OASIS-C
OASIS-C is making agencies more aware of the needs of the depressed patient. Recently, I was speaking with an agency that wants to expand their psych team. We discussed adding an Occupational Therapist to the predominately RN team.
So much of successful therapy requires healthy displacement of internalized anger. The RN therapist frequently uses words, supportive counseling, or cognitive restructuring action plans. The OT leans toward activities. Adults enjoy activities, especially when they build ego strength or divert or displace hostility in a more acceptable manner. Plus, did you ever notice that it is sometimes easier (and sometimes safer) to talk when active? OTs can assist with stress management, anger/conflict management, basic living skills, relaxation strategies, and grief counseling. They are usually comfortable using the mini-mental status exam and the geriatric mood assessment. Of course, the team must agree on which tools will be used and be certain all members are proficient in their use to reduce inter-rater reliability issues and promote optimal effectiveness. Both RNs and OTs model relationship skills with patients and families to promote patient goal achievement. Both disciplines model interpersonal and communication skills and respond effectively to conflict and complex issues in coordinating services. So, when you are considering your home health psych team, consider OT. They add another dynamic dimension.
Susan Carmichael
MS, RN, CHCQM, COS-C
Fellow of the American Institute for Healthcare Quality