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Identify a problem and the factors that will motivate the people in the group to change.
What is the FIRST step in the process of designing a group protocol for clients with mental illness?
Interpretation
conveys the OTR’s understanding of the client’s motive for his or her behavior. An example of interpretation in this example could be “I see that typing is not your favorite work task.”
Metaphor
is a way to convey a concept to a client without a lengthy explanation. In this example, saying, “I would rather be a tortoise than a hare” would imply that being slow is better than being fast.
Encouragement
which is sometimes confused with reframing, primarily involves positive regard by the therapist for what the client is doing and is capable of doing. An example of an encouraging response is, “It’s OK that you type slowly. Just because you type slowly does not mean that you cannot complete the task. Come on, let’s keep working.”
Tardive dyskinesia
involves facial movements and writhing motions of the tongue and fingers as a result of antipsychotic medication. It can persist even after medication discontinuation.
puts the locus of control on the members. When designing groups, the members formulate the goals, and the OTR® acts as an advisor.
The Clubhouse Model
A group leader as facilitator
maintains control over goals and decision making
in a supported living arrangement but would be expected to complete habitual routines independently (e.g., morning self-care).
A client with an ACL of 4.0 should be
information on the client’s former and current roles and the value the client places on these roles, consistent with the Model of Human Occupation.
Role Checklist gathers
reveal a client's personality.
projective test such as the House–Tree–Person
clients identify their perceptions of their own occupational performance.
Canadian Occupational Performance Measure helps