Occupational Therapy in Child Psychiatry (Emellia)

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    By:

    Noor Emellia Binti Jamaludin

    Occupational Therapist

    Hospital Sultan Abdul Halim

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    Introduction

    OT roles in CAMH

    OT services in CAMH

    Method of evaluation in CAMH

    OT intervention in CAMH

    Case study presentation

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    Participation in meaningful roles andactivities leads to enhancement of emotionalwell-being, mental health, and socialcompetence.

    Social competence includes: Doing what is necessary to get along with others

    Making and keeping friends

    Coping with frustration and anger

    Solving problem Understanding social etiquette

    Following school rules

    (AOTA, 2011)

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    Recent studies indicate that behavior and

    social interaction skill (i.e., social

    competence) are stronger indicators of

    academic and lifelong success than academicskills.

    (Child Mental Health Foundation and

    Agencies Network, 2002)

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    Evaluate all the components of socialcompetence and determine whether a childsmotor, social-emotional, and cognitive skill;ability to interpret sensory information; and

    the influence from home, school, andcommunity environments have an impact onhis or her ability to meet the demands ofeveryday life.

    Facilitate supportive environments topromote mental health among all children.

    (AOTA, 2008 & 2010)

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    OT offer services to children who are

    diagnosed with:

    Bipolar disorder

    Depression Autism & other pervasive developmental disorder

    ADHD

    Mental retardation

    Learning difficulties (Slow learner, dyslexia, etc) Conduct disorder

    Other disorders that may affect a childs mental

    health

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    Behavior problem Depression

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    Autism Mental Retardation

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    Conduct disorder ADHD

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    Use client-centered evaluation process to

    develop an understanding of the childs

    primary roles and occupations (activities),

    such as play,

    schoolwork,

    age-appropriate self care (feeding, dressing,

    bathing)

    (AOTA, 2011)

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    Specific observation

    Personal interview

    Standardized tests

    Self rating methods Projective activities

    [Each can be used in varying combinations

    depending on the time available, the needs of

    the client, and the therapeutic orientation of the

    services]

    (Lesly Lougher, 2001)

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    Interventions are used to:

    Promote social-emotional learning

    Regulate overactive or underactive sensory

    system

    Collaborate with families and medical or

    educational personnel

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    Sensory integration therapy

    Cognitive remedial therapy

    Behavior modification

    Projective activities Play therapy

    Snoezelen room

    Social skill training

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