Therapeutic Use of Self
Definition: Planned use of personality, insights, perceptions, and judgements
Relationship skills: attending, responding, disclosing, requesting, coaching
The Helping Process
Exploring, understanding, acting, feedback, repeat
Types of interventions
- Therapeutic use of self
- Therapeutic use of activities and occupations
- Consultations
- Education process
- Advocacy
Therapeutic use of Occupations and Activities (Occupation-Based Interventions) examples
- Completes morning dressing and hygiene using adaptive equipment
- Purchases groceries and prepares a meal
- Utilizes the transportation system
- Applies for a job
- Plays on playground and community recreation equipment
- Participates in a community festival
- Establishes a pattern of self-care and relaxation activities in preparation for sleep
Therapeutic Use of Occupations and Activities (Occupation-Based Interventions)
Client-centered intervention in which the OT Practitioner and client collaboratively select and design activities that have specific relevance or meaning to the client and support the clients interests, need, health, and participation in daily life
Purpose: client engages in client-directed occupations that match identified goals
Therapeutic use of Occupations and Acrivities (Purposeful Activity)
Goal-directed behavior or activity within a therapeutically designed context that leads to occupations
Purpose: client engages in specifically selected activities that allow client to develop skills that enhance occupational engagement
Therapeutic use of Occupations and Acrivities (Purposeful Activity) Examples
- Practices how to select clothing and manipulate clothing fasteners
- Practices safe ways to get in and out of a bathtub
- Practices how to prepare a food list and rehearses how to use cooking appliances
- Practices how to use a map and transportation schedule
- Rehearses how to write answers on an application
- Practices how to get on and off playground/recreation equipment
- Role plays when to greet people and initiates conversation
- Practices how to use adaptive switches to operate home environmental control system
Therapeutic use of Occupations and Activities (Preparatory Method)
Methods and techniques that PREPARE the client for occupational performance
*** Used in preparation for and concurrent with purposeful and occupation-based activities
Purpose: to prepare the client for occupational performance
Therapeutic use of Occupations and Activities (Preparatory Method) Examples
- Provides sensory enrichment to promote alertness
- Administers physical agent modalities to prepare muscles for movement
- Engages in visual imagery and rhythmic breathing to promote rest and relaxation
- Issues orthotics/splints to provide support and facilitate movement
- Suggests a home-based conditioning regime using Pilates and yoga
- Provides hand-strengthening exercises using therapy putty and theta and
- Provides instruction in assertiveness to prepare for self-advocacy
Consultation Process
OT uses their knowledge and expertise to collaborate in identifying the problem, creating possible solutions, trying solutions, and altering them as necessary with “client”(patient, family, or others)
** Practitioner is not directly responsible for the outcome of the intervention.
Consolation Process Examples
Person
- advises a family about architectural options
-advises family how to create pre-sleep nighttime routines for their children
Organization
- recommends work pattern modifications and ergonomically designed workstations for a company
- recommends disaster evacuation strategies for a residential community organization related to accessibility and reduced environmental barriers
Population
-advises senior citizens on older driver initiatives
Education Process
Imparting knowledge and information about occupation, health, and participation
Education Process (Examples)
Person
- instructs a classroom teacher on sensory regulation strategies
Organization
- teaches staff at a homeless shelter how to structure daily living, play, and leisure activities for shelter members
Population
- instructs town officials about the value and strategies for making walking and biking paths accessible to all community members
Advocacy
Efforts directed towards promoting occupational justice and empowering clients to seek and obtain resources to fully participate in daily life occupations
Advocacy (examples)
Person
-collaborates with a person to procure reasonable accommodations at worksite
Organization
- serves on policy board of an organization to procure supportive housing accommodations for persons w disabilities
Population
- collaborated w/ adults w/ serious mental illness to raise public awareness of the impact of this stigma
- collaborates w and educates federal funding sources for the disabled population to include cancer patients prior to their full remission.
OT Interventions Approaches
- Create
- Remediate
- Maintain
- Compensate
- Maintain
