MENTAL HEALTH
Occupational Therapy in Mental Health A Vision for Participation, 3rd Edition Catana Brown, PhD, OTR/L, FAOTA Jaime Phillip Muñoz, PhD, OTR, FAOTA Virginia C. Stoffel, PhD, OT, FAOTA
Person-centered, recovery-oriented, occupation-based Give your students practical information on the theories, evidence, assessments, and interventions that are crucial to effective occupational therapy mental health practice. They'll gain an understanding of the lived experience and a recovery-oriented perspective that will guide their practice with their clients in any setting. § NEW! Focus on the continuum of psychosocial care for all clients across all practice settings, progresses from healthy functioning to mental illness to recovery and flourishing. § NEW! Eight new chapters discuss: the mental health continuum, trauma-informed practice, chronic conditions, social determinants, natural environments, virtual environments, suicide prevention, and connectedness and belonging. § NEW! Online videos from practitioners, students, and clients emphasize the lived experience across the mental health continuum. § NEW! “Being a Psychosocial Practitioner” presents examples of the clinical reasoning practitioners have used to support the psychosocial health of clients in various practice settings. § NEW! “Practitioner Profile” vignettes provide a window into a typical day of an OT in specific settings. § NEW! “Mental Health in Culture and Society” highlights current events, art, books, films, organizations, and political issues that concern individuals with mental illness.
Resources on FADavis.com
1,256 pages 300 Illustrations Hard cover | 2025 $124.95 (US) ISBN-13: 978-1-7196-4966-7
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PART 2
The Person
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Evidence-Based Practice Living Well With Chronic Pain
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CHAPTER 1
■ Occupational Therapy Practice Across the Mental Health Continuum
Evidence-Based Practice boxes promote best practices by synthesizing important research tied to the chapter topic and highlighting its implications for practice. Positive emotions Healthy relationships, sense of purpose 7 8 9 10 11 12
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Returning to a sense of self-coherence is key to living well despite chronic pain. Severe depression
Stress, anxiety, mental health challenges
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Able to manage daily activities
RESEARCH FINDINGS
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Using classical grounded theory methodology, Lennox Thompson and colleagues (2020) interviewed 17 individuals living with chronic pain for an average of 13.11 years to un- derstand how and why they believed they were living well despite chronic pain. Findings indicated that the primary concern of people experiencing chronic pain is resolving the problem of disrupted self-coherence (i.e., a belief that personal capabilities, motivations, goals, and ways of engaging in occupations make sense). Returning to a sense of self- coherence consists of three sequential processes of reoccupying self: (1) making sense of pain using an idiographic model; (2) deciding to turn from patient to person, facilitated or hindered by interactions with clinicians and occupational drive; and (3) flexibly persisting, where occupational engaging and coping allow individuals to develop future plans. in FIGURE 1-3. The mental health continuum as a ruler. The Lived Experience Max Davenport Living well with chronic pain involves a process of making sense of the pain experi- ence, deciding to move on with life, and flexibly persisting while pursuing meaningful occupations. Diagnoses should be accompanied by messages from clinicians that hurt and harm are not equivalent and the need exists for a lifelong approach to managing a chronic problem. Remaining supportive, demonstrating that the person is unique and being thought of throughout evaluation and treatment, and encouraging engagement in valued occupa- tions allow people experiencing pain to experiment with, and start to engage with, what is important in their lives. OTPs should help people extend their coping repertoire and encourage flexibility with how these are applied in the pursuit of valued occupations.
Site-Specific Pain Assessments Site-specific assessments are for pain in specific areas of the body. The following assessments are commonly used in out- patient settings and for outcome measurement, are free to use In 1935, on the 4th of July, my father was working under a car in the repair shop and got a piece of steel in his eye. He couldn’t get care because of the holiday, and it got infected. Eventually he went to the University of Michigan hospital, where they removed his eye. For three years he was totally blind. He couldn’t work and spent most of his time in a dark bedroom. We lived on what my mom could beg from people that owed my dad money. Eventually, my dad was able to go back to work, so he moved to Bloomingdale where he got a job in the oil fields. In 1940, we moved to Bloomingdale to join him. Editor’s Note: Most chapters in this textbook include a Lived Ex- perience feature to gain the perspective of the person with mental illness. For this first chapter, I chose to include a lived experience by an individual that I believe exemplifies mental wellness. Everyone I know says, “I want to be Max when I grow up.” There are many astonishing things about Max, but one of the most remarkable is that in November the bike club will celebrate Max’s 94th birthday by riding 94 kilometers with him. —Catana Brown The way I grew up, I developed my work ethic early on. I always told my boys, “You don’t have to be a genius if you are ambitious.” I was born in Mt. Pleasant, Michigan, in 1929, three days after the stock market crash. My dad owned a repair shop. We didn’t have much money, lived on two acres of land with no electricity or running water. But as a kid I delighted in being in the woods. I would sometimes go in the woods by myself, and I actually liked getting lost because I knew I would find my way out. I had one older brother and two older sisters. I was especially close to the sister nearest in age to me, and everyone remarked on how well we got along. At one point she had a bad accident when she fell off a slide, and I took care of her.
APPLICATIONS
■ FACES Pain Rating Scale: Individuals choose from faces that depict facial expressions ranging from a happy face (0 or no hurt) to a crying face (10 or hurts as if the worst pain imaginable, Fig. 15-6) to indicate pain intensity (Wong & Baker, 1988). These scales are useful for young The Lived Experience features first person narratives that give voice to the experience of living with a psychiatric disability to provide readers with a deeper understanding of each chapter's major concepts. REFERENCES
Lennox Thompson, B., Gage, J., & Kirk, R. (2020). Living well with chronic pain: A classical grounded theory. Disability and Rehabilitation, 42 (8), 1141–1152. https://doi.org/10.1080/09638288.2018.1517195
Max after riding 93 kilometers for his 93rd birthday
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office on alternate days. We came up with a plan so that I told the first guy I would bring my birth certificate the next day,
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