d/c planning process) Guidance & instruction to assist in finding intrinsically motivating leisure activities Training professionals working with offenders inside and outside correctional institutions (OTs can take the role of educating) Programs should include 1:10 to 1:15 staff-to-participant ratio utilize functional skills assessments & focus on job & education placements. Involve youth in meaningful ways to plan & develop their own transition services . all in all, addressing living skills and setting requirements
- Elisa Bullis & Yovanoff (2002): employing youth has many benefits (ie, enhance social skills)
- Rosa https://www.aota.org/~/media/Corporate/Files/Practice/Manage/Documentation/AOTA-Occupational-Profile-Template.pdf
- ROSA Addresses 6 concepts allowing the therapist to gain an overview of the client’s occupational functioning
- ROSA
- ROSA
- ROSA
- Rosa
- Forsyth, K., Parkinson, S., Kielhofner, G., Kramer, J., Mann, L. S., & Duncan, E. (2011). The measurement properties of the model of human occupation screening tool and implications for practice. New Zealand Journal Of Occupational Therapy, 58(2), 5-13.