Login
Home
Continuing Education
Continuing Education Enrollment
Exam Prep Online Course Enrollment
Find an Exam Prep Course Near You
NBCOT Flash Cards
Exam Prep Newsletter
Form a Study Group
Resources
OT News
Sample Exam Questions
Foreign Language OT Terms
OT U.S. State Board Contact Information
World Occupational Therapy Associations
News
Forum
Groups
OT Blog
Search Profiles
My Profile
FAQs
Advertise
Forum
OT-Advantage Forum
»
Occupational Therapy
»
Help with ideas for patients with psychosis
Help with ideas for patients with psychosis
brookebundrant
Posted:
Thursday, June 26, 2008 2:55 PM
Joined: 4/10/2008
Posts: 4
I am doing a Level II Fieldwork rotation at a state psychiatric hospital and am working with a severly impaired population. Since starting I have had to sit in on many groups with Rec Therapists, as there aren't really any OTs. I have seen that it is difficult to lead groups with many of the patients when they are really psychotic. I am going be leading groups soon and am a little worried about how to engage this population. Any ideas would be greatly appreciated!
Back to top
ALISON
Posted:
Friday, June 27, 2008 2:47 PM
Joined: 3/31/2008
Posts: 50
Do you do any group outings? Or work on any community re-entry tasks?
Back to top
brookebundrant
Posted:
Sunday, June 29, 2008 3:02 PM
Joined: 4/10/2008
Posts: 4
Yeah, the hospital allows community outings, but the patients have to reach a certain "level" to be eligible. Most of my patients who are extremely psychotic aren't able to go. I'm kinda stuck.
Back to top
ALISON
Posted:
Monday, June 30, 2008 8:02 PM
Joined: 3/31/2008
Posts: 50
You definitely have a difficult feat ahead of you. I guess you need to identify the basic needs of these patients. What do they need to accomplish to make it to the next level (is it social, communication, overcome fear...)? You definitely need to figure out how to tease out individuals. Not everyone will be appropriate for a specific group. Determining how to separate your group, and maybe later incorporate them together will be good. I think it is really going to come down to creativity. Can you tell me some of the different diagnoses you see? I have worked with people who have psychosocial diagnoses, but I am guessing your setting is more severe. I can probably help you more if you give me some more specifics.
Back to top
JennaB08
Posted:
Tuesday, July 01, 2008 10:23 PM
Joined: 4/10/2008
Posts: 5
hi dear friend! i was reading your posts and see that you are in a predicament. i need some time to think. I know this may sound crazy, but we have used some tai chi relaxation/destressing exercises with some of the clients who have psychotic diagnosises. of course, i am currently in acute care. but maybe you could incorporate that as an ice breaker or something for your group. what exactly are the diagnosises are you seeing? Perhaps i can be of more help once i know. last note of advice-i would contact jill, the guru of psychosis (if you already havent)
Back to top
s4allison
Posted:
Sunday, July 06, 2008 11:14 AM
Joined: 4/14/2008
Posts: 1
Hello, Just joining in. I am doing a Level II Fieldwork at an acute inpatient psychiatric unit. The OT staff run most of the groups. We implement Life Skills groups where we talk about Goal Setting, Communication, Mood Management, Self Esteem, and Stress Management as well as an afternoon craft session. We usually try to give out some simple handouts that are concrete and engaging( i.e. we discuss and have the patients list three community resources that are available to them). Then we try to incorporate some sort of activity. We do use relaxation tapes, and exercise tapes. Music always works- even patiens with psychosis can find some solice in music. People also seem to enjoy bingo. We play balloon volleyball as well. We line up chairs on each side of a small volleyball net we attach to the wall. Patients have to stay seated, judge how hard to hit the balloon, and work with other teammates. Most of our patients do well with it. We do collages as well. We use a lot of newspaper, magazine articles about the above topics and shape a group around them.
I hope this helps.
Back to top
Maia
Posted:
Thursday, August 28, 2008 8:58 PM
Joined: 4/14/2008
Posts: 1
I just finished my mental health FWII on an acute adult psychiatric unit. The patients varied in diagnoses, but primarily schizophrenia, bipolar, psychosis NOS and depression. Every day the first group was morning stretch/movement group. we always had music (various cds depending on the pts and the mood/level of function-sometimes calming sometimes more upbeat). we started group with name introductions and how your feeling today. then we did different warm up stretches and moved on to other activities often using props--foam balls, name games, scarves, large parachute. We concluded with a cool down activitiy and another check-in. Other groups we did were life skills, art group, grooming (nails and makeup) games-jenga, uno, scrabble, boggle a few others, worksheets-stress, calming activities, money management, bingo is a favorite, yoga and relaxation groups. I know this isn't very detailed but i hope this helps. if you have any more questions or want more details just let me know! good luck!
Back to top
Average 4 out of 5
Disclaimer:
These materials have been provided for informational purposes only.
© OT Advantage, LLC
2010
|
Terms
-
Privacy Policy