Student perspectives

Transcription

1 Student perspectives

2 4% of those in forensic mental health setting are older adults. (The Sainsbury Centre 2007) However, the report says population is growing.

3 Ball et al (2007) identified some common leisure occupations of healthy older adults and the motivational factors for carrying them out.

4 Occupational deprivation: the influence of circumstances that keep a person from engaging in occupation.

5

6 Occupational Enrichment (Moulineux & Whiteford (1999). Autonomy and choice. Understand the meaning of passive occupations. Flexible working hours.

7 1. OT Philosophy 2. The OT Process 3. Evidence based theory 4. Tools 5. Skills

8 Client-centred Service users should be involved in care and treatment decisions and their views taken into account in service planning (Reed 1992:46) You should work in partnership with the service user respecting their choices (COT 2010:16)

9 Initial Referral Information Gathering Initial Assessment Goal Setting Action Planning Action Ongoing Assessment & Revision of Action Outcome & Outcome Measurement Discharge or End of Intervention Review Creek (2009)

10 Person Performance Environment Occupation Law et al. (1996) CAOT (1997:32) Level of motivation 9 Competitive Contribution Level of Action Society-Centred 8 Contribution Situation-Centred 7 Competitive Product-Centred 6 Active Participation Original 5 Imitative Participation Imitative 4 Passive Participation Experimental 3 Self-Presentation Explorative 2 Self-Differentiation Incidentally Constructive / Destructive 1 Tone Pre-destructive Kielhofner (2007) adapted from de Witt (2005:11)

11 Assessment OPHI-II MOHOST Images from Google Images

12 Intervention Just Right Challenge Group and Individual Work Images from Google Images

13 Outcome measures MOHOST MENTAL HEALTH RECOVERY STAR Images from Google Images

14 Holistic Creative Adaptive Images from Google Images

15 Moving Forward Charities such as St Andrew s Healthcare and Reach work with older adults and individuals with mental health illness. A charity which provides treatment and care within a secure setting A charity which provides the opportunity for older adults to live in the community with support

16 Lack of research into older adults in forensic psychiatry, and medium secure units as a whole. Flexibility

17 Thank you for listening

18 Canadian Association of Occupational Therapists (CAOT) (1997) Enabling Occupation: An Occupational Therapy Perspective. Ottawa: CAOT Publications ACE College of Occupational Therapists (2010) Code of Ethics and Professional Conduct. Suffolk: Lavenham Press Corr, S. & Siddons, L. (2005) An Introduction to the Selection of Outcome Measures. British Journal of Occupational Therapy. 68(5), Creek, J. (2009) Occupational Therapy Defined as a Complex Intervention [online] London: College of Occupational Therapy available from < [15 January 2011] De Witt, P. (2005) Creative Ability: A Model for Psychosocial Occupational Therapy. in Occupational Therapy in Psychiatry and mental Health 4 th edn. ed. by Crouch, R. and Alers, V. London: Whurr Publishers Ltd, 3-61 Farnworth, L. & Munoz, J. P. (2009) An Occupational and Rehabilitation Perspective for Institutional Practice. Psychiatric Rehabilitation Journal 32(3), Farnworth, L., Nitikin, L. & Fossey, E. (2004) Being in a Secure Forensic Psychiatric Unit: Every Day is the Same, Killing Time or Making the Most of It. British Journal or Occupational Therapy 67(10), Flood, B. (1997) An Introduction to Occupational Therapy in Forensic Psychiatry. British Journal of Therapy and Rehabilitation 4 (7), Hocking, C. (1997). Person-object interaction model: Understanding the use of everyday objects. Journal of Occupational Science:Australia, 4 (1),

19 Kielhofner, G., Forsyth, K., Kramer, J., Melton, J. and Dobson, E. (2009) The Model of Human Occupation. in Willard and Spackman s Occupational Therapy. 11 th edn. ed. by Crepeau, E.B., Cohn, E. and Schell, B.A.B. London: Lippincott Williams and Wilkins, Kielhofner, G., Forsyth, K., Clay, C., Ekbladh, E., Haglund, L., Hemmingsson, H., Keponen, R. and Olson, L. (2008) Talking with Clients: Assessments that Collect Information Through Interviews. In Model of Human Occupation: Theory and Application 4 th edn. ed. by Kielhofner, G. Philadelphia: Lippincott Williams & Wilkins, McKeith, J. & Burns, S. (2011) The Mental Health Recovery Star User Guide [online] available from < [15 October 2012] Mee J. & Sumsion, T. (2001) Mental Health Clients Confirm the Motivating Power of Occupation. British Journal of Occupational Therapy. 64(3), Molineux, M. L. & Whiteford, G. E. (1999) Prisons: From Occupational Deprivation to Occupational Enrichment. Journal of Occupational Science 6(3), Reed, J. (Chairman) (1992) Review of Health and Social Services for Mentally Disordered Offenders and Other Requiring Similar Services: Final Summary Report. London: HMSO St. Andrew s Healthcare (2011) Services for Older People [online] available from < [15 October 2012] Stewart, P. & Craik, C. (2007) Occupation, Mental Illness and Medium Security: Exploring Time-Use in Forensic Regional Secure Units. British Journal of Occupational Therapy 70(10),

20 Toch, H. (1977). Living in prison. The ecology of survival. New York: Macmillan. Cited in Molineux, M. L. & Whiteford, G. E. (1999) Prisons: From Occupational Deprivation to Occupational Enrichment. Journal of Occupational Science 6(3), Wilcock, A.A. (2006) An Occupational Perspective of Health 2 nd edn. Thorofare NJ: Slack Incorporated All images courtesy of google images.