Occupational Therapy 6189 & 7440

Individual Treatment Plan and Reflection

Client, Age, Patient “H”, age 12, suicide ideation; PMH: IED, ODD, ADHD
Diagnosis if known
Precautions (client - Outbursts, violence
specific)
Treatment Time 40 mins
Activity Selected for 1. Review coping skills
Treatment 2. Practice coping skill
3. Evaluate strengths and weaknesses
Steps to the activity First activity: Review
(Do, What, How) - Reflect on what he’s learned this last week
- Have him explain two of his favorite coping strategies that he’s learned
- Talk about safe, physical activity as a coping strategy
Second activity: Practice (Contained heavy work, basketball with a heavy basketball,
contained visual-motor tasks help kid focus in on one thing)
My recommendations:
- Jumping jacks (20)
- Butt kickers (20)
- Push-ups (10)
- Lunges (10)
OR let him choose:
Third activity:
- “Hold onto and let go of”
- Pt will trace both hands side by side on a piece of paper
- One hand will be filled with things they want to hold onto during the recovery process
(bravery, friends, strength, personality) and the other hand will be filled with things they
want to let go of (pride, selfishness, perfectionism..)
- Encourage the client to draw pictures to represent the items. This can facilitate more
discussion when sharing, rather than just reading the word. If used in a group format, it
can also help highlight how people have similar goals, but their journeys through
recovery are all different.

Materials needed - Yoga matts available in group rooms

- Music (during exercise)
- Paper
- Markers/pencils
Why Activities were First activity: Review
selected (clinical - Recall and repetition of new knowledge should be practiced so as to engrain it into
reasoning) memory and implementation. It also allows me to evaluate if/what he’s been learning
Include Body over the last week and make changes to the session prior to beginning.
Functions & Skills Second Activity: Practice
being addressed by - Last time client was observed by S/OT (one week before) he had very high energy and
this activity as well struggled to remain still during eval session. Implementing a physical exercise
client interests. component will allow him to use up some of his energy and practice using a simple
coping strategy.
Third Activity
 Occupational Therapy 6189 & 7440
Individual Treatment Plan and Reflection
- This intervention can take a strengths’-based approach and will also challenge patient to
evaluate things he has control over. He will be asked to evaluate what his greatest
strengths are and what his greatest weaknesses are. The goal is to encourage self-
reflection and talk about how those strengths and weaknesses effect his everyday
functioning.

Goals being addressed: implementing appropriate coping strategies

Also: pt is working towards ability to ask appropriate figures for help (when he needs a
break, help with something, or when he needs to talk)

Grade your activity Grade up

up, and grade down - Discuss more of the coping strategies that “H” has learned during his stay
or adapt. - Have “H” create his own exercises that he wants to implement

Grade down
- Choose two exercises to do instead of four
Adapt
- Talk about the things he wants to hold onto and let go of instead of tracing his hands and
writing them down
 Occupational Therapy 6189 & 7440
Individual Treatment Plan and Reflection

Every great clinician needs to reflect on how to improve, and this is critical as a student.
I had designed this session to a be a one-on-on intervention with patient “H”, but due to scheduling and
Cindy’s recommendation, the third activity was used instead as the first part of a group session. Patients “H”, “J”,
and “G” were supposed to be present, but only patient “G” showed up. The second half of the session consisted of
playing basketball in the hallway, in which patients “H” and “G” attended.

1. What went well?

Patient “G”’s participation in the session was fair. However, both patients “G” and “H” participated actively
and appropriately in basketball during the second half of the session. It helped to alert patient “G” and
calm/regulate patient “H”.

2. What did not go well? What changes did you make on the fly, and what would you change next time you
do this activity and/or work with this client?

The first half of the session went okay overall, but I designed activity 3 to be implemented with patient “H”
after being prepared for it with activities 1 and 2; not to be implemented with patient “G” right at the
beginning and whom I knew nothing about. Given that patients “H” and “G” have very different
personalities, temperaments, and goals, I would have designed a very different treatment session for
patient “G” had I known that I would only be working with him.

3. What did you learn about yourself as a therapist during this activity?

Though very hesitant at first to work in the mental/behavioral health setting, I find myself really enjoying it
and feeling like it is a fairly natural fit.
I do find it difficult as a Level I student to take charge of a session like this while my clinical educator is in
the room. She is extremely kind and supportive; I think I just feel awkward trying to lead while she is
present in the room.
 Occupational Therapy 6189 & 7440
Individual Treatment Plan and Reflection
 Occupational Therapy 6189 & 7440
Individual Treatment Plan and Reflection
 Occupational Therapy 6189 & 7440
Individual Treatment Plan and Reflection