Short-Term Treatment in Occupational Therapy

Transcription

1

2 Short-Term Treatment in Occupational Therapy

3 The Occupational Therapy in Mental Health series: Psychiatric Occupational Therapy in the Army, edited by LTC Paul D. Ellsworth and Diane Gibson Occupational Therapy with Borderline Patients, edited by Diane Gibson SCORE: Solving Community Obstacles and Restoring Employment, by Lynn Wechsler Kramer Short-Term Treatment in Occupational Therapy, edited by Diane Gibson and Kathy Kaplan

4 Short-Term Treatment in Occupational Therapy Edited by Diane Gibson, MS, OTR Kathy Kaplan, MS, OTR Routledge Taylor & Francis Group LONDON AND NEW YORK

5 Short-Term Treatment in Occupational Therapy has also been published as Occupational Therapy in Mental Health. Volume 4. Number 3. Fall First published 1984 by TIle Haworth Press. Inc. Published 2013 by Routledge 2 Park Square. Milton ~lilton Park. Abingdon. O:-.on 0:\:144RN 711 TIlird Avenue. New York. NY lisa ROlltledge is an imprint of the Taylor & Francis Grollp. an informa hllsiness Copyright 1984 by The Haworth Press, Inc. All rights reserved. No part of this book may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, microfilm and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Library of Congress Cataloging in Publication Data Main entry under title: Short-term treatment in occupational therapy. Published also as v. 4, no. 3 of Occupational therapy in mental health. Includes bibliographies. I. Occupational therapy. 2. Psychotherapy, Brief. I. Gibson, Diane. II. Kaplan, Kathy. RC487.S ' ISBN (hbk)

6 Short-Term Treatment in Occupational Therapy Occupational Therapy in Mental Health Volume 4, Number 3 CONTENTS EDITORIAL Introduction Diane Gibson, MS, OTR Kathy Kaplan, MS, OTR 1 5 Short-Term Psychiatric Treatment: How Will Occupational Therapy Adapt? 11 Gary A. Jackson, MS, OTR Changing Role Expectations of Psychiatric Occupational Therapists 19 Janet E. Short, MA, OTR Introduction 19 Role 20 Changed Expectations 21 Summary 26 Short-Term Assessment: The Need and a Response 29 Kathy Kaplan, MS, OTR Problem and Purpose 31 Occupational Therapy Instruments 32 The Occupational Case Analysis Interview and Rating Scale 36 Case Example 40 Discussion 42 Summary and Recommendations 43

7 The Use of Groups in Short-Term Psychiatric Settings 47 Loring Bradlee, MS, OTR Flexibility 52 Realistic Expectations 53 Understanding of Group Dynamics as Reflection of Ward Dynamics 54 Need for a System Perspective 54 Need for Education and Collaboration 55 Occupational Therapy for Chronic Pain: A Clinical Application of the Model of Human Occupation 59 Rebecca Liggan Gusich, MS, OTR Occupational Behavior View of Pain 60 Interventions for Chronic Pain 62 The In-Patient Pain Treatment Program 64 Occupational Therapy Program: Assessment and Intervention 64 Summary and Implications for Further Study 71 Short-Term Hospital Treatment of the Acute Schizophrenic Episode 75 Boaz Harris, MD Developing a Multidisciplinary Treatment Plan 77 Working with the Family 77 Establishing Trust 78 Introducing the Patient into the Milieu 79 A Need for Space and Distance 80 The Therapeutic Community 80 Seclusion 81 Patient Government 82 Group Therapy 84 Electroshock Therapy 84 Activities Therapies 85 Partial Hospitalization/Outpatient Care 87 Conclusion 87 Theoretical Issues in Short-Term Treatment 89 Alan I. Levenson, MD The Continuum of Psychiatric Care 90

8 Crisis Theory in Short-Term Treatment 91 The Value of Early Intervention 92 Milieu Therapy 93 A Special Role 96 Conclusion 98 A Psychiatrist's Experience with Occupational Therapy in a Short-Term General Hospital Unit 101 Marc Hertzman, MD Towards Closer Working Relationships 102 Carrying Out Therapy 104 Supporting Staff 106 Resolving Interdisciplinary Conflicts 110

9 This page intentionally left blank:

10 EDITOR DIANE GIBSON, MS, OTR, Director, Activity Therapy Department, The Sheppard and Enoch Pratt Hospital, Towson, MD ASSOCIATE EDITOR GARY KIELHOFNER, Dr PH, OTR, Assistant Professor, Occupational Therapy Department, Medical Col/ege of Virginia, Virginia Commonwealth University, Richmond, VA BOOK REVIEW EDITOR DELLVINA GROSS, PhD, Chairperson, Occupational Therapy Department, Pacific University, Forest Grove, OR EDITORIAL BOARD MARY K. BAILEY, OTR, Chief, Occupational Therapy, The Sheppard and Enoch Pratt Hospital, Towson, MD ROANN BARRIS, EdD, OTR, Occupational Therapy Department, Medical College of Virginia, Virginia Commonwealth University, Richmond, VA MARIE LOUISE BLOUNT, AM, OTR, Chairperson-Occupational Therapy Department, Towson State University, Towson, MD KAREN DIASIO, MA, OTR, Assistant Professor, San Jose University, San Jose, CA PAUL ELLSWORTH, MPH, OTR, Brooke Anny Medical Center, Ft. Sam Houston, TX ALICE FEINBERG, MS, OTR, Senior Occupational Therapist, Department of Occupational Therapy, Kingsbrook Jewish Medical Center, Brooklyn, NY GAIL FIDLER, OTR, FAOTA, Rehabilitation Consultant, Div. of Mental Health & Hospitals, Office of Institutions & Hospitals, Trenton, NJ SUSAN B. FINE, MA, OTR, FAOTA, Director, Therapeutic Activities, Payne Whitney Clinic, New York Hospital-Cornell Medical Center, New York, NY YVONNE FLOWERS, MA, OTR, Assistant Professor, York College, City University of New York, New York, NY LYN HILL, MS, OTR, FAOTA, Associate Professor, Occupational Therapy, Utica College of Syracuse University, Utica, NY MARGOT HOWE, EdD, OTR, FAOTA, Associate Professor, Tufts University, Boston School of Occupational Therapy, Medford, MA CYNTHIA HUGHES, MEd, OTR, Director, Section of Occupational Therapy, Rush-Presbyterian-St. Lukes Medical Center, Chicago, IL EVELYN JAFFE, MPH, OTR, FAOTA, Consultant, Tiburon, CA LORNA JEAN KING, OTR, FAOTA, President, Center for Neurodevelopment Studies, Inc., Phoenix, AZ LINDA LEVY, MA, OTR, Assistant Professor, Department of Occupational Therapy, Temple University, Philadelphia, PA RONALD MARKS, PhD, Associate Professor, J. Hillis Miller Health Center, Department of Statistics, University of Florida, Gainesville, FL GLADYS MASAGATANI, MEd, OTR, FAOTA, Associate Professor, Department of Occupational Therapy, Eastern Kentucky University, Richmond, KY DEANE McGRAITH, MS, OTR, Newton Center, MA BETH MOYER, MS, OTR, FAOTA, Occupational Therapy Consultant, Florida State Hospital, Chattahoochee, FL

11 SUSAN CLEARY SCHWARTZ, OTR, Program Coordinator, Inpatient Psychiatry, Pacific Medical Center, San Francisco, CA DIANE SHAPIRO, MA, OTR, Division of Therapeutic Activities, The New York Hospital-Cornell Medical Center. Westchester Division, White Plains. NY JANE SLAYMAKER, MA, OTR, FAOTA, Associate Professor, Occupational Therapy Department. University of Florida. Gainesville. FL FRANKLIN STEIN, PhD, OTR, Director. Occupational Therapy Program. University of Wisconsin. Milwaukee. WI MARY SAVAGE STOWELL, MS, OTR, Consultant. Bainbridge /s., WA JOYCE WARD, MS, OTR. Chair. Department of Occupational Therapy. San Jose State University. San Jose. CA GERALD WHITMARSH. PhD. Director of Research. The Sheppard and Enoch Pratt Hospital. Towson. MD

12 Short-Term Treatment in Occupational Therapy

13 This page intentionally left blank: