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Structured observation reports at the Activity Center
A developmental project at the RPA-S Background
Design
Observation reports Assessment tasks – workshop and kitchen
Silver
How to make a silver ring
1. Decide on size and width 2. Mark length and width directly on the sheet metal 3. Use the saw and cut along the outlines marked on the
metal 4. File the edges smooth 5. Stamp the sheet metal (place of assay, silver content,
year)
Wood
Textile
Textile cont’d.
Textile cont’d.
Textile cont’d.
Textile print
Ceramics
Kitchen tasks
Prepare a meal Bake a cake Make coffee
Observations
Comprehending instructions Attention Concentration/patience Motor skills Execution Social/emotional Compulsive behaviour Questions asked when performing kitchen task Conclusion
Example ”Anna”
Young woman (”Anna”) diagnosed with Asperger syndrome. The final opinion of the examination team was that she was suffering from a severe mental disorder.
Comprehending instructions/attention
Instructions;
- ability to read and understand
- ability to remember
- ability to follow the instructions and do things in the right order
Ability to stay flexible if plans are changed
Concentration/patience
Ability to focus on the task at hand. Signs of impaired memory and/or attention problems?
Easily distracted by external stimuli? Distracted by thoughts, emotions and physical sensations?
Ability to work independently and ask for help only when it is needed
Motor skills
Gross/fine motor skills Coordination Fast/slow Ability to use sharp objects in a responsible
way
Execution
Skills Accuracy Ability to understand concepts such as
weight and volume Work motivation Earlier experiences (workunits/kitchen) Tidiness (workunits/kitchen)
Social/emotional
Behaviour before, during and after
completing the task Behaviour towards staff/other clients Additional observations: characteristic
personality traits; sadness, ’hyper traits’, suspicious
Compulsiveness
signs of compulsiveness: repeated cleaning and washing hands, ritualized behaviours (e.g. praying, counting, repeating words), unwanted obsessions
perfectionism and preoccupation with details, rules, order and symmetry; problems finalizing a task
difficulties to cooperate and ask for help when things are not going exactly his/her own way
rigid thinking, stubborn
Kitchen task: questions to ask
How does the client deal with similar situations in his/her every day life?
Is he/she used to follow food recipes? What does the client think of his/her own
performance? Ability to estimate time allowance Ability to briefly summarize the instructions
Summary ”Anna”
Evaluation - method
Survey to the examination team Opinions from the staff at the Activity
Center (positive/negative) Forensic psychiatric examinations
May – November 2009
- in how many cases were the observations from the Activity Center taken into account?
Survey
”deeper, more nuanced view of the client” ”the observations at the Activity Center have
become a more integrated part of the forensic psychiatric examination”
”the information has both emphasised and questionned diagnoses that I have evaluated”
support/do not support the results from the test
Statements from the Activity Center
Positive feedback Negative feedback Areas for development
Conclusion
Many staff members positive about the project and the new routines
Severe mental disorder (SMD) and the forensic psychiatric examination
Future aims
