Acute Psychiatry Bread and Butter OT

Rachel Booth

Clinical Lead OT

Chair of BAOT Northern and Yorkshire region

@OT_rach

What is your “bread and butter” within your role, or on your last placement

What do you think are core OT skills?

What is unique about your role or the role of OT?

What #OTalk tweeters said

Communication

Meaningful and purposeful engagement

Activity Analysis, adaption, grading

Observational and standardised assessments

Assessment – both profession specific and generic

Work on Service users goals

HCPC - Standards of proficiency

understand the key concepts of the knowledge base relevant to their profession

be able to draw on appropriate knowledge and skills to inform practice

be able to select and use relevant assessment tools to identify occupational performance needs

be able to select and use standardised and non-standardised assessments appropriately to gather information about the service user’s occupational performance, taking account of the environmental context

be able to use observation to gather information about the functional abilities of service users

Holding on to our Bread and Butter

Core Skills are the expert knowledge and abilities that are shared by all occupational therapists irrespective of their field of practice. (COT 2009)

Evidence suggests some OTs have difficulty maintaining their unique professional identity becoming generically focussed on symptom reduction. (Parkinson 2014)

Holding on to bread and butter seems not to be an issue everywhere.

Activity Street – OT Department

Roseberry Park Bread & Butter

Engagement through meaningful and purposeful activity

Observation

Activity analysis

Grading

Adaptation

Risk Assessment

Goal setting

Assessment of occupational performance

Assessment of performance

Use of MOHOST, OSA

Communicate

Service Users, Carer’s and MDT

Observational Assessment of occupational

performance and function

‘Assessment through structured observation of the patient in activity is a core skill’

Couldrick and Alred, 2003

“Observing in a group setting is particularly useful for assessing performance areas which involve interaction with others.”

Bullock in Creek, 2014

Standardised assessments

Focuses on observation through activity in a structured, standardised way.

MOHOST is our standardised assessment of choice.

Recognised as appropriate in Acute AMH settings by Sims in Creek, 2014.

Available on Electronic notes

• Evidence Base

• Activity Analysis

• Grading

• Adaptation

• Risk Assessment

Intervention

TEWV ARTS Wider engagement and Recovery

Stay core to Bread and Butter

References Arts Council England (2007) The Arts, health and wellbeing. London.

Bullock A ,in Creek (2014) Creeks Occupational Therapy in Mental Health . Churchill Livingstone, Edinburgh, London. Toronto, New York Sydney. P78

College of Occupational Therapists (COT,2009) Definitions and Core Skills for Occupational Therapy. London p14

Couldrick L, Alred D (2003) Forensic Occupational Therapy, Whurr Publishers Ltd, London. P33.

Department of Health & Arts Council (2007) A prospectus for arts and health. London.

Standards of proficiency – Occupational therapists HCPC http://www.hcpc-uk.org.uk/assets/documents/10000512Standards_of_Proficiency_Occupational_Therapists.pdf accessed Nov 10th 2014.

Sims K, in Creek (2014) Creeks Occupational Therapy in Mental Health . Churchill Livingstone, Edinburgh, London. Toronto, New York Sydney. P352

Parkinson S, (2014) Recovery through Activity Increasing particaption in everyday life. Speechmark Publishing Ltd. London. P3

Otalk Transcript://embed.symplur.com/twitter/transcript?hashtag=OTalk&fdate=05%2F13%2F2014&shour=12&smin=0&tdate=05%2F14%2F2014&thour=13&tmin=15&ssec=00&tsec=00&img=1&nort=1