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Assessments in occupational therapy mental health 1
 All case should be screened initially using the
 following:


  TAG
  CANSAS
 Following that OT shall conduct a specific assessment
 using the


  FAA
 Structured assessment scales to further identify problem
 areas:

Barthel Index
Domestic Assessment
Role Checklist
Interest Checklist
Work Assessment
Mini Mental State Examination (MMSE)
Canadian Occupational Performance Measure (COPM)
 Threshold Assessment Grid
 Brief assessment of the severity of an individual’s
  mental health problems.
 Simple in easily used in categorizing patients'
  problems comprehensively
 7 domains : safety (2 aspects)
               risk (2 aspects)
               needs and disabilities (3 aspects)

 All aspects need to be assessed
 Each aspects is assessed by level of severity
 Used   during clinical interview psychosocial
  assessment
 Problems that take place a month prior to the
  assessment
 Scoring:


None/mild :      All domains that are problem free or
                 mild problems
Moderate     :   Only one domain scored as moderate
                 is required to categorise client in this
                 level
Severe       :   Only one domain scored as severe is
                 required to categorise client in this
                 level
 Camberwell Assessment of Need Short Appraisal
  Schedule.
 A brief & simple assessment of the needs of people
  with severe mental health problems.
 Designed for clinical use and research.
 Assesses     client’s    needs     holistically &
  comprehensively.
 Assesses problems during the last one month in 23
  domains of life.
 Involve an interview with a service user (the term used
  to cover patient/client/consumer – the person being
  assessed) carer or staff member.
 The interviewee’s reply is recorded directly, even if the
  interviewer disagrees with his or her view.
 Each assessment uses one column.
 Circle the letter indicating who is being assessed:
              (U=user, S=staff, C=carer)
 Record the date and initials of the interviewer.
 Suggested questions – to open discussion on each domain.
 Supplementary questions should be asked where necessary
  with the goal of establishing:
a) Whether the user has a serious mental problem in this
   domain; and
b) If the user does have a serious problem whether he/she is
   getting effective help.
 On the basis of the interviewee’s responses, a ‘need
 rating’ is made for the last month:

      0 = no need (i.e no serious problem)
      1 = met need (i.e no/moderate problem due to
          help given)
      2 = unmet need (i.e no/moderate problem,
          whether or not help is given)
      9 = not known
 The need rating is made using the following guidelines:

i.   If a serious problem is present (regardless of cause or
     whether or not any help is being given) then rate 2
     (unmet need).
ii. If there is no serious problem because help is being given
     (e.g. family support, sheltered housing, psychotherapy,
     medication) then rate 1 (met need).
iii. If there are no problems in this area, then rate 0 (no
     need).
iv. If the person being interviewed does not know or does
     not want to answer questions on this domain, then rate 9
     (not known).
 Just because there is currently no problem, the
  need rating is not automatically 0.
 A need can exist for a variety reasons.
 Done after an initial clinical interview.
 All aspects of basic needs are to be assessed during the
  first meeting.
 Repeat every 6 months.
 Needs that are not met have to be given due attention
  while those met have to be monitored.
 To determine client’s ability to function in basic living
  skills.
 Combine of interview and observation of task
  performance.
 Use as a guide:
     Establish of care plan
     Monitor client’s progress
     Discharge planning
 Administer at the beginning of OT & at appropriate
  intervals.
TO BE CONTINUED ;)

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Assessments in occupational therapy mental health 1

  • 2.  All case should be screened initially using the following: TAG CANSAS
  • 3.  Following that OT shall conduct a specific assessment using the FAA
  • 4.  Structured assessment scales to further identify problem areas: Barthel Index Domestic Assessment Role Checklist Interest Checklist Work Assessment Mini Mental State Examination (MMSE) Canadian Occupational Performance Measure (COPM)
  • 5.  Threshold Assessment Grid  Brief assessment of the severity of an individual’s mental health problems.  Simple in easily used in categorizing patients' problems comprehensively  7 domains : safety (2 aspects) risk (2 aspects) needs and disabilities (3 aspects)  All aspects need to be assessed
  • 6.  Each aspects is assessed by level of severity  Used during clinical interview psychosocial assessment  Problems that take place a month prior to the assessment
  • 7.  Scoring: None/mild : All domains that are problem free or mild problems Moderate : Only one domain scored as moderate is required to categorise client in this level Severe : Only one domain scored as severe is required to categorise client in this level
  • 8.  Camberwell Assessment of Need Short Appraisal Schedule.  A brief & simple assessment of the needs of people with severe mental health problems.  Designed for clinical use and research.  Assesses client’s needs holistically & comprehensively.
  • 9.  Assesses problems during the last one month in 23 domains of life.  Involve an interview with a service user (the term used to cover patient/client/consumer – the person being assessed) carer or staff member.  The interviewee’s reply is recorded directly, even if the interviewer disagrees with his or her view.
  • 10.  Each assessment uses one column.  Circle the letter indicating who is being assessed: (U=user, S=staff, C=carer)  Record the date and initials of the interviewer.  Suggested questions – to open discussion on each domain.  Supplementary questions should be asked where necessary with the goal of establishing: a) Whether the user has a serious mental problem in this domain; and b) If the user does have a serious problem whether he/she is getting effective help.
  • 11.  On the basis of the interviewee’s responses, a ‘need rating’ is made for the last month: 0 = no need (i.e no serious problem) 1 = met need (i.e no/moderate problem due to help given) 2 = unmet need (i.e no/moderate problem, whether or not help is given) 9 = not known
  • 12.  The need rating is made using the following guidelines: i. If a serious problem is present (regardless of cause or whether or not any help is being given) then rate 2 (unmet need). ii. If there is no serious problem because help is being given (e.g. family support, sheltered housing, psychotherapy, medication) then rate 1 (met need). iii. If there are no problems in this area, then rate 0 (no need). iv. If the person being interviewed does not know or does not want to answer questions on this domain, then rate 9 (not known).
  • 13.  Just because there is currently no problem, the need rating is not automatically 0.  A need can exist for a variety reasons.
  • 14.  Done after an initial clinical interview.  All aspects of basic needs are to be assessed during the first meeting.  Repeat every 6 months.  Needs that are not met have to be given due attention while those met have to be monitored.
  • 15.  To determine client’s ability to function in basic living skills.  Combine of interview and observation of task performance.  Use as a guide:  Establish of care plan  Monitor client’s progress  Discharge planning  Administer at the beginning of OT & at appropriate intervals.