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This paper describes a proposed model for the management of Army soldiers rendered ineffective due to inadequate skills in coping with life stress. The history of Army mental health programs is reviewed to establish the rationale for program development. The proposed treatment methods and staffing are discussed. The application of this peacetime treaetment model in the management of combat psychiatric casualties is presented. Emphasis is placed on the role of the Army occupational therapist as a professional skilled in the use of task-directed behavior to enhance daily living skills. [ABSTRACT FROM PUBLISHER]

In 1974the Occupational Therapy Section at Dwight Eisenhower Army Medical Center established a Life Skills Development Program for the treatment of the hospitalized acutely ill psychiatric patient. The program used a process which moved the patient through specifically prescribed tasks designed to initiate the development of adaptive behavior. Three basic group areas were formulated. These were values clarification, competency training, and information class. Values clarification was designed as an introductory phase of treatment and was important in building initial rapport and implementing patient involvement. Through carefully selected tasks, the patient was relieved of the burden of initiating the group process and was quickly involved in the discussion of life-related topics leading to the establishment of his own priorities. Competency training included a wide range of material allowing the therapist to teach and the patient to practice skills related to work, socialization, use of free time, and self-maintenace. These groups were experiential in nature, encouraging the patient to practice adaptive behaviors in role play settings in the hospital as well as in the surrounding community. Information class was scheduled whenever facts were needed to increase clarity and to facilitate selection of alternative and adaptive behavior. Guest lecturing, "experts" were invited to speak to the group. Also, information based on authoritative sources was prepared and presented by the therapist. The program concept and specifically prepared life skills development material was shared with Army Occupational Therapists. The Life Skills Development Program was presented as an evolving treatment approach in Army Occupational Therapy at the 1975 AOTA Conference in Milwaukee, WI. This treatment approach has continued in Army Occupational Therapy since its introduction. Until recently no collective information was available about programs. A survey of questionnaire was conducted in June 1981 of all Army Occupational Clinics. The results of this survey indicated that not only was the Life Skills Development Program still in use in Army Hospitals, but its application and target population has expanded to become broader than initially proposed. The intent of this paper is to retrace the thought and steps leading to the introduction of the Life Skills Development Program, to describe the structure and rationale of its organization and to report on its current use in Army Occupational Therapy. [ABSTRACT FROM PUBLISHER]