An Organizational Framework for Occupational Therapy in the Treatment of Alcoholism

Occupational Therapy Graduates of 2009: Knowledge and Attitudes Relating to Their Role in the Area of Alcohol Misuse

“…The role of occupational therapy in working with people who misuse alcohol has been discussed by several authors: Stone (1985), Cassidy (1988), Moyers (1988), Nixon (1988), Stensrud and Lushbough (1988), Clarey and Felstead (1990), Booth and Mulligan (1994), Cornvinelli (2005), and . Most of these studies focus on how occupational therapists work within specialist addiction units and mental health units.…”

“…While some work was conducted over 25 years ago, much information is still pertinent. The studies include a United Kingdom (UK) survey (Nixon 1988) and narrative accounts of intervention (Stone 1985, Cassidy 1988, Moyers 1988, Nixon 1988, Stensrud and Lushbough 1988, Clarey and Felsted 1990.…”

Occupational Meanings and Spirituality: The Quest for Sobriety

“…The Moyers Model used in occupational therapy is based on the view that alcohol dependence results from a complex interaction of causal factors that may include a genetic predisposition or family history, negative character development or experiences within the family sttucture that lead to impaired interpersonal and coping skills, peer group affiliation that promotes the use of alcohol, social norms accepting the use of alcohol, and the general availabiliry of alcohol (Moyers, 1992). All these causal factors, particularly deficits in interpersonal and coping skills, contribute to the person's overreliance on a preferred de-fense structure (PDS) (Moyers, 1988(Moyers, , 1992. Active drinking further modifies this PDS, leading to its rigid use in most situations, regardless of actual effectiveness.…”

“…Previously, I proposed the Moyers Model in which persons with alcohol dependence were viewed at three levels, each with different treatmenr issues, and I proposed possible frames of reference, methods, and expected outcomes (Moyers, 1988(Moyers, , 1992. Because my model has not stimulated any research and because research has suggested the AA approach to be effective and cost-effective when included as a part of a treatment program (Emrick, Tonigan, Montgomery, & Little, 1993;Humphreys & Moos, 1996;McCrady & Miller, 1993), this article reviews, compares, and determines the basic practice similarities and differences between the AA model and the Moyers Model (see Figure 1).…”

Cognitive impairments in clients with dual diagnosis (chronic psychotic disorders and substance abuse): considerations for treatment

“…At least 45% of individuals who abuse alcohol have difficulty with learning, problem-solving, planning, decision-making, perceptual-motor abilities and abstract reasoning, with memory and attention the most seriously impaired (Grant, 1987;Hasin & Grant, 1987;Neimark, Conway & Doskock, 1994). Individuals usually have poor time-management skills and a lack of balance in their daily routines (Moyers, 1988). Drug abuse/dependence affects cognitive function in similar ways to alcohol, but with the addition of poor judgement, difficulty following directions and setting goals, and lack of money management skills (Block & Ghoneim, 1993;Raymond, 1990).…”