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How can an OT assist consumers with changing their substance related…
How can an OT assist consumers with changing their substance related behaviour?
Rojo-Mota, G., Pedrero-Perez, E. J., & Huertas-Hoyas, E. (2017). Systematic Review of Occupational Therapy in the Treatment of Addiction: Models, Practice, and Qualitative and Quantitative Research. AJOT: American Journal of Occupational Therapy, 71(5). Retrieved from
http://link.galegroup.com/apps/doc/A515580141/AONE?u=acuni&sid=AONE&xid=ecb9f245
Purpose of this study is to review theoretical models, professional practice and search findings to understand an OT's role in addiction
current studies have little evidence and small sample sizing
many validated OT instruments exist for other clinical settings (Asher, 2007), however few have been used with addiction
Sackman, Sackman & DeAngelis (1978) suggest that addiction is an occupation in itself, therefore can be analysed through an occupational approach/lens
Haltiwanger, Lazzarini & Nazeran (2007) suggests that addiction as an occupation gives people meaning to life, act as an important determinant of health, shape/be shaped by environment and have therapeutic potential
OT has created its own framework of treatment that is used in addiction
Helbig & McKay (2003)
first attempt to provide theoretical framework of addiction though an occupational perspective
considered addiction as complex that alters the person's occupational sphere
Biological Intervention
medications(?)
weaning off substance / detoxification
7-10 days where people are medically monitored
withdrawal symptoms monitoring
shock-induced
sleep disturbance, nightmares, hot flushes, nausea, stomach cramps, mood swing
most dangerous withdrawal symptoms is alchohol
SOCIAL INTERVENTIONS
Social support and mental health during recovery from drug and alcohol problems -
https://www-tandfonline-com.ezproxy2.acu.edu.au/doi/full/10.1080/16066359.2017.1421178
Investigated relationship between support from family, friends and broader network and mental health
greater general social support and informal connectedness = decreased alcohol use = decreased depression
People who had high drug users in their friendship/social circle were more likely to take drugs themselves. When there were less drug users in social circles, people were less likely to take drugs
greater social support helps people who are in recovery and trying to maintain abstinence
increase community participation = increased mental health
People with substance misuse who engaged more with people in their community were bought closer and had better participation
Moderate to significant relationship between general friendship support and social connectedness and better scores on complete mental health (follow up)
Population: individuals in a residential substance abuse treatment facility
Group Intervention (e.g. AA)
Social participation
Psychodrama
Dance
12-Step Program: biopsychosocialspirtual model
Group work
importance of doing physical activity (adventure therapy)
adrenaline inducing ("natural high")
strong evidence base
social interaction
OT Assessment (e.g. volitional questionnaire)
consumer able to reflect on self
assessment can be an intervention
Education around substance use and its effect on someones life - even if the consumer doesn't realise the impact
break down into MOHO components to conceptualise
Assessment can be used as intervention - identifies what is going on and gets consumer to think about their life
Cognitive Behavioural Therapy
Motivational Interviewing
strongest evidence base in substance abuse
OT now starting to adopt it in terms of occupation
Volition