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ISBN 10: 0803660340
ISBN 13: 9780803660342
Author: Catana Brown
This Client-centered, recovery-oriented text gives voice to the lived experience of mental illness across the life span. You will be guided through the assessment and interventions of individuals with mental health conditions and those whose life circumstances generate significant challenges to their participation in valued activities.
Occupational Therapy in Mental Health A Vision for Participation 1st Table of contents:
Part 1: Foundations
Chapter 1: Recovery
Definitions of Recovery
Insights Into Recovery—The Lived Experience
Recovery as a Process and Journey
Importance of Hope
Coping and Adaptation
Empowerment and Self-Determination
Social and Community Integration
Occupational Therapy and Recovery
Measurement of Recovery
Recovery Enhancing Environment Scale
Recovery Self-Assessment
Making Decisions Empowerment Scale
Hope Scale
Measurement of Community Integration
Recovery as Public Policy Leading Mental Health System Transformation
Recovery Principles
Summary
Active Learning Strategies
Resources
References
Chapter 2: History of Mental Health: Perspectives of Consumers and Practitioners
History of Mental Health Practice in America
Mental Illness in Colonial America
Urbanization and the Rise and Fall of Asylums
Mental Hygiene Movement
Mental Health Policy
The Consumer Movement
Occupational Therapy Mental Health History
Consumers’ Perspectives
Health Providers’ Perspectives
Recovery
Summary
Active Learning Strategies
Resources
References
Chapter 3: Person-Environment-Occupation Model
Development of the PEO Model
Description of the PEO Model
Person
Environment
Occupation
Occupational Performance
Dimension of Time
Dimension of Space
The PEO Model in Mental Health Practice
Analyzing Occupational Performance
Applying PEO to the Occupational Therapy Process
Identifying a Priority Occupational Performance Issue
Exploring Factors That Influence PEO
Examining Relationships Among the PEO Components
Person-Occupation
Occupation-Environment
Person-Environment
Formulating a Plan
Evaluating Intervention Plans
Application of the PEO Model
Summary
Active Learning Strategies
Resources
References
Chapter 4: Psychosocial Concerns With Disability
Disability Versus Chronic Illness
Addressing Psychosocial Aspects of Disabilities
Evidence Regarding Response to Disability
Response to Disability
Shock
Defensive Retreat or Denial
Depression or Mourning
Personal Questioning and/or Anger
Integration and Growth
Disability Conditions and the Environment
Occupational Therapy Role in Advocacy
Summary
Active Learning Strategies
Resources
References
Chapter 5: Evidence-Based Practice in Mental Health
Development of Evidence-Based Practice
Issues of Evidence-Based Practice—Beyond Efficacy Studies
Evidence-Based Practice and Occupational Therapy
Recommendations for Increasing Occupational Therapy Research
Evidence-Based Psychosocial Interventions
Assertive Community Treatment
Social Skills Training
Supported Employment
Cognitive Behavioral Therapy
Family Intervention
Motivational Interviewing
Dialectical Behavior Therapy
Summary
Active Learning Strategies
Resources
References
Part 2: The Person
Section 1: Introduction
Chapter 6: Introduction to the Person
Recovery-Oriented Practice: Rethinking the Person
Acknowledging the Person
Person First Language
Addressing Symptoms and Diagnosis
Identifying Client Factors
Cognitive Skills
Cognitive Beliefs
Sensory Processing
Communication
Coping
Motivation
Emotion Regulation
Pain
Recognizing Individual Nature of Client Factors
Appreciating the Lived Experience
Using Narrative for Assessment
Using Narrative for Intervention
Summary
Active Learning Strategies
Resources
References
Section 2: Diagnosis
Chapter 7: Pervasive Developmental Disorders
Description of the Disorder
Autism Spectrum Disorders
Asperger’s Disorder
Pervasive Developmental Disorder Not Otherwise Specified
Rett’s Disorder
Childhood Disintegrative Disorder
Etiology
Autism Spectrum Disorders
Genetic Factors
Neuroanatomical Factors
Functional Neuroimaging
Immunizations
Rett’s Disorder
Genetic Factors
Neuroanatomical Factors
Neurochemical Factors
Childhood Disintegrative Disorder
Genetic Factors
Neurobiological Factors
Environmental Factors
Prevalence
Course
Autism Spectrum Disorders
Rett’s Disorder
Childhood Disintegrative Disorder
Gender Differences
Culture-Specific Information
Impact on Occupational Performance
Autism Spectrum Disorders
Intellectual Impairments
Executive Function
Theory of Mind
Central Coherence
Adaptive Skills
Sensory Processing
Rett’s Disorder
Childhood Disintegrative Disorder
Medications
Autism Spectrum Disorders
Atypical Antipsychotics
Selective Serotonin Reuptake Inhibitors
Stimulants
Rett’s Disorder
Childhood Disintegrative Disorder
Summary
Active Learning Strategies
Resources
References
Chapter 8: Attention and Disruptive Behavior Disorders
Description of the Disorders
DSM-IV-TR Criteria
Etiology
Prevalence
Gender and Cultural Considerations
Course
Impact on Occupational Performance
Cognitive Impairment
Motor Impairment and Sensory Processing
Work and Adult Engagement
Medications
Summary
Active Learning Strategies
Resources
References
Chapter 9: Intellectual Disabilities
Description of the Disorder
DSM-IV-TR Criteria
Etiology
Genetic Causes
Malformation-Related Causes
External Prenatal Causes
Paranatal Causes
Postnatal Causes
Unknown Causes
Other Risk Factors
Neurological Factors
Prevalence
Course
Gender Differences
Culture-Specific Information
Impact on Occupational Performance
Health
Physical Health
Obesity and Underweight
Mental Health
Adaptive Skills
Social Skills
Language and Communication
Mobility
Community Participation
Environmental Factors Contributing to Problems With Occupational Performance
Health-Care Access
Poverty
Maltreatment
Medications
Risperidone
Other Medications
Summary
Active Learning Strategies
Resources
References
Chapter 10: Eating Disorders
Description of Eating Disorders
Anorexia Nervosa
DSM-IV-TR Criteria
Subtypes
Prevalence
Course
Bulimia Nervosa
DSM-IV-TR Criteria
Subtypes
Prevalence
Course
Etiology
Predisposing Factors
Personality
Biology
Family Functioning
Social and Cultural Influences
Precipitating Factors
Perpetuating Factors
Protective Factors
Gender Differences
Cultural Differences
Prognosis
Psychological Influences That Affect Occupational Participation
Overvaluation of Weight, Shape, and Their Control
Mood Intolerance
Core Low Self-Esteem
Perfectionism
Interpersonal Problems
Impact on Occupational Performance
Maladaptive Eating Habits and Impaired Meal Preparation Skills
Maladaptive Lifestyle Habits and Impaired Independent Living Skills
Impaired Communication and Assertion Skills
Impaired Stress Management Skills
Resistance to Change
Intervention
Self-Help and Support Groups
General Principles of Intervention
Specific Occupational Therapy Interventions
Menu Planning and Meal Preparation
Lifestyle Redesign and Independent Living Skills
Communication and Assertion Training
Stress Management
Projective Art
Crafts
Relapse Prevention
Body Image Improvement
Adapting Interventions
Adolescent Interventions
Medication
Summary
Active Learning Strategies
Resources
References
Chapter 11: Personality Disorders
Description of the Disorder
DSM-IV-TR Criteria
Cluster A: Paranoid, Schizoid, and Schizotypal Personality Disorders
Cluster B: Antisocial, Borderline, Histrionic, and Narcissistic Personality Disorders
Cluster C: Avoidant, Dependent, and Obsessive-Compulsive Personality Disorders
Dimensional Models of Personality
Etiology
Genetic Factors
Biological Factors
Environmental Factors
Prevalence
Course
Gender Differences
Culture-Specific Information
Impact on Occupational Performance
Social Participation
Emotional Modulation
Coping
Medications
Occupational Therapy Interventions
Establishing a Therapeutic Relationship
Addressing Occupational Dysfunction
Prevention of Personality Disorders
Summary
Active Learning Strategies
Resources
References
Chapter 12: Mood Disorders
Description of the Disorder
DSM-IV-TR Criteria
Episodes
Disorders
Etiology
Depression
Bipolar Disorder
Prevalence
Course
Gender- and Culture-Specific Information
Impact on Occupational Performance
Treatment
Medications for Depressive Disorders
Medications for Bipolar Disorder
Psychosocial Interventions
Cognitive Behavioral Therapy
Interpersonal Psychotherapy
Other Treatments
Summary
Active Learning Strategies
Resources
References
Chapter 13: Anxiety Disorders
Description of the Disorder
DSM-IV-TR Criteria
Panic Attack and Panic Disorder
Agoraphobia
Generalized Anxiety Disorder
Obsessive-Compulsive Disorder
Posttraumatic Stress Disorder
Social Phobia
Specific Phobia
Etiology
Stress
Genetic Factors
Structural and Functional Neuroanatomical Factors
Neurotransmitters
Cognitive and Psychological Factors
Environmental Factors
Prevalence
Gender Differences
Culture-Specific Information
Course
Impact on Occupational Performance
Physical Impairments
Cognitive Impairments
Psychosocial Impairments
Treatment
Medications
Other Medical Treatments
Psychosocial Intervention Approaches
Summary
Active Learning Strategies
Resources
References
Chapter 14: Schizophrenia
Description of the Disorder
DSM-IV-TR Criteria
Subtypes of Schizophrenia
Symptom Clusters
Cognitive Subtypes
Etiology
Genetic Factors
Prenatal Factors
Structural Neuroanatomical Differences
Functional Neuroanatomical Differences
Neurotransmitters
Diathesis Stress
Prevalence
Course
Gender Differences
Culture-Specific Information
Impact on Occupational Performance
Cognitive Impairments
Health and Wellness
Stigma and Other Social Issues
Interventions
Psychosocial Interventions
Medications
Summary
Active Learning Strategies
Resources
References
Chapter 15: Substance-Related Disorders
Description of the Disorder
DSM-IV-TR Criteria
Subtypes of Substance-Related Disorders
Alcohol Use
Drug Use
Co-occurring Mental Illness
Fetal Alcohol Spectrum Disorder
Physical Disabilities and Medical Conditions
Etiology
Genetic Factors
Temperament
Psychological Theories
Sociocultural Influences
Young Adults and College Age
Older Adults
Prevalence
Course and Severity
Gender Differences
Culture-Specific Information
Impact on Occupational Performance
Interventions
Medications
Stages of Change and Harm Reduction
Contingency Management
ProjectMAINSTREAM
12-Step Group Participation
Summary
Active Learning Strategies
Resources
References
Chapter 16: Co-Occurring Disorders
Description of the Disorder
COD Conceptual Framework
Epidemiology
Complications of COD
Course
Service Integration for COD
Levels of Integration
Screening, Assessment, and Intervention
Special Settings
Diagnostic Challenges
Substance-Related Mental Health Symptoms and Signs
Substance-Induced Mental Health Symptoms and Signs
Substance Use Disorder and Independent Mental Health Disorders
Impact on Occupational Performance
Occupation
Person
Environment
Intervention
Summary
Active Learning Strategies
Resources
References
Chapter 17: Dementia
Description of the Disorder
DSM-IV-TR Criteria
Subtypes
Etiology
Prevalence
Course
Evaluation
Differential Diagnosis
Genetic Factors
Culture
Medication
Impact on Occupational Performance
Evaluation
Performance Goals
Areas of Occupation
Performance Skills
Performance Patterns
Activity Demands
Interventions
Environmental Intervention
Caregiver Education
Behavioral Intervention
Summary
Active Learning Strategies
Resources
References
Section 3: Client Factors
Chapter 18: Cognitive Skills
Cognition and Psychiatric Disabilities
Components of Cognition
Attention
Automatic and Controlled Processes
Selective Attention
Divided Attention
Vigilance
Memory
Short-Term Memory
Long-Term Memory
Working Memory
Executive Function
Concept Formation and Categorization
Schemas and Scripts
Problem-Solving
Decision Making
Metacognition
Cognitive Assessment
Neuropsychological Testing
Cognitive Assessment in Occupational Therapy
Test of Everyday Attention
Multiple Errands Test
Loewenstein Occupational Therapy Cognitive Assessment
Dynamic Occupational Therapy Cognitive Assessment for Children
Assessments Associated With Toglia’s Dynamic Interactional Approach
Assessments Associated With Allen’s Cognitive Disabilities Practice Model
Dementia Screenings
Intervention/Models and Techniques for Cognitive Impairment
Cognitive Remediation
Integrated Psychological Therapy
Dynamic Interactional Approach
Cognitive Adaptation
Adapting Tasks and Environments
Cognitive Adaptation Training
Compensatory Thinking Techniques
Cognitive Disability Practice Model
Errorless Learning
Reality Orientation and Validation Therapy
Classroom and Parental Interventions for Attention Deficit-Hyperactivity Disorder
Summary
Active Learning Strategies
Resources
References
Chapter 19: Cognitive Beliefs
Definition and Nature of Beliefs
Dynamic Nature of Beliefs
Layers of Beliefs
Beliefs and Information Processing
Beliefs as Self-Fulfilling Prophecies
Development of Beliefs
Beliefs, Social Contexts, and Relationships
Occupational Therapy Perspective
Impact of Beliefs on Mental Health and Illness
Depression
Anxiety Disorders
Eating Disorders
Conduct Disorders
Other Disorders
Cognitive Behavioral Theory and Therapy
Learning Theory and Behaviorism
Social Learning Theory and Social Cognitive Theory
Behaviorally Oriented CBT Models
Cognitively Oriented CBT models
Rational Emotive Behavior Therapy
Cognitive Therapy
Use of CBT Models in Occupational Therapy
Assessment of Beliefs in Occupational Therapy Practice
Formal Assessments
Informal or Semistructured Assessments
Structured Task Assessments
Intervention
Client-Centered, Collaborative, Educational, Empirical Approach
Cognitive Strategies and Techniques
Socratic Questioning and Guided Discovery
Dysfunctional Thought Record
TIC TOC Technique
Identifying ABCs
Acquiring Knowledge
Behavioral Strategies and Techniques
Behavioral Experiments
Assigning Homework
Scheduling Activities
Other Assessment and Intervention Considerations
Metacognitive Demands of CBT
Culture and Beliefs
Environment-Focused Interventions
Occupation and Performance Skill Interventions
Summary
Active Learning Strategies
Resources
References
Chapter 20: Sensory Skills
Sensory Processing
Sensory Processing Disorders
Sensory Modalities
Visual System
Auditory System
Tactile System
Taste (Gustatory) and Smell (Olfactory) Systems
Proprioceptive System
Vestibular System
Sensory Processing and Children With Psychiatric Disabilities
Attention Deficit-Hyperactivity Disorder
Autism Spectrum Disorder
Learning Disabilities
Sensory Processing and Adults With Psychiatric Disabilities
Schizophrenia
Other Psychiatric Diagnoses
Models of Sensory Processing
Jean Ayres and Sensory Integration
Georgia De Gangi
Wilbarger Approach
Dunn’s Model of Sensory Processing
Four Quadrants
Sensory Profiles
Intervention in Dunn’s Model
Highly Sensitive Person Scale
Sensory Assessment in the Context of Occupational Performance
Developmental Assessments in Combination With Sensory Measures
Snoezelen Environments
Sensory Approaches to Reduce Seclusion and Restraint in Psychiatric Settings
Summary
Active Learning Strategies
Resources
References
Chapter 21: Communication and Social Skills
Communication and Social Skills as Performance Skills
Theories Underlying Communication and Social Interaction
Model of Human Occupation
Social Learning Theory
Social Cognition
Social Skills Model
Group Therapeutic Factors
Communication and Social Skills in Persons With Psychiatric Disabilities
Schizophrenia
Anxiety and Mood Disorders
Personality Disorders
Substance Use Disorders
Pervasive Developmental Disorders
Dementia and Cognitive Disorders in Older Adults
Impact on Social Development
Assessments
Assessment of Communication and Interaction Skills
Social Skills in the Workplace
Social Interaction Scale
Comprehensive Occupational Therapy Evaluation
Relevant Assessments Developed Outside Occupational Therapy
Social Functioning Interview
Social Functioning Scale
Communication Skills Questionnaire
Independent Living Skills Survey
Maryland Assessment of Social Competence
Social-Adaptive Functioning Evaluation
Social Occupational Functioning Scale
Interventions
Social Skills Training
Problem-Solving Training
Responsive Social Skills Training
Generalization of Social Skills Training
Summary
Active Learning Strategies
Resources
References
Chapter 22: Coping Skills
Stress and Coping
Coping and Adaptation
Stress as a Mind-Body Connection
Coping Theory and Research
Types of Coping
Coping Resources and Resilience
Mental Illness and Coping
Family Coping
Client Evaluation
Stress and Coping Measures
Self-Report Instruments
Stress Measurement
Coping Assessment
Children, Adolescents, and Parents
Additional Stress and Coping Measures
Interviews
Stress Diaries
Physiological Measures
Observation
Resilience
Intervention
Theoretical Frameworks for Intervention
Psychodynamic-Object Relations Approaches
Behavioral Frame of Reference
Cognitive Behavioral Interventions
Child and Adolescent Intervention
Summary
Active Learning Strategies
Resources
References
Chapter 23: Motivation
Theories of Motivation
Maslow’s Hierarchy of Needs
Approach/Avoidance Models
Self-Efficacy
Addressing Self-Efficacy
Culture and Self-Efficacy
Self-Determination Theory
Flow Theory
Transtheoretical Model
Model of Human Occupation
Motivation and Psychiatric Disabilities
Schizophrenia
Attention Deficit-Hyperactivity Disorder
Mood Disorders
Substance Abuse
Intellectual Disabilities
Assessments
BIS/BAS Scales
Goal Attainment Scaling
Leisure Motivation Scale
University of Rhode Island Change Assessment
Volitional Questionnaire and Pediatric Volitional Questionnaire
Intervention
Interventions Linked to Theories
The Remotivation Process
Motivational Interviewing
General Principles
Application
Summary
Active Learning Strategies
Resources
References
Chapter 24: Emotion Regulation
Emotion
Physiology of Emotion
Experience of Emotion
Cognition and Emotion
Emotional Function as a Client Factor
Development of Emotion Regulation
Neurophysiological Basis
Emotion Dysregulation and Psychiatric Disabilities
Borderline Personality Disorder
Substance Abuse
Bipolar Disorder
Disruptive Behavior Disorders
Assessment for Emotion Dysregulation
Interventions for Emotion Regulation
Cognitive Therapy
Dialectical Behavior Therapy
Psychotherapy
Skills Training
Anger Management Programs
REST Program for Infant Irritability
Summary
Active Learning Strategies
Resources
References
Chapter 25: Pain Regulation
Defining Pain
Biopsychosocial Model of Pain
Evaluation
Visual Analogue Scale
Numerical Rating Scale
Verbal Rating Scale
McGill Pain Questionnaire
Pain Behaviors
Brief Pain Inventory
Pain Diaries
Canadian Occupational Performance Measure
Motivational Interviewing
Measuring Outcomes
Factors Influencing Pain
Theoretical Approaches to Pain Management
Behavioral Approaches
Respondent or Physiological Strategies
Operant Strategies
Cognitive Behavioral Strategies
Model of Human Occupation
Pain Management
Pharmacological Interventions
Surgical Interventions
Cutaneous Stimulation
Occupational Therapy Interventions
Physical Fitness
Graded Activities
Quota Programs
Relaxation Training
Biofeedback
Relapse Management
Summary
Active Learning Strategies
Resources
References
Part 3: Environment
Section 1: Introduction
Chapter 26: Introduction to the Environment
Environment and Occupational Therapy
Components of the Environment
Cultural Context
Physical Context
Social Context
Spiritual Context
Personal, Temporal, and Virtual Contexts
Environmental Obstacles to Recovery and Empowerment
Attitudinal Barriers
Poverty
Complex Physical Environments
Lack of Choice
Segregation and Isolation
Criminal Justice System
Environmental Resources
Consumer-Operated Organizations and Self-Help/Peer Support
Family and Friends
Community Resources
Summary
Active Learning Strategies
References
Section 2: Environments
Chapter 27: The Political and Public Policy Environment
Influence of Values on Policies and Practices
Impact of Policy Decisions on Practice
Administrative Structure and Funding
Ongoing Policy Issues
What Will Be Covered?
Who Can Provide Services?
How Will Care Be Funded and Allotted?
How Will Evidence-Based Practice Be Supported in Routine Practice?
How Can We Deal With Challenges of Stigma?
Basics of Policymaking
Policy Formulation
Policy Implementation
Policy Modification
Policy Impact on Occupational Therapy: A Model for Analysis
Occupational Justice and Intervention in Public Policy
Assessment and Intervention of Client Needs: An Occupational Justice Perspective
Summary
Active Learning Strategies
Resources
References
Chapter 28: Attitudinal Environment and Stigma
The Social Environment
Stigma
Theories of Stigma
Labeling Theory
Normalization Theory
Minority Group Perspective
Rite of Passage Theory
Other Theories
Structural Stigma and Universalist Perspective
Social Environmental Barriers and Stigma
Stigma and Culture
Stigma and Community Integration
Impact of Stigma on Mental Health Treatment
Impact of Stigma on Families
Public Policy Impact of Stigma
Social Environmental Supports and Recovery
Assessments of Stigma and Recovery
Attitudinal Assessments Relative to Stigma
Recovery-Oriented Assessments
Interventions to Address Stigma
Interventions to Address Public, Student, and Professional Attitudes
Interventions to Address Self-Stigma and Self-Efficacy
Interventions Supporting Occupational Justice
Summary
Active Learning Strategies
Resources
References
Chapter 29: Families Living With Mental Illness
Description of the Family Environment
Emotional Response
Family Culture as Context
Life Span and Occupational Roles
Environmental Assessments
Assistance for Families
Collaboration
Education
Support
Family Participation in Mental Health Care
Professional Competencies in Working With Families
Occupational Therapy Models and Frames of Reference
Model of Human Occupation
Allen’s Cognitive Disabilities Frame of Reference
SAMHSA-CMHS Family Psychoeducation Program Toolkit
Resources and Programs
Operation Healthy Reunions
Best Practices in Family Intervention for Serious Mental Illness
NAMI Family-to-Family Education Program
Visions for Tomorrow
Parents and Teachers as Allies
Summary
Active Learning Strategies
Resources
References
Chapter 30: Mental Health Practice in a Multicultural Context
Diversity Within the United States
General Trends
Ethnic and Racial Minority Groups
Mental Health Care Disparities
Culture
Cultural Definitions of Normal and Abnormal Behavior
Culture and the DSM-IV-TR
Diagnosis in Cultural Context
The Cultural Formulation Outline
Culture-Bound Syndromes
Culturally Responsive Caring in Mental Health Practice
Models of Cultural Competency
Counseling Psychology Models
Nursing Models
Occupational Therapy Models
Assessment and Intervention
Generating Cultural Knowledge
Building Cultural Awareness
Applying Cultural Skills
Engaging Others
Exploring Multiculturalism
Summary
Active Learning Strategies
Resources
References
Chapter 31: The Spiritual Environment
The Place of Spirituality in Recovery
Defining the Spiritual Environment
Supporting Recovery Through Considering the Spiritual Environment
Listening for the Uniqueness of the Person
Influences on the Spiritual Context
Exploration of the Individual’s Spiritual Context
Studying One’s Own Spiritual Context
Ensuring That Practice Structures Support Recovery
Summary
Active Learning Strategies
Resources
References
Chapter 32: The Neighborhood and Community
Current Interest in Neighborhoods and Communities
Defining Neighborhoods and Communities
Relationship of Neighborhood Environment to Occupation
Neighborhood Organization and Activism
Neighborhood Socioeconomic Status
Neighborhood Safety
Resident Mobility
Diversity
Community Attitudes
Intervening to Develop Supportive Neighborhood Communities
Assessing Neighborhoods and Developing a Neighborhood Profile
Dynamic Assessment of Neighborhood and Community Capacity
Practices to Support Change
Promoting Neighborhood Regeneration
Supporting Neighborhood Partnerships
Empowering Peer Support
Summary
Active Learning Strategies
References
Chapter 33: Supported Housing: Creating a Sense of Home
Description of Supported Housing
Supported Housing Among Supported Life Approaches
Federal Mental Health Policy Affecting Housing
Choice and Supports
Woodley House and Fairweather Lodge
Supported Housing as Creating a Sense of Home
Funding for Supported Housing
Personal Assistance Services
Housing
Occupational Therapy Assessment
Tools for Developing an Occupational Profile
Occupational Performance History Interview-II
Occupational Self-Assessment
Tools for Analyzing Occupational Performance
Allen Cognitive Level Screen
Routine Task Inventory-Expanded
Assessment of Motor and Process Skills
Kohlman Evaluation of Living Skills
Test of Grocery Shopping Skills
Assessment of Interpersonal Problem Solving Skills
Interventions to Support Tenancy and Community Integration
General Services
Building Relationships
Budgeting
Housekeeping
Socializing
Managing Symptoms
Specialty Services
Assessing Cognition
Assessing Sensory Patterns
Summary
Active Learning Strategies
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