occupational therapy in the community
TRANSCRIPT
Occupational Therapy in the Community Emily Bryce, Elisa Escobar, Nicole McCarthy, & Rosaura Saenz
Nicole McCarthy, OTS San Francisco State UniversityB.A. Child and Adolescent Development:
Research and Public Policy
Stanbridge University
MS Occupational Therapy
Elisa Escobar, OTSCalifornia Lutheran University
B. S. Psychology with an emphasis in Biopsychology
Minor in Spanish
Stanbridge University
MS Occupational Therapy
Emily Bryce, OTSLong Beach State University
B.A. Human Development and Anthropology Minor in Theater and Psychology
Stanbridge University
MS Occupational Therapy
Rosaura Saenz, otsUniversity of California, San Diego
BA International Studies Economics○ Minor Ethnic Studies
Stanbridge University
MS Occupational Therapy
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
Assessment Tools within a Forensic Setting: MOHOST
AOTA Occupational Profile
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
Domain: Occupations Activities of daily Living (ADLs)Instrumental activities of daily living (IADLs)
Domain: OccupationsRest and sleepEducationWorkPlayLeisureSocial Participation
Domain: Client FactorsValues, beliefs, and spiritualityBody functionsBody structures
Domain: Performance SkillsMotor skillsProcess skillsSocial interaction skills
Domain: Performance PatternsHabitsRoutinesRitualsRoles
Domain: Contexts and EnvironmentsCulturalPersonalPhysicalSocialTemporalVirtual
Process: Evaluation Occupational ProfileAnalysis of
Occupational Performance
Process: Intervention Intervention Plan Intervention Implementation Intervention Review
Process: Targeting Outcomes HealthParticipationEngagement in Occupations
Client Centered Holistic Approach
Meaningful Occupations Promotes, facilitates, supports, and maintains health and participation
Health
Well-being
Participation
Engagement
OT focuses on creating/ facilitating opportunities
Occupational Deprivation External circumstances:
Illnesses, Mental health
Physical Disabilities
Incarceration
Occupational DeprivationOften causes social and behavioral
deficits
Occupational Therapy in Community Forensic Settings
Multidisciplinary Approach
Client-Centered Focus
Meaningful Goals
Holistic view of limitations
Who is the Population?
Issues faced by Formerly Incarcerated Individuals: Recidivism
Employment
Housing
Mental Health Factors
Coping Skills
Social/ community reintegration
How OT can address Recidivism Leisure in offender rehabilitation
Guidance & instruction
Training professionals working w/ offenders
Provide programs
How OT can help with Community Reintegration Address skills:
Social skills
Financial Management
Job performance
Leisure
Social participation
Coping skills
Time management
Routines
Habits
Relationship building
Personal hygiene & grooming
Assessment tools within a forensic settingModel 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
MOHOST
MOHOSTThe rating process generates a profile of
strength and weaknesses affecting the client’s occupational participation
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
Occupational Profilehttps://youtu.be/L_OfPfhw5Ac
Requirements for completing the assessmentMOHOST:
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
SummaryOccupational Therapy
Occupational Therapy Practice Framework IIIDomain & Process
Occupational Deprivation
Meaningful Occupations
Population
Project Kinship Current Services
Occupational Therapy in Forensic Settings
Gaps
Assessment toolsMOHOST
AOTA Occupational Profile
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.