Occupational Therapy in Mental Health: A Vision for Participation (IE)

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Occupational Therapy in Mental Health: A Vision for Par- ticipation, Second Edition is a timely textbook for occu- pational  therapy  mental  health  practice,  casting  a  vision for participation and recovery among people with mental health disorders. The second edition has preserved several strengths of the first edition, including the overarching Person-Environment-Occupation (PEO) framework and a person-first perspective across a range of mental health dis- orders with evidence-based, occupation-focused approaches to assessment and intervention. In this regard, the textbook is consistent with several key principles of occupational therapy practice first articulated by our founders in the early

20th century: Collaborating with people who have mental health disorders in their recovery and focusing on the inter- section between the lived experience of mental health disor- ders and best practices in occupational therapy.

The second edition also provides new content on early identification and intervention, as well as innovative mod- els for mental health practice in keeping with changes in federal policies and practice. These updates equip occupa- tional therapy students and practitioners with the necessary knowledge and skills to support mental health recovery, prevention, and health promotion through their service in health-care systems, public health and community agencies, and educational environments, and provide tools to pro- mote public awareness and understanding of mental health disorders.

Occupational therapy mental health practitioners are critical partners in the process of recovery and prevention of the secondary consequences of mental health disorders, creating opportunities for full participation in everyday life in the community, where people live, learn, work, play, and pray. This modern day partnership emerges from the earliest foundations of the profession, the Moral Treatment Move- ment, in which occupation (i.e., meaningful and productive activity) was the key active ingredient for promoting mental and physical health among people with severe illnesses and disabilities (Peloquin, 1989).

The modern occupational therapy practitioner’s concern with mental  health recovery is  no  less  important  than  it was in the early days of our profession. Approximately one in five adults (18.5%) experience a mental health disorder in a given year, and approximately one in five youth aged 13 to 18 (21.4%) experience a severe mental health disor- der at some point in their life (Substance Abuse and Men- tal Health Services Administration, 2016). People with low income, low education, and high exposure to environmental stressors such as poverty, food and housing insecurity, social discrimination, substance abuse, and violence are at dispro- portionately high risk of mental health disorders relative to peers without these exposures (World Health Organization and Calouste Gulbenkian Foundation, 2014). Mood disor- ders (including major depression, dysthymic disorder, and bipolar disorder) are the third leading cause of hospitaliza- tion in the United States for youth and adults (Agency for Healthcare Research and Quality, 2009). Adults with severe mental health disorders are at high risk of chronic medical conditions, unemployment or underemployment (an esti- mated $193 billion in lost earnings per year), homelessness, and premature mortality (an average of 25 years younger) because  of  treatable  conditions  .....MORE

目錄:

PART 1   FOUNDATIONS

1     Recovery 3

2     The Unfolding History of Occupational Therapy in Mental Health   14

3     Person-Environment-Occupation Model  29

4     Person-Centered Evaluation 47

5     Evidence-Based Practice in Mental Health 69

PART 2     THE PERSON

Section 1: Introduction 85

6     Introduction to the Person   85

Section 2: Diagnosis    97

7     Autism   97

8     Intellectual Disabilities   117

9     Attention Deficit-Hyperactivity Disorder   132

10    Disruptive, Impulse-Control, and Conduct Disorders  143

11    Eating Disorders  154

12    Personality Disorders  169

13    Mood Disorders  182

14    Anxiety, Obsessive-Compulsive, and Related Disorders  197

15    Trauma and Stressor-Related Disorders      211

16    Schizophrenia and Schizoaffective Disorder   225

17    Substance Abuse and Co-Occurring Disorders  238

18    Neurocognitive  Disorders (Dementia)       250

19    Psychosocial Concerns With Physical Disabilities   264

Section 3: Performance Skills   281

20    Cognition    281

21    Cognitive Beliefs  301

22    Sensory Processing    323

23    Coping and Resilience  342

24    Motivation   366

25    Emotion   385

26    Communication and Social Skills   403

27    Pain   421

28    Time Use and Habits  435

PART 3     THE ENVIRONMENT

Section 1: Introduction 449

29    Introduction to the Environment   449

Section 2: Environments    461

30    The Public Policy Environment 461

31    Stigma: Implications for Health and Recovery 476

32    Families and Family-Focused Practice    494

33    Sociocultural  Perspectives in Mental Health Practice 513

34    The Neighborhood and Community   538

35    The Home Environment: Permanent Supportive Housing   554

Section 3: Practice Settings     573

36    Early Intervention: A Practice Setting for Infant and Toddler Mental Health   573

37    Early Psychosis Programs for Adolescents and Young Adults   585

38    Peer-Led Services 601

39    Mental Health Practice in Criminal Justice Systems  615

40    State Hospitals  642

41    Supporting Individuals Through Crisis to Community Living: Meeting a Continuum of Service Needs      655

42    Homeless and Women’s Shelters  672

43    Wraparound Services: Children  and Families  691

44    Occupational Therapy: Serving Service Members and Veterans  704

45    Integrated Behavioral Health and Primary Care  722

46    Applying Entrepreneurial  Skills in Mental Health Practice  740

PART 4     OCCUPATION

Section 1: Introduction 759

47    Introduction to Occupation and Co-Occupation  759

Section 2: Occupations    773

48    Wellness  773

49    Activities of Daily Living and Instrumental Activities of Daily Living   787

50    Occupational Therapy’s Role in School Mental Health   809

51    Student: Adult Education   838

52    Work as Occupation 853

53    Volunteer and Service Occupations 872

54    Social Participation  881

55    Leisure and Play 896

56    Rest and Sleep   909

57    Spiritual Occupation   931

Appendix  A   Template for PEO Analysis  941

Appendix  B  Index of Assessments 943

Appendix  C  Index of Interventions  947

Appendix  D   Index of Practice Models

and Theoretical Approaches   953

Glossary  957

Index   979

Practice Models and Theoretical Approaches Index   999