Lifestyle Redesign the Rehabilitative Stage of Recovery From Depression

1. Lifestyle Redesign � the Rehabilitative Stage of Recovery From Depression

2. What is Lifestyle Work? A range of individualised interventions using OT techniques aimed at empowering people to live a life that they find worthwhile, and contributes to maintaining a healthy and fulfilling life. Ranges from rekindling hope for a worthwhile future for someone seriously depressed, to giving someone recovering from a mental illness the skills to redesign their lifestyle to enable them to remain well.

3. Philosophy Lifestyle Interventions are based on Occupational Science theories which suggest that for a person to remain healthy they need to maintain a balance of meaningful activity.

4. Occupational Well Being Occupational Balance � productivity, leisure, self care Challenge Meaning Choice Flow

5. Why Lifestyle? Older people frequently experience losses and changes in their life, affecting their roles, health, mobility and social contacts and causing social isolation. This affects how they spend their time, and creates barriers to living. This can result in anxiety and depressive states.

6. Well Elderly Study OT Program Jackson, J. et al (1998) Occupation in Lifestyle Redesign: The Well Elderly Study Occupational Therapy Program. AJOT 52(5) 326-336 Carlson, M. et al (1998) Practical Contributions of Occupational Science to the Art of Successful Ageing: How to Sculpt a Meaningful Life in Older Adulthood. Journal of Occupational Science 5 (3) 107-118 Clark, F. et al (1997) Occupational Therapy for Independent Living Older Adults a randomized control trial. JAMA 278(16)1321-1326 Clark,F et al (2001) Embedding Health-Promoting Changes into the Daily Lives of Independent Living Older Adults:Long term followup of Occupational Therapy Intervention. Journal of Gerontology:Psych Sciences 56B(1)60-63

7. Well Elderly Program Content Areas Introduction to the Power of Occupation Aging, Health and Occupation Transportation Safety Social Relationships Cultural Awareness Finances Integrative Summary:Lifestyle Redesign Journal

8. USC Well Elderly Studyto evaluate the effectiveness of preventive O.T services specifically tailored for multi ethnic independent living older adults Randomised Controlled Trial 361 volunteers, 60yrs plus compared OT group, social group, and non-treatment control group outcome measures - physical and social function, self rated health, life satisfaction and depressive symptoms

10. Lifestyle Matters- an occupational approach to healthy ageing UK Pilot carried out at Sheffield Hallam University. Preliminary findings � older people in this country do want a programme of this nature Individuals participating in the programme have taken significant steps to achieving their individual goals. www.lifestylematters.info

11. Lifestyle Group For older people recovering from mental illness 6-8 in group 8 weeks plus flexible programme - needs led Goal orientated

12. Lifestyle Group Techniques Goal setting Positive thinking Graded Practice Confidence building Problem solving Anxiety Management/relaxation Social Skills Time structuring Assertiveness skills

13. Lifestyle Group Techniques Brainstorming Active Tasks Questionnaires Discussion Education Sharing ideas and experience

14. Types of goals To build confidence to attend social activities locally To build towards doing more activity e.g. reading, knitting, baking To provide a balance of social, and leisure activity over the week, such as voluntary work, social classes and clubs Types of goals set The overall goals set by clients tend to fall into three main categories: 1. To build confidence to attend social activities locally 2. To build towards doing more activity e.g. reading, knitting, baking 3. To provide a balance of social, and leisure activity over the week, such as voluntary work, social classes and clubs. Related to confidence: Speaking out at fellowship, Increased confidence in driving. Increased confidence following agoraphobia, increased confidence with people Related to hobbies Return to previous craft hobbies, started/restarted gardening, gradual increase in walking, visited garden centre, writing letters to friends, large print books has increased reading, more cooking, piano playing, embroidery/ woodwork/ restart bridge Related to work, job in local garage, organised home library service. work link with keyworker, voluntary work Related to going out Going to the theatre, Confidence to restart attending village groups, reattending men's group, reattending senior club, started day centre, inviting friends roundTypes of goals set The overall goals set by clients tend to fall into three main categories: 1. To build confidence to attend social activities locally 2. To build towards doing more activity e.g. reading, knitting, baking 3. To provide a balance of social, and leisure activity over the week, such as voluntary work, social classes and clubs. Related to confidence: Speaking out at fellowship, Increased confidence in driving. Increased confidence following agoraphobia, increased confidence with people Related to hobbies Return to previous craft hobbies, started/restarted gardening, gradual increase in walking, visited garden centre, writing letters to friends, large print books has increased reading, more cooking, piano playing, embroidery/ woodwork/ restart bridge Related to work, job in local garage, organised home library service. work link with keyworker, voluntary work Related to going out Going to the theatre, Confidence to restart attending village groups, reattending men's group, reattending senior club, started day centre, inviting friends round

15. How has the Group Helped People? Decreasing social isolation increasing confidence in social situations challenging negative thinking exploring motivation graded approach to restarting activities increasing self esteem contact and support