Assessments in occupational therapy mental health 1
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Transcript of Assessments in occupational therapy mental health 1
Assessments in Occupational Therapy
Mental Health
All case should be screened initially using the following:
TAGCANSAS
Assessment Process
Following that OT shall conduct a specific assessment using the
FAA
Assessment Process
Structured assessment scales to further identify problem areas:
Barthel IndexDomestic AssessmentRole ChecklistInterest ChecklistWork AssessmentMini Mental State Examination (MMSE)Canadian Occupational Performance Measure (COPM)
Assessment Process
Threshold Assessment GridBrief assessment of the severity of an
individual’s mental health problems.Simple in easily used in categorizing patients'
problems comprehensively7 domains : safety (2 aspects)
risk (2 aspects) needs and disabilities (3 aspects)
All aspects need to be assessed
TAG
Each aspects is assessed by level of severityUsed during clinical interview psychosocial
assessmentProblems that take place a month prior to the
assessment
TAG
Scoring:
None/mild : All domains that are problem free or mild problems
Moderate : Only one domain scored as moderate is required to categorise client in this level
Severe: Only one domain scored as severe is required to categorise client in this level
TAG
Camberwell Assessment of Need Short Appraisal Schedule.
A brief & simple assessment of the needs of people with severe mental health problems.
Designed for clinical use and research.Assesses client’s needs holistically &
comprehensively.
CANSAS
Assesses problems during the last one month in 23 domains of life.
Involve an interview with a service user (the term used to cover patient/client/consumer – the person being assessed) carer or staff member.
The interviewee’s reply is recorded directly, even if the interviewer disagrees with his or her view.
CANSAS
Each assessment uses one column.Circle the letter indicating who is being assessed:
(U=user, S=staff, C=carer)Record the date and initials of the interviewer.Suggested questions – to open discussion on each
domain.Supplementary questions should be asked where
necessary with the goal of establishing:a) Whether the user has a serious mental problem
in this domain; andb) If the user does have a serious problem whether
he/she is getting effective help.
CANSAS
On the basis of the interviewee’s responses, a ‘need rating’ is made for the last month:
0 = no need (i.e no serious problem)1 = met need (i.e no/moderate problem
due to help given)2 = unmet need (i.e no/moderate
problem, whether or not help is given)
9 = not known
CANSAS
The need rating is made using the following guidelines:
i. If a serious problem is present (regardless of cause or whether or not any help is being given) then rate 2 (unmet need).
ii. If there is no serious problem because help is being given (e.g. family support, sheltered housing, psychotherapy, medication) then rate 1 (met need).
iii. If there are no problems in this area, then rate 0 (no need).
iv. If the person being interviewed does not know or does not want to answer questions on this domain, then rate 9 (not known).
CANSAS
Just because there is currently no problem, the need rating is not automatically 0.
A need can exist for a variety reasons.
CANSAS
Done after an initial clinical interview.All aspects of basic needs are to be assessed
during the first meeting.Repeat every 6 months.Needs that are not met have to be given due
attention while those met have to be monitored.
CANSAS
To determine client’s ability to function in basic living skills.
Combine of interview and observation of task performance.
Use as a guide: Establish of care plan Monitor client’s progress Discharge planning
Administer at the beginning of OT & at appropriate intervals.
FAA
TO BE CONTINUED ;)