Occupational Therapists and Mental Health Interventions - Moving With Hope (2022)

Occupational Therapists and Mental Health Interventions - Moving With Hope (1)

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Occupational therapy focuses on the therapeutic use of daily activities (or occupations) with individuals or groups. This is to improve their participation in roles, habits, and routines in the home, school, workplace, community, or other settings. An occupational therapist helps you to get back to your customary activities as much as possible. They work with individuals who have physical and cognitive impairments, psychosocial dysfunction, mental illness, and developmental (or learning) challenges. So let’s discuss the significance of occupational therapists and mental health interventions.

Occupational Therapists and Mental Health and Wellness

An occupational therapist assesses each client holistically. For each client, they will consider various factors such as:

  • Values, beliefs, spirituality, mental function, sensory function, etc.
  • Performance skills (or motor, process, and social interaction skills)
  • Environment or context
  • Performance patterns (or habits, routines, roles, etc.)

Your occupational therapist will work with you to promote, establish (or restore), maintain, or modify tasks to help you participate fully in your daily life. Furthermore, occupational therapists will seek to prevent potential barriers to participation in desired activities.

Is Occupational Therapy Considered Mental Health Assistance?

Occupational Therapists and Mental Health Interventions - Moving With Hope (2)

Mental health is an essential component of all occupational therapy interventions. Occupational therapists provide mental health treatment and prevention services for all – children, youth, the aged, and people with severe and persistent mental illness. All interventions focus on improving each client’s function and independence.

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Occupational therapists work in mental health settings and they focus on enabling persons to re-engage in useful occupations. How do they do this? They help each client build a variety of skill sets, establish good habits and routines, set therapy goals, apply cognitive-behavioral techniques (CBT), and understand and counter physiological influences.

Within the settings of children’s and adolescents’ mental health, occupational therapy focuses on these physiological influences. They teach clients how to identify and utilize self-regulation strategies to get them back to participating in meaningful activities like going to school or work and interacting with family and friends.

Also, occupational therapists serve individuals with sensory processing disorders (SPD) and social-emotional learning dysfunctions. These conditions are usually seen within the children and adolescent segments of the mental health sector.

Occupational Therapy and Community Mental Health

Did you know that occupational therapy has its roots in mental health? It’s true! The creation of the profession coincided with the early 20th century’s mental hygiene movement.

Eventually, the call for deinstitutionalization of people with mental challenges led to the 1963 Community Mental Health Act. This act meant that occupational therapists and their assistants began working in community mental health. Today, occupational therapy within community mental health settings provides services such as:

  • Community mental health centers
  • Assertiveness community treatment (ACT) teams
  • Psychosocial clubhouses
  • Homeless and women’s shelters
  • Correctional facilities
  • Senior centers
  • Consumer-operated programs
  • After-school programs
  • Homes
  • Worksites

As mental health services have shifted from the hospital to the community, there has also been a paradigm shift in the service delivery philosophy. Traditionally, there was an emphasis on the medical model, but now the focus is on implementing the recovery model.

This latter model acknowledges that recovery is a long-term process and clients are encouraged to keep participating in community activities until they can do so fully. Therefore, occupational therapy activities include finding and keeping employment, going to school, and living independently.

The philosophical foundation of this recovery model is the integration of occupational therapy with community mental health. The goal of this integration is to increase your ability to live independently, as much as possible, in the community as you engage in productive daily activities.

Occupational therapy facilitates your participation and is client-centered. It also plays a significant role in the success of those recovering within the community. Occupational therapists and occupational therapy assistants are educated to deliver mental and physical health and wellness services, rehabilitation, habilitation, and recovery-focused approaches. They are also trained in clinical fieldwork that’s focused on assessing psychosocial issues.

Examples of Occupational Therapy Within Mental Health

Occupational Therapists and Mental Health Interventions - Moving With Hope (3)

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Occupational therapy interventions improve the health outcomes of those with mental health challenges. These interventions are found in the areas of education, work, skills training, health, and wellness, as well as cognitive remediation and adaptation. Some examples of occupational therapy interventions in community mental health include:

Evaluating and adapting the home, work, school, and other settings to facilitate your optimal functioning.

  • Providing educational programs, experiential learning, and treatment groups or classes to address key issues. These issues include assertiveness, self-awareness, interpersonal and social skills, stress management, and role development (for example, parenting).
  • Helping clients develop leisure or avocational interests and pursuits.
  • Developing skills for independent living such as using community resources, managing your home, time, and medication, as well as being safe at home and in the community.
  • Providing training in daily living activities (for example, hygiene and grooming).
  • Consulting with employers about appropriate accommodations for their clients (as required by the 1990 Americans with Disabilities Act).
  • Conducting functional evaluations and ongoing monitoring for successful job placement.
  • Guiding and consulting with persons in all employment settings (including supportive employment).
  • Providing evaluation and treatment for sensory processing deficits.

Occupational therapy benefits individuals of all ages with a variety of mental illnesses. Furthermore, friends and family members also benefit from occupational therapy as they learn how to deal with the stress of caregiving and successfully balance their daily responsibilities in life.

Occupational Therapy Approaches

Occupational therapists use several evidence-based approaches within the mental health environment. They include:

  • Teaching coping and self-regulation skills that are useful in a variety of contexts.
  • Educating people about sensory exploration and implementing sensory approaches for self-regulation.
  • Utilizing CBT approaches to support your participation in desired activities.
  • Identifying and implementing healthy, positive habits, and structure into daily routines.
  • Supporting the learning and implementation of key skills. These skills include those related to social competence (like making and keeping friends), coping with anger, solving problems, learning about social etiquette, and following rules.
  • Evaluating factors that block your success in school, at work, as well as in your home and community.
  • Modifying your environment to support improved attention, participation, and decrease sensory overload at school and/or at work.
  • Educating parents about important behavioral and psychosocial approaches to enhance their children’s daily functioning.
  • Reducing restraints and seclusions within the inpatient setting. This is done via comprehensive assessments to determine what facilitates and bars your participation in:
    • Life tasks
    • Self-awareness and skills development
    • Developing attainable goals
  • Modifying your environment for optimal fit.
  • Promoting the use of self-regulation and sensory strategies.
  • Educating an interdisciplinary team on prevention techniques.

Can an Occupational Therapist Assist With Anxiety?

Occupational therapy plays a significant role in helping clients suffering from anxiety to manage their condition. An occupational therapist will work with you to identify how anxiety is affecting you, teach you valuable coping skills, and help you work towards achieving your future goals.

Can an Occupational Therapist Perform Psychotherapy?

Occupational therapists are authorized to provide psychotherapy services. Furthermore, these psychotherapy services are performed according to the standards of the practice.

What You Can Expect From a Mental Health Occupational Therapist

Occupational Therapists and Mental Health Interventions - Moving With Hope (4)

Many people think of occupational therapy as applicable to pediatric services or physical rehabilitation. So they are often surprised to find occupational therapists working in mental health environments. So if you, a relative, or a friend is seeing a mental health occupational therapist, then keep reading to learn about how they can help you.

An Occupational Therapist’s Contributions to a Mental Health Treatment Team

An occupational therapist undergoes training in holistic approaches that are suitable for work in mental health settings. Their areas of training include:

  • Physical wellbeing
  • Cognitive assessment
  • Sensory strategies
  • Therapeutic alliances
  • Group activities
  • Participation in activities of daily living (ADLs)
  • Socio-emotional skills

Occupational therapy assists clients to participate in daily activities as independently as possible.

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Mental Health Occupational Therapy Interventions

Some of these interventions include:

Lead Groups

Occupational therapists are trained to create lead groups in areas that focus on:

  • Life skills
  • Job readiness
  • Therapeutic cooking
  • Money and time management
  • Wellness recovery action plans (WRAPs)
  • Therapeutic leisure
  • Nutrition
  • Sensory groups
  • Independent living

Apply Calming Strategies

Occupational therapists use activities of daily living (ADLs) or occupations to aid in optimal mental health and welfare. They may also help you use coping mechanisms like listening to music, playing cards, writing, drawing, cooking, or cleaning.

They are also experts at applying sensory strategies. Your sensory system helps you process information that you gather from your environment. Clients with mental health challenges have a compromised ability to process sensory input, which can lead to them feeling agitated and unsafe.

Sensory strategies activate your basic processing systems like the vestibular, proprioceptive, and deep pressure touch, to help you process information. These strategies help you to feel safe and calm. These sensory strategies may prove very helpful for persons who may not be able to benefit from talk therapies.

Sensory Rooms

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Occupational therapists serve as a part of a larger movement to create sensory rooms in mental health facilities. These sensory rooms are safe havens for clients. These rooms also tend to have tools to help them de-escalate and relax.

Evaluate Discharge Preparedness

Occupational therapists use a series of assessments to see if clients are ready to be discharged. These standardized assessments provide valuable information. In turn, this information helps your treatment team understand the level of care that’s required for discharge and to monitor your treatment progress.

Address Physical Wellbeing

Another vital service that an occupational therapist provides is their physical rehabilitation background. Mental health issues are often accompanied by physical health issues.

In a mental health environment, you may find that your occupational therapist:

(Video) Occupational Therapist: Helping People Live Their Lives

  • Addresses general strengthening
  • Adjusts wheelchairs
  • Recommends adaptive equipment
  • Performs any other activity that’s within the scope of occupational therapy

Advocate for Your Safe Independence

Occupational Therapists and Mental Health Interventions - Moving With Hope (6)

Your occupational therapist will assist you in mastering your daily activities. If your mental health condition compromises your ability to fully complete your daily activities, then speak to your occupational therapist about your concerns. Even if your occupational therapist doesn’t have the tools necessary to address your mental health requirements, they can advocate on your behalf and assist you to get the help you need.

Mental Health Specializations

Many occupational therapists are experts in trauma-informed care and the recovery model. They gain this expertise either through their schooling, workplace training, or independent study. Some occupational therapists will then proceed to earn their Certified Psychiatric Rehabilitation Practitioner (CPRP) certification.

Occupational therapists possess unique knowledge and skills that facilitate effective, holistic mental health interventions. Incorporating occupational therapy skills like sensory approaches and psychosocial techniques help clients to effectively function in their daily lives.

How Long is Rehab After a Mental Health Incident?

After a mental health crisis, hospitalization is often necessary for stabilization and treatment. Some of the reasons for hospitalization include any conversations about suicide or death, self-harm, violence toward others, psychosis symptoms (like hallucinations and delusions), or a complete inability to carry out daily life skills.

The length and severity of a mental health episode vary and so the length of stabilization also varies. However, most individuals stabilize within a few days of staying in a hospital. Studies have shown that the average length of hospitalization is 10 days. Hospital stays may also last longer when placed in psychiatric care than when in a regular hospital.

However, rehabilitation is different as this phase occurs after a patient has been stabilized. The length of rehabilitation will also vary according to the individual, their prognosis, and how quickly they can learn and effectively implement coping skills.

How Do I Find a Rehabilitation Program for Occupational Therapy for Mental Health?

We have shown that occupational therapists and mental health are intertwined. Are you wondering how to find an occupational therapy rehabilitation program for mental health? We have an outstanding option for you at Moving With Hope in Shelton, CT.

We provide the best occupational therapists who effectively assist clients with a variety of mental health challenges. At Moving With Hope, we will also work with your medical team to create an effective treatment plan to suit your needs. We invite you to contact us today to begin your journey to health and wellness, inside and out.


How can an occupational therapist help with mental health? ›

The core objective of occupational therapy in mental health is to help people develop a clearer picture of how their mental health problems interfere with their capacity to engage effectively with work and make adequate use of their physical and mental resources.

Why is Moho model good for mental health? ›

MOHO is a holistic psychosocial model based on occupation and occupational function. It looks at key areas of function using a systems model as its basis – this systemic function/dysfunction of all aspects of an individual's occupation provides the structure for the OT and guides their interventions.

How does anxiety impact occupational performance? ›

Fear of failure, concern about having a panic attack, or fear of embarrassment can lead to a child's lack of participation even though he or she may want to be engaged. These experiences can lead to social isolation and result in poor occupational perfor- mance in all life skill areas.

What is the tree theme method? ›

The Tree Theme Method® (TTM) is an intervention that can complement CBT and pharmacological treatment. The TTM is designed for a client-centred clinical occupational therapy context [5] in which the patient paints pictures of trees that represent certain periods in his or her life.

What settings is mental health addressed by OT in the community? ›

Occupational Therapy in Mental Health: An Overview of 6 Typical Settings
  • Acute Care Setting. Acute care in a hospital setting addresses critical or life-threatening medical conditions. ...
  • State Hospital Setting. ...
  • Skilled Nursing/Transitional Care. ...
  • Assisted Living Facilities. ...
  • Home Health. ...
  • Community Centers.
10 Jun 2021

What are smart goals in occupational therapy? ›

SMART is a common type of goal used among many occupational therapists. SMART stands for Specific, Measurable, Attainable, Relevant, and Time Based. By using this acronym as a guide, you can ensure your goals contain all the relevant information necessary.

What are the limitations of MOHO? ›

However, a range of possible limitations to current studies have been identified, including small sample sizes, lack of scientific method and bias. The frequent involvement of the creators of the MOHO and the MOHOST in studies raises the questions of objectivity and possible 'experimenter effects' (Rosenthal, 1976).

How do you explain MOHO? ›

The Model of Human Occupations (MOHO) is a model that describes how humans generate and modify their occupations in interaction with environment, which presents a dynamic open cycle system of human actions.

What is habituation in occupational therapy? ›

Habituation is a construct used by the occupational therapy (OT) practice model, the Model of Human Occupation (MOHO). Habituation relates to a persons' roles, habits, and routines, and how these interact to shape occupational participation and performance.

How does an occupational therapist help someone with anxiety? ›

These include exercises, relaxation techniques, and biofeedback (monitoring your physiological functions). Occupational therapy helps you manage your anxiety and reduce its impact on your daily life. An occupational therapist will help you identify your future goals and map a plan of action to achieve those goals.

How does an occupational therapist help with anxiety? ›

Occupational therapy plays an important role in helping clients with anxiety manage their condition and minimise its impact on their daily life. An occupational therapist will work with a client with anxiety to identify how the condition is affecting them and what their future goals are.

What are some interventions for anxiety? ›

Some ways to manage anxiety disorders include learning about anxiety, mindfulness, relaxation techniques, correct breathing techniques, dietary adjustments, exercise, learning to be assertive, building self-esteem, cognitive therapy, exposure therapy, structured problem solving, medication and support groups.

What is the difference between a mental health therapist and an occupational therapist? ›

OTs need to consider not only the physical factors of illness or injury, but also the psychosocial and emotional needs of our clients as well. Mental health professionals are well-versed in the mental and emotional impact of injuries, disabilities, or disease.

What percentage of occupational therapists work in mental health? ›

In the United States, only about 2% of occupational therapists work in mental health roles (Lyon, 2020).

Can occupational therapist diagnose mental illness? ›

Can Occupational Therapist Diagnose? Occupational Therapists do not diagnose individuals with conditions. Doctors and psychologists can help diagnose individuals with conditions such as depression, anxiety, sensory processing disorder, Autism, ADHD etc.

What are the 5 SMART goals examples? ›

5. SMART goal example for increasing sales
  • Specific: I will learn new sales techniques to increase sales at work.
  • Measurable: My goal is to double my sales in four months.
  • Attainable: I've been a sales associate for two years now. ...
  • Relevant: I want to feel more confident at my job and learn new skills.
5 Aug 2022

What are good occupational therapy goals? ›

Goals and functions of occupational therapy
  • Diminish and control pathology.
  • Restore and/or reinforce functional capacity.
  • Facilitate learning of skills and function essential for adaptation to the environment.
  • Promote and maintain health.
2 Feb 2021

Is MOHO evidence based practice? ›

Therapists reported that MOHO supports holistic, occupation-focused, client-centered, and evidence-based practice.

Is MOHO person Centred? ›

MOHO is said to be client-centred, evidence based and holistic in nature. The client's thinking, feeling and doing are central to therapy and the model takes into account both mind and body and it has been designed to complement other occupational therapy theories.

What is habituation in MOHO? ›

Habituation is a concept in MOHO that refers to the organization of actions into patterns and routines that are governed by habits and roles and shaped by context and the environment.

How does MOHO define healthy or optimal functioning? ›

According to MOHO, when the human open system is functioning optimally, order exists within the system. Function is displayed when (Kielhofner defines function as order): Individual competently performs everyday tasks of daily life in a routine and satisfying way. "Order" produces and maintains a state of health.

What is the focus of MOHO model? ›

The MOHO primarily focuses on explaining the volitional processes, roles, and habits that guide and structure people's participation in occupation; the motor, process, communication, and interaction skills that underlie performance; and the subjective experience of engaging in occupation.

What is Ocairs assessment? ›

Summary: The OCAIRS provides a structure for gathering, analyzing, and reporting data on the extent and nature of an individual's occupational participation.

What is volition in occupational therapy? ›

Volition is defined as a person's motivation for participating in occupation. The concept of 'volition' expands similar concepts and theories, which focus mostly on cognitive processes that influence motivation.

When do you use MOHO model? ›

MOHO is intended for use with any person experiencing problems in their occupational life. It is designed to be applicable across the life span.

Whats the definition of habituation? ›

1 : to make used to something : accustom. 2 : frequent sense 1. intransitive verb. 1 : to cause habituation. 2 : to undergo habituation habituate to a stimulus.

What assessment is used for anxiety? ›

Patient Health Questionnaire

GAD-7 The GAD-7 was developed as a brief scale for anxiety and scores common anxiety symptoms.

Can ot help children with anxiety? ›

Can Occupational Therapy Help With Anxiety? Occupational Therapy can help children and parents identify the triggers of anxiety and then develop solutions or coping strategies.

What is the cognitive-behavioral frame of reference? ›

The cognitive-behavioral frame of reference (FOR) emphasizes five aspects of life experience: thoughts, behaviors, emotion/mood, physiological responses, and the environment. These aspects are interrelated, meaning that changes in one factor can lead to improvement or deterioration in other(s).

Can an occupational therapist diagnose anxiety? ›

15 Nov, 2021. Occupational therapists have extensive knowledge to detect and support those suffering with a mental health issue. However, to properly diagnose a mental illness and recommend the best treatment, an occupational therapist will look out for the following signs and symptoms: Excessive worrying or anxiety.

Is Occupational Therapy stressful? ›

Being an occupational therapist can be stressful.

So while you do get to provide meaningful treatments and help people achieve their goals, you will likely have to deal with the struggle of meeting your productivity on a daily basis.

What are the reasons for anxiety? ›

These factors may increase your risk of developing an anxiety disorder:
  • Trauma. ...
  • Stress due to an illness. ...
  • Stress buildup. ...
  • Personality. ...
  • Other mental health disorders. ...
  • Having blood relatives with an anxiety disorder. ...
  • Drugs or alcohol.

Which behavior therapy technique is commonly used to treat anxieties or fears? ›

Cognitive behavioral therapy (CBT) for anxiety. Cognitive behavioral therapy (CBT) is the most widely-used therapy for anxiety disorders. Research has shown it to be effective in the treatment of panic disorder, phobias, social anxiety disorder, and generalized anxiety disorder, among many other conditions.

What interventions are good for depression? ›

Depression Treatments for Adults
  • Behavioral Therapy. ...
  • Cognitive Therapy. ...
  • Cognitive-Behavioral Therapy (CBT) ...
  • Interpersonal Psychotherapy (IPT) ...
  • Mindfulness-Based Cognitive Therapy (MBCT) ...
  • Psychodynamic Therapy. ...
  • Supportive Therapy. ...
  • Medications.

What are 5 treatments for anxiety? ›

Lifestyle and home remedies
  • Keep physically active. Develop a routine so that you're physically active most days of the week. ...
  • Make sleep a priority. ...
  • Use relaxation techniques. ...
  • Eat healthy. ...
  • Avoid alcohol and recreational drugs. ...
  • Quit smoking and cut back or quit drinking coffee.
13 Oct 2017

What does OT mean in mental health? ›

Our occupational therapists are experts in performing behavioral health assessments, which offer insight into a patient's condition. They have strong observation and creative problem-solving skills, and understand human development and function across different diagnoses.

Can occupational therapists do psychotherapy? ›

The OT will perform psychotherapy within the scope of practice of the profession of occupational therapy.

Can occupational therapists perform CBT? ›

Cognitive behavior therapy (CBT), which is used by mental health professionals including occupational therapists (OT) is a time-sensitive, structured, present-oriented therapy directed toward solving current problems and teaching clients skills to modify dysfunctional thinking and behavior.

What do occupational therapists do in mental health UK? ›

Occupational therapists work with people of all ages and can look at all aspects of daily life in your home, school or workplace. They look at activities you find difficult and see if there's another way you can do them.

What percent of OTs work in mental health? ›

In the United States, only about 2% of occupational therapists work in mental health roles (Lyon, 2020).

What is the difference between a mental health therapist and an occupational therapist? ›

OTs need to consider not only the physical factors of illness or injury, but also the psychosocial and emotional needs of our clients as well. Mental health professionals are well-versed in the mental and emotional impact of injuries, disabilities, or disease.

Can occupational therapist diagnose mental illness? ›

Can Occupational Therapist Diagnose? Occupational Therapists do not diagnose individuals with conditions. Doctors and psychologists can help diagnose individuals with conditions such as depression, anxiety, sensory processing disorder, Autism, ADHD etc.

What techniques do occupational therapists use? ›

6 Techniques and Equipment Used by Occupational Therapists
  • Spirometers. These devices measure the air capacity of the lungs and are especially helpful for patients recovering from injuries to the chest or ribcage. ...
  • Medical Screenings. ...
  • Physical Activity. ...
  • Home Visits. ...
  • Life Changes and Adaptions. ...
  • Patient-Centered Care.

What disorders do occupational therapists treat? ›

Who Might Need Occupational Therapy?
  • birth injuries or birth defects.
  • sensory processing disorders.
  • traumatic injuries to the brain or spinal cord.
  • learning problems.
  • autism.
  • juvenile rheumatoid arthritis.
  • mental health or behavioral problems.
  • broken bones or other orthopedic injuries.

Is occupational therapy Effective? ›

In summary, research evidence to date supports the effectiveness of occupational therapy in the school setting with students experiencing occupational performance challenges. OT is effective in helping children attain goals and develop skills in areas underlying and supporting school performance.

Can OT deliver CBT? ›

Trained occupational therapists, with skills to offer a CBT approach as part of the patient's treatment plan, could be more prudent by being timelier and ensure continuity of care. Patients requiring more specialist mental health interventions are identified and referred on to the appropriate service.

What are some cognitive behavioral therapy techniques? ›

Some of the techniques that are most often used with CBT include the following 9 strategies:
  • Cognitive restructuring or reframing. ...
  • Guided discovery. ...
  • Exposure therapy. ...
  • Journaling and thought records. ...
  • Activity scheduling and behavior activation. ...
  • Behavioral experiments. ...
  • Relaxation and stress reduction techniques. ...
  • Role playing.
12 Dec 2019

What is the cognitive behavioral frame of reference in occupational therapy? ›

The cognitive-behavioral frame of reference (FOR) emphasizes five aspects of life experience: thoughts, behaviors, emotion/mood, physiological responses, and the environment. These aspects are interrelated, meaning that changes in one factor can lead to improvement or deterioration in other(s).

What is the responsibility of an occupational therapist? ›

Occupational therapists help people overcome physical and mental problems that are the result of disability, injury, ageing or illness. Occupational therapists provide practical advice and solutions to enable people to live full, satisfying and independent lives.

How much do occupational therapists make UK? ›

Salaries for occupational therapists working in the NHS start at Band 5 of the NHS Agenda for Change (AfC) Pay Rates (£25,655 to £31,534). Salaries for specialist occupational therapists range from £32,306 to £39,027 (Band 6) and advanced/highly specialist occupational therapists can earn £40,057 to £45,839 (Band 7).

What are the limitations of MOHO? ›

However, a range of possible limitations to current studies have been identified, including small sample sizes, lack of scientific method and bias. The frequent involvement of the creators of the MOHO and the MOHOST in studies raises the questions of objectivity and possible 'experimenter effects' (Rosenthal, 1976).


1. Mental Health Conditions for Adults (Part 2) | NBCOT Exam Prep Course — OT Dude
(OT Dude)
2. Preparing for Acute Care Fieldwork: Hospital Personnel | Occupational Therapy Practice
(OT Dude)
3. OT: The Role of Occupational Therapy in Care for ME/CFS with Amy Mooney
4. From Occupational Deprivation to Mental Health and Recovery
5. Pediatric Therapy Network: Empowering Families, Touching Lives, Bringing Hope
(Momentum Pediatric Therapy Network)
6. Occupational Therapy in Adult Community Mental Health Part 2
(mOTivate OTs)

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