NY Occupational Therapy Living Life Tolts Fullest Occupational Circumstances Assessment Interview and Rating Scale (OCAIRS) a structure for gathering, CAVA AM LO DORE RR oe oe of an individual's occupational participation. awe appropriate for any adolescent or adult client who has the cognitive and emotional ability to participate in an aaa a structured and theoretically based means of developing interview skills in evaluation ELOCAIRS MENTAL HEALTH INTERVIEW FORMATS There are four different formats included in Appendix A: Perm ow Lda AOR OR LLL » 2) OCAIRS Mental Health Interview (Form 2) Questions, Rating Occu D at on al Scales and Notes Form Therapy > 3) OCAIRS Mental Health Interview (Form 3) Questions and tout Rating Scales » 4) OCAIRS Mental Health (Form 4) Kev Words FormOccupational Therapy » 1) OCAIRS Mental Health Interview (Form Questions: Some therapists may prefer to use the Interview Questions format. This format provides a range of questions that will elicit OCAIRS eee a aR nae a ea ae the issues and suite his/her own style of phrasing questions. Sa An ae oR a the sequence of the interview.> 2) OCAIRS Mental Health Interview (Form 2) Questions, Rating Scales and Notes Form: - This format contains abbreviated versions of the questions, the full Penance ae Occupational = Mipadtt tenaftitonstag-ate mothe o ieee Therapy all information is collected. CaM aa cee dee SRR ae a a ee ae aayPROC L OMe OY Rating Scales: SO EN eee gan eR ee Od Wee Occupational Be Ee a ee ene es en ne rere eee ed Thera | Tee AL ee Me Dy ans>» 4) OCAIRS Mental Health (Form 4) Kev Words Form Fd OMe Cg Lee COTO ee EO ea ROL Vo ; - Therapists may wish to use it as a reference to glance over while Occupational sae rE eae aAT TTY OMAR TTTEAPIS OL TROL Therapy aCe aaa sae> OCAIRS Mental Health Interview (Form 1) Questions Roles ORLY - What are your major responsibilities (Parent? Spouse? Worker? Student? Homemaker?) CATER B20 vou belong to any groups? Therapy Cage ed aaa) 0 be Tog NTE RTO ne Cs oe ROTA oe ag ae ea ee Rae sa Ream RT ATR Lea> OCAIRS Mental Health Interview (Form 1) Questions ye CITY LEN Teme CON eR LTE Re AS program/were hospitalized). Daren eR Tem Caan a Ue RAT eee IED YP prowram/were hospitalized), Therapy DR LR aoa amare OA oR RL rea Has your daily routine changed (over the last 6 months/ since your Cre eR at oge a ee ac Ree cL Wasa - Are you satisfied with your current daily routine?> OCAIRS Mental Health Interview (Form 1) Questions eRe ALLE RUM oR eee aR po Raga Oe een ee ae Oa ERR ALL Occupational Therapy ELAR rear O ee eee ON et ea | 0 SC eNO MRT LR a SR aT a> OCAIRS Mental Health Interview (Form 1) Questions Values Te ALR ea ae Tea Au Le ana you?) eee eae RTE Coe ea Occupational (aang Therapy How important are these to you? Sea ER ea eae ea ea ee mea ae ea RR Ree aa aa ace URAL NL Ld CE RAL Lae> OCAIRS Mental Health Interview (Form 1) Questions Te aya RTT a ae aR TTC A Toe caretaker something you enjoy? ROR eX RY LAY Dee Occupational = What do you like to do with your time outside of (work or major Therapy Cre eae living lifa SURO aV a AM am eet Oa (anager) CeO ned Are you satisfied with the amount of time you are able to spend> OCAIRS Mental Health Interview (Form 1) Questions Skills: Motor Skills, Process Skills, and Communication & Interaction Ra BROT RAR LE COME MEA ar Occupational eR A aca ee Therapy Pony nea 0 NN are eR ee ee eRe CLD DCR LEe SR ARAL Oe Ln ea Do you prefer to work alone or with others? COME Nae aera ieee> OCAIRS Mental Health Interview (Form 1) Questions Cera Do you ever set goals for yourself/make plans for the future? SEAR eee What goals do you have for the next week? The next month ? Occupational Therapy Ra ar - Do you have any long-term goals? (I year, 5-10 years) How will you accomplish those?> OCAIRS Mental Health Interview (Form 1) Questions Interpretation of Past Experiences CoAT N UR La CALERA ea are your life or do you feel your life has been exceptionally better or worse than typical? Occupational Rea aaa ea Rad Therapy Cnr DRA Red Sana ERI L [ee A en RT ee a Oa a og aL> OCAIRS Mental Health Interview (Form 1) Questions Physical Environment Where do you live? (Location, house, apartment?) US NOR Re ee 1 ML erm Lee Re ALCL ee Occupational \) (iliemaenrse j T nerapy Is there someplace you go to on a regular basis (e.g., work, school, living! ee Ma un eee Me rece ALLO ene edd eee eae ea ee ae er eee goo ae Oe prevent you from getting things done?» OCAIRS Mental Health Interview (Form 1) Questions Physical Environment In terms of activities you would like to participate in, places you would like to go, what if anything prevents you from doing so (Money, transportation, safety concerns, physical barriers)? WCUNEMOIEIN Are shere resources available to help you overcome barriers to Therapy Pe aeRO> OCAIRS Mental Health Interview (Form 1) Questions Social Environment RO ea Aa Who do you spend most of your time with? UD RAL aL ae eee af ae Occupational Therapy - Does what they expect from you match what you like or would like Dy ae Would you describe your (work, school, community) setting as ro eaaires a yaa Rae COT aa RRM DAT oR ROLLER aL a community?> OCAIRS Mental Health Interview (Form 1) Questions Readiness for Change oe aR Rs ena ee ACM CLE LDA Re ALLL CR RLY LO Of Re Tea CT ee Occupational TOR Rn a eRe ae Therapy (If needed, use an example from response given in Habits section) | 0 ~ When someone gives you feedback (ask to change your behavior) } One RT ar ata> OCAIRS Mental Health Interview (Form 2) OT CER ar ate No What do you do? Your major responsibilities? Cer aa Lee oa eae cre ea) oa ka a For each role: Importance? Enjoyment? How well done? WMATA 1) Occupational Roles reflect a highly productive lifestyle Ccupationa eee RR ea sake Therapy > F) Fulfill a wide range of role responsibilities | e > A)Occupational roles reflect a somewhat productive lifestyle PWIA etm Ua Lee Le > A) Minor difficulty in fulfilling a wide range of role responsibilitiesOccupational Therapy » OCAIRS Mental Health Interview (Form 2) OE a ee > 1) Occupational roles fail to constitute a productive lifestyle Pe NCAR aN aR > 1) Major difficulty in fulfilling a wide range of role responsibilities Pe INL tr or aed pe Me rae Pe ea TR ae ae ey COs> OCAIRS Mental Health Interview (Form 2) OO OTN a) Aw TERY Describe typical weekday (before treatment/program/hospitalization). Describe a typical weekend day {before treatment/program/hospitalization). Den re eee a ee Has your daily ‘routine changed (over 6 months/ since your accident/divorce, etc Cup ational Pick pivotal event if possible)? How? Therapy Are You satisfied with your current daily routine? > F) Highly organized daily schedule l J LIE > F) Good balance between work, rest, self-care and leisure Se RN Ten Le ari eae eC cmt et >A) Some balance between work, self-care and leisure >A) Somewhat satisfied with daily routineOccupational Therapy » OCAIRS Mental Health Interview (Form 2) OE a ee Aw TERY Pe CAN Lr ee CLARE eed > I) Very little balance between work, self-care and leisure PIANC aA Lee Pe IN een ead > R) NO balance between work, self-care and leisure Pe PN Rn tc> OCAIRS Mental Health Interview (Form 2) OO OTN a) roo ONAL VEO What thing’ in your life do you feel you do well, or are proud of? a ea Md ae eae ear ea Re ae What is the biggest challenge you are currently facing? How successful do you think will be over the next six months? Occupational a Th rg Sa ee ata py Pee Oa a er RROD Tiina | ifa Pe INR ORO Rea CR aoe O eae ogc) Pea ea Pe on ra entra Lacan > A) Some difficulty in identifying something done well/proud ofOccupational Therapy > OCAIRS Mental Health Interview (Form 2) OO OTN a) Personal Causation PNM ea eae ay Pe a ea atte ae eR RL Pam ia AM ae Ane aaa aa aR > R) No confidence in abilities Pee Pr cree al ie eee oe SPL ea an Aaa eee aR> OCAIRS Mental Health Interview (Form 2) Questions, Rating Scales and Notes Form ATT eR eR ae) What are other things or ideals that you value (are important to you)? ST ae ee eee What about your life reflects these values? Are you able to live life in ways that fit with the values MENON estou oe ory tote up to? Thera Dy Is there anything about your life that you feel goes against your values? ou think TOBA ae re TRY et RIT J LUE > F) Strong conviction about expressed values > F) Expresses complete congruence between own values and current raed er aR ae a ad PR ree a aes deanna Pao ran Rea ate en ee ae tint>» OCAIRS Mental Health Interview (Form 2) Questions, Rating Scales and Notes Form Leas PUPAL TMNT mA Le ee Pe RAN Rate Ona ag tT mT > I) Expresses very little congruity between own values and current life Occupational ra ' Therapy Se WaT ne Nad living] > R) No conviction/alienation about expressed values ee Pee en ny en en eterna ad> OCAIRS Mental Health Interview (Form 2) Questions, Rating Scales and Notes Form SUT Aya Is your major occupational role such as, worker, student, volunteer, caretaker Peco aee What about it interests or satisfies you? ON Oa RA eR ae a Pe Occupational ) (iia Tk Do you have any other interests or hobbies? herapy ey ; : Oe Nae p RR Ree RR eI Be ee ee Ot a an Lapa ear ga Pe ONL aM ae Ae gran re Pc F) High level of satisfaction with level of participation in an interest(s)> OCAIRS Mental Health Interview (Form 2) Questions, Rating Scales and Notes Form Interests ene ane aM ae ey ear ee nes aD outside of work \ > A) Some interest in primary occupation Occupational > A) Some satisfaction with level of participation in an interest(s) / Therapy ©) ttre wage aed teres ola kanal nen > 1 Very little interest in primary occupation > I) Very little satisfaction with participation in an interest(s) > R) Does not participate in any identified interests outside of work > R) NO interest in primary occupation > R) Dissatisfaction with level of participation> OCAIRS Mental Health Interview (Form 2) Questions, Rating Scales and Notes Form RYT CR NL Oe ae ee ea Re OR ae a Are you able to concentrate, problem-solve, and make decisions to get things don ‘ RO eee ae ere a eee RO a CC upational RTM a maa Ce A ee ape Therapy Do you prefer to work alone or with others? How well do you work with others? | Q NO Tan eee ae RCL , > F) Effectively compensates for any limitations in skills (if any) Se a ee eR ne a PN oan a1 ee cI > A) Communication/ Interaction Skills> OCAIRS Mental Health Interview (Form 2) Questions, Rating Scales and Notes Form Skills: Motor Skills, Process Skills, and Communication & Interaction Skills Vaart er Pe ray cI Occupational > I) Process Skills Therapy » I) Communication/ Interaction Skills See eee tac Living Lire > R) Motor Skil eR HLS > R) Communication/ Interaction Skills> OCAIRS (Form 2) Questions, Rating Scales and Notes Form 1o you ever set goals for yourself/make plans for the future? Ny Cae a ee eet ee ete hhat goals do you have for the next week? The next month ? emt ae ee area ed TRO ara eee eae ‘ow will you accomplish those? cupational Therapy Living Life Pe ON ante Aa MARAT AMES AS) ToltsFullest ee eran Ne NRE DN one a a > F) Actively participating in the execution of the plan(s) PUB aR ON EMM e He Cee re eee Ca CA REN Pe EN ROLL ae a OOM mea eee AD) PaO Uae eine eet ROM eed)> OCAIRS Mental Health Interview (Form 2) Questions, Rating Scales and Notes Form SHORT-TERM GOALS > I) Identifies vague or conflicting goals that will be very difficult to ta \ > I) Discusses a plan that is not realistic Occupational SBIR Onn Cy tanita eee oe eee / Therapy » Rau ony Lorem gu Gon Ren eal ae eg kanal ee ne eer er een ea eer td > R) NO participation in the execution of the plan(s), doing nothing to achieve goal(S)> OCAIRS Mental Health Interview (Form 2) Questions, Rating Scales and Notes Form TRU ea RCA Pe ONC Ae RT RT CM ep eS) > F) Coherently discusses realistic plan(s) for meeting goals (i.e. Short- , term goals correspond to tong-term goals) Occupational Se MMP at Tan ORC RUE Te) / TI nerapy 1 AW) Cantos tamed rama it carey Loch eaLC ncon TOGA living! LA ea Re Le > A) Discusses somewhat unrealistic plans) for meeting goal(s), i.e. er a ee ta near ea > A) Somewhat participating in the execution of the plan(s)> OCAIRS Mental Health Interview (Form 2) Questions, Rating Scales and Notes Form LONG-TERM GOALS Pa NC ata eta nee pe eee a ea ET en ara , Pea OT an oR eg Occupational Oe ee ear Th erapy > I) Very little participation in the execution of the plan(s) Pe Wea Ae Ne ean ee Om ona a ee a Pe PL Mae eae Le Le Ae ed > R) No participation in the execution of the plan(s), doing nothing to achieve goal(s)> OCAIRS Mental Health Interview (Form 2) Questions, Rating Scales and Notes Form Interpretation of Past Experiences Overall, do you feel you have had the typical ups and downs in your life or do you feel your life has been exceptionally better or worse than typical? Give an example of the best period of your life Give an example of the worst period of your life OR eee are En eee ene ee ee ee cupational Therapy a DNs as TAD LN ar Oa Rees an > F) Characterizes past as time of great performance and ea eae er ea RC Tad ane cota Le cae ran > A) Presents best and worst period(s) With equal emphasisOccupational Therapy > OCAIRS Mental Health Interview (Form 2) Questions, Rating Scales and Notes Form Interpretation of Past Experiences > I) Expresses mostly negative feelings about past experiences > I) Places more emphasis on worst period(s) than best period(s) of life > R) Expresses only negative feelings about past experiences Pe PRA Mtge Can ea Ad ned ecg)> OCAIRS (Form 2) Questions, Rating Scales and Notes Form ‘here do you live? (Location, house, apartment Vy) is it easy to get around and get things done? in the area where you live, are there things to do/places to go that interest you? AT rae. . someplace you go to on a regular basis Pyare TM ieee MURMOIAD rors the dots oe) Th erapy s it easy to get to from your home? re there any physical barriers at (from above) or at home that prevent you from era ae aed Living Life y what if anything prevents you from doing so (Money, transportation, safety Tolts Fullest ae accra)? in terms of activities you would like to participate in, places you would like to go, re there resources available to help you overcome barriers to getting things done? > F) Demands/Constraints in the physical environment provide strong Naga Ome ean Aaa en Oar mple resources/opportunities (money, transportation, facilities ea in praca in abe Awana bea > F)PLO VE AY (Form 2) OA rT a eee aL > A) Demands/Constraints in the physical environment provide some ARAN ORO a are Ny > A) Sufficient resources/opportunities (money, transportation, Jacilities et.) which provide some support and allow participation cupat tional Pee eaten Ther apy Pe Tn Lene ATRL a eae aed ae living Life ee RU eae ona) M jing Life Pe Nee gen a Ren ce ae cee ToltsF Fullest FL ARR OE RL Tae iat rae a Crate > R) Demands/Constraints in the physical environment provide no RT OEM MA AY Le YAR TAR OR > R) Inadequate resources/opportunities (money, transportation, faittis ete.) provide no sunnort and rest,PLO VE A) (Form 2) ON re RENO aL 10 you spenda lot of time alone? hho do you spend most of your time with? Teen gna ea ae are a Joes what they expect from you match what you like or would like to do? ‘ould you describe your (work, school, community) setting as supportive? NY cupational : RR ad aa Ree Therapy fyou need help/support, can you count on family/friends/ community? Living life > F) Other persons (family/friends/co-workers) provide strong support ts ful Pee ead deat ec Tolts Fullest > F) Has ample opportunities for social participation Wag enone LLY fg aoe ag RT Rae ta a TE PWC) anatase Come eel cette ee>» OCAIRS Mental Health Interview (Form 2) ON re RENO aL Social Environment > I) Other persons (family/friends/co-workers) provide very little Em CUR ALLe rate econ) Pe NRTA NAO DUR ELLITaR ane Tan tee Occupational Therapy > R) Social support (family/friends/co-workers) is missing from Re eR ea ed ce > R) Does not have opportunities for social participationPLO VE AY (Form 2) ON rr ee ENO aL ‘ell me about a time when you experienced a big change in your life (moving, going away to school, death of a parent/spouse/child). CO an ene ee Naa ea ee ed cupational Therapy (if needed, use an example from response given in Habits section) ‘hen someone gives you feedback (ask to change your behavior) Dae ee hie oA Pe MUR UUEON TTR LN eR T Lea Living Life eat lo Its Fullest > F) Highly motivated to make positive changes; clearly identifies Cece RO WRT EE a aM aa oats ee eR cL re rae karen Pe WR na Cn Led Pear ae RC a ar Pen en ae ae>» OCAIRS Mental Health Interview (Form 2) Questions, Rating Scales and Notes Form Nar ee Ok OTT > D Significant difficulty in adjusting to feedback/changes in Pa ee CL > I Has very few opportunities for social participation Occupational > R) Rejects feedback/changes in personal/environmental Therapy ene nerapy Pe MILLET CLT eee ea? ata living! areas client want to work on>» OCAIRS Mental Health Interview (Form 3) ON rae ara Be Red Be Rea are oa re (Parent? Spouse? Worker? Student? Homemaker?) Pn ae cl ae Gao ager Pr red Occupational Therapy > F) Occupational roles reflect a highly productive lifestyle Living Lire ee RR am Re era Pea eM eee eed ae) eae LD ee ERO Rea en RTO a ae aA PRT Re mrad > A) Minor difficulty in fulfilling a wide range of role responsibilities>» OCAIRS Mental Health Interview (Form 3) OR aL BOTY > I) Occupational roles fail to constitute a productive lifestyle > I) Very little satisfaction with current roles Pm HLM LT RMR TARY RSL Occupational Pe SW es yn aed Therapy > R) Alienated from roles Pe ann ia a ara ae eee>» OCAIRS Mental Health Interview (Form 3) ON rae aT Describe a typical weekday (before you began treatment/ this program/were ees Describe a typical weekend day (before you began treatment/this program/were aes CU Datlo fl al Re Rea ee Re SNe a eae te Ame Rc Re Thera py Sunrpt pSED Tr ELEC re Ant te eee Te ee OMe cA EL Pe eo area ie OL RA eee Pe ORY eM eeS WR era LAS Ry ea ean ae ae ser ear ean RL Rit Marc>» OCAIRS Mental Health Interview (Form 3) OR aL Habits nar eR Resa > 1) Very little balance between self-care and leisure nn RY eae aed Occupational : ee SMPTE AT Therapy eA eer ae a ear a Cr ht Pee ELA aA LT>» OCAIRS Mental Health Interview (Form 3) ONIN tae Sn eR a ORR ee What are some things that have been difficult for you? nr cad ' What is the biggest challenge you are currently facing? Cup ational Pe nT eh a Le ere Therapy Deer Rene eee aL as Pe Oe re armen ear ete LIVING Live > F) Identities a number of things (3 or more) done well/proud of PWR a eae ad Pao Naa eee RE UR A AL SOM Te a aa ate en eo>» OCAIRS Mental Health Interview (Form 3) ONIN tae Personal Causation PRM ee Pe a eae eee ce eR Pam Haman ar a oui ae ak Occupational Se CO ae ea ey I nerapy > R) Anticipates failure in next six months iia Pe NM OA LAR ENT RCAPOLO VE RU eee ee oD OTM CLT Rey as DORR RR eae ee) What are other things or ideals that you value (are important to you)? a ae ee ee Re areata ed eee ea Are you able to live life in ways that fit with the values you think cup ational SRC a aera ae Therapy eer a ete a Rea ARN aR TR Pe Na ree Ry ref Cae LIVING Live ee DN Ran Reno ee RAY Bey » F) Expresses complete congruence between own values and current Ta PP WC nay Ca ars ended eWay Ray > A) Expresses some congruity between own values and current life RYE>» OCAIRS Mental Health Interview (Form 3) ON rae Ty Pe BRAN R aE Rad > D Very little conviction about expressed values Pe aad ee eee Oey eee Occupational an Therapy ea eed Vita pe cane can oe ae ene ae > R) Expresses no congruity between own values and current life Sead>» OCAIRS Mental Health Interview (Form 3) ON rae Beaty Is your major occupational role such as, worker, student, volunteer, caretaker LE RCO ae ee eee OR CRE What do you like to do with your time outside of (work or major occupational ccupational WA (las Therapy GE ee ae Rae > F) Participates in many interests regularly outside of work LIVING Live > F) High level of interest in primary occupation > F) High level of satisfaction in participation in an interest(s) Ween eae Ua a Td eae Pa Wn aera Daa cad > A) Some satisfaction with level of participation in an interest(s) UAE AY RN URS>» OCAIRS Mental Health Interview (Form 3) ON rae Uae ay Ay > I) Few & vaguely defined interest outside work, no regular Pa ta , Se CRN Rea OM pM Le Lae Occupational Pe MIRNA EA rato ara a agian eRe Raga) Therapy > R) Does not participate in any identified interests outside of work Pe OL ea aaa eC Be PON a aeaR a cate da>» OCAIRS Mental Health Interview (Form 3) OES CLT aL Lae Skills: Motor Skills, Process Skills, & Communication & Interaction NYT NOR ere Re ee CON ON ae eae Are you able to concentrate, problem-solve, and make decisions to get things done? DOR ae ea ce eR ee NON ea ee ee ee a T DR ea ea nerapy How well do you work with others? Occupational LIVINg > F) NO limitations in performance due to good skills > F) Effectively compensates for any limitations in skills (if any) Participation is allowed but there are some limitations in performance yy, PAR C1 aera G19 > A) Communication/ Interaction Skills>» OCAIRS Mental Health Interview (Form 3) ON tL ae Skills: Motor Skills, Process Skills, & Communication & Interaction Nye) Participation is inhibited due to significant limitations in: » I) Motor Skills > I )Process Skills ete tag aL SLAY Occupational Therapy Participation is restricted to severe limitations in: Pe POY TA Pe Were e eI > R) Communication/ Interaction Skills>» OCAIRS Mental Health Interview (Form 3) ON rae Goals Do you ever set goals for yourself/make plans for the future? Re ee ee irae What goals do you have for the next week? The next month ? rece eran ae ea ee Occupational “Apgar pocan a ea ese pMDI Therapy Porm Rare ory eee LONG-TERM GOALS PON Ca aR nC Ea eee rN > F) Coherently discusses realistic plan(S) for meeting goals (i.e. Short-term goals correspond to long-term goals) > F) Actively participating in the execution of the plan(s)>» OCAIRS Mental Health Interview (Form 3) ON tae OE RCS > F) Identifies achievable yet substantial short-term goal(s) > F) Coherently discusses realistic plan(s) for meeting goal(s) > F) Actively participating in the execution of the plan(s) Occupational > A) Identifies goal(s) that may be difficult to achieve or if readily Therapy Cade er Waren Rta ater ed ace ao amare eS) Living Lire > A) Somewhat participating in the execution of the plan(s) ean amr cee eee ated ea LTT eo Se eee Dn aaa Ca > 1) Very little participation in the execution of plan(s)Occupational Therapy >» OCAIRS Mental Health Interview (Form 3) ON ay SRC AY De Pn Rene ee aL goal(s) > R) Does not discuss plan, abandons his/her plans easily > R) No participation in the execution of the plan(s), doing nothing to achieve goals)>» OCAIRS Mental Health Interview (Form 3) ONIN tae LONG-TERM GOALS WL Cn ane CeO RO a ae ACoA Peano Menace Pe Waa rau ae aa ON Come aL Fee con tee ae ccna eee al PW ni taie ean anaes eC LO) Occupational Therapy Pe ELM ROTO eye eee Ra | e difficult to achieve , > D Discusses a plan that is not realistic. RY gee Ln ea Ot eon Pe RAR ani POUR ae CLR LOOccupational Therapy >» OCAIRS Mental Health Interview (Form 3) ON Lae Neer e a De Pn A NO ene CeO tea Pa > R) Does not discuss plan, abandons his/her plans easily > R) No participation in the execution of the plan(s), doing nothing to Paar)>» OCAIRS Mental Health Interview (Form 3) ON rae Ses eR ne ns ag are Overall, do you feel you have had the typical ups and downs in your life or do you feel your life has been exceptionally better or worse than typical? Give an example of the best period of your life Give an example of the worst period of your life Cup ational eee aa ee ea Therapy DR ea ee eee eee > F) Expresses very positive feelings about past experiences. LIViINg Live > F) Characterizes past as time of great performance and ee eae as aR Ta PLN oar ae a Pana > A) Presents best and worst period(s) with equal emphasisOccupational Therapy >» OCAIRS Mental Health Interview (Form 3) OTM ScLLT aR Tey Interpretation of Past Experiences Se rr Te nS ed oe ea Re eae > 1) Places more emphasis on worst period(s) than best period(s) of life > R) Expresses only negative feelings about past experiences > R) Discusses only worst period(s), unable to identify best period(s)NY cupational Therapy Living Life Tolts Fullest PO VE AY (Form 3) OR aL here do you live? (Location, house, apartment?) er ee oe ee ae te in the area where you live, are there things to dofplaces to go that interest you? Oe ARAN OL ea oe A A ed ee ee tea ek Oe A Nena ara re there any physical barriers at (from above) or at home that prevent you from getting things done? in terms of activities you would like to participate in, places you would like to go, hat if anything prevents you from doing so (Money, transportation, safety concerns, physical barriers)? re there resources available to help you overcome barriers to getting things done? > F) Demands(Constraints in the physical environment provide strong AEA Laren OAL a a og eed > F) Ample resources/opportunities (money, transportation, facilities POOR Lge nC a ene eT> OCAIRS Cad) Questions, Rating Scales > A) Demands/Constraints in the physical environment provide same support and allow role performance mee RAN Re UL LLL Cr ee Ny Dd RR LLC Lo LLC CMA Ree aA cupational Therapy > 1) Demands/Constraints in the physical environment provide very little support and inhibit successful role performance Living Lif DE AEEELS OED ISLAND ai i as' [an Iving Lire te.) provide very little support and inhibit participation in desired Tolts Fulest a > R) Demands/Constraints in physical environment provide no support and restri ssful role performance » R) Inadequate resources/opportunities (money, transportation, ee ay ga CL ee een ee at a desired activ ReePOL OVE BU eee ee aD Questions, Rating Scales Physical Environment Social Environment Rr ea Ce Re Who do you spend most of your time with? Who are the most important people in your life right now? Does what they expect from you match what you like or would like to do? Would you describe your (work, school, community) setting as supporti Occupational TI nerapy > F) Other persons (family/friends/co-workers) provide strong support Hin | ify which facilitates participation } > F) Has ample opportunities for social participation > A) Other persons (family/friends/co-workers) provide some support re Mme ee cance ct LR aaa [aR aL ce Cal TDPOL OVE BU eee ee aD Questions, Rating Scales Physical Environment Social Environment > I) Other persons (family/friends/co-workers) provide very little RT TO ALO eA pon Pec Occupation al Pe OMIA A) Ogee RN ra eC Therapy Ten EA LA ga A te oO OL Rd Viton} eee meee ee ae eo LIVINg > R) Does not have opportunities for social participationPOL OVE BU eee ee aD Questions, Rating Scales Physical Environment eT een a OT ted Ce eRe ee are ee going away to school, death of a parent/spouse/child). Was it difficult to adjust? ' Pn ar a ee Ue Occupational (Uf needed, use an example from response given in Habits section) When someone gives you feedback (ask to change your behavior) Therapy ome Living Lire > F) Adjusts well to feedback/changes in personal/environmental ned ea are MRL ed eae Car eee cg aan ed Come Rn adPO VE AY (Form 3) ON raed PW enna ee eee oR eRe Ny Catered 4 pee nen cn Lcd ae are er Occupational PITT tone Therapy Pe Rn ne Hie M LET REN Ee Lecce ead ere Livin ql Life ALM aL LY La > D) Very little motivation 10 make positive changes; has significant Hie nC ee eed aa eae ToltsFllet So Oa aad (Toe ane aR RR eee CN ay SL aN ed a RRL eR COR eT Crete a Eee» OCAIRS Mental Health (Form 4) Key Words Form DOTY Tes a Oo in the OCAIRS that the therapist can view at a glance for his/her eee ROLES Occupational > Primary responsibilities Therapy > Importance > Enjoyment a ea eA IU RY pea aed m ao) Pe eRe a Par rita» OCAIRS Mental Health (Form 4) Key Words Form PERSONAL CAUSATION > What one is proud of Pao ear pa erie ae reer Occupational ata i PML Oe Lee “Thetep) | Saeneeor INTERESTS > Interest in primary occupation > Interests outside primary occupation eM aa a Pa aia» OCAIRS Mental Health (Form 4) Key Words Form SKILLS: Motor Skills, Process Skills and Communication & Interaction Skills Pa aaREe DAT e TAT AR td » Limitations: physical, mental, social, emotional > Compensating for limitations Occupational 9 Fram Therapy > Future Plans PR eeu > Long-term ee ead INTERPRETATION OF PAST EXPERIE) ame MILLA a MLTR Paes aR NRL» OCAIRS Mental Health (Form 4) Key Words Form PHYSICAL ENVIRONMENT > Barriers/Accessib Pe eae ra ey ean a ant eerie Occupational Wl Fagremiaenmererrang T herapy > Value and Attitude Congruence Pan DOES Pe rey Oy Og LA OORT RLLIAD READINESS FOR CHANGE eC aal aray PCa ean eae eee eM (oes