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ABSTRACT

ROLE OF OCCUPATIONAL THERAPY IN PSYCHIATRIC CASE MANAGEMENT

WITH EMPHASIS ON SCHIZOPHRENIA MANAGEMENT.



BY



SUBHASIS SARKAR ( OCCUPATIONAL THERAPIST )

DEPTT. OF REHABILITATION

IBN SINA HOSPITAL

AL-AMERAT





The central tenet of occupational therapy, since its inception, has been the

promotion of a balanced and satisfactory lifestyle. By guiding a patient

through activities, they can learn new skills and practice positive ways in

which to focus on their improvement. The use of occupational therapy

programs is widespread throughout mental health settings. Providing a

creative outlet can be a way to open the door to a greater recovery, and

increased confidence. The results of the clients' efforts can be a great source

of pride, as well as a way to learn new skills. By taking the time to carefully

work through all the steps of a project, the patient will learn to focus on the

task at hand. The process can let them practice life skills such as frustration

tolerance and gain patience while taking part in an enjoyable pursuit. By

helping a person take part in a worthwhile pursuit such as a craft project,

their mind will be more active, and in a more focused and positive way. This

focus has been found quite important in slowing the progress of dementia.

Using the mental faculties in a concentrated way reinforces the neural

pathways on a deep level, and can be vital to maintaining or achieving good

mental health.



The national institute of mental health (nimh) has categorised schizophrenia

as a developmental disease resulting when neurons form inappropriate

connections in the foetal stage of development. However these faulty

connections can remain dormant and tend to affect only after puberty when

changes in the brain seem to get adversely affected by these dormant faulty

connections. Certain biochemical changes have been found through brain

imaging techniques as preceding the onset of disease so changes in neural

circuits as well as molecular changes exploring the genetic basis of brain

abnormalities have all been linked as causes of schizophrenia . Occupational

therapists are capable of assisting people with schizophrenia to help

reshaping the environment and help them to regain roles that involved

interacting with the external environment. Social and life skills training are

facilitated by occupational therapists who aim to bring schizophrenics back

to a regular life where they can sustain themselves as independently as

possible. Occupational therapists thus play an important role in early

intervention as they emphasize on improving people's ability to perform

tasks in their daily living and in their working environments through skilled

intervention.



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