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Does anyone know what "Treatment Diagnosis" your setting uses when treating psychiatric conditions. The question was raised by our organizations leadership whether "Psychological Impairment" actually implies that the OT is diagnosing a Psychological Issue. They posed other wording such as "Social" or "Coping" Impairment." Any thoughts?
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Just to add to the conversation I would recommend using the MOHO model and tools to asess occupational needs related to psychological impairment, and consider interventions in practice. We use it in my community mental health team given the evidence behind the model in mental health. Abigail
Thank you. This is helpful.
Hi @Aaron Shamblin. I don't personally work clinically with psychiatric conditions that often, but am sharing others' feedback on your query (with their consent): Dorel (via the Hub's LinkedIn page) "In mental health rehabilitation, the terminology we use for 'Treatment Diagnosis' is often based on a biopsychosocial model. We don't diagnose psychiatric conditions as medical professionals do, but rather assess and address functional impairments. 'Psychological Impairment' doesn't imply diagnosis but signifies challenges in emotional regulation or cognitive function impacting daily life. 'Social Impairment' and 'Coping Impairment' are useful alternatives. However, our focus should remain on identifying specific areas of functional deficits and strengths, as research suggests these are more valuable in guiding treatment plans. Diagnosing psychiatric conditions is typically the domain of psychiatrists and clinical psychologists. Our role as OTs is to holistically assess and facilitate improved functioning in areas such as self-care, social interaction, and coping strategies, all supported by rigorous evidence-based practices."
Yael (via the Hub's Facebook page)
"I try to never use words that are 'diagnostic', rather I will describe a situation and the reaction in a non judgmental way, often posing a question as to future ability to cope with similar situations and the resources the patient may need to cope better.
It's always about the behavior itself, no matter what it's called or if it even has a name.
Also, I find that framing something as a diagnosis often limits variations and possibilities.
If I write 'coping impairment' the patient is doomed to all coping possibilities - whenever coping is needed, that person is checked out. Doesn't even make sense."
Thanks for reaching out Aaron! We'll bring your forum to the attention of fellow Members in the coming days, to prompt perspectives on this.