presented by Martha Acosta & Diane Powers Dirette
In this course, Dr. Diane Powers Dirette presents the Self-awareness Enhancement through Learning and Function (SELF) guideline for practice. This guideline includes the theoretical base and instruction in how to provide the optimal assessment and intervention for deficits in self-awareness using the latest theoretical evidence. Evaluation forms for use with clients, families and therapists are provided and the use of these forms is demonstrated.
Dr. Acosta received her Bachelors degree in Physical Therapy from the University of Texas Medical Branch in Galveston, Texas after receiving a Bachelors degree in Pre-Medicine from the University of Southwestern Louisiana. After working several years as a clinician, she went on to pursue a Masters degree in Healthcare Administration from Southwest Texas State University. She was awarded a PhD from the University of Texas Medical Branch in Preventive Medicine and Community Health (Rehabilitation Sciences). Dr. Acosta has worked in a variety of settings including acute care, rehabilitation, out-patient, long-term care, skilled nursing facilities, psychiatric hospital, and home health. With approximately 35 years of clinical practice, she brings an abundance of expertise and clinical application to the academic setting to enhance student learning of clinical concepts. She has taught previously at the University of Texas at El Paso where the focus of her teaching responsibilities included management of the adult patient with neurological impairments. She also taught management of health care systems for Physical Therapists as well as geriatric elective courses and hippotherapy. Dr. Acosta also has been awarded clinical specialist certification by the American Physical Therapy Association (APTA) as a Geriatric Clinical Specialist (GCS). She also is an item writer for the board certification exam and is a member of the APTA Specialization Academy of Content Experts. Her current teaching responsibilities include topics of clinical foundation skills for first-year physical therapy students and aging across the lifespan for third-year physical therapy students.
Diane Powers Dirette is a professor in the Department of Occupational Therapy at Western Michigan University, mainly teaching Perception and Cognition, Research, and Theory. She earned her bachelor’s degree at Eastern Michigan University and her master’s and doctorate degrees at New York University, studying occupational therapy at all levels. She has published in national and international journals and has presented at local, regional, national, and international conferences. Dr. Dirette’s main research interests are focused on treatments for people with acquired brain injuries, for whom she developed a frame of reference titled Self-awareness Enhancement through Learning and Function (SELF). Other areas of research include evidence-based practice, the use of compensatory strategies for cognitive deficits, Tai Chi for people with mental illness, and the use of grasp tests to detect malingering. She has served on the editorial boards of numerous journals in the health professions and is the coeditor of the textbook, Conditions in Occupational Therapy: Effect on Occupational Performance. She is the cofounder and Editor-in-Chief of The Open Journal of Occupational Therapy.
In this chapter, participants will be introduced to the history, associated terms, definitions, and components of self-awareness. Participants will also review a case excerpt from a client interview demonstrating changes that may take place after brain injury.
In this chapter, participants will define the neurological correlates, pre-injury factors and theories of change in self-awareness that are relevant to evaluation and intervention in cases of brain injury.
In this chapter, participants will learn to use the SELF Form to evaluate a client's level of self-awareness and his or her belief perspective. The implementation of the SELF Form will be demonstrated on a client recovering from brain injury, and on a family member.
This chapter defines specific strategies for effectively enhance self-awareness using the ABC's of treatment, including alliance building, brain education, and compensatory strategies.