Lifestyle Performance Interview and Adolesceent Role Assessment
...e does not receive an allowance and did not before he came to the PORT program because he says his dad "was afraid he would spend it on drugs." If he were to get an allowance now he would spend it on clothes and playing pool. In terms of cleaning, he has to keep his room and bathroom clean at the facility; he never did this before but has found that having a clean room makes him feel better. In this domain, OSWALD has a very stable routine but this is because the PORT program requires a very structured environment. Societal Contribution OSWALD is currently a resident in a substance abuse program. He is working on learning to live without drugs and repair the relationship with his family. He says that the most enjoyable part of being in the program is being able to "shoot pool and lift weights." The thing he likes least is that he cannot do what he wants when he wants to and also says that it is very difficult "living with nine other people." While in the program he has to attend school and "pull his weight around the residence." For the time being this is his only area of societal contribution but hopes to find a job when he leaves the program. LPI and adolescent role assessment Intrinsic Gratification At the age of fifteen, OSWALD's life is very focused in this area. The activities he currently enjoys the most are lifting weights, playing pool, and what ever "makes [him] feel good." He stated that one of the main reasons he liked drugs is because they made him feel good and he liked the "euphoric feeling." The activities of playing pool and lifting weights that he enjoys currently could be because these are the only activities available to him in the program. Activities he would like to explore in the future are skydiving, nature walking, and swimming. When participating in activities he likes competitive activities in which he can be an active participant. He also likes activities that require a group effort and that can be played outdoors. Like most adolescents he tries to avoid activities he doesn't like. Reciprocal Interpersonal Relatedness This domain is the area that OSWALD seems to have the most trouble with. The activities he engaged in with friends before coming to the program was "using drugs and stealing." He does not consider the others in the program his friends but he does shoot pool with them about three times a week. OSWALD also has a rocky relationship with his parents. His mother lives in Florida and according to him is "strung out all the time." Before he came to PORT he lived at home with his dad, step mom, and half-sister. He states that his relationship with his dad is very strained because of his drag use. He does not like to spend time with his step mom or sister. OSWALD stated that when he was on his last home visit that he went to the gym with his dad and "had a great time." At first he was reluctant to talk about his family but after encouragement he spoke about them and admitted that he would like to make them proud and regain their trust. LPI and adolescent role assessment Summary of Findings After carefully reviewing the interview OSWALD seems to have disharmony between his domains. In the self-care domain his life is very structured in the PORT program. In the domain of societal contribution he is working in the right direction by stopping his drug use and working on his education. The domains of intrinsic gratification and interpersonal relatedness are the areas in which OSWALD could benefit from OT intervention. Helping him find leisure interests other than using drugs and helping him to develop better relationships in his family could do this. Adolescent Role Assessment Based upon information gathered in the LPI, it was decided to conduct a more specific assessment of the role's in OSWALD's life. Even though the Adolescent Role Assessment is not an assessment tool typically used with the Lifestyle Performance Profile model of practice, it was chosen because of its ability to determine specific roles in an adolescent. The areas of assessment are childhood play, adolescence socialization, school, peers, and occupational choice. In the role of childhood play OSWALD identified his favorite age. At age nine he began to play football and he really enjoyed this activity. The year before his parents divorced and his coach took extra time to coach him on his football techniques and his dad also came to his games. This also gave him the opportunity to interact with peers of his own age. At this time he was an only child and had no one to play with. However, OSWALD could not remember ever engaging in fantasy play. LPI and adolescent role assessment In the area of adolescence socialization OSWALD was able to identify that this was the time in his life when he began u...