Recovery, Wellness & Occupational Justice
Models & Frames of Reference
Trauma-Informed & Developmental Perspectives
Levels of Care and Practice Settings
Peer-Led, Community, & Homelessness Practice
100

This recovery principle recognizes that people reach wellness through different combinations of services, supports, and meaning-making experiences.

What is many pathways

100

This frame of reference focuses on modifying task demands and environments to support performance based on cognitive capacity.

What is cognitive disabilities model

100

Recognizing that trauma exposure is widespread across populations reflects this SAMHSA trauma‑informed assumption.

What is realization?

100

An occupational therapist helps a client appeal a denied SSI or SSDI application by gathering functional documentation and supporting follow‑through. This reflects this level of advocacy.

What is client advocacy?

100

Peer‑led mental health services emphasize the belief that individuals with lived experience can model recovery and inspire others through shared stories of hope and resilience.

What is hope instillation

200

When a client is prevented from participating in meaningful occupations due to laws, stigma, or institutional practices, this occupational justice term applies.

What is occupational deprivation

200

This frame of reference targets maladaptive thoughts and beliefs to promote changes in emotion and behavior.

What is the Cognitive Behavioral Frame of Reference?

200

This theory explains how early caregiver relationships influence emotional regulation and social participation later in life.

What is attachment theory

200

An occupational therapist working on a team provides services in the client’s home, community, and workplace, collaborates closely with other disciplines, and helps address daily living needs as they arise. This model of care is characterized by providing services in this way.

Assertive Community Treatment (ACT) team

200

Housing First programs prioritize access to this basic need before requiring treatment participation or abstinence.

What is stable housing

300

Experiencing daily life as meaningless despite having access to resources is best described by this occupational injustice.

What is occupational alienation

300

This occupation‑based model emphasizes volition, habituation, and performance capacity when supporting engagement in daily life.

What is the Model of Human Occupation (MOHO)?

300

This federal legislation requires insurance coverage for mental health services to be comparable to coverage for physical health conditions.

What is the Mental Health Parity and Addiction Equity Act

300

In an inpatient psychiatric setting, an occupational therapist facilitates groups focused on grounding strategies, basic self‑care routines, and structuring the day to support clients during acute hospitalization. These interventions primarily target stabilization of which area of occupational performance?

What is re‑establishment of basic activities of daily living (ADLs) and structured daily routines to support safety during acute psychiatric crisis

300

Irregular sleep, inconsistent meals, and lack of daily structure commonly experienced during homelessness most directly reflect this occupational challenge.

What is occupational imbalance?

400

Gaining meaningful work, volunteering, or education most directly supports this SAMHSA dimension of wellness.

What is occupational wellness

400

A client has difficulty sequencing tasks and becomes frustrated when asked to problem‑solve errors. Which OT intervention BEST aligns with the appropriate model of practice?

What is simplifying task demands and structuring the environment to support safe performance?

400

A trauma‑exposed client becomes dysregulated during unpredictable transitions. Which OT intervention is MOST appropriate?

What is providing advance notice, consistent routines, and environmental predictability

400

An occupational therapist is working with a client in an early psychosis program who has recently stopped attending school and withdrawn from daily activities. Which intervention is MOST appropriate to support long‑term occupational participation?

What is supporting daily routines, role engagement, and functional skill development

400

An occupational therapist working with individuals experiencing homelessness uses a structured workbook approach to help clients examine daily time use, identify personally meaningful activities, and gradually increase engagement in health‑promoting occupations to reduce inactivity and isolation. Which intervention is MOST aligned with this approach?

What is action over inertia

500

An occupational therapist is working with a client hospitalized for major depressive disorder. The client reports feeling “broken” and believes they contribute nothing of value to their family. Which intervention BEST aligns with recovery‑oriented occupational therapy practice?

What is facilitating engagement in a meaningful role that builds on the client’s strengths and personal identity

500

An occupational therapist is working with a client with schizophrenia who reports feeling “incapable of doing anything right” and avoids initiating activities despite having the necessary skills. When the OT focuses intervention on restoring the client’s belief in their ability to influence outcomes through successful engagement, the therapist is primarily addressing which component of MOHO?

What is personal causation

500

A client with a trauma history becomes visibly distressed when therapy routines change without warning. Which trauma‑informed care principle should MOST directly guide OT intervention?

What is safety?

500

A client with serious mental illness and type 2 diabetes receives OT services in a clinic where medical providers and mental health professionals collaborate on treatment planning. This model of care BEST supports coordinated management of physical and mental health needs.

What is integrated behavioral health and primary care

500

An occupational therapist is working in a Housing First program with a client who continues to use substances but expresses interest in improving daily functioning and reducing risk. The OT collaborates with the client to identify safer routines and gradual behavioral changes without requiring abstinence. This approach BEST reflects which occupational therapy intervention strategy?

What is a harm-reduction approach focused on incremental, client-directed change

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