Karly's Occupational Therapy Intervention

Q1
Karly, a 30-year old woman recently emigrated from Somalia, could speak and read a minimal amount of English. She leads an impoverished life with her three children in an estranged living environment. Three part-time minimum wage jobs to maintain her family, commuting, performing chores, running errands at her workplace, exploits her whole self, neglects health needs and lacks sleep . She refrains from complaining of unhealthy conditions to the landlord for fear of being evicted. She panics about the safety and security of her children due to scarcely occupied living locale vulnerable to theft and criminals.
Karly suffers bipolar disorder, which can cause extreme mood swings that include emotional highs and depression. Being a single
In this process, the client works in collaboration with the practitioner to take every effort that directs to the transformation of self and skills.
Karly’s educational background and culturally dependent personality have limited her from exploring suitable opportunities. Occupational therapy intervention focuses on creating or facilitating opportunities to engage in occupations that lead to participation in desired life situations (AOTA, 2008).
Q3
Women in Somalia live in a well-organized network of family and social ties. In such a patrilineal network, the decision-making rests with the male head. The women form groups to help each other. The case of Karly shows the cultural lineage of women in Somalia. The woman’s role is very important-- and when not fulfilled, the whole family suffers.
Karly works 5 days a week and typically, and takes on rotating weekends to generate little extra money for the family. She rises early, completes her chores and walks the distance with her children to catch the school bus before she goes to work. Her children are responsible for each other until their mother comes home from work, which again is typically very late as she is dependent on the bus system.
She has a history of bipolar disease and skips review appointments often. Her bosses are unfeeling and her timidity prevents from revealing her illness to the employers out of fear of being fired. A step-by-step individually and culturally adapted techniques for illness management and recovery (Mueser et al., 2002) is essential for Karly’s progress. When immigrant and host culture set challenges for females to make their own decisions, they are faced with the discrepancies between the female position at home and that of the society of settlement, hence, occupational therapy approach, relying partly on the standard therapy but adding methods and techniques take the client’s cultural background into consideration
Q5
Prevention necessitates education, orientation, active participation of the client. Education or health promotion efforts designed to identify, reduce, or prevent the onset and reduce the incidence of unhealthy conditions, risk factors, diseases, or injuries (AOTA, 2013b). Intervention is then provided to assist clients in reaching a state of physical, mental, and social well-being; identifying and realizing aspirations; satisfying needs; and changing or coping with the environment. As a Somali woman Karly would need community interaction for assistance from her neighbors that can instill confidence and hope.
Q6