STATE COLLEGE OF FLORIDA OCCUPATIONAL THERAPY ASSISTANT PROGRAM

OTH 2300C Occupational Therapy In Mental Health LEC LAB CR 2 3 3 COURSE DESCRIPTION:

OTH 2300C Occupational Therapy in Mental Health (3) (A.S.) Two hours lecture and three hours laboratory per week. Prerequisites: satisfactory completion of OTH 1114C, OTH 1520C, OTH 1410, ENC 1102, and humanities elective. Corequisites: OTH 2261C, OTH 2420C and OTH 2802L. This course is designed to enable the student to become knowledgeable of the basic concepts of mental health and mental illness and the related role of occupational therapy process in psychosocial practice. Focus will be on evaluations, treatment planning, occupational therapy practice models, the role of the COTA in various mental health settings and the therapeutic use of self. The student will be introduced to appropriate methods of responding to symptoms and behaviors, safety techniques, DSM V and documentation. Laboratory activities promote the use of case-based learning to focus on skills needed in the mental health setting, treatment planning and implementation, therapeutic use of occupational with individuals and groups for the purpose of participation in roles and situations in home, school, workplace, community and other settings, as well as the importance of evidenced based practice in the mental health setting.

RELATIONSHIP TO THE CURRICULUM DESIGN: Occupational Therapy in Mental Health will focus on the study of prevalent disabilities occurring during the adult years with discussion of treatment methodologies and theories underlying occupational therapy as a basis for treatment planning and implementation in a variety of settings. The student will develop a knowledge base to anchor and carry out occupational therapy treatment techniques in a variety of mental health settings working in both individual and group settings. The student will have opportunities to develop problem-solving skills by combining and integrating knowledge from previous courses with new knowledge to provide appropriate occupational therapy treatment. PREREQUISITES: Satisfactory completion of OTH 1114C, OTH 1520C, OTH 1410, ENC 1102, and humanities elective

COREQUISITES: OTH 2261C, OTH 2420C and OTH 2802L

REVISIONS: 2/99, 5/99, 10/99, 6/00, 1/01, 8/01, 7/03, 7/04, 7/05, 9/06, 6/07, 11/07, 10/08. 8/09, 6/13

STUDENT LEARNING OUTCOMES:

Upon satisfactory completion of the course, the student will be able to:

1.0 Apply the holistic frame of reference underpinning the practice of occupational therapy within the mental health system. 1.1 Describe the meaning and dynamics of occupation and activity, including the interaction of areas of occupation, performance skills, performance patterns, activity demands, context(s) and environments, and client factors within the mental health environment. 1.2 Explain the role of the occupational therapist and occupational therapy assistant within the practice area of mental health related to care coordination, case management and transition services in traditional and emerging practice areas.. 1.3 Discuss the occupational performance within the practice area of mental health in relation to performance areas of occupation, performance skills, performance patterns, context, activity demands and client factors. 1.4 Discuss social, economical, ethical and cultural factors which influence mental health. 1.5 Analyze the history of occupational therapy relative to the evolution of the role of occupational therapy in mental health and the philosophical base of the profession of occupational therapy. 1.6 Apply the models of occupational performance and theories of occupation to the practice of occupational therapy in mental health. 1.7 Discuss the essential dimensions of the therapeutic relationship. 1.8 Discuss ethical considerations related to treatment of adults within the mental health environment. 1.9 Discuss the impact on social and welfare issues on the delivery of services in mental health. 1.10 Discuss how the sociopolitical climate influences the practice of occupational therapy. 1.11 Discuss the role and responsibility of the occupational therapy practitioner when dealing with changes in service delivery policies. 1.12 Recognize opportunities to incorporate occupational therapy services in emerging/changing areas of practice.

2.0 Discuss common areas of psychosocial dysfunction from early adulthood through aging. 2.0 Explain the etiology and symptoms of psychosocial dysfunction throughout the adult years. 2.1 Discuss the impact of psychosocial dysfunction on the physical, perceptual, sensory, and cognitive components with focus on motor skills, process skills and communication/interaction skills throughout the adult years. 2.2 Understand the effects of mental health, heritable diseases and predisposing genetic conditions, and disease processes on the balance of performance in areas of occupation, performance skills, and performance patterns to the achievement of health and wellness within the cultural context of the family and society. 2.3 Discuss the influence of context, activity demands and client factors related to psychosocial dysfunction and performance in areas of occupation.

3.0 Describe the team approach to the assessment, treatment and termination of treatment with the adult client in the practice area of mental health. 3.1 Discuss the use of standardized and non-standardized techniques utilized in the practice area of mental health with the adult client. 3.2 Discuss the impact of interprofessional collaboration related to treatment with the client and family’s recovery. 3.3 Explain the importance of communication among team members and the family. 3.4 Discuss the reassessment and termination of treatment along with post-discharge needs of the client. 3.5 In collaboration with the occupational therapist, discuss the need for referrals to other services and professionals. 3.6 Promote the use of appropriate home and community programming to support performance in the client’s natural environment and in all relevant contexts.

4.0 Plan and implement treatment activities appropriate for the adult in mental health. 4.1 Discuss evaluation techniques and results as they relate to the establishment of a treatment plan. 4.2 Comprehend the essential qualities of purposeful activities and occupations utilized in treatment. 4.3 Comprehend the effect of engaging in an activity upon the health and wellness of the individual. 4.4 Analyze therapeutic activities commonly used in the clinical environment in terms of performance areas of occupation, performance skills, performance patterns, context, activity demands and client factors. 4.5 Select and demonstrate appropriate purposeful activities for clients in mental health in both individual and group settings to enhance safety, wellness, and performance in activities of daily living, instrumental activities of daily living, education, work, play, leisure, and social participation. 4.6 Plan a graded activity program for common psychosocial dysfunctions treated in occupational therapy based upon client performance, needs and context. 4.7 Explain the importance of utilizing the client’s occupational profile and involving the family and significant others in the client’s rehabilitation program in mental health. 4.8 Demonstrate task analysis in areas of occupations, performance skills, performance patterns, activity demands, contexts and environments and client factors related to the selection and implementation of treatment with individuals and groups in the mental health settings. 4.9 Provide training in self-care, self-management, health management and maintenance, home management and community and work integration. 4.10 Relate treatment activities to various services delivery models and settings. 4.11 Discuss the client’s rights and provider responsibilities related to the health care delivery system, health and quality of life, the client-provider relationship, legal and ethical guidelines and patient advocacy. 4.12 Demonstrate skills of collaboration in intervention planning with the occupational therapist for case presentations. 4.13 Utilize time management techniques to organize and prioritize workload for completion of case presentation and other assignments. 4.14 Use professional literature to make evidenced based practice decision in collaboration with the occupational therapist.

5.0 Discuss the use of group treatment and group dynamics in occupational therapy. 5.1 Differentiate between developmental groups and activity groups. 5.2 Discuss therapeutic group characteristics. 5.3 Discuss group process as it relates to the roles of the group members. 5.4 Discuss the role of the occupational therapy assistant in the group.

6.0 Conduct task oriented groups and group discussions. 6.1 Plan a task oriented group and group discussion. 6.2 Lead a task oriented group and group discussion. 6.3 Analyze the effectiveness of the group in meeting the goals of the group.

7.0 Develop activity programs for developmental groups. 7.1 Plan and implement an activity program for each developmental group. 7.2 Evaluate the effectiveness of the activity program in relation to the goals of each group. 7.3 Discuss how the activity program relates to the life style, interests and abilities of the client population.

8.0 Discuss the impact of “actions” and “behaviors” on others. 8.1 Differentiate between passive, assertive and aggressive behaviors. 8.2 Demonstrate the process of “active listening”. 8.3 Discuss the use of verbal and nonverbal communication within an activity program. 8.4 Describe characteristics of a helping relationship. 8.5 Differentiate between a therapeutic and social relationship. 8.6 Discuss the perception of “quality of life” and the relationship to involvement in activities and occupation to promote health and prevention of disease. 8.7 Discuss the need for and process of consultation with other professionals. 8.8 Demonstrate therapeutic use of self,including one’s personality,insights, perceptions and judgments as part of the therapeutic process in both group and individual interactions.

9.0 Develop skill in proper documentation techniques 9.1 Apply the Occupational Therapy Practice Framework: Domain and Practice to describe, analyze and document the use of activities in the practice of occupational therapy appropriate to the context in which the service is delivered. 9.2 Demonstrate the ability to collect, organize, and report data for the purpose of evaluating client(s) occupational performancein activities of daily living, instrumental activities of daily living, education, work, play, rest, sleep, leisure and social participation. . 9.3 Discuss the required documentation for all aspects of the occupational therapy process in mental health.

10.0 Promote scholarly endeavors to interpret the scope of practice. 10.1 Promote understanding of scholarship related to practice. 10.2 Articulate the importance of how scholarly activities and literature contribute to the development of the profession. 10.3 Locate and understand information, and articulate how the quality of the source must be considered when utilizing the content. 10.4 Utilize data bases and search engines for research. 10.5 Develop a presentation for a professional conference related to professional practice, service delivery and/or professional issues.

TOPICAL OUTLINE

1. Review theories used in the practice of occupational therapy in mental health A. History of occupational therapy in the practice area of mental health B. Frames of reference C. Occupational Therapy Practice Framework 1. Domain of occupational therapy 2. Process 3. Areas of Occupation 4. Performance skills 5. Performance Patterns 6. Contexts 7. Activity Demands 8. Client Factors D. Therapeutic relationship E. Influence of social, economic and cultural factors on mental health F. Role of occupational therapy in mental health G. Role of the occupational therapist and occupational therapy assistant H. Role of group dynamics I. Purposeful activity J. Engagement in Occupation L. Clinical reasoning M. Promotion of health and wellness N. Ethical considerations/issues 2. Rationale for choosing an occupation/activity A. Screening B. Evaluation C. Treatment planning D. Treatment implementation E. Re-evaluation F. Treatment termination G. Role of the occupational therapist and the occupational therapy assistant 1. Service competency 3. Team Approach to Assessment, Treatment and Termination of Therapy Services A. Standardized and non-standardized techniques 1. Memory for Design 2. Trailmaking 3. Allen Cognitive Levels B. Use of assessments in relation to performance and adaptation principles for the adult population within the practice area of mental health. 1. Understand the role of each team member 2. Impact of each team member’s treatment relative to the client and family’s recovery. 3. Need for communication with team members 4. Need for communication with client, family and significant others 5. Understand the client’s perception of quality of life 6. Reassessment and termination of treatment C. Understanding family needs, roles and responsibilities 1. Advocacy 2. Identification of resources 3. Family systems 4. Caregiver needs D. Roles and Responsibilities of the Occupational Therapist and Occupational Therapy Assistant in the Mental Health Setting 1. Supervision 2. Management techniques 3. Use of professional literature 4. Collaboration 5. Consultation 6. Practice Outcomes 7. Documentation E. Interprofessional Collaboration 4. Common areas of dysfunction in mental health A. Schizophrenia B. Affective disorders C. Bipolar disorders D. Depression E. Substance Abuse F. Borderline personality disorders G. Acquired immunodeficiency (AIDS) H. Eating disorders I. Anxiety disorders J. Geropsychiatry a. senility b. Alzheimer’s disease 4. Treatment Approaches A. Use of craft activities B. Use of functional activities C. Group versus individual treatment planning techniques and activities D. Involvement of family and significant others in the treatment process E. Review of service delivery models and settings 5. Group Process and Interaction A. Definition of group B. Development groups C. Activity groups D. Roles within the group E. Leadership of the group F. Problem solving and decision making 6. Activity Therapy A. Teaching-learning process B. Structure of treatment using activity groups C. Frames of reference related to activity therapy D. Assessment of the group process 7. Communication Skills A. Use of verbal and non-verbal communication B. Active listening C. Assertiveness D. Self-awareness E. Therapeutic use of self 8. Documentation A. Occupational Therapy Practice Framework

TEACHING/LEARNING EXPERIENCES

Lecture – PowerPoint presentations Discussion – large and small group Readings Simulations and practice activities Role playing of patient and therapist Participation in all laboratory activities Videos Student presentation Assignments – written Activity analysis and treatment planning Inquiry/questioning Written exams Quizzes Interpersonal communication

EVALUATION METHODS:

Quizzes and Assignments 35% Exams 30% Poster Presentation 15% Final 25%

Grading Scale: A = 90-100 B = 80-89 C = 70-79 D = 60-69 F = 59 or below

A minimum grade of “C” is required in all occupational therapy assistant courses. Students who do not achieve a minimum grade of 70 in this course will not be able to progress in the OTA Program.

Initially developed - 1/6/98 – Revised based on ACOTE 2011 OTA Standards

CDR Proposal Action Dates:

Date of Original Submission: 10/1/97 Date of Last Review: 2/99, 5/99, 10/99, 6/00, 1/01, 8/01, 7/03, 7/04, 7/05, 9/06, 6/07, 11/07, 10/08. 8/09, 6/13 Date of Last Revision: 11/19/07, 10/23/08, 9/30/13