Final Exam 545 questions and answers
with solutions
Clubhouse principles - ANSWER Voluntary participation: Membership in a clubhouse is
voluntary. There are no agreements, contracts, schedules or rules intended to enforce
participation. If you are a member, you choose what programs you want to participate in.
Membership in a Clubhouse has no time limit. You are welcome to attend as long and as often,
as necessary. You are also welcome to return to a Clubhouse after an absence.Partnership with
staff: Members of the Clubhouse work side-by-side with staff to operate the Clubhouse.
Members choose which staff members they would like to work with.
Work-ordered day: Each day there are important jobs that must be completed to keep the
Clubhouse operating. You will be invited to join the work using your skills and talents. You can
work as little or as much as you like.
Employment assistance: Clubhouses help members find meaningful jobs in the community.
Clubhouses generally offer two types of programs:
Transitional Employment: The Transitional Employment program gives members a chance to
work in local businesses in part-time, short-term jobs. No interviews or prior experience is
required. Clubhouse staff members teach you the job and stay with you until you are
comfortable. This program can help you build a resume, references and confidence in yourself
to gain regular employment.
Supported Employment: Supported employment programs help members get regular jobs in
the community. The job search will be based on your interests talents. The Clubhouse provides
support and encouragement once you are employed.
Education: Clubhouses give members a chance to continue education in the community and
through in-house education and tutoring.
Housing assistance: When needed, Clubhouses also help members find decent,affordable
housing. Many Clubhouses operate their own housing programs.
Other opportunities at the Clubhouse
Benefits from Clubhouse model - ANSWER No time limits on services: Your membership does
not expire. You can participate as much or as little as you want. You can return after any length
,of absence. Members can try as many transitional or supported jobs as they need to in order to
succeed.
Belonging to a group: A Clubhouse is a community of people. You are welcomed and included
for who you are.
A non-medical/clinical focus: At the Clubhouse the focus is on what you want to do and what
you can do—not on a diagnosis or disability.
Challenges of the Clubhouse model - ANSWER Program standards: Clubhouse International2 is
an organization that has worked with members and staff around the world to develop a set of
standards for all Clubhouse programs. The high standards ensure that members are empowered
and given many opportunities. Not all Clubhouses are funded well enough to fully implement
the model.
Voluntary participation: It sometimes takes new members a little while to get used to a program
where they choose activities and schedules based in their interests.
Coordination of services: Supported employment programs are most successful when members
are engaged in quality mental health care.
Role of OT in CMH and Day programming - ANSWER Evaluating and adapting the environment at
home, work, school, and other environments to promote an individual's optimal functioning
Providing educational programs, experiential learning, and treatment groups or classes to
address assertiveness, self-awareness, interpersonal and social skills, stress management, and
role development (e.g., parenting)
Working with clients to develop leisure or avocational interests and pursuits
Facilitating the development of skills needed for independent living such as using community
resources, managing one's home, managing time, managing medication, and being safe at
home and in the community
Providing training in activities of daily living (e.g., hygiene and grooming)• Consulting with
employers regarding appropriate accommodations as required by the Americans with
Disabilities Act
Conducting functional evaluations and ongoing monitoring for successful job placement
, Providing guidance and consultation to persons in all employment settings, including supportive
employment
Providing evaluation and treatment for sensory processing deficits
Yaloms Therapeutic Groups - ANSWER (installation of hope, universality, imparting information,
altruism, corrective recapitulation of primary family group, social learning, imitative behaviors,
interpersonal learning [interpersonal relationships, corrective emotional experiences, social
microcosm], group cohesiveness, catharsis, existential factors)
instillation of hope: - ANSWER In pregroup phase, client expectations are high
Therapist capitalizes by reinforcing belief in healing power of group interventions.
Discuss expectations and evidence during pre-group orientation:
Elevate positive expectation
Downplay negative preconceptions
Clients vary along recovery-collapse continuum
Clients share success stories
Client testimonials encouraged (war stories)
Therapist belief in healing power of groups conveyed both verbally and nonverbally
Belief that clients have much to offer one another—Convey as group norm
Self-help groups demonstrate this principle:
Compassionate friends (bereaved parents)
Men overcoming violence (batter)
Survivors of incest
Mended heart (surgery)
Alcoholics Anonymous/Narcotics Anonymous
Recovery, Inc. (mental health clients)
with solutions
Clubhouse principles - ANSWER Voluntary participation: Membership in a clubhouse is
voluntary. There are no agreements, contracts, schedules or rules intended to enforce
participation. If you are a member, you choose what programs you want to participate in.
Membership in a Clubhouse has no time limit. You are welcome to attend as long and as often,
as necessary. You are also welcome to return to a Clubhouse after an absence.Partnership with
staff: Members of the Clubhouse work side-by-side with staff to operate the Clubhouse.
Members choose which staff members they would like to work with.
Work-ordered day: Each day there are important jobs that must be completed to keep the
Clubhouse operating. You will be invited to join the work using your skills and talents. You can
work as little or as much as you like.
Employment assistance: Clubhouses help members find meaningful jobs in the community.
Clubhouses generally offer two types of programs:
Transitional Employment: The Transitional Employment program gives members a chance to
work in local businesses in part-time, short-term jobs. No interviews or prior experience is
required. Clubhouse staff members teach you the job and stay with you until you are
comfortable. This program can help you build a resume, references and confidence in yourself
to gain regular employment.
Supported Employment: Supported employment programs help members get regular jobs in
the community. The job search will be based on your interests talents. The Clubhouse provides
support and encouragement once you are employed.
Education: Clubhouses give members a chance to continue education in the community and
through in-house education and tutoring.
Housing assistance: When needed, Clubhouses also help members find decent,affordable
housing. Many Clubhouses operate their own housing programs.
Other opportunities at the Clubhouse
Benefits from Clubhouse model - ANSWER No time limits on services: Your membership does
not expire. You can participate as much or as little as you want. You can return after any length
,of absence. Members can try as many transitional or supported jobs as they need to in order to
succeed.
Belonging to a group: A Clubhouse is a community of people. You are welcomed and included
for who you are.
A non-medical/clinical focus: At the Clubhouse the focus is on what you want to do and what
you can do—not on a diagnosis or disability.
Challenges of the Clubhouse model - ANSWER Program standards: Clubhouse International2 is
an organization that has worked with members and staff around the world to develop a set of
standards for all Clubhouse programs. The high standards ensure that members are empowered
and given many opportunities. Not all Clubhouses are funded well enough to fully implement
the model.
Voluntary participation: It sometimes takes new members a little while to get used to a program
where they choose activities and schedules based in their interests.
Coordination of services: Supported employment programs are most successful when members
are engaged in quality mental health care.
Role of OT in CMH and Day programming - ANSWER Evaluating and adapting the environment at
home, work, school, and other environments to promote an individual's optimal functioning
Providing educational programs, experiential learning, and treatment groups or classes to
address assertiveness, self-awareness, interpersonal and social skills, stress management, and
role development (e.g., parenting)
Working with clients to develop leisure or avocational interests and pursuits
Facilitating the development of skills needed for independent living such as using community
resources, managing one's home, managing time, managing medication, and being safe at
home and in the community
Providing training in activities of daily living (e.g., hygiene and grooming)• Consulting with
employers regarding appropriate accommodations as required by the Americans with
Disabilities Act
Conducting functional evaluations and ongoing monitoring for successful job placement
, Providing guidance and consultation to persons in all employment settings, including supportive
employment
Providing evaluation and treatment for sensory processing deficits
Yaloms Therapeutic Groups - ANSWER (installation of hope, universality, imparting information,
altruism, corrective recapitulation of primary family group, social learning, imitative behaviors,
interpersonal learning [interpersonal relationships, corrective emotional experiences, social
microcosm], group cohesiveness, catharsis, existential factors)
instillation of hope: - ANSWER In pregroup phase, client expectations are high
Therapist capitalizes by reinforcing belief in healing power of group interventions.
Discuss expectations and evidence during pre-group orientation:
Elevate positive expectation
Downplay negative preconceptions
Clients vary along recovery-collapse continuum
Clients share success stories
Client testimonials encouraged (war stories)
Therapist belief in healing power of groups conveyed both verbally and nonverbally
Belief that clients have much to offer one another—Convey as group norm
Self-help groups demonstrate this principle:
Compassionate friends (bereaved parents)
Men overcoming violence (batter)
Survivors of incest
Mended heart (surgery)
Alcoholics Anonymous/Narcotics Anonymous
Recovery, Inc. (mental health clients)
