Term
| number of mentally ill that want employment |
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Definition
2/3
but 85% are not employed |
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Term
| President's New Freedom Commission on Mental Health |
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Definition
| emphasizes the importance of work in the recovery for persons with mental illness. |
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Term
| role of therapist in vocational assessment |
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Definition
adopt a client-centered approach based on meaningful occupation to ensure that employment goals are based on individual preferences.
Incorporated occupational analysis in the process of job development.
Should focus on social and vocational functioning and the integration of the individual with mental illness into the community |
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Term
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Definition
1722 introduced the use of work as a therapeutic intervention
He was a physician and psychiatrist.
Believed the use of occupational therapy and theatrics was more successful than punishment, cincarceration or bleeding
Led to moral treatment movement |
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Term
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Definition
emphasized employment as the primary goal of rehabilitation and mandated presumptive employability-applicants are presumed to be employable unless proven otherwise.
Amendments state that eligible individuals must be provided choice and increased control in determining the vocation rehab. goals and objectives, determining services, providers of services, and methods to provide and/or secure services. |
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Term
| predictors of employment outcomes in persons with mental illness |
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Definition
premorbid functioning
work history
social skills
cognitive functioning and
family relationships
self-concept
amount of job development services, supported employment versus traditional vocational services and community support. |
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Term
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Definition
no lengthy prevocational assessments
no supportive employment
these discourage people who desire competitive employment.
quick initial assessment that is patient-centered for an occupational profile on previous work, preferences and education-transportation needs, family support, etc.
Ongoing work based vocational assessment is best.
should integrate clinical and employment services, provide ongoing job support and match the job with the patient's individual preferences. |
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Term
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Definition
outcome measure for change in patient's self-perception of occupational performance over tim. It is designed for any patient population.
It is standardized with a semi-structured interview and structured scoring.
Assessment and reassessment are most meaningful in this one. |
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Term
| Occupational Performance History Interview-II (OPHI-II) |
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Definition
| client-centered historical interview that focuses on a person's life history, the impact of disability and future directions that the person would like to follow in life. designed for patients that can response to a narrative history interview |
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Term
| Occupational Self-Assessment (OSA) |
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Definition
self-report format identifies essential components of the occupational profile such as values, priorities and goals.
Addresses the patient's perception of his or her occupational performance and how his or her environment influences occupational performance.
1. handling responsibility
2. Managing finances
3. Leisure pursuits
4. Environmental support-physical and social |
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Term
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Definition
| the best clinical predictor of future work performance and rates a person's work adjustment skills in the setting that most resembles the work that will be done. |
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Term
| note about situational assessments |
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Definition
the ability of a person with a mental illness to function in one environment is not predictive of his or her ability to function in another environment.
Vocational assessment conducted in a real or simulated work setting with people performing real work tasks reliably predicts subsequent community employment. |
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Term
| Social Adjustment Scale of Self-Report |
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Definition
consists of 54 questions that measure worker role performance over a 2 week period of time.
Areas of questions:
work for pay
unpaid work
work as a student
social and leisure activities
relationships with extended family, spouse and one's children
relationships with the family unit
perception of economic functioning
questions:
1. performance of expected tasks
2. Friction with people
3. Aspects of interpersonal relationships
4. Feelings
5. Satisfactions |
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Term
| Social Adaptation Self-Evaluation Scale |
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Definition
21 item self-report that detects discrete differences in social motivation and behavior that may not be discerned in psychiatric assessment.
Addresses patient's self-perception and motivation toward an action rather than on objective performance |
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Term
| Social Problem Solving Inventory (SPSI) |
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Definition
70 items to assess self-appraisal of multiple dimensions of the problem solving process.
Identifies adaptive coping mechanisms for specific problematic situations encountered in everyday life
subscales include:
cognition
emotion
behavior
problem definition and formulation
generation of alternative solutions
decision-aking
solution implementaion and verification |
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Term
| Most useful paper and pencil test predictors of future vocational outcomes |
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Definition
| tests that measure a person's ego strength or self-concept in the role of worker. |
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Term
| Worker Role Interview (WRI) |
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Definition
Identifies psychosocial and environmental factors that influence return to work.
Semi-structured interview used to ID these issues in injured worker, worker with chronic disability and worker with poor or limited work histories. |
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Term
| Self-Description Questionnaire III |
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Definition
136 items designed to measure self-concept and specific global areas for young adults (18+) Measures 11 factors with 13 scales:
physical ability
physical appearance
opposite sex relationships
same sex relationships
honesty-trustworthiness
Parent relationships
emotional stability
self-esteem
verbal, math, and academic
problem solving
religion/spirituality factors |
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Term
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Definition
1. persons who receive job development services were five times more likely to secure competitive employment compared to persons who did not receive job development.
2. Persons with no prior work history had limited chances of obtaining competitive employment without job development
3. People involved with integrated clinical and vocational services had better employment outcomes. |
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Term
| supported employment vs. traditional vocational services |
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Definition
shift needs to be from vocational assessment and skill development to developing and accessing support in the work environment.
People with mental illness need ongoing support. |
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