Non-Compliance Analysis

As occupational therapy services diversified, serving a variety of clients in many different settings and with societal influences, the field began to evolve. During the 1990s occupational therapists began to shift away from reductionist medical model toward a more holistic client-centered approach. Services focused on enhancing individuals’ quality of life across the lifespan meaning before, during, and after therapeutic intervention. The profession began to better acknowledge the value of client education, injury and illness prevention, health screening, and health maintenance (Cole & Tufano, 2008). The field created more preventative initiatives, and focused services on improving quality of life and optimizing the independence of

Brannam was my main source of information. She received in license in occupational therapy twenty years ago. In our interview, we dove right into what kinds of writing is used by an occupational therapist. Mrs. Brannam expressed as an occupational therapist there are two types of writing used professional writing and none professional writings that are given to parents or patients. In the professional aspect of writing in the discipline of occupational therapy a lot of report writing is required. In a report, she explained the specific details that she is required to give. For example, when writing up a report for a doctor she would state the patient’s therapy/medical history, daily routine (a typical day and what the patient does throughout the day), parents concerns (what the parent wants improved or fixed), physical descriptions (the patients age, height, weight, etc.). Also, all reports given would have to be in APA format. While on the other hand, in the more none professional aspect. She stated while writing a report for a parent she would use border terms and not so much medical terminology but use terms that parents can understand how their child is functioning. Mrs. Brannam also include an interesting fact that therapist communicate with parents in other ways than writing. When explaining things to parents therapist often use visuals, drawings, graphs, tables, or diagraphs to demonstrate body positions and specific home exercises. After finishing up my interview with Mrs. Brannam I obtained several writings from her as examples of how therapists write to analyze. I examined: an article from the website www.TheHomeschoolMagazine titled “Karate and Special Needs: Finding the Right Fit” published in August 2012 and written by Suzanne Brannam and an article titled “The Diagnosis, Treatment, and Etiology of Sensory Modulation Disorder” published in March 1998 and written by Dr. Lucky Jane Miller and Dr. Daniel N. McIntosh. After gathering all my writing

Parent-child Interaction Therapy (PCIT) is an interactive therapist-parent, parent-child evidence based treatment originally developed for use in young children (ages 2-7) with disruptive behaviors (Gurwitch 341). Today, PCIT is not only implemented for families with a wide-array of mental health problems including trauma, substance abuse, maltreatment, autism, and anxiety, but also across multiple cultures, with successful implementations in varying ethnic and cultural communities around the world (Lieneman 239). Since it’s development in 1974, both cross-sectional and longitudinal studies have shown significant positive outcomes of PCIT for children and their families including improved child behaviors, reduced parenting stress, and improved parent-child relationships (Gurwitch 341). To date, it is one of the most researched, highly regarded and effective evidence-based treatments in child psychology.

"Furthermore, Selekman believed there are assumptions that benefit those who deal with resistant adolescents and their families. The assumptions are extremely practical and provide therapists a new lens for viewing the tough adolescent case. Each of the guiding assumptions provides a wellness perspective on adolescent problems, families, and brief therapy. Matching our treatment to the state of change will foster a cooperative relationship. Therapists must specify the level of the change. That is the key to adolescent resistance. Next positive relabeling can describe a withdrawn adolescent as a thoughtful teenager" (2005, p. 32).

The occupational therapy profession shares many objectives across the communities, clients, and families they serve. Some of these aims include: “Developing the field of occupational therapy and enhance the professions capabilities to meet the needs of the entire population, providing evidence on the efficacy of occupational therapy. This includes working with organizations and local communities, incorporating education, research, and practices as a complete whole. In addition, developing a team of professionals that innovates and adapts to the developing health needs of the population” (AOTA, 2013). This includes advocacy efforts with policymakers to ensure continued funding to provide care to individuals (AOTA, 2013). Occupational therapy is a distinctive profession that helps

For my senior year field placement, I am currently working at Elwyn’s Media campus in the Children’s Behavioral Health Services Outpatient program. At the outpatient program I am working with the Director of Clinical Operations, Ellen Chung. I also work with Jennifer Torrey who is the Clinical Coordinator for Elwyn’s Media location’s Outpatient program. I also work one on one with the Outpatient Case Manager, Shaneen Brown. I am also working in the Therapeutic After School Program (TASP). At the TASP I work with the Case Manager Jennifer Ziegler and the Clinical Case Manager Denise Georganas. The outpatient therapy team at Elwyn is a multidisciplinary team that works to help children reach their fullest potential. Some services offered by the Outpatient program at Elwyn are psychiatric evaluations, individual therapy, group therapy, family therapy, medication management, client/family education and community resources. The goal of the Therapeutic Socialization Program is to facilitate socialization and communication skills and to decrease problematic behaviors through participation in fun and engaging in activities. This program is based on the principles of Applied Behavior Analysis and other proven approaches to develop individually tailored treatment protocols to help children, adolescents and young adults in the areas of socialization, self-regulation and communication. The TASP also focuses on providing parents with new information to better understand their child’s

Intervention: MHS reviewed the previous session. MHS discussed with client about her disrespectful behavior at school. The client’s teacher reported the client has not been doing her work and she has been being very disrespect to adults at school. MHS explained to the client that she will have to learn how to have respect adult at home and at school. MHS discussed listening and obeying and following the rules without any negative behaviors like talking back to teachers and school workers. MHS explained how people don't like to be around rude and disrespectful children and her behavior can be affecting her grades

|Parent conferences, professional counseling, verbal redirection, medications, student one-on-one counseling, intervention plan from team, in/out-of-school |

Communication and explanation between agencies, practitioners and parents is effective as it can help families by giving them guidance and advice with their child when at home, this will help give the parents understanding about the child’s condition and may help them to feel less stressed as they will feel they have help and support from the team as they are specialists in the particular area.

There first noncompliance act was between the coder and the physician, the physician was admitting fraud when he ask the coder to code things that is not true, so he can get more money from the insurance company, at the same time the coder should not listen to the physician, and should send a report to a compliance officer and committee.

In any mental heath professions, it is the therapist responsibility to explain and clarify the confidentiality. Consider different circumstances, share information with others in the interest of clients. Managing confidentiality is the most challenging issues facing school counselors (Isaacs & Stone, 1999). School counselors need to know the ethical and legal responsibilities relates to a child, parents, and confidentiality. For example, in relates to informing consent, parents needs to provide inform consent and be included in the counseling sessions. School counselor often consults with parents, and teachers. In this case school counselor must be aware that the primary client is a child. School

Mental and emotional health can have interpersonal, and social impacts; I want to provide evidenced-based mental, emotional and behavioral health interventions within the context of families, communities and larger systems, to children and adolescents. My goal as a licensed counselor will be to develop a collaborative relationship where each client feels empowered to act as an expert in developing effective coping skills, manage anxiety, depression, navigate difficult life transitions, and enhance communication skills and relationships. Reflective practice and self-evaluation will be an integral part of my practice. This also means being able to set my experiences, values, privilege, beliefs and biases aside during counseling sessions and allowing the clients goals and needs to take precedence. In order to be well-rounded in my profession, my day-to-day functions will include, assessments, psychological testing, counseling, personality testing, teaching, treatment plans, referrals, coordinate services, case-management, client-family- community education, documentation,

Occupational therapy has been in the process of continued development since the 1900’s. With several contributors helping to build the groundwork for creating the awareness needed to bring occupational therapy into the field of health care. Continued research is contributing to the ongoing significance of how occupational therapy is a vital aspect in promoting increased independences in all aspects of healthcare. (Willard, Schell, 2014) With the incorporation of “Occupational Therapy Practice Framework Domain and Process (3rd ed.)” helps creates the foundation for occupational therapy clinicians as well as other health care providers in facilitating the core believe of occupational and the relationship of health and occupation. (AOTA 2014) Therefore, providing a uniform outline of the various aspects of each individual and how they are interconnected to create the foundation of each individual. With a greater understanding of the foundations of that induvial, the clinician can then facilitate the best therapeutic treatment plan for that individual to achieve their personal goals with unified foundations of care.

The symbiotic relationship between teachers and parents is crucial to the educational success of a student. Parents must be involved with their child’s education through consistent attendance of IEP meetings and advocate for their child and their needs at school. Teachers can encourage parent involvement through, traveling notebooks home and note home programs which establish an open line of communication between teacher and parent. Parent-teacher conferences are a great way for teachers and parents to be involved in the success of the student's educational experience.

Combat compliance is framed as an analytic puzzle related to the variability of behavior, or responses of combatants, both individuals and as a collective, to the realities and risks of warfare. The underlying assumption here is that there is an intrinsic risk of death in any scenario of combat (Magagna, 2016). The enemy is always rationally assumed to have an interest in your death. What follows is that obeying of commands presents itself as an implicit acceptance of such risks. The puzzle here is figuring out how and why vastly differing reactions occur. At some points soldiers show limited levels of compliance, sometimes even ending up in mutiny, while in other cases units show extremely high levels of compliance, exhibiting tenacity under conditions of overwhelming odds (Magagna, 2016). This essay attempts to explain the factors that give rise to the variability of combat compliance. What is important, as alluded to earlier, is to be able to provide a generalizable argument that is applicable across time and space. The essay will first lay out of varying levels of combat compliance to discuss the characteristics and consequences of variability. Secondly, it will explore and contrast the factors of automaticity as a function of training and institutional design and the factor of the combat contract as a rational cost benefit analysis of material and moral incentives, in an attempt to critically analyze their merits in accounting for the variability of combat compliance.