what i learned working at infant, child & adolescent mental health (icamhs)

ICAMHS

Jess Bacchus

Occupational Therapy Student 2014

Agenda

Health Professionals and their roles

Interventions I observed

Occupational Therapy fit

Key Learnings Parental involvement

Readiness to learn

Link between their birth experience to now

Health Professionals and their roles

Psychologist...

Psychiatrist...

Drug and Alcohol...

Reception...

Nurse

Social Worker

Occupational therapy

Interventions I observed

Sensory Room

Graded Exposure

FRIENDS

Problem Solving

Relaxation

Anxiety Management

RDA programme

Acceptance and Commitment Therapy (ACT)

A little bit about OTNZ

Occupational Therapy New Zealand

Vision

OTNZ: Empowering individuals, whānau, organisations and communities to achieve health and wellbeing through occupation.

Values

The values that underpin OTNZ are:

Occupational justice:

- Fair access to resources to enable occupation.

- Biculturalism: Equity between the tangata whenua(Maori) and the tangata tiriti(non Maori).

- Integrity: The quality of being honest and following our principles.

- Professionalism: High standards that characterize behaviour.

- Collaboration: Work together in mutual effort and partnership towards goals.

- Transparency: Visibility or accessibility of information.

Occupational Therapy Theory

CMOPE

Developed by the Canadian Association of Occupational Therapists in 1997

Person, Occupation, Environment

POE

Developed by Mary Law, Susan Strong, Debra Stewart, Barbara Cooper, Patricia Rigby &Lori Letts

Model of Human Occupation

MOHO

Developed by Gary Kielhofner

Sensory Integration

Dunn’s Sensory Quadrant

Results have shown success in use for prevention, maintenance, crisis intervention, safety, stability and overall health and well-being for clients.

Sensory Interventions

Provide a sense of security, safety, or self-management strategies that enable a person to reintegrate into society and participate in meaningful or necessary occupations.

The sensory room enables the ability to slowly integrate selected stimuli such as sound, light and touch.

The therapist can adjust certain senses to observe reactions of a client i.e. calming or alerting.

Learning about how a child reacts to senses enables the parent to better understand their child and how they can help them develop to their full potential

FRIENDS Programme

Feelings, Relaxation, I can try, Explore solutions, Now reward yourself, Don’t forget to practice, Smile & stay calm

Problem Solving- Coping Step Plan

- Problem solving Plan

Sharing stories- Support

- Finding solutions

Making friends- Conversation starters

- Fill my bucket

Understanding themselves- Personal feelings and other's feelings

Key Learnings

Parental Involvement

Readiness to Learn

Secure Attachment Bond

Parental Involvement

o Consistent message across all environments- Less confusion for child and more likely to behave when they know what to expect.

Readiness to learn

o Is the child/parent ready to accept change?

o Are they ready to listen to ideas and intervention strategies?

o Will they take the message home?

o When neither party(child/adolescent or parent) is not ready progress of improving their lives is slowed down or stunted

Secure Attachment Bond

Understanding your baby's unique cues

Identifying their needs and adhering to them

Difficulties in this area due to: anxiety, depression, unwanted pregnancy

Dependency, separation anxiety, difficulty forming & maintaining friendships.

Forming a secure attachment is not just about love –

Can formulate an attachment by using something as simple as eye contact, coping faces your baby does and talking to them.

Thank You

Thank you for the opportunity to speak today

Thank you for listening (and reading)

Thank you all for coming… Was very kind of you to take time out of your busy schedule to listen to me. I really appreciate it.