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Occupational Therapy in Mental Health

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Sonya Vargas

on 7 August 2014

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Transcript of Occupational Therapy in Mental Health

Occupational Therapy in Mental Health
Explore the history of mental health service delivery and institutionalisation in Victoria

Introduce
- Mental Health Act (1986 & 2014)
- Key principles of the National Mental Health Plan
Lecture aims...
Introduce:
- Victorian Framework for Service Delivery
- Australian Competency Standards for OTs in mental health

Explore occupational therapy within mental health
Institutionalisation
Mental Health Act (1986 & 2014)
The Victorian Mental Health Act provides a legislative framework for the care, treatment and protection of people with mental illness in Victoria

The Mental Health Act 1986 remains the law until July 1st, 2014
Mental Health Act 1986
Persons who are mentally ill receive the best possible care and treatment in the least restrictive environment enabling care and treatment to be effectively given
Mental Health Act 1986
In providing for the care and treatment of persons who are mentally ill and the protection of public, any restriction upon liberty of patients and other persons who are mentally ill and any interference with rights, dignity and self-respect is kept to a minimum under circumstances
What has changed with Mental Health Act 2014?
Still based on principles of assessment and treatment in least restrictive way possible

Services should be provided with the aim of bringing about "the best possible therapeutic outcomes and promoting recovery and full participation in community life"
What has changed with Mental Health Act 2014?
Persons receiving mental health services should be involved in all decisions of their assessment, treatment and recovery, even when there is some level of risk involved
National Mental Health Plan
"a mental health system that enables recovery, that prevents and detects mental illness early and ensures that all Australians with a mental illness can access effective and appropriate treatment and community support to enable them to participate fully in the community"
Framework for Service Delivery
Mainstreaming and integration of services

Multidisciplinary, community based teams

Adoption of "case management" as predominant mode of service delivery
Catchment Areas
OT roles in mental health services
Child and Adolescent Services - 0-18 years (although some only go to 15 years)
Youth Services - 15-25 years
Adult Services - 18-65 years
Aged Services - 65+ years
Where can OTs work in mental health?
Scope of OT practice in mental health
-Individuals, families, social groups, organisations & communities
- People across the lifespan
- Practice settings include: acute services (inpatient & community)
- Rehabilitation services (inpatient & community)
Scope of OT practice in mental health
- Forensic, dual diagnosis, women's services
- Private & non-government services
- Services for at-risk groups (eg. survivors of abuse, torture & trauma, homeless)
- Recreational & Vocational services
- Prevention @ health promotion services
- Service development & management
Skills & Standards for practice
Where are we now?
- Signs of greater acknowledgement of needs of people with mental illness, extent of burden on individuals, families & communities
- Signs of greater acknowledgement of need for increased funding and cooperation between levels of government
- Media treatment of people withmental illness
Case Management
GOAL - person and family to have access to appropriate services
PHASES
- Assessment
- Planning
- Implementation
- Monitoring & Review
Models of Case Management
Practical Case Management in Victoria
- case manager*client relationship important
- focus on priority needs
- initial assessment of needs
- emphasis on relapse prevention
- emphasis on maintenance at expense of rehabilitation
Practical CM in Victoria contd
- psychoeducation - on impact of illness & client response to this
- Development of indvidual service plan
- Direct provision of treatment according to case manager's skills
- Advocacy - mental health, health, financial, legal, social, occupational needs
Problems with case management in Victoria
Service Demands
Case loads, complexity of needs, pressure for throughput (discharge)
Role confusion - generic vs profession specific roles
Varied emphasis on consumer involvement/outcomes
Diagnoses
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is published by the American Psychiatric Association and covers all mental health disorders for both children and adults.
Diagnoses
Diagnoses
My experience in mental health
- OT specific roles in the Frankston Adult Inpatient Psychiatric Unit &
Frankston Community Care Unit (psychiatric rehabilitation)
- Generic mental health roles in Orygen Youth Health within EPPIC & running
therapeutic groups
Institutionalisation
Full transcript