NBCOT Occupational Therapy Certification Practice Exam

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Question: 1 / 180

In a clubhouse model, what is the best role for an OT working with a group of individuals with co-occurring mental illness and substance abuse?

Functioning as a peer in the group

In a clubhouse model, the primary focus is on the strengths and capabilities of individuals in a supportive community environment. Functioning as a peer in the group allows the occupational therapist to build trust and rapport with participants, promoting an egalitarian atmosphere where members feel valued and empowered. This role emphasizes collaboration and mutual support, which is crucial for individuals facing both mental illness and substance abuse challenges.

By positioning themselves as a peer, the occupational therapist can encourage open communication and foster a sense of belonging, which is fundamental in recovery. This peer relationship helps normalize experiences and reduces the hierarchical barriers that may inhibit participation or engagement from group members.

This approach aligns with the core principles of the clubhouse model, which emphasize the importance of community, shared experiences, and respect for individuals’ autonomy. In contrast, roles that suggest authority, such as group leader or group facilitator, may inadvertently create a power dynamic that could hinder the openness and peer-driven support central to the model's effectiveness.

Functioning as a group leader

Functioning as a group advisor

Functioning as a group facilitator

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