Transcript Document

OT Mental Health Education:
Retooling for the Recovery Paradigm
David M. Merlo MS, COTA, CPRP
www.davidmerlo.com
[email protected]
716 851-1312
AOTA Statement on Recovery
• … individuals diagnosed with mental health
conditions can and do recover and lead
meaningful, satisfying, and productive lives.
Champagne, T., Gray, K. (2011). Occupational Therapy’s Role in Mental Health Recovery. AOTA.
10 Fundamental Components of Recovery
SAMHSA. (2006). National Consensus Statement on Mental Health Recovery.
Erie Community College
Occupational Therapy Assistant Program
Psychosocial Rehabilitation OT-200
People
System
Process
Dave’s Top 10 List…
1. Rehabilitation versus Treatment
2. Person-centered planning, shared decision-making
3. Positive psychology, strength-based approaches
4. Peer perspective, practitioner-peer partnership
5. Supported Models: Employment | Education | Living
6. Recovery, psychiatric rehabilitation approach
7. Wellness, wellness self-management, WRAP
8. Therapeutic communication/relationships
9. Trauma-informed care
10. Group process
Pratt, C., Gill, K., Barrett, N., Roberts, M. (Expected release date: Nov 2013).
Psychiatric Rehabilitation, 3rd Ed. Academic Press. ISBN: 9780123870025
Specialized Knowledge and Skills in Mental Health Promotion,
Prevention, and Intervention in Occupational Therapy Practice
Section 1:
Section 2:
Core MH Professional
Knowledge and Skills
Specific OT Knowledge
and Skills Applied to MH
Document reflecting competencies:
Document reflecting competencies:
USPRA CPRP Certification
Exam Blueprint
2011 ACOTE Standards
Barrows, C., Clark, C., Gupta, J., et. Al. (2010). Specialized Knowledge and Skills in Mental Health Promotion,
Prevention, and Intervention in Occupational Therapy Practice. AOTA.
USPRA CPRP
Certification Exam Blueprint
• 7 Domains:
– Interpersonal Competencies
– Professional Roles Competencies
– Community Integration
– Assessment, Planning, Outcomes
– Interventions for Goal Achievement
– Systems Competencies
– Diversity and Cultural Competency
October
October 2007,
2007, USPRA
USPRA (currently
(currently under
under revision).
revision). Retrieved
Retrieved 4/2/13.
4/2/13.
https://uspra.ipower.com/Certification/CPRP_Exam_Blueprint_2009.pdf
https://uspra.ipower.com/Certification/CPRP_Exam_Blueprint_2009.pdf
USPRA CPRP
Certification Exam Blueprint
Sample Knowledge Areas
Sample Skill Areas
• Core Principles of Psych Rehab
• Strengths Model
• Distinctions between medical
and rehabilitation models
• Impact of mental illness on
function
• Empowerment theories and
approaches
• Recovery
• Normalization
• Cultural differences in helpseeking behaviors
• Preparing group activities in
which individuals can learn
specific skills
• Teaching problem solving
and conflict resolution
• Modeling leadership skills
• Providing feedback
• Reinforcing newly learned
skills and behaviors
October 2007, USPRA (currently under revision). Retrieved 4/2/13.
https://uspra.ipower.com/Certification/CPRP_Exam_Blueprint_2009.pdf
A Few exAmples…
Hearing Voices Simulation
Wellness Recovery Action Plan
Passion Fair
Hearing Voices Simulation
• Hearing Voices Curriculum
– Participants use headphones for listening to a specially
designed recording simulating the experience of hearing
distressing voices.
– Participants undertake a series of tasks including:
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social interaction in the community
a psychiatric hospital interview
cognitive testing
activities group in a “day treatment program”
– Followed by a debriefing and discussion period.
– Curriculum also includes a video lecture presenting
research on voice hearers and how they manage.
– www.power2u.org
Specialized Knowledge & Skills in Mental Health:
Specific OT Knowledge and Skills Applied to MH
• Understand role of sensory system in
regulating level of alertness.
• How to use sensory tools to increase/decrease
level of alertness to focus on/participate in
chosen activities.
Wellness Recovery Action Plan
• Key elements of WRAP:
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Wellness Toolbox
Daily Maintenance Plan
Identifying Triggers and an Action Plan
Identifying Early Warning Signs and an Action Plan
Identifying When Things Are Breaking Down and an
Action Plan
– Crisis Planning
– Post Crisis Planning
• www.mentalhealthrecovery.com
WRAP as an Intervention
• Support the creation and use of a wellness recovery
action plan.
– Teach/support use of coping strategies.
– Identify/implement healthy habits, rituals, routines.
– Identify personal values, needs, and goals to enable
informed decision making.
– Increase awareness of community-based resources.
– Encourage self-monitoring of health concerns, managing
symptoms, recognizing/responding to acute changes.
– Engage in long-term planning that leads to meeting
personal recovery goals.
Champagne, T., Gray, K. (2011). Occupational Therapy’s Role in Mental Health Recovery. AOTA.
AOTA Statement on Recovery
• Shared decision-making process that is
person-centered and client driven.
Champagne, T., Gray, K. (2011). Occupational Therapy’s Role in Mental Health Recovery. AOTA.
Specialized Knowledge & Skills in Mental Health:
Specific OT Knowledge and Skills Applied to MH
• Evaluate relationship among health, wellbeing, and participation in daily life activities.
• Develop occupational profile using clientcentered strategies to gather information
about a client’s:
– occupational history and experiences
– life roles
– interests, needs, and concerns
– strengths and limitations
Barrows, C., Clark, C., Gupta, J., et. Al. (2010). Specialized Knowledge and Skills in Mental Health Promotion,
Prevention, and Intervention in Occupational Therapy Practice. AOTA.
Specialized Knowledge & Skills in Mental Health:
Specific OT Knowledge and Skills Applied to MH
• Design/implement interventions that support
development of cognitive, sensory regulation,
social, and communication skills requisite for
role performance.
• Choose interventions that fit the values and
abilities of those providing and receiving care.
Barrows, C., Clark, C., Gupta, J., et. Al. (2010). Specialized Knowledge and Skills in Mental Health Promotion,
Prevention, and Intervention in Occupational Therapy Practice. AOTA.
WRAP and OT Practice Framework
Domain
Process
• OT Areas of Occupation:
• OT Intervention Approach:
– IADL (Health management and
maintenance)
– Rest and Sleep, Education,
Work, Play, Leisure, Social
Participation, ADL
• Client Factors:
– Values, Beliefs, Spirituality
• Performance Skills
• Performance Patterns:
– Habits, Routines, Roles
• Context and Environment
• Activity Demands
– Health Promotion
– Prevention
– Maintenance
• OT Intervention Type:
– Therapeutic Use of Self
– Therapeutic Use of
Occupations and Activities
– Consultative process
– Education process
Passion Fair
• Plan/conduct a community “fair” focusing on:
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health and wellness
community participation
role participation
quality of life
• Using “passions” to address individual volition as a
primary motivator and organizer of human occupation.
• Address occupations of:
– play/leisure exploration
– volunteer exploration
– social participation
AOTA Statement on Recovery
• Facilitate resiliency, health, and wellness in
the community of the individual’s choice…
Champagne, T., Gray, K. (2011). Occupational Therapy’s Role in Mental Health Recovery. AOTA.
AOTA Statement on Recovery
• Emphasis on holism, function, participation,
and partnership, is used to help support
people to
– develop skills
– engage in activities of interest
– meet individual recovery goals
Champagne, T., Gray, K. (2011). Occupational Therapy’s Role in Mental Health Recovery. AOTA.
Specialized Knowledge & Skills in Mental Health:
Specific OT Knowledge and Skills Applied to MH
• Determine how environmental supports and
barriers influence participation in meaningful
& productive roles in community.
• Facilitate reducing barriers.
Barrows, C., Clark, C., Gupta, J., et. Al. (2010). Specialized Knowledge and Skills in Mental Health Promotion,
Prevention, and Intervention in Occupational Therapy Practice. AOTA.
United States Psychiatric Rehabilitation Association
• Administers Certified Psychiatric Rehabilitation
Practitioner (CPRP) specialty certification
• Annual Conference: June 9-12, Atlanta Georgia
• Journal: Psychiatric Rehabilitation Journal
(published by American Psychological Association)
• www.uspra.org
CPRE
Consortium of Psychiatric Rehabilitation Educators
• Develop, promote, and support academic
initiatives and higher education programs specific
to the contemporary practice of psych rehab.
• Membership open to all MH educators (free!).
• Annual Symposium: November 1-2, 2013
University of Medicine & Dentistry of NJ School of
Health Related Professions (Scotch Plains, NJ)
• www.psychrehab.net
• Order free curricular materials including:
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Lesson guides
Booklets and pamphlets
DVDs
CDs
• www.SAMHSA.gov
• Creating and disseminating recovery-oriented
training materials for mental health professions.
• http://www.samhsa.gov/recoverytopractice/
• Increase awareness and understanding of the
concept and reality of recovery.
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Articles
Books
Documents and Reports
Multimedia and Websites
Training and Technical Assistance
• http://www.bu.edu/cpr/repository/index.html
OT Mental Health Education:
Retooling for the Recovery Paradigm
David M. Merlo MS, COTA, CPRP
www.davidmerlo.com
[email protected]
716 851-1312