The Symptom Floor Check is an exercise developed by Tian Dayton, creator of the Relational Trauma Repair Model. In her Therapist's Guide, Relational Trauma Repair (RTR): An Experiential Model for Working with PTSD Psycho Social Metrics (2014, pp. 47–49) she lays out the goals and steps involved in carrying out a given process as well as variations of the exercise. In this article I will share an additional variation I have used with success in residential treatment and private practice for diagnostic and assessment purposes. The original Symptom Floor Check is an experiential, psycho-educational group process that offers clients the experience of partnering with the therapist in identifying maladaptive behaviors and patterns and assessing the impact and consequences. The process itself involves a series of choice points that allow clients to self-select as to symptoms, thus creating a fluid flow of sociometrically aligned groupings (e.g., dyads and clusters). Initially the...

Review of How Children Grieve: What Adults Miss, and What They Can Do to Help: A Guide for Parents, Teachers, Therapists, and Caregivers to Help Children Deal with Death, Divorce, and Moving.

End-of-Life Conversations With Adult Patients and Their Families: An Evidence-based Guide for Occupational and Physical Therapists.

The Nature of Inclusive Play: A Guide for Designers, Educators and Therapists by Amy Wagenfeld and Chad Kennedy (review)

Physical activity and exercise are protective factors for physical and cognitive decline in older adults, but recent studies reveal that a large percentage of this population do not practice exercise at the levels recommended by international guidelines. The frequency, intensity, type, time, volume, and progression (FITT-VP) principles are a widely used method for prescribing physical exercise, allowing the development of a personalized exercise program that meets the needs of each individual. This masterclass is intended to serve as a professional application tool for physical therapists who prescribe physical exercise for older adults. We present a section for each FITT-VP principle to facilitate handling these principles individually when prescribing exercise for this population. Review of the scientific literature and international guidelines on the prescription of physical exercises for older adults. Aerobic, mobility, resistance, balance, and flexibility exercises, as well as functional training, should be included in an exercise program for older adults, which should be progressed using different methods for each of the exercise modalities. An exercise program for older adults should integrate different exercise modalities. Exercise progression should be performed following the FITT-VP principles and some specific progression factors recommended for each exercise modality. Considering the challenge faced by clinicians in designing a viable exercise program for older adults that responds to international recommendations, with this masterclass we hope to help physical therapists to plan an exercise program that is feasible and at the same time, responds to the expected needs of this population.

Abstract Background The Assisted Decision-Making (Capacity) Act (ADMA) has been in effect since April 2023. Under the ADMA, Occupational Therapists (OTs) are a prescribed class of healthcare professionals capable of assessing a person's decision-making capacity (DMC). OTs must adapt their practice to comply with the new legislation. OTs in an acute hospital reported poor understanding and low confidence using the ADMA. The aims were to enhance OTs knowledge and understanding of the ADMA, how to adapt their practice and to improve OTs documentation of DMC assessment in healthcare records. Methods OTs were surveyed to ascertain their current understanding of the ADMA, confidence using its guiding principles and to identify specific learning needs to address in education sessions. A multi-modal approach including tailored in-service education and 1:1 coaching sessions enhanced OTs knowledge and confidence in using the ADMA. Template documents were developed to guide OTs documentation of DMC assessment in healthcare records. A post-education survey was administered to determine if education sessions and guidance documents had benefitted OTs. Results Knowledge in using the ADMA improved post-education. 67% reported their understanding as ‘good’ compared to 14% pre-education. 0% reported knowledge as 'poor' or 'very poor' post-education compared to 24%. Confidence improved with 8% reporting they feel ‘very comfortable’ assessing DMC post-education compared with 0%. 0% reported 'not at all comfortable' post-education compared to 18%. 100% of OTs who availed of 1:1 coaching reported benefitting from mentoring. 100% of OTs reported guidance documents benefit their practice. 85% reported the education met their expectations. Conclusion OTs are continuing to learn how to use the ADMA in their practice. OTs require ongoing education and training to improve their skills in DMC assessment and documentation of this process. Changing practice in accordance with the ADMA may take time as this change needs to occur at a national and local level.

Dr. Rebecca Pender Baum interviews Lynn Louise Wonders, a licensed professional counselor and registered play therapist supervisor. Ms. Wonders has over 20 years of experience working with children and families. This interview focuses on her work and research into working with high conflict divorce and custody cases. Ms. Wonders discusses her book, When Parents are at War: A Child Therapist's Guide to Navigating High Conflict Divorce and Custody Cases, which highlights potential pitfalls to avoid and the importance of self-care and consultation.

Compulsively Moral: OCD, Ethics, and the Law.

<i>A Therapist's Guide to Mapping the Girl Heroine's Journey in Sandplay</i>, by Rosalind Heiko

issn 0362-4021 © 2017 Eastern Group Psychotherapy Society group, Vol. 41, No. 3, Fall 2017 267 1 Correspondence should be addressed to Danielle La Rocco, MD, Department of Psychiatry , NYU School of Medicine, One Park Avenue, 7th floor, New York, NY 10016. E-mail: Danielle.LaRocco@nyumc.org. Book Reviews Group Workbook for Treatment of Persistent Depression: Cognitive Behavioral Analysis System of Psychotherapy (CBASP) Therapist’s Guide. By Lilane Sayegh and J. Kim Penberthy. New York: Routledge, 2016, 134 pp. Group Workbook for Treatment of Persistent Depression: Cognitive Behavioral Analysis System of Psychotherapy (CBASP) Patient’s Guide. By Lilane Sayegh and J. Kim Penberthy. New York: Routledge, 2016, 103 pp. Reviewed by Danielle La Rocco1 Depression is a major public health concern with an immense need for better, quicker, and more accessible treatments. Over the course of a lifetime, 10%–15% of people will meet criteria for the illness, but most people do not have access to care or do not avail themselves of treatment (Lépine & Briley, 2011). Even in developed countries, only one-third to one-half of individuals with severe symptoms receive treatment. In less-developed countries, few people suffering from depression get mental health treatment at all (Lépine & Briley, 2011). A reliable cure for depression resulting in a complete remission of symptoms has eluded us so far; some patients with depression will remain symptomatic despite multiple interventions with antidepressants and psychotherapy. These lasting symptoms stress not only the individual sufferer but also the social, familial, and economic systems containing that person. The World Health Organization projects that by 2030, depression will be the leading contributor to chronic disability and loss of productive time (Lépine & Briley, 2011). Furthermore, people with persistent depression have a shorter life expectancy because of the risks for suicide, heart 268 la rocco disease, and stroke (Lépine & Briley, 2011). There is a distinct gender difference as well: Worldwide, twice as many women as men are afflicted with depression, especially during their reproductive years, raising questions about how depression may affect populations as a whole. These forecasts are a call to action to the mental health community. What effective and affordable treatments do we have to offer? For group psychotherapists, the cognitive behavioral analysis system of psychotherapy (CBASP) for the treatment of persistent depression offers a specific and well-researched treatment modality. In the preface to both books, the authors indicate that they are well aware of the epidemiological data cited previously. Compelled to rise to the challenge, Liliane Sayegh, a clinical psychologist at the Douglas Mental Health University Institute of Montreal, and J. Kim Penberthy, a clinical psychologist and professor of psychiatry and neurobehavioral science at the University of Virginia, have coauthored two volumes on group CBASP: one for therapists and one for patients. Both authors acknowledge their indebtedness to James P. McCullough Jr., a professor of psychology and psychiatry at Virginia Commonwealth University. He and his collaborators created CBASP, which the authors state is the only evidence-based psychotherapy model designed specifically for patients suffering from persistent depressive disorder (PDD), as defined in the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 2013). The approach focuses on the particular interpersonal difficulties faced by patients with depression, who often underestimate or ignore their own contributions to undesired social outcomes. The treater’s manual for group CBASP outlines the authors’ theoretical viewpoint: In their assessment, people with PDD function psychologically at a preoperational level. According to Piaget’s model, they do not conceptualize interpersonal situations from multiple viewpoints. In other words, these patients do not “mentalize.” As a result, they fail to appreciate how their actions (a tendency to withdraw, to act with submissiveness or hostility) directly contribute to the negative social outcomes they most dread. This approach, through overt didactic teaching, as well as through the words and actions of the group leader and group members, teaches patients how they do indeed have “stimulus value” within their lives. Ideally, patients become more able to assert their needs over time and are able to attain achievable interpersonal goals. The actual content of the treatment, briefly summarized, is as follows. First, the patient meets individually with a CBASP therapist for...

Sociometric Assessment: A Variation of Relational Trauma Repair Symptom Floor Check1

Dental care professionals can support patients to prevent and manage tooth erosion. The role of the dentist is to restore the structure and function of teeth damaged by acid erosion, while the role of the dental hygienist therapist is to work alongside the dentist to help manage and reduce the risk of tooth erosion. This article will highlight how the dental hygienist or therapist can identify tooth erosion. It will describe the features of tooth erosion and outline the causes. This article will discuss preventative care options for patients who are at risk of tooth erosion, including specific oral hygiene instructions, fluoride advice and use of other dental products.

This is a review of the book "End of Life Care: A Guide for Therapists, Artists and Arts Therapists" authored by Nigel Hartley. Τίτλος: End of Life Care: A Guide for Therapists, Artists and Arts Therapists | Επιμελητής: Nigel Hartley | Έτοςέκδοσης: 2013 | Εκδόσεις: Jessica Kingsley |Σελ.: 272 | ISBN: 978-1-84905-133-0

Family therapists often see separating parents who need to agree on co-parenting arrangements. This article provides a guide to current research and practice in family mediation. The limited available research suggests mediation is a useful approach for some separated parents and their children, but often is not successful with highly conflicted parents, parents with mental health problems, parents struggling to accept the separation from their partner, or parents with unrealistic co-parenting expectations. We analyse ways in which mediation might be enhanced, and discuss the potential roles of family therapists to support separating families to negotiate positive co-parenting.

Understanding and Managing Vision Deficits: A Guide for Occupational Therapists

Book Review: Starting Treatment with Children and Adolescents: A Process-Oriented Guide for Therapists

Cognitive-Behavioral Therapy for Adult ADHD: Targeting Executive Dysfunction

Book Review: An Occupational Therapist's Guide to Home Modification Practice

Understanding and Managing Vision Deficits: A Guide for Occupational Therapists (3rd ed.)

This book is appropriately titled a therapist's GUIDE for home modification. The authors provide a wealth of information concerning how a therapist might evaluate the need for modifications as well...