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Mental Health frame

frames of reference

What are the 4 parts of a Frame of Reference? Theoretical Base (Philosophy/beliefs) Function/dysfunction continuum, Behaviors indicative of Function/dysfunction; Postulates re intervention (treatment)
Existential/Humanistic F of R - theoretical base Human beings most important (OT roots) Rights of all, Maslow, Rogers, Yalom)
concepts of Existential/Humanistic FoR Respect, genunineness, non-judgmental acceptance, deep understanding, self-actualization
Tx for Existential/Humanistic FoR Pts must want to change self; Create safe atmosphere, help improve self-concept & understanding, self-awareness activities, increase self-confidence, clarify values, used open-end questions
Psychoanalytic FoR FREUD: ID, ego, Superego, Oral, Anal, Phalic, Latent, Genital stages
Defense mechanisms - psychoanalytic Sublimination, Projection, Regression, Acting Out
Cognitive Disabilities FoR Claudia Allen: ability to perform ADLs, tasks reflect health & cognitive function; restriction in motor action is from brain dysfunction
What level must you be to take ACL? at least a 3 - b/c at 3 can grasp object
Developmental FoR Develop thru stages, problems if skip a stage, interaction w/environment stimulates acquisition of skills
Tx for Development Frame of Ref Go to most primitive stage first - make sure all subskills are mastered before going to next level
Neurodevelopmental/ SI Ayres for children, King for (schizo) adults, Rood, Brunstrum, Bobath
Theory base of Neurodevelopmental/SI Brain dysfunction at root of SI, perceptual, cognitive problems; vestibular stimuli is important for pleasure, holistic; brain organized by sensory, vestibular, tactile stimuli
Acquisitional Frame of Reference Teacher-Learner - takes from behavioral & learning theories and is suitable for any age group
Acquisitional FoR theory acquire by doing, behavior influenced by environment, learned behavior = people, non-stage specific, here and now, operant conditioning, positive reinforcement
MOHO - Kielhofner, Reily 3 concepts - Occupation is core of humanity; System theory - input, throughput, output - interaction with open system & environment;
MOHO theory environment important for Arousal & Environmental Press (expectations of environment)
MOHO subsystem: Volition, Habituation, Performance Skills
How is schizophrenia Dx? presence of psychotic symptoms for 6 mos or more
What is schizoaffective disorder? schizophrenic behavior with mood disorder
what is the most common hallucination? auditory
causes of schizophrenia dopamine levels too much; elevated levels of norinephrine in spinal fluid, seratonin levels high, ventricles in brain large, viral, environment
What are some delusion types grandeur, persecution, control, somatic, thought broadcasting, ideas of reference - messages in newspaper
negative symptoms of schizophrenia affective blunting, alogia (can't speak), avolition (lack of goals); anhedonia; attentional impairments
Regressed/bizarre schizophrenic behaviors polydipsia - excessive thirst; peculiar mannerisms, odd appearance, hoarding, stealing, spitting, starving malnutritious eating, negativism - do opposite
What is the prodromal phase of schizophrenia? level of function deteriorates, hygiene decreases, interaction, role ability decreases
Active phase of Schizophrenia psychotic, hallucinating, deluded
Residual phase remission from worst symptoms, still bad hygiene
percentage of suicide attempts among schizophrenics 20% with 2-3% succeeding
Meds for schizophrenia neuroleptics, major tranquilizers, antipsychotics, anti-depressants, lithium
Adverse effects of meds Parkinsonian syndrome, tardive dyskinesia, akasthesia, dystonia, akinesia, dry mouth
OT Tx for Schizophrenia work on proprioception & vestibular input to increase perceptual function
OT tx task groups for schizo purposeful activity,
OT tx social skills for schizo make friends instruction, role play, feedback, task groups
OT tx schizo - cognitive visual instructions, lmtd sensory stim, repetitious, limited problem solveing, graded task difficulty, frequent feedback, info process strategies
OT tx considerations for schizo NAMI, energy conserve, work simplify, problem solve, re-emphasize reality, fam education, feelings over hallucinations
Performance components of schizo for OT tx sensorimotor, cognitive, psychosocial/psychological
Created by: sherryama on 2011-11-08

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