1. Based on thedetails of the case study about Luisa, how does this case illustratethe differences in focus for home-care OT services (includingevaluation, treatment planning and intervention) versus OT servicesprovided in a rehabilitation facility?

Home-care OTservices require the practitioner to make daily visits during theinitial weeks to evaluate the client’s progress. In fact, anoccupational therapist could reduce the frequency of assessment ifthe patient had few complications. On the other hand, OT services ina rehabilitation facility required a practitioner to make regularvisits during the duration of the client’s admission. Besides,home-care OT services sought to incorporate the input of familymembers during treatment planning and intervention. In this respect,Jorge and James were required to help Luisa cope with her diagnosisof rheumatoid arthritis (Bonder &amp Bello-Haas, 2009). Nonetheless,OT services in a rehabilitation facility would incorporate the inputfrom assistants rather than family members.

2. What are someof the benefits of providing OT services in the home, and what aresome of the disadvantages?

Providing OTservices in the home has several advantages. For example, the clientcan utilize the familiar surroundings to regain functional abilities.In particular, an occupational therapist can focus on helping thepatient to become independent. Luisa was depressed as she was eagerto perform home management activities such as cleanup and mealpreparation (Bonder &amp Bello-Haas, 2009). Furthermore, providingOT services in the home allows family members to participate inproviding care. Luisa was quite apprehensive about letting James andJorge to perform cleanup and meal preparation (Bonder &ampBello-Haas, 2009). Hence, an occupational therapist can train theclient to share duties and responsibilities.

Nevertheless,providing OT services in the home has some disadvantages. Forinstance, family members are burdened with unfamiliar tasks. In thisregard, Jorge and James were quite incapable of performing homemanagement activities since they had always relied on Luisa (Bonder &ampBello-Haas, 2009). Additionally, providing OT services in the homerequires a practitioner to train family members on proper care-givingpractices. In many instances, other individuals are required to coachthe patient along her recovery. Jorge and James had complained aboutthe numerous activities involved in Louisa’s care (Bonder &ampBello-Haas, 2009). Therefore, an occupational therapist must spendconsiderable time in training family members to make positivecontributions.


Bonder, B. &amp Bello-Haas, V. D. (2009). Functional performancein older adults. (3rd ed.). Philadelphia, Pa.: F.A.Davis Co.


SecurityThreat Groups (STGs) are formal or informal groups of inmates thatare formed while they are in correctional facilities(Jewkes, Crewe &amp Bennett, 2016).They are famously known as prison gangs, but to lessen the impressionof the term “gang” they are referred to as the STGs. Theexistence of Security Threat Groups can be a big menace tocorrectional facilities if they are not effectively managed (Jewkeset al., 2016).

Thegroups are involved in abusing prison rules, some of these violationsmay include trading and trafficking illegal products, sexual acts,assaulting other inmates or the staff, disrupting prison activitiesamong other unlawful acts, which may lead to riots (Jewkeset al., 2016).

Thesegroups can be managed if the correctional facility has effectiveleadership. All staff, starting from the warden should set adirection for the organization because each member plays asignificant role in ensuring that the facility is safe and theprison’s environment is secure (Jewkeset al., 2016).

Hence,all staff should understand the facility’s mission and be free tocommunicate any concern. The warden should also govern the facilityby walking around to show that controlling and managing the SecurityThreat Groups is a team’s effort (Jewkeset al., 2016).Moreover, effective training for staff to acquaint themselves withnew tactics that can be used by STGs to bring problems into thefacility is essential.

Overtime there has been a drastic decrease in the number of prisonescapes. Those that occur are done with a high-tech twist, whichmakes the escape successful. Some breakouts have also been madesuccessful with the help of some staff who are corrupt (Jewkeset al., 2016)

Thereare several ways that inmates use to escape, one is “cut and runtechnique,” where they find or make a hole in security’sstructure, and exploit it (Jewkeset al., 2016).Secondly, is the use of “fake it, till you make it technique,”this is exploited by impersonating other people through dressing andtalking like them and using staff’s ID to get passage throughtightly secured exits (Jewkeset al., 2016).

Thethird technique is the “Shawshank-esque redemption,” which is aslow and steady process (Jewkeset al., 2016).This is where the inmates decide to dig tunnels that lead out ofprison. The fourth technique is the use of brute force this is wherestrength is applied to escape. An inmate may fight the security andoverpower them, take the gun and start firing and eventually escapefrom the prison (Jewkeset al., 2016).

Someof the motivations behind prison escape may include loneliness due toseparations from family and loved ones and inspirations to continuedoing businesses, like the Mexican drug lord who was the head of ElChapo drug cartel(Buchanan, Keller, &amp Watkins,&nbsp2016).He had a lot of money and wanted to carry on with his drugtrafficking business. Additionally, they may want to prove a pointthat they can outsmart the prison’s security among othermotivations.

Prisonriots are disturbances in correctional facilities caused by inmatesto air their grievances, or prove (Jewkeset al., 2016).The riots may arise when the prisoners feel they are not treated wellby another group of inmates, prison’s officers or staff (Jewkeset al., 2016).Additionally, riots can arise due to overcrowding in prison,psychological pressures, convict nature and deep-rooted traditionsthat need changes (Jewkeset al., 2016).

InMarch 2016, a riot broke out in William C. Holman CorrectionalFacility in Alabama State, after a police officer responded to afight between inmates(Hanna,&nbsp2016).“The officer was stabbed in the process when he tried to detain oneof the inmates who was involved in the fight,” (Hanna,&nbsp2016).Dueto this disruption, the prisoners found access to the hallway andstarted a fire outside the housing unit (Hanna,&nbsp2016).The officers were able to contain the situation and detained all theinmates who were involved(Hanna,&nbsp2016).


Buchanan,&nbspL.,Keller,&nbspJ., &amp Watkins,&nbspD. (2016, January 8). HowMexico`s most-wanted drug lord escaped from prison (again) – The NewYork Times. Retrieved fromhttp://www.nytimes.com/interactive/2015/07/13/world/americas/mexico-drug-kingpin-prison-escape.html?_r=0

Hanna,&nbspJ.(2016, March 12). Alabama prison riot: Warden, officer stabbed -CNN.com. Retrieved fromhttp://edition.cnn.com/2016/03/12/us/alabama-prison-riot/

Jewkes,Y., Crewe, B., &amp Bennett, J. (2016). Handbookon prisons(2nd&nbsped.). New York, NY: Routledge.


Hanna,&nbspJ.(2016, March 12). Alabama prison riot: Warden, officer stabbed -CNN.com. Retrieved fromhttp://edition.cnn.com/2016/03/12/us/alabama-prison-riot/

Jewkes,Y., Crewe, B., &amp Bennett, J. (2016). Handbookon prisons(2nd&nbsped.). New York, NY: Routledge.