Self Care and Well Being Ch. 45

Wellness

A conscious, deliberate process that requires a person to become
aware of and make choices for a more satisfying lifestyle
- Self-defined

• Shaped by performance patterns

Wellness Model in Community Behavioral Health Practice

Developed by an OT and endorsed by SAMHSA

8 Dimensions of wellness

Attends to social determinants and health disaparities

8 Dimensions of Wellness

Physical

Spiritual

Social

Intellectual

Occupational

Emotional
Environmental

Financial

Individual Contributors to Wellness

Motivation

Occupational Balance

Occupational Participation & Performance

Co-occuring Conditions

Environmental Contributors to Wellness

Trauma Exposure

Healthcare Access and Quality

Neighborhood and Built Environment

Social and Community Context

Economic Stability

Education Access and Quality

Role of OT in Wellness

Look at barriers to wellness

Certified Community Behavioral Health Clinics provide integrated physical and behavioral health care

OTPS can:

• Identify strengths, goals, and skills for recovery planning

• Evaluate housing, vocational, educational, social, and community factors

• Assess competency using cognitive impairment screenings

• Teach compensatory strategies

• Develop and support health promotion plans

Wellness Assessments

Health Passport

Wellness Inventory

Activity Card Sort: Advancing Inclusive Participation

Other Relevant measures (COPM, OSA, MOHOST)

Wellness Interventions:Physical

• focus on lifestyle factors

• May use habit and routine development, psychoeducation, and empowerment approaches

• Nutrition and exercise for wellness and recovery (NEW-R)

• Health Fairs to Promote Wellness

• Action over Inertia

Wellness Interventions: Spiritual

Value exploration

Support cultural, religious, spiritual traditions

Wellness Interventions: Social

• Encourage contribution to environment and community

• Support interdependence

• Support social participation

• Skill building

• Peer and community connections

Wellness Intervention: Intellectual

• Facilitate engagement in a variety of stimulating occupations

• May include formal activities like school or work

• May include active leisure participation

Wellness Interventions: Emotional

Develop coping and self regulation skills

Support emotional expression through meaningful occupations

Wellness Interventions: Occupational

Support participation and performance in valued occupations

Support occupational balance

Wellness Interventions: Environmental

Environmental adaptations to maximize participation and performance

Deliver services in a variety of environments

Wellness Interventions: Financial

Skill building to manage financial resources effectively

Target financial literacy

Competitive or supported employment