Occupational Therapy in Psychiatry and Mental Health

Dr Rosemary Crouch is an Adjunct Professor in the School of Therapeutic Sciences in the Faculty of Health Sciences at the University of Witwatersrand in Johannesburg, South Africa, specialising in research mentoring, psychodrama and occupational group therapy in the field of psychiatry and mental health. Vivyan Alers is a clinical practitioner in Midrand, South Africa. In the field of psychiatry, she specializes in occupational group therapy and psychodrama with trauma survivors using the Therapeutic Spiral Model. In paediatrics, she specializes in Ayres Sensory Integration.

Contributors vii

Preface xii

Foreword xiv

Part 1 Theoretical Concepts in Occupational Therapy 1

1 Creative Ability: A Model for Individual and Group Occupational Therapy for Clients with Psychosocial Dysfunction 3
Patricia de Witt

2 The Relevance of Occupational Science to Occupational Therapy in the Field of Mental Health 33
Lana van Niekerk

3 Ethics, Human Rights and the Law in Mental Health Care Practice 42
Dain van der Reyden and Rosemary Crouch

4 Cultural Considerations in the Provision of an Occupational Therapy Service in Mental Health 59
Rosemary Crouch

5 Clinical Reasoning in Psychiatric Occupational Therapy 67
Vivyan Alers

Part 2 Specific Issues in Occupational Therapy 83

6 HIV/AIDS in Psychiatry and Issues Facing Occupational Therapists Regarding Practice: Moral and Ethical Dilemmas 85
Dain van der Reyden, Robin Joubert and Chantal Christopher

7 Forensic Psychiatry and Occupational Therapy 106
Michelle Moore

8 Acute Psychiatry and the Dynamic Short-Term Intervention of the Occupational Therapist 115
Catherine Shorten and Rosemary Crouch

9 Improving Health and Access to Health Services through Community-Based Rehabilitation 126
Stephanie Homer

10 Care, Treatment and Rehabilitation Programmes for Large Numbers of Long-Term Mental Health Care Users 148
Kobie Zietsman and Daleen Casteleijn

11 Auxiliary Staff in Mental Health Care: Requirements, Functions and Supervision 162
Dain van der Reyden

12 Vocational Rehabilitation in Psychiatry and Mental Health 175
Lyndsey Swart and Tania Buys

13 Psychiatric Occupational Therapy in the Corporate, Insurance and Medico-legal Sectors 194
Lee Randall

14 An Occupational Therapist’s Perspective on Sexuality and Psychosocial Sexual Rehabilitation 212
Louise Fouché

Part 3 Occupational Therapy with Children, Adolescents and Adults 227

15 Early Intervention for Young Children at Risk for Developmental Mental Health Disorders 229
Kerry Wallace

16 Occupational Therapy Intervention with Children with Psychosocial Disorders 248
Vivyan Alers

17 Interdisciplinary Group Therapy with Children 263
Marita Rademeyer and Deirdre Niehaus

18 Specific Occupational Therapy Intervention with Adolescents 276
Louise Fouché and Lisa Wegner

19 Sensory Integration in Mental Health 295
Annamarie van Jaarsveld

20 Attention Deficit Hyperactive Disorder through a Person’s Lifespan: Occupational Therapy to Enhance Executive and Social Functioning 319
Ray Anne Cook

21 Trauma and Its Effects on Children, Adolescents and Adults: The Role of the Occupational Therapist 337
Vivyan Alers

22 Post-traumatic Brain Injury: Handling Behavioural and Cognitive Changes 356
Sylvia Birkhead

23 Occupational Therapy for Anxiety, Somatic and Stressor-related Disorders 368
Madeleine Duncan and Claire Prowse

24 Occupational Therapy with Mood Disorders 389
Madeleine Duncan and Claire Prowse

25 The Treatment of Eating Disorders in Occupational Therapy 408
Rosemary Crouch and Vivyan Alers

26 Understanding Persons with Personality Disorders: Intervention in Occupational Therapy 419
Ann Nott

27 The Occupational Therapy Approach to the Management of Schizophrenia 435
Rosemary Crouch

28 Substance Use and Abuse: Intervention by a Multidisciplinary Approach Which Includes Occupational Therapy 446
Rosemary Crouch and Lisa Wegner

29 Gerontology, Psychiatry and Occupational Therapy 465
Susan Beukes

Index 480