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(Provided by the CCER - Western Washington University)

Compensatory Strategies  for Mental Illness Issues

Issue Description Compensatory Strategy
Associative Intrusion Hallucinations, delusions, or illogical thinking interfere with processing new information or communication; sometimes these are vocalized.
  • Present information in small units
  • Monitor thought processes by frequent questions; have worker think aloud.
  • Use thought stopping or other intrusive stimuli to break into perseveration.
  • Use praise or mild censure contingent on responses.
Distractibility Decrease ability to filter and process important information from the environment and ignore unimportant events.
  • Keep tasks and steps brief and focused.
  • Use frequent prompts.
  • Redesign work area to limit distractions and clutter.
  • Post simple graphic charts.
  • Use visual instructions as well as verbal.
Overloading Information is too complex or too varied to be assimilated at the speed at which it's being presented
  • Use task analyses to break down tasks.
  • Reduce novelty through repetition of tasks, steps.
  • Present information in multiple formats; or limit the number of formats used.
Stress Reaction Heightened reactions to the normal stresses of learning a job can increase symptoms, interfere with comprehension.
  • Pace training individually, keeping demands low and feedback positive.
  • Plan a positive way to deal with anxiety.
  • Allow for escape or time out from training when needed.
Misinterpreting Social Interactions Confusion and distraction caused by trying to interpret social interactions interferes with comprehension of information communicated verbally.
  • Monitor thought processes; have worker think aloud.
  • Use written instructions as cues
  • Have worker record concerns in journal to be shared later.
  • Roleplay/rehears social interactions
Lack of Ability to Generate Alternate Approaches Confused thought processes or limited work experience make it difficult to create or choose among approaches to problem situations
  • Cooperatively develop alternate approaches.
  • Develop decision-making rules.
  • Develop/identify on-the-job resources for problem solving