Short-Term Treatment in Occupational Therapy

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Short-Term

Treatment in

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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

Employ-ment, by Lynn Wechsler Kramer

• Short-Term Treatment in Occupational Therapy, edited by Diane

Gibson and Kathy Kaplan

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Short-Term

Treatment in

Occupational Therapy

Edited by

Diane Gibson, MS, OTR

Kathy Kaplan, MS, OTR

LONDON AND NEW YORK

Routledge

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Short-Term Treatment in Occupational Therapy has also been published as Occupational Therapy in Mental Health. Volume 4. Number 3. Fall 1984.

First published 1984 by TIle Haworth Press. Inc. Published 2013 by Routledge

2 Park Square. ~lilton Park. Abingdon. O:-.on 0:\:14 4RN

711 TIlird Avenue. New York. NY 10017. 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, in-cluding 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.S56 1984 616.89'1652 84-9115

ISBN 978-0-866-56342-0 (hbk) Milton

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Short-Term Treatment

in Occupational Therapy

Occupational Therapy in Mental Health

Volume 4, Number 3

CONTENTS

EDITORIAL

Diane Gibson, MS, OTR

Introduction

Kathy Kaplan, MS, OTR

Short-Term Psychiatric Treatment: How Will

1

5

Occupational Therapy Adapt?

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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

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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

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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

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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

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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

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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

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Short-Term

Treatment in

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