OTD 317 OT in Mental Health Exam 1
Questions and Answers
17th- iiEarly ii18th iiCentury iiMental iiHealth ii- iiAnswers ii--Causes iiof iimental iihealth:
iicursed iisoul, iidemon iipossessed
-shunned iifrom iisociety iicreating iibarrie. iiThose iiwho iikept iiin iisecrecy iiwere iichained
iiand iirestrained ii(restraint iichair ii
-Issues: iimisunderstood iicauses, iilack iiof iieffective iicare, iimisguided iicare
Mid ii18th iicentury ii- iiAnswers ii--industrial iirev= iifirst iihospital
-Creation iiof iihospitals ii(asylums) iito iiprovide iicare
-Moral iitreatment iimovement iipromoted iihumane iitreatment iiof iippl iiwith iimental iiillness
19th iicentury ii- iiAnswers ii--changing iithoughts iiabout iietiology iiof iimental iihealth ii
-Issues: iilack iiof iitrained iiprofessionals, iiquestionable iipractice, iiwarehousing iiof iihuman
iibeings ii(lack iiof iitrained iiprofessionals)
Early ii20th iicentury ii- iiAnswers ii--Mental iihygiene iimovement ii(desire iito iiimplement
iibetter iiservices) ii
-Emergence iiof iipsychoanalysis, iipsychotherapy, iipsychotropic iimeds, iimedical iimodel ii
-Issues: iilack iiof iitrained iiprofessionals, iiquestionable iipractice, iiovercrowding, iilength iiof
iistay ii5+ iiyears
Late ii20th iicentury ii- iiAnswers ii-1949: iicreation iiof iinational iiinstitute iifor iimental iihealth
ii(NIMH)
-increased iiinfo iion iicauses, iidiagnosis, iitreatment ii
-improved iitranning ii
-establish iitreatment iilocation ii
1963: iiCommunity iimental iihealth iicenters iiact
-deinstitutionalized
-Outcome: iihomelessness, iiincarceration, iipoverty ii
1970's: iiconsumer iimovement/family iimovement
-advocacy
1990's iiconsumer iimovement:
-olmstead iidecision ii(1999): iimust iiprovide iicommunity iibased iiservices iito iipersons iiwith
iidisabilities iiwhen iiservices iiare iiappropriate, iiindividual iidoes iinot iioppose, iican iibe
iireasonably iiaccommodated
Traditional iimedical iimodel iicare ii- iiAnswers ii--assumes iilimited iiexpectations iifor iireturn
iito iicommunity, iilife iioutcomes ii
, -pathological iiand iimedical iicare iifocuses iion iipathology, iinegative iiconsequences,
iihopelessness
21st iicentrry ii- iiAnswers ii-2000's: iirecovery iimovement
-all iipersons iican iiand iido iirecover, iiperson iiis iithe iiexpert iion iihim/herself, iistrength iiand
iiempowerment ii
-Pathalogical->medical->recovery ii
2010's: iihealth iiand iiwellness iimovement ii
-issues iiwith iimortality iiand iimorbidity, iihigher iirates iiof iiobesity, iiaddiction, iilife iichanges,
iiincorporate iipeer iisupport
mental iihealth ii- iiAnswers ii--how iippl iithink iifeel iiand iiact iiin iidaily iilife
-how iippl iicope iiwith iistress ii
-influences iiway iipeople iiview iithemselves, iilives, iiand iiinteraction iiwith iiothers ii
-infuences iichoices iiand iireactions
mental iiillness ii- iiAnswers ii--impaired iithinking, iimood, iibehavior, iior iicombo iithat
iiimpairs iifunctioning iiand iicauses iidistress ii
-impaired iithinking iiprocess, iisocial iiroles, iiproductivity, iihealth iiand iiwellness
Roots/roles iiof iithe iiprofession ii- iiAnswers ii--moral iitreatment ii
-balance iiwork, iileasuire iiand iirest ii
-"holistic", ii"client-centered" iiand ii"function" iiare iinot iiunique iito iiOT ii
-Occupation iiis iiunique iito iiOT ii
-treat iieach iiclient iias iiindividual iiand iivaluable ii
-understand iimind iibody iilink ii
-engagment iiin iieveryday iiactivities iiwould iiresult iiin iicontrol iiover iiillness
clinical iireasoning ii- iiAnswers ii-Clinical iireasoning iirequires iiand iienables iiOTs iito iimake
iijudgments iiabout iiwhat iiis iimost iiimportant iito iipay iiattention iito, iiwhat iiactions iito iitake,
iiand iithe iilikely iioutcomes iiof iitaking iispecific iiactions iiin iithe iicontext iiof iitherapy."
Why iiuse iiFOR ii- iiAnswers ii-constructs iiof iiconcern, iiframe iithe iiclient's iiproblems, iiand
iiform iihypotheses iifor iichange
PEO iiModel ii- iiAnswers ii-canadian iiOT iideveloped iiin ii1990's ii
-what iiaspects iiof iilife iiaffects iioccupational iiperformance ii
-relationship iibetween iiperson, iienvironment, iioccupation
Core iiis iispirituality ii(beliefs, iigoals, iivalues)
-change iiin iione iipart iichanges iiall iiparts
The iiperson ii- iiAnswers ii--whole iiperson, iiphysical iiabilities, iiaffective iiinteractions,
iicognitive iiskills, iispiritual
The iienvironment ii- iiAnswers ii--where iioccupation iitakes iiplace: iifamilies,
iineighborhoods, iiemployment, iitransportation, ii