In practice, occupational therapists may use one or more frames of reference to help guide them as they plan out interventions and goals. Two examples of the frames of reference used are the cognitive behavioral frame of reference and the biomechanical/rehabilitative frame of reference. The cognitive behavioral frame of reference looks at how thoughts and behaviors affect the participation or performance of occupations (Cole & Tufano, 2008; Davis, Eshelman, & McKay, 2008; Giles, 2003). The biomechanical/rehabilitative frame of reference involves the establishment or restoration of functional skills; however, if full establishment or restoration is not possible, the modification of tasks or environments is also included (Cole & Tufano, 2008). …show more content…
Movement limitations such as decreased range of motion, muscle strength, and muscle endurance affect the way different tasks are performed, such as using a computer or working in a factory (Cole & Tufano, 2008; Hagedorn, 2001). For intervention, exercises that involve range of motion, strengthening, and endurance can be used (Cole & Tufano, 2008; Hagedorn, 2001). In the case of a client wanting to return to work, the occupational therapist can incorporate work reconditioning in the client’s intervention (Cole & Tufano, 2008). A piece of equipment that can be used for work reconditioning is a work simulator, which mimics the movements needed for particular tasks in the client’s workplace (Cole & Tufano, 2008). The work simulator can be used to give the occupational therapist a better idea of the tasks that the client has to perform at work (Cole & Tufano, 2008). For the client, the work simulator will allow them to constantly practice the movements they need to perform at work, and as they continue to improve, the amount of time to perform the occupations will be increased (Cole & Tufano, 2008). If the mentioned exercises and work reconditioning are unsuccessful for the client, activity adaptation, compensatory strategies, and adaptive equipment can be used to help the client continue what they need to get done (Cole & Tufano, 2008). These …show more content…
Typically, in the cognitive behavioral frame of reference, cognitive behavioral interventions are helpful for clients who are able to practice self-awareness, as well as inductive and deductive reasoning (Cole & Tufano, 2008). These skills are needed in order to identify and discuss irrational thinking habits in a logical manner (Cole & Tufano, 2008). On the other hand, Cole (2005) explains that a cognitive behavioral approach is viewed as a continuum, and interventions should be adjusted according to cognitive level (as cited in Cole & Tufano, 2008, p. 155). Cole (2005) continues with saying that clients with lower cognitive levels should have a more behavioral approach, and clients with higher cognitive levels should have a more cognitive approach (as cited in Cole & Tufano, 2008, p. 155). In addition, the occupational therapist and the client should collaborate on interventions to make them meaningful and appropriate (Cole & Tufano, 2008). Collaboration also makes sure that the behavioral goals that the client wants to achieve are addressed (Cole & Tufano, 2008). Taking all of these factors into account will make a cognitive behavioral intervention successful for a
Cognitive behavioral therapy differs in several respects from more traditional forms of therapy. It focuses on two specific elements: cognitive restructuring and behavioral activation. The client and therapist work together in cognitive restructuring with the goal to restructure thinking patterns. In behavioral activation, the client overcomes barriers to participating in activities. The main focus is on the present and on specific problems. cognitive behavioral therapy is a goal oriented and educational therapy, because goals for both the short and longer term are identified and it teaches the client to modify mood en behavior. The client has therefore an active role in learning e.g. coping skills. Multiple strategies are used in cognitive behavioral therapy, like imagenary, role
The relationship between therapist and client is collaborative and caring. Goals are set by the client with the help of the therapist. The therapy is very goal-orientated and specific. They then work together to assess and then change faulty beliefs that interfere with accomplishing these set goals. The basic goal is to remove biases or distortions that hinder the client from functioning effectively. Changing cognitive schemas can be done in three different ways; reinterpretation, modification, and restructuring.
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
The biomechanical approach assumes that the client has the capacity for voluntary control of the body (muscle control) and mind (motivation). It is anatomy and physiology that determines normal function, and humans are biomechanical beings whose range of motion (ROM), strength, and endurance have physiological and kinetic potential as well as role relevant behaviors. The biomechanical frame of reference is a key reference to use in conjunction with various others in enabling OT to access and identify a client’s occupational performance within the various activities of daily living. It is important when taking a holistic approach to practice, as
To be able to participate in one 's own life, to do the things we want to do, and to competently perform the activities that form part of our daily, weekly or monthly routines, is a common goal for most people. This not only includes taking part in the basic activities of self-care, such as grooming and dressing, but also extends to our work and leisure activities. It is through doing things that we learn and develop as human beings. The occupational therapy profession believes that being prevented or hindered in some way from participating in the activities that are important to us could adversely affect our health and wellbeing.
Occupational therapists work with clients to restore independence that has been lost or disrupted due to illness, injury, or disease. Occupational therapy practice involves assessing and determining an appropriate treatment approach based on the client’s disability and individual needs. There are various occupation-based models, each client-centered and grounded in theory, that guide the clinical treatment process. In addition, the Occupational Therapy Practice Framework: Domain and Process (3rd ed.; AOTA, 2014) denotes various frames of reference to guide therapists when choosing specific intervention strategies based on the client’s needs (Cole & Tufano, 2018). This paper focuses on the application of the Occupation Adaption model,
Cognitive therapy, now called cognitive behavioral therapy was developed by Aaron Beck. Beck believed that dysfunctional thought processes and beliefs are responsible for an individual’s behaviors and feelings. He also believed that individuals’ have the ability identify these distorted thoughts and change them to more realistic thinking in order to relieve their psychological discomfort. This type of therapy is designed to be a short-term, straight-forward and structured approach to counseling in which counselors and clients work together. I strongly identify with cognitive behavioral therapy because I believe all behaviors are a result of incorrect thoughts and beliefs. Irrational and negative thinking can influence an individual’s ability to cope and deal with any difficulties they may be experiencing. I also like cognitive behavioral therapy because it briefly includes a client’s historical background in its approach to counseling. I feel that counselors should include a client’s past experiences when trying to understand at what point the client’s incorrect assumptions developed. I believe that everybody in this world always has a choice on how they handle and behave in their given situation and circumstances. In cognitive behavioral therapy, once the counselor and client have identified the irrational thoughts and evaluated whether there is any evidence to its validity, the client has the ability to choose whether or not they desire to change their distorted ways of
Occupational Therapy is a vital segment of the health care field. Individuals in this profession make a difference in the lives of others by helping their patients function effectively despite their disability, illness, or injury. They help by teaching patients many activities of daily living tasks which can include, grooming, toileting, dressing, eating, mobility, and much more! Along with the daily living tasks, Occupational Therapy helps individuals to be productive and successful in ways they want to be, like going school, taking care of others, managing their homes, preparing meals. Most importantly, they help their patients adapt to their environments and increase their independent function by helping them perform tasks with as little help from others as possible. Without Occupational Therapy, some patients with temporary disabilities could have a permanent disability. If individuals receive the Occupational treatments, they can prevent the loss of function.
Occupational Therapy is a health, wellness, and rehabilitation profession devoted to the development of performance and function across their lifetime so that individuals can live their life to the fullest. The holistic approach taken by occupational therapy practitioners is particularly effective in the areas of wellness, health promotion, and prevention. The practice of occupational therapy can take place in health care and education settings, and in community based agencies and organizations. The timing is excellent for occupational therapy in the area of wellness and prevention. Occupational Therapy practitioners administer habilitation and rehabilitation services, which are among the fundamentals health benefits of the
One scholar that has contributed a substantial amount of research that has impacted the occupational therapy profession and clients within the occupational therapy services is Dr. Tracy Chippendale. Dr. Chippendale is an occupational therapist that received her Masters and PhD at New York University. Dr. Chippendale is currently an assistant professor teaching courses on human development, research, and occupational therapy practice with older adults in the occupational therapy department at New York University. Dr. Chippendale has over seventeen years of experience working with older adults, which has influenced her research that focuses on geriatrics. This research places emphasis on intervention methods that allow elderly individuals to
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.
A unique aspect of the cognitive behavioral approach in group therapy is the focus on specific target areas of change. The members are responsible for formulating specific statements of the personal goals they want to achieve. The group leader is responsible for helping the members break down their goals into specific, concrete, and measureable goals. An agenda is set at the beginning of each session in a collaborative fashion with the members and group leader in order to prioritize
The philosophy of cognitive behavioral therapy is that “think and feeling are connected people are creative (Halbur & Halbur, 2015, p.47)”. The key aspects of theory are to challenge the irrational beliefs that we hold about ourselves. Aaron Beck the primary founder of cognitive behavior theory assumed that people can control how they feel and what they think. He believed that our inner thoughts and beliefs affected how we are affected on the outside. One of the key concepts is that the client’s dysfunctional thinking can be derived from an erroneous internal process or bias.
Throughout this assignment various models will be looked at and one of those models will be applied to a case study detailing the occupational circumstances of an individual. The models described will be person-environment-occupational performance models, focusing on those three subject areas, to detail what the client does in their daily life, the environments in which the activities are done, their personal goals and attributes, and how all these factors affect the individual’s occupational performance. (Christiansen & Baum, 1997) Models are significant theory which helps to guide and inform occupational therapy practice, the
Rehabilitation technology services are utilized to assist clients who need technology to eliminate barriers to employment. The technology is all items that maintain, improve, or enhance the functional capabilities of clients with disability. These services can include mobility aide devices, vehicle modifications, prosthetics, hearing aids, and equipment for the visually impaired. These services are based on the needs of the client and vary. According to research, rehabilitation technology is a significant service for individuals who cope with multiple sclerosis, cerebral palsy, and cancer survivors (Chiu, Chan, Bishop, Cardoso, & O’Neil, 2013; Huang, et al., 2013; Strauser et al, 2010). These individuals and other clients utilize the technology to provide the necessary accommodations that they may