510 Week 2 Advocacy, Stress, Sensory Processing, and Executive Functioning

Advocacy

Efforts directed toward promoting occupational justice and empowering clients to seek and obtain resources to fully participate in daily life occupations

Therapeutic Mode (Advocacy)

Disability is a result of environmental barriers; therapist responds to physical, social, and environmental barriers

Advocating for the Client

Helping a student list strengths and needs prior to an IEP meeting

Advocating for Community/Population

Speaking to local officials regarding policies or laws affecting individuals with disabilities

Advocating for the Profession

Providing handouts at a health fair about OT services and how to access support

Self-Advocacy

Advocacy for oneself including decision-making, obtaining information, developing support networks, knowing rights and responsibilities, reaching out for help, and self-determination

Self-Advocacy for Client

Encouraging client participation in IEP or care meetings to express wants and needs

Self-Advocacy as a Clinician

Advocating for position, using research to back choices, workload vs caseload awareness, knowing limits

Stress

Tension when demands are beyond perceived abilities

Physiological Stress effects which system

Hypothalamic-pituitary-adrenocortical system (controls adpative system, signals regulation of cortisol)

Cortisol

Stress hormone affecting mood, motivation, fear, insulin release, blood glucose, HR, and BP

Chronic High Cortisol Effects

Impacts brain development, EF, mood and emotional regulation, memory, and health conditions

Physical Dysregulation

Disrupted homeostasis leading to disrupted thinking and feeling overwhelmed or out of control

Emotional Dysregulation

Anxiety, panic, agitation, fearfulness, angry outbursts, sleeplessness, fatigue, numbness, withdrawal

Tina Champagne OTP

Uses sensory approaches to create therapeutic environments

Sensory Modulation (DESNOS Model)

Tina champagne, Sensory input influences hormonal secretion and brain regions involved in attention and memory

Sensory Modulation Benefits

Increased safety, security, and therapeutic relationship

OTP Role During Heightened Stress

Safe place, lower voice, empathetic facial cues, calming sensory strategies

Calming Sensory Strategies

Oral motor activities, ball tossing, deep breathing, humming, music

Types of sensory modulation approaches

grounding and calming

Grounding Strategies

Weighted blankets, joint compression, body socks, wrist/ankle weights, aerobic exercise, sour/hot candies

Calming Approaches

Hot showers, drumming, decaf tea, yoga

Sensory Rooms

Calm, quiet spaces to remove stimuli and support emotional regulation

Sensory Integration Rooms

Not meant to be calming; serve a specific sensory purpose

Snoezelen Rooms

Less stimulating environments

Executive Functioning (EF)

High-order cognitive processes supporting goal-directed behavior, self-regulation, and problem solving

Core EF Components

Inhibitory control, working memory, cognitive flexibility, planning, organization, self-monitoring

Adolescent Brain Development

Ongoing PFC maturation, synaptic pruning, myelination, increased efficiency but not full maturity

Limbic System Influence

Heightened emotional influence over PFC in adolescence

EF Development Trajectory

Develops into mid-20s; varies by context; affected by stress and emotion

Risk-Taking

Limbic system dominance over PFC, emotion-driven decisions, peer influence

EF Impact on Occupations

Supports routines, roles, responsibilities, and participation

School Occupations (EF)

Organization, time management, homework completion, participation

Social Participation (EF)

Impulse control, perspective taking, conflict resolution

ADLs and IADLs (EF)

Sleep routines, personal care organization, money management, prevocational skills

MOHO (EF)

Volition, habituation, performance capactiy; Ef supports competence; Environment influences EF

Cognitive-Based Approaches

Metacognitive strategy training, self-monitoring, reflection, GPDC

General EF Strategies

Environmental structuring, visual supports, task analysis, graded practice

Group-Based Interventions

Peer-based EF skill building supporting generalization

Acquisitional Theory

Behavior is response from environment, how the children interact with the environment and determine behaviors

Social Participation FOR

Supports social pragmatics, language, and EF to participatin ni occupation

what are the skills in the Social Participation FOR that are needed for adolescents to participate in occupations

Process info, Understand others, Consider alternatives, Anticipate consequences, evaluate outcomes

EF Challenges in Social Skills

Impulse control, flexibility, initiation, planning, monitoring self , emotion regulation

Dynamic Interactional Model (DIM)

Cognition modified through activity, environment, strategies, and self-awareness. Assess. w/ interviews, rating scales, performance analysis, weekly calender planning activity Ori. TBI

Multi-Context Approach

Metacognitive strategy-based intervention promoting self-monitoring and evaluation with the goals to enhance occupational performance . Baed on Dynamic intercation theory

Public Health Model

Enriches life through meaningful engagement in everyday activities

Tiered Mental Health Framework

OTP collaboration with families, schools, and communities to support adolescents