0
Q
4 principles of MI
A
Expression of empathy
Develop discrepancy
Rolling with resistance
Support self-efficacy
1
Q
OT interventions for dual diagnosis
A
- Needs analysis: motivational interviewing, sensory needs, values , roles, functioning
- Meaningful activity
- skill development
- coping strategies
- relapse preventions
- group psychoeducation
- harm minimization
2
Q
Stages of change model
A
Pre-contemplation(provide info) Contemplation (increase ambivalence) Determination (provide options) Action (practical strategies) Maintenance (relapse prevention) Relapse (avoid demoralization)
3
Q
MI and DD considerations
A
Low levels of motivation Severe symptoms Multiple failed treatments attempts Poor functional adjustments Substance used to reduce positive and negative symptoms Counter transference and negative attitudes of staff Social stigma Impaired capacity to make decisions
4
Q
How do we modify MI and DD clients
A
Target a wider range of behaviors e.g. Treatment compliance
Accommodate cognitive impairment
Explain MI - more directive authoritarian interventions
Emphasis on self efficacy
Avoid excessive focus on negative and despairing statements
5
Q
What are some general OT aspects of working with people with intellectual disability (take home notes)
A
Avoid assumptions Take care with standardized assessments Observations/discussions are important Build your knowledge about sensory/movement differences Understand and support accomodations
