What assessment tool facilitates client-centered goals the best in recovery based mental health?
Answer
My assessment approach is like my intervention approach. It is client specific. After I conduct an interview and obtain a baseline occupational profile, I want to look at their occupational performance by utilizing an assessment that is based upon what they want and what we think the barriers to that are. It depends upon the client. If someone wants to live in an apartment, then I will use something like the Kohlman Evaluation of Living Skills or the Milwaukee Evaluation of Daily Living Skills, MEDLS. If someone is presenting with stress or anxiety as a barrier to them working, we might do a stress management questionnaire. If we really want to look at components of social interaction and cognitive skills, then we might look at something like a Comprehensive Occupation Therapy Evaluation. One of my favorite assessments is the Assessment of Motor and Process Skills. It does require a significant amount of training. It looks at what this person wants to engage in and breaks down tasks so that we can identify what the performance skill barriers are. To me, assessment should be like treatment. It is individualized. There is not one assessment that looks at everything. We also use all of the MOHO-based assessments here, the Worker Role Interview, the MOHOST, the OCAIRS, the OPHI. We determine what the best assessment is based upon the person and their goals.
Sean Getty, MS, OTR/L
Sean M. Getty, MS, OTR/L is Site Coordinator and Clinical Assistant Professor at Stony Brook University at Southampton. His background is in community-based mental health recovery, where he has implemented multiple interdisciplinary programs for persons with mental illness. He has worked with diverse cultural groups with community settings and has created an assessment tool to evaluate the impact of culture on an individual's occupations. He has supervised over 250 students on fieldwork affiliations and has received two awards for fieldwork supervision. He has presented about mental health recovery on state, national, and international platforms. He currently serves as board secretary for Connetquot Cares, a non-profit organization currently being established to address substance abuse and mental health via partnering the community and the school district.
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