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This timely volume fills a long-standing gap in the professional literature by providing an overview of contemporary assessment and rehabilitation of alcohol and chemical dependent substance abusers. Although many occupational therapists and other activity therapy staff work in substance abuse programs, few articles in occupational therapy literature address this relevant topic. Treatment of Substance Abuse: Psychosocial Occupational Therapy Approaches provides a unique overview of contemporary assessment and rehabilitiation of alcohol and chemical dependent substance abusers. The highlights of this insightful book include behavioral and educational frames of reference as well as specific treatment modalities such as stress management, activities of daily living, and leisure counseling. Contributors examine current polemics regarding programs that use methadone versus abstinence and theoretical concepts including the psychodynamic model with emphasis on the defensive structure underlying the abuser’s personality, as well as leveled conceptual framework for considering treatment. A number of practical techniques are discussed within the overall context of each article; hence the reader will find usable guidelines for establishing boundaries of treatment as well as discreet ideas about methods and practice. Roles and functions of varying disciplines are reviewed in an effort to discriminate role clarity and provide implications for practice in relation to different models. This issue is valuable to the OT who seeks an understanding of the varying viewpoints and current practice in the substance abuse field.
Of the estimated 70 million children in the United States, 6 million to 9 million have a serious emotional disturbance. However, only 1 in 5 of these children receives any professional help. Over the years, the view of children's mental health services has changed. This new thinking has altered how occupational therapy services are perceived and implemented. In addition to providing services to children diagnosed with a mental illness, occupational therapy professionals can help children develop and maintain mental health in school, community, and mental health settings. Using an evidence-based perspective and public health model, this Practice Guideline provides an overview of the occupational therapy process for mental health promotion, prevention, and intervention for children ages 3 to 21 years. It defines the occupational therapy domain, process, and interventions that occur within the boundaries of acceptable practice with this underserved population. Interventions include those for promotion, prevention, and intensive individualized care on topics such as social skills, health promotion, play/recreation/leisure, and cognitive-behavioral therapy.
Alcohol use disorder (AUD) is a major public health problem in the United States. The estimated 12-month and lifetime prevalence values for AUD are 13.9% and 29.1%, respectively, with approximately half of individuals with lifetime AUD having a severe disorder. AUD and its sequelae also account for significant excess mortality and cost the United States more than $200 billion annually. Despite its high prevalence and numerous negative consequences, AUD remains undertreated. In fact, fewer than 1 in 10 individuals in the United States with a 12-month diagnosis of AUD receive any treatment. Nevertheless, effective and evidence-based interventions are available, and treatment is associated with reductions in the risk of relapse and AUD-associated mortality. The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder seeks to reduce these substantial psychosocial and public health consequences of AUD for millions of affected individuals. The guideline focuses specifically on evidence-based pharmacological treatments for AUD in outpatient settings and includes additional information on assessment and treatment planning, which are an integral part of using pharmacotherapy to treat AUD. In addition to reviewing the available evidence on the use of AUD pharmacotherapy, the guideline offers clear, concise, and actionable recommendation statements, each of which is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms. The guideline provides guidance on implementing these recommendations into clinical practice, with the goal of improving quality of care and treatment outcomes of AUD.
This insightful book offers readers effective strategies and occupational therapy methods for working with psychosocial dysfunction. Through detailed descriptions from experienced occupational therapists who work with a wide range of populations, readers will gain a first-hand glimpse into the evaluation and treatment of psychosocial dysfunction. Occupational Therapy and Psychosocial Dysfunction serves as a vehicle for communication among clinicians as well as an introduction to theory and practice for OT students. Important topics that are covered include Post-Traumatic Stress Disorder, substance abuse, nontraditional intervention, and methods for the education of occupational therapy students. This text provides readers with a comprehensive view of OT practice in psychosocial dysfunction. It emphasizes case studies to spark lively discussion and descriptions of programs and specific treatment activities that provide fieldwork students with concrete ideas to try, as well as the theoretical rationale underlying those treatment activities. Readers will find practical guidelines for occupational therapy with many populations including: survivors of sexual abuse veterans suffering from combat-related Post-Traumatic Stress Disorder substance abusers and alcoholics anorexics and bulimics individuals with narcissistic personality disorder people awaiting pulmonary transplants children with behavior disorders people with AIDS Authoritative contributors share programmatic ideas and communication about day-to-day treatment and assessment methods. Some of the intriguing strategies introduced by this practical guide include an intervention strategy based on a model of human occupation and object relations theory, use of a group process to enable patients to regain control of their lives, treatment strategies based on neurocognitive deficits, a neurophysiological model of schizophrenia etiology, and leadership therapy. Occupational therapy students, practicing clinicians, and academics will gain new insights with this practical volume that spans the concerns and issues related to occupational therapy practice and psychosocial dysfunction.
Now in its fifth edition, this seminal textbook for occupational therapy students and practitioners has retained the comprehensive detail of previous editions with significant updates, including the recovery approach informed by a social perspective. Emerging settings for practice are explored and many more service users have been involved as authors, writing commentaries on 14 chapters. All chapters are revised and there are also new chapters, such as mental health and wellbeing, professional accountability, intersectionality, green care and working with marginalized populations. Chapter 11 is written by two people who have received occupational therapy, examining different perspectives on the experience of using services. This edition is divided into clear sections, exploring theory and practice issues in detail. The first section covers the historical, theoretical and philosophical basis for occupational therapy in the promotion of mental health and wellbeing. The second section examines the occupational therapy process, followed by a third section on ensuring quality in contemporary practice. The fourth section offers insights into issues arising from the changing contexts for occupational therapy including an analysis of the implications for occupational therapy education. The fifth section has eight chapters on specific occupations that can be applied across the varied settings which are covered in the sixth and final section. Occupational Therapy and Mental Health is essential reading for students and practitioners across all areas of health and/or social care, in statutory, private or third (voluntary) sectors, and in institutional and community-based settings. Presents different theories and approaches Outlines the occupational therapy process Discusses the implications of a wide range of practice contexts Describes a broad range of techniques used by occupational therapists Provides many different perspectives through service user commentaries Coverage of trust as part of professional accountability, leadership, green care, ethical practice using a principled approach Additional and extended service user commentaries An editorial team selected and mentored by the retired editors, Jennifer Creek and Lesley Lougher
This publication presents a comprehensive perspective on the worldwide, regional and country consumption of alcohol, patterns of drinking, health consequences and policy responses in member states. It represents a continuing effort by WHO to support member states with global information in their efforts to reduce the harmful use of alcohol and its health and social consequences.--Publisher's description.
As occupational therapy celebrates its centennial in 2017, attention returns to the profession's founding belief in the value of therapeutic occupations as a way to remediate illness and maintain health. The founders emphasized the importance of establishing a therapeutic relationship with each client and designing an intervention plan based on the knowledge about a client's context and environment, values, goals, and needs. Using today's lexicon, the profession's founders proposed a vision for the profession that was occupation based, client centered, and evidence based--the vision articulated in the third edition of the Occupational Therapy Practice Framework: Domain and Process. The Framework is a must-have official document from the American Occupational Therapy Association. Intended for occupational therapy practitioners and students, other health care professionals, educators, researchers, payers, and consumers, the Framework summarizes the interrelated constructs that describe occupational therapy practice. In addition to the creation of a new preface to set the tone for the work, this new edition includes the following highlights: a redefinition of the overarching statement describing occupational therapy's domain; a new definition of clients that includes persons, groups, and populations; further delineation of the profession's relationship to organizations; inclusion of activity demands as part of the process; and even more up-to-date analysis and guidance for today's occupational therapy practitioners. Achieving health, well-being, and participation in life through engagement in occupation is the overarching statement that describes the domain and process of occupational therapy in the fullest sense. The Framework can provide the structure and guidance that practitioners can use to meet this important goal.