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David M. Merlo MS, COTA, CPRP www.davidmerlo.com merlodm@ecc.edu 716 851-1312

David M. Merlo MS, COTA, CPRP www.davidmerlo.com merlodm@ecc.edu 716 851-1312 . … individuals diagnosed with mental health conditions can and do recover and lead meaningful, satisfying, and productive lives. .

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David M. Merlo MS, COTA, CPRP www.davidmerlo.com merlodm@ecc.edu 716 851-1312

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  1. David M. Merlo MS, COTA, CPRP www.davidmerlo.com merlodm@ecc.edu 716 851-1312

  2. … individuals diagnosed with mental health conditions can and do recover and lead meaningful, satisfying, and productive lives. Champagne, T., Gray, K. (2011). Occupational Therapy’s Role in Mental Health Recovery. AOTA.

  3. 10 Fundamental Components of Recovery SAMHSA. (2006). National Consensus Statement on Mental Health Recovery.

  4. Rehabilitation versus Treatment • Person-centered planning, shared decision-making • Positive psychology, strength-based approaches • Peer perspective, practitioner-peer partnership • Supported Models: Employment | Education | Living • Recovery, psychiatric rehabilitation approach • Wellness, wellness self-management, WRAP • Therapeutic communication/relationships • Trauma-informed care • Group process

  5. Pratt, C., Gill, K., Barrett, N., Roberts, M. (Expected release date: Nov 2013). Psychiatric Rehabilitation, 3rd Ed. Academic Press. ISBN: 9780123870025

  6. Barrows, C., Clark, C., Gupta, J., et. Al. (2010). Specialized Knowledge and Skills in Mental Health Promotion, Prevention, and Intervention in Occupational Therapy Practice. AOTA.

  7. USPRA CPRPCertification Exam Blueprint • 7 Domains: • Interpersonal Competencies • Professional Roles Competencies • Community Integration • Assessment, Planning, Outcomes • Interventions for Goal Achievement • Systems Competencies • Diversity and Cultural Competency October 2007, USPRA (currently under revision). Retrieved 4/2/13. https://uspra.ipower.com/Certification/CPRP_Exam_Blueprint_2009.pdf October 2007, USPRA (currently under revision). Retrieved 4/2/13. https://uspra.ipower.com/Certification/CPRP_Exam_Blueprint_2009.pdf

  8. USPRA CPRPCertification Exam Blueprint Sample Knowledge Areas Sample Skill Areas Preparing group activities in which individuals can learn specific skills Teaching problem solving and conflict resolution Modeling leadership skills Providing feedback Reinforcing newly learned skills and behaviors • Core Principles of Psych Rehab • Strengths Model • Distinctions between medical and rehabilitation models • Impact of mental illness on function • Empowerment theories and approaches • Recovery • Normalization • Cultural differences in help-seeking behaviors October 2007, USPRA (currently under revision). Retrieved 4/2/13. https://uspra.ipower.com/Certification/CPRP_Exam_Blueprint_2009.pdf

  9. A Few Examples…

  10. Hearing Voices Simulation • Hearing Voices Curriculum • Participants use headphones for listening to a specially designed recording simulating the experience of hearing distressing voices. • Participants undertake a series of tasks including: • social interaction in the community • a psychiatric hospital interview • cognitive testing • activities group in a “day treatment program” • Followed by a debriefing and discussion period.  • Curriculum also includes a video lecture presenting research on voice hearers and how they manage. • www.power2u.org

  11. Understand role of sensory system in regulating level of alertness. • How to use sensory tools to increase/decrease level of alertness to focus on/participate in chosen activities.

  12. Wellness Recovery Action Plan • Key elements of WRAP: • Wellness Toolbox • Daily Maintenance Plan • Identifying Triggers and an Action Plan • Identifying Early Warning Signs and an Action Plan • Identifying When Things Are Breaking Down and an Action Plan • Crisis Planning • Post Crisis Planning • www.mentalhealthrecovery.com

  13. Support the creation and use of a wellness recovery action plan. • Teach/support use of coping strategies. • Identify/implement healthy habits, rituals, routines. • Identify personal values, needs, and goals to enable informed decision making. • Increase awareness of community-based resources. • Encourage self-monitoring of health concerns, managing symptoms, recognizing/responding to acute changes. • Engage in long-term planning that leads to meeting personal recovery goals. Champagne, T., Gray, K. (2011). Occupational Therapy’s Role in Mental Health Recovery. AOTA.

  14. Shared decision-making process that is person-centered and client driven. Champagne, T., Gray, K. (2011). Occupational Therapy’s Role in Mental Health Recovery. AOTA.

  15. Evaluate relationship among health, well-being, and participation in daily life activities. • Develop occupational profile using client-centered strategies to gather information about a client’s: • occupational history and experiences • life roles • interests, needs, and concerns • strengths and limitations Barrows, C., Clark, C., Gupta, J., et. Al. (2010). Specialized Knowledge and Skills in Mental Health Promotion, Prevention, and Intervention in Occupational Therapy Practice. AOTA.

  16. Design/implement interventions that support development of cognitive, sensory regulation, social, and communication skills requisite for role performance. • Choose interventions that fit the values and abilities of those providing and receiving care. Barrows, C., Clark, C., Gupta, J., et. Al. (2010). Specialized Knowledge and Skills in Mental Health Promotion, Prevention, and Intervention in Occupational Therapy Practice. AOTA.

  17. Domain OT Intervention Approach: Health Promotion Prevention Maintenance OT Intervention Type: Therapeutic Use of Self Therapeutic Use of Occupations and Activities Consultative process Education process Process • OT Areas of Occupation: • IADL (Health management and maintenance) • Rest and Sleep, Education, Work, Play, Leisure, Social Participation, ADL • Client Factors: • Values, Beliefs, Spirituality • Performance Skills • Performance Patterns: • Habits, Routines, Roles • Context and Environment • Activity Demands

  18. Plan/conduct a community “fair” focusing on: • health and wellness • community participation • role participation • quality of life • Using “passions” to address individual volition as a primary motivator and organizer of human occupation. • Address occupations of: • play/leisure exploration • volunteer exploration • social participation • Passion Fair

  19. Facilitate resiliency, health, and wellness in the community of the individual’s choice… Champagne, T., Gray, K. (2011). Occupational Therapy’s Role in Mental Health Recovery. AOTA.

  20. Emphasis on holism, function, participation, and partnership, is used to help support people to • develop skills • engage in activities of interest • meet individual recovery goals Champagne, T., Gray, K. (2011). Occupational Therapy’s Role in Mental Health Recovery. AOTA.

  21. Determine how environmental supports and barriers influence participation in meaningful & productive roles in community. • Facilitate reducing barriers. Barrows, C., Clark, C., Gupta, J., et. Al. (2010). Specialized Knowledge and Skills in Mental Health Promotion, Prevention, and Intervention in Occupational Therapy Practice. AOTA.

  22. United States Psychiatric Rehabilitation Association • Administers Certified Psychiatric Rehabilitation Practitioner (CPRP) specialty certification • Annual Conference: June 9-12, Atlanta Georgia • Journal: Psychiatric Rehabilitation Journal (published by American Psychological Association) • www.uspra.org

  23. Consortium of Psychiatric Rehabilitation Educators • Develop, promote, and support academic initiatives and higher education programs specific to the contemporary practice of psych rehab. • Membership open to all MH educators (free!). • Annual Symposium: November 1-2, 2013University of Medicine & Dentistry of NJ School of Health Related Professions (Scotch Plains, NJ) • www.psychrehab.net

  24. Order free curricular materials including: • Lesson guides • Booklets and pamphlets • DVDs • CDs • www.SAMHSA.gov

  25. Creating and disseminating recovery-oriented training materials for mental health professions. • http://www.samhsa.gov/recoverytopractice/

  26. Increase awareness and understanding of the concept and reality of recovery. • Articles • Books • Documents and Reports • Multimedia and Websites • Training and Technical Assistance • http://www.bu.edu/cpr/repository/index.html

  27. David M. Merlo MS, COTA, CPRP www.davidmerlo.com merlodm@ecc.edu 716 851-1312

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