A Creative Activity / Occupational Therapy for UG & PG Psychiatric Nursing Students

1. MR. NITHIYANANDAM. T  M.Sc., in Psychiatric Nursing
 : nithiyuday@gmail.com

2. Occupational Therapy (OT) can be described
as the art and science of challenging an individual’s
effort in specially selected activities that have been
designed to restore and enhance his performance.

3. “Any activity, which engages a person’s
resources of time and energy and is composed
of skills and values”

4. Occupational Therapy is the application of
goal – oriented and, purposeful activity in the
assessment and treatment of individuals with
psychological, physical or developmental disabilities.

5.  Promotion of recovery
 Mobilization of total assets of the patient
 Prevention of hospitalization
 Creation of good habits of work and leisure
 Enhance the patient to regain self – confidence

6.  Select the activities based on interest IQ levels
strengths and abilities of the client.
 Utilizes the client’s available resources.
 Select short duration activities to foster a sense
of accomplishment and enhance self-confidence.
 Provide good reinforcement for even small
achievements.
 Plan and selected activities that gives new
experience for the client to meet the day to day
activities.

7.  Depression
 Chronic schizophrenia
 Anxiety disorder,
 Manic disorder,
 Paranoid schizophrenias
 Catatonic schizophrenia
 Antisocial Personality
dementia
 Substance abuse
 Childhood Psychiatric
disorders

8. OT is provided to children, adolescents, adults and
elderly patients.
 Psychiatric Hospitals
 Nursing Homes
 Rehabilitation Centers
 Special Schools
 Community Mental Health Centers
 Halfway Homes and De – addiction Centers

9.  Independent living skills: Self – care or Self
Maintenance.
 Crafts, Socialization, Leisure activity and
Education.
 Employment and Academic preparation, Home
making, child care or parenting.
 Design fabrication and application of orthotic
devices.
 Therapeutic exercise
 Patient or family education / Counseling.

10.  Assertiveness Training
 Daily Activities Living
 Music, Art and Clay
Work.
 Poetry and Drama.
 Craft Work
 Wood Work
 Weaving
 Painting
 Social Skills Training
 Industrial Works
 Sewing
 Leather Work
 Ceramics

11. OT are classified as follows,
 Diversional – E.g.. Organized games.
 Remedial – E.g.. Physiotherapy for
particular muscle groups. (Basket making,
Weaving, Carpentry, Candle Making,
Baking, Tailoring, Gardening, Embroidery)
Physiotherapy also includes (Heat massage,
Electrotherapy)

12. Anxiety Disorder:
Simple concrete tasks with not more than 3 or 4
steps. (Sweeping, Washing, Weeding garden)

13. Depressive Disorder:
Simple concrete tasks which are achievable. (Craft
Works)

14. Manic Disorder:
Non-competitive activities that allows the use of
energy and expression of feelings. (Raking Grass)

15. Schizophrenia (Paranoid):
Non-competitive solitary meaningful tasks that
require some degree of concentration (Puzzles)

16. Catatonic Schizophrenia
Simple concrete tasks in which patients involves
actively. (Metal work, Molding clay)

17. Anti-Social Personality:
Activities that enhance self – esteem and expressive
and creative. (Leather Work, Painting)

18. Dementia:
Group activities to increase feeling of belonging and
self-worth. (Cover making, packing goods)

19. Substance Abuse:
Group activities in which patient uses his talents.
(Involve patient in planning social activities)

20. Childhood and Adolescent disorders:
 Children – Playing, Story telling, Painting, Poetry
Music etc.
 Adolescents – Leather work drawing, painting etc.
 MR – Cover making, candle making and packing
goods.

21.  OT helps to build a more healthy and integrated
ego.
 OT helps to express and deal with needs and
feelings.
 Assists in the gratification of basic needs.
 Strengthens Ego defenses.
 Reverses Psychopathology
 Facilitates personality development.
 Develops Self Esteem and Good Self – Concept.

22.  Involve patients to select activity
 Activity should utilizes patients strength and
abilities.
 The activity should be of short duration to foster
feeling of accomplishments.
 The selected activity should provide new
experience for the patient.

23.  Coordinates with other therapeutic team
members in diagnosing the abilities, strengths,
and talents, interests IQ levels of the client and
in selecting the activity for a specific client.
 Provides a series of graded experiences to the
client, e.g. observing the demonstration of any
activity to more direct and active experiences
 Educates the client to develop specific new skills
 Encourages socialization and exhibits positive
interest to the client

24.  Guides the client in formulation of new hobbies
by strengthening the abilities of the client
 Appreciates if the client performs any approved
behavior.
 Offers tokens for each accomplishment of the
work, based on the principle of positive
reinforcement.
 Helps the client to develop independent living
skills.

25.  Approaches community agencies
for job placement of the clients in
approved social activities.
 Assists in developing good social
interaction and relationship.
 Never citizens the client,
when he is performing any
activity.

26. It is well clear that occupational therapy
plays an important role for treating and
rehabilitating mentally – ill clients.