Occupational Therapy in Psychiatry and Mental Health -- Copyright -- Contents -- Contributors -- Preface -- Foreword -- Part 1 Theoretical Concepts in Occupational Therapy -- Chapter 1 Creative Ability: A Model for Individual and Group Occupational Therapy for Clients with Psychosocial Dysfunction -- Introduction -- Fundamental concepts in the theory  of creative ability -- Assessing the level of creative ability  and recording the levels of creative ability -- Description of the levels -- Conclusion -- Questions -- References -- Chapter 2 The Relevance of Occupational Science to Occupational Therapy in the Field of Mental Health -- Introduction -- The character of occupational science -- Language for practice -- Broadening and delineating the scope of research and practice -- Interfacing relevant theories to inform practice -- Foreground environment -- Cross system boundaries -- Integration and participation of people with disabilities in society -- The role of occupation in identity construction -- Occupation and health for all -- Conclusion -- Questions -- References -- Chapter 3 Ethics, Human Rights and the Law in Mental Health Care Practice -- Introduction -- Professional registration or licensing -- Mental health care context -- Ethical professional behaviour and standing -- Mental health within a human and patient rights framework -- Day-to-day practice issues -- Standardised tests and profession-specific modalities -- Informed consent -- Confidentiality -- Safety and abusive behaviour -- Limited resources -- Managed health care, prescriptive intervention policies -- Conclusion -- Questions -- References -- Chapter 4 Cultural Considerations in the Provision of an Occupational Therapy Service in Mental Health -- Introduction -- Culture, mental health and mental illness -- Culture, mental illness and occupational therapy.

How to incorporate cultural competency standards into practice -- Conclusion -- Questions -- References -- Chapter 5 Clinical Reasoning in Psychiatric Occupational Therapy -- Critical thinking -- Clinical reasoning -- Reflective journals -- The Sinclair Matrix -- Conclusion -- Questions -- References -- Part 2 Specific Issues in Occupational Therapy -- Chapter 6 HIV/AIDS in Psychiatry and Issues Facing Occupational Therapists Regarding Practice: Moral and Ethical Dilemmas -- Introduction -- Contextual factors and considerations -- Basic virology -- HIV classification -- Routes of transmission -- Natural history of HIV -- Staging HIV -- Antiretrovirals -- Immune reconstitution inflammatory syndrome -- Medication adherence -- Addressing myths and misconceptions -- Targeting the youth -- Maternal mortality -- Psychiatric sequelae -- Stigma -- Practice guidelines for occupational therapists in implementing intervention programmes for HIV/AIDS-related conditions -- Occupational therapy intervention settings -- The fundamental principles of occupational therapy intervention of persons with HIV/AIDS -- Directives given for the management  of a psychiatric patient with HIV/AIDS -- HIV/AIDS within a legal, ethical and personal practitioner perspective -- Attitudes and experiences  of practitioners providing services  to persons with HIV/AIDS  and their caregivers or partners -- HIV/AIDS within a legal context -- Guidelines for dealing with personal and professional issues -- Conclusions -- Questions -- References -- Chapter 7 Forensic Psychiatry and Occupational Therapy -- Introduction -- Relevant legislation -- Models used in forensic occupational therapy -- Occupational therapy assessment and treatment planning -- The occupational therapy programme -- Occupational group therapy in forensic psychiatry.

The changing focus related to the level of security in the wards/units -- Community -- General safety measures -- Conclusion -- Questions -- References -- Chapter 8 Acute Psychiatry and the Dynamic Short-Term Intervention of the Occupational Therapist -- Introduction -- Assessment -- Psycho-education -- Treatment of immediate symptoms -- Discharge planning -- Conclusion -- Questions -- References -- Chapter 9 Improving Health and Access to Health Services through Community-Based Rehabilitation -- Introduction -- Why work in the community? -- Community-based rehabilitation (CBR) -- Community life -- Appropriate service programmes to address needs -- What will the occupational therapist leave behind? -- Conclusion -- Questions -- References -- Chapter 10 Care, Treatment and Rehabilitation Programmes for Large Numbers of Long-Term Mental Health Care Users -- Introduction -- Legal context within South Africa -- Global and national trends in provision of mental health care -- Institutionalisation -- An occupational perspective on institutionalisation -- A theoretical framework to guide care, treatment and rehabilitation -- An outcome measure for long-term mental health care users -- Conclusion -- Questions -- References -- Chapter 11 Auxiliary Staff in Mental Health Care: Requirements, Functions and Supervision -- Introduction -- Current situation -- Ethical and legal context -- Tasks and functions of auxiliary staff and practical considerations -- Guiding principles -- Tasks which may be undertaken by auxiliary staff -- Limitations of practice -- Some guidelines for selecting auxiliary staff -- Training of auxiliary staff -- Some guidelines for in-service training -- The supervisory relationship: context and practical guidelines -- Conclusion -- Questions -- References -- Chapter 12 Vocational Rehabilitation in Psychiatry and Mental Health.

The effect of mental illness on a person's ability to work -- Intrapersonal effects of mental illness on employability -- Poor work performance -- Extra-personal effects of mental illness on employability -- Predictors of employment success -- The vocational rehabilitation process -- The occupational therapist in the workplace -- Conclusion -- Questions -- References -- Chapter 13 Psychiatric Occupational Therapy  in the Corporate, Insurance and Medico-legal Sectors -- Introduction -- History of occupational therapy services in the corporate, insurance and medico-legal sectors -- Prerequisites for effective work in the corporate, insurance and  medico-legal sectors -- Stages in corporate, insurance and  medico-legal work -- Administrative infrastructure required by the occupational therapist offering corporate, insurance and medico-legal services -- Particular considerations for serving  as an expert witness and testifying in court -- Conclusions -- Questions -- References -- Chapter 14 An Occupational Therapist's Perspective on Sexuality and Psychosocial Sexual Rehabilitation -- Introduction -- Defining sexuality and sexual rehabilitation -- Sexual rehabilitation -- Importance of sexual rehabilitation for all clients including psychiatric clients -- A perspective on sexual rehabilitation -- Knowledge competencies -- Interpersonal skills -- Assessments -- Treatment categories -- Additional thoughts on sexual rehabilitation -- Curricula and training -- Conclusion -- Questions -- References -- Part 3 Occupational Therapy with Children, Adolescents and Adults -- Chapter 15 Early Intervention for Young Children at Risk for Developmental Mental Health Disorders -- Rationale for early intervention -- Evidence-based practice -- A multiaxial developmentally based classification for developmental and mental health disorders (Refer to Figure 15.1 above).

A developmental hypothesis for manifestation of psychiatric disorders -- The occupational therapists' role in early intervention -- Supporting families with both multidisciplinary and trans-disciplinary strategies -- Components of a multidisciplinary assessment -- The occupational therapist's role in the assessment process -- Behavioural strategies -- Conclusion -- Questions -- References -- Chapter 16 Occupational Therapy Intervention with Children with Psychosocial Disorders -- Introduction -- Attachment theory: A critical domain of concern -- The assessment -- Children with specific difficulties -- Resettlement and reassessment -- Conclusion -- Questions -- References -- Chapter 17 Interdisciplinary Group Therapy with Children -- Introduction -- Indications for and against interdisciplinary group therapy -- The therapeutic factors in interdisciplinary group therapy -- Phases in the development of a group -- Conclusion -- Questions -- References -- Chapter 18 Specific Occupational Therapy Intervention with Adolescents -- Introduction -- Adolescent developmental life stage within the Occupational Therapy Practice Framework -- Settings where occupational therapists work with adolescents -- Assessment methods -- Assessment and intervention of occupational performance areas -- Treatment approaches with adolescents -- Activities for intervention -- Occupational group therapy -- Health promotion and prevention of illness -- Intervention principles for adolescents -- Conclusion -- Questions -- References -- Chapter 19 Sensory Integration in Mental Health -- Introduction -- An update on sensory integration theory and possible difficulties and dysfunctions -- Sensory systems -- Sensory registration (see level 1 of Figure 19.2) -- Sensory modulation (see level 1 of Figure 19.2).

Sensory discrimination and perception (see level 2a and level 2b of Figure 19.2).