Pub Date : 2021-08-04DOI: 10.1080/0164212X.2021.1957064
Emily C. Koller, Christine Berg
Abstract Per every 100,000 persons internationally, 9.4 healthy life years were lost due to Anorexia Nervosa. Anorexia Nervosa requires intensive care from a multitude of healthcare professionals; however, while occupational therapists are distinctly suited to assist, a paucity of literature exists that articulates the profession’s role. This paper presents a conceptual model of occupational therapy practice for individuals with Anorexia Nervosa informed by multidisciplinary literature. Guided by the Person-Environment-Occupation-Performance Model, an analysis of intrinsic and extrinsic factors’ impact on occupation provides the basis for model development. Implications for occupational therapists are offered across processes of eating disorder assessment and intervention.
{"title":"Anorexia Nervosa: A Narrative Review and Conceptual Practice Model","authors":"Emily C. Koller, Christine Berg","doi":"10.1080/0164212X.2021.1957064","DOIUrl":"https://doi.org/10.1080/0164212X.2021.1957064","url":null,"abstract":"Abstract Per every 100,000 persons internationally, 9.4 healthy life years were lost due to Anorexia Nervosa. Anorexia Nervosa requires intensive care from a multitude of healthcare professionals; however, while occupational therapists are distinctly suited to assist, a paucity of literature exists that articulates the profession’s role. This paper presents a conceptual model of occupational therapy practice for individuals with Anorexia Nervosa informed by multidisciplinary literature. Guided by the Person-Environment-Occupation-Performance Model, an analysis of intrinsic and extrinsic factors’ impact on occupation provides the basis for model development. Implications for occupational therapists are offered across processes of eating disorder assessment and intervention.","PeriodicalId":44781,"journal":{"name":"Occupational Therapy in Mental Health","volume":"37 1","pages":"403 - 426"},"PeriodicalIF":0.7,"publicationDate":"2021-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0164212X.2021.1957064","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44545915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-03DOI: 10.1080/0164212X.2021.1900763
J. Zedel, Shu-Ping Chen
Abstract Occupational therapy interventions in mental health settings are often delivered to groups. This meta-ethnography synthesizes existing qualitative literature on clients’ experiences of occupational therapy interventions in mental health service settings to determine factors that influence the occupational therapy experience. A model illustrating clients’ group occupational therapy experiences was constructed by the authors using Noblit and Hare’s seven phases of meta-ethnography. Through participation in occupational therapy groups, clients undergo transformative learning, leading to enhanced self-esteem, a sense of belonging, the development of skills, and the experience of positive emotions. Situations negatively experienced by clients are also discussed.
{"title":"Client’s Experiences of Occupational Therapy Group Interventions in Mental Health Settings: A Meta-Ethnography","authors":"J. Zedel, Shu-Ping Chen","doi":"10.1080/0164212X.2021.1900763","DOIUrl":"https://doi.org/10.1080/0164212X.2021.1900763","url":null,"abstract":"Abstract Occupational therapy interventions in mental health settings are often delivered to groups. This meta-ethnography synthesizes existing qualitative literature on clients’ experiences of occupational therapy interventions in mental health service settings to determine factors that influence the occupational therapy experience. A model illustrating clients’ group occupational therapy experiences was constructed by the authors using Noblit and Hare’s seven phases of meta-ethnography. Through participation in occupational therapy groups, clients undergo transformative learning, leading to enhanced self-esteem, a sense of belonging, the development of skills, and the experience of positive emotions. Situations negatively experienced by clients are also discussed.","PeriodicalId":44781,"journal":{"name":"Occupational Therapy in Mental Health","volume":"37 1","pages":"278 - 302"},"PeriodicalIF":0.7,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0164212X.2021.1900763","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44982033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-07DOI: 10.1080/0164212X.2021.1933674
Rebecca Matson, S. Kriakous, M. Stinson
Abstract Sensory approaches are being used increasingly within in-patient mental health, however, few published studies into the service user perspective exist. This interpretative phenomenological study used semi-structured interviews with four women with a diagnosis of borderline personality disorder (BPD) to provide insight into the benefits and applicability of sensory strategies in a mental health rehabilitation setting and their part in the recovery process. Four superordinate themes were identified: barriers to using sensory strategies; emotion regulation; impact of the environment; and empowerment. While preliminary in nature this study highlighted the need for an individualized approach and transferability of strategies into the community.
{"title":"The Experiences of Women with a Diagnosis of Borderline Personality Disorder (BPD) Using Sensory Modulation Approaches in an Inpatient Mental Health Rehabilitation Setting","authors":"Rebecca Matson, S. Kriakous, M. Stinson","doi":"10.1080/0164212X.2021.1933674","DOIUrl":"https://doi.org/10.1080/0164212X.2021.1933674","url":null,"abstract":"Abstract Sensory approaches are being used increasingly within in-patient mental health, however, few published studies into the service user perspective exist. This interpretative phenomenological study used semi-structured interviews with four women with a diagnosis of borderline personality disorder (BPD) to provide insight into the benefits and applicability of sensory strategies in a mental health rehabilitation setting and their part in the recovery process. Four superordinate themes were identified: barriers to using sensory strategies; emotion regulation; impact of the environment; and empowerment. While preliminary in nature this study highlighted the need for an individualized approach and transferability of strategies into the community.","PeriodicalId":44781,"journal":{"name":"Occupational Therapy in Mental Health","volume":"37 1","pages":"311 - 331"},"PeriodicalIF":0.7,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0164212X.2021.1933674","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43344307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-04DOI: 10.1080/0164212X.2021.1932686
L. Westover
The first iteration of Assessments in Occupational Therapy Mental Health: An Integrative Approach was published almost 40 years ago (Hemphill, 1982). This fourth edition contains a wealth of occupa...
{"title":"Assessments in Occupational Therapy Mental Health: An Integrative Approach","authors":"L. Westover","doi":"10.1080/0164212X.2021.1932686","DOIUrl":"https://doi.org/10.1080/0164212X.2021.1932686","url":null,"abstract":"The first iteration of Assessments in Occupational Therapy Mental Health: An Integrative Approach was published almost 40 years ago (Hemphill, 1982). This fourth edition contains a wealth of occupa...","PeriodicalId":44781,"journal":{"name":"Occupational Therapy in Mental Health","volume":"37 1","pages":"303 - 306"},"PeriodicalIF":0.7,"publicationDate":"2021-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0164212X.2021.1932686","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42272417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-18DOI: 10.1080/0164212X.2021.1923430
Megan Edgelow, Megan Lewis, Melanie Toope, H. Cramm
Abstract Exposure to psychological trauma can cause disruptions in employment; however, program-level return to work (RTW) best practices for clients with trauma-related mental health conditions are limited. We completed an environmental scan to identify RTW programs for this population. English-language webpages from Australia, Canada, New Zealand, the UK, and the USA were included in the scan. Resources were reviewed and informed a SWOT (strength, weakness, opportunity, and threat) analysis. The environmental scan found 35 programs that provide RTW services for this population. Further research, including studies that focus on the efficacy of RTW programs for this population, is required.
{"title":"Environmental Scan of Return to Work Programs for Trauma-Related Mental Health Conditions","authors":"Megan Edgelow, Megan Lewis, Melanie Toope, H. Cramm","doi":"10.1080/0164212X.2021.1923430","DOIUrl":"https://doi.org/10.1080/0164212X.2021.1923430","url":null,"abstract":"Abstract Exposure to psychological trauma can cause disruptions in employment; however, program-level return to work (RTW) best practices for clients with trauma-related mental health conditions are limited. We completed an environmental scan to identify RTW programs for this population. English-language webpages from Australia, Canada, New Zealand, the UK, and the USA were included in the scan. Resources were reviewed and informed a SWOT (strength, weakness, opportunity, and threat) analysis. The environmental scan found 35 programs that provide RTW services for this population. Further research, including studies that focus on the efficacy of RTW programs for this population, is required.","PeriodicalId":44781,"journal":{"name":"Occupational Therapy in Mental Health","volume":"37 1","pages":"264 - 277"},"PeriodicalIF":0.7,"publicationDate":"2021-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0164212X.2021.1923430","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42029148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-27DOI: 10.1080/0164212X.2021.1916418
Amy Armstrong-Heimsoth, S. Schoen, Tessa Bennion
Abstract Children in congregate foster care are at great risk for behavioral manifestations resultant from trauma. This pilot study explores sensory processing patterns among 41 youth living in congregate foster care. A retrospective chart review was utilized to explore Sensory Profile data of children in two age groups. 88% of the child sample, and 92% of the adolescent group, showed atypical sensory processing. Preliminary evidence suggests an association between sensory processing patterns and constructs of attention, social emotional functioning and conduct. Understanding patterns of sensory processing can inform strategies for self-regulation and environmental adaptations to support participation in everyday activities.
{"title":"An Investigation of Sensory Processing in Children and Adolescents in Congregate Foster Care","authors":"Amy Armstrong-Heimsoth, S. Schoen, Tessa Bennion","doi":"10.1080/0164212X.2021.1916418","DOIUrl":"https://doi.org/10.1080/0164212X.2021.1916418","url":null,"abstract":"Abstract Children in congregate foster care are at great risk for behavioral manifestations resultant from trauma. This pilot study explores sensory processing patterns among 41 youth living in congregate foster care. A retrospective chart review was utilized to explore Sensory Profile data of children in two age groups. 88% of the child sample, and 92% of the adolescent group, showed atypical sensory processing. Preliminary evidence suggests an association between sensory processing patterns and constructs of attention, social emotional functioning and conduct. Understanding patterns of sensory processing can inform strategies for self-regulation and environmental adaptations to support participation in everyday activities.","PeriodicalId":44781,"journal":{"name":"Occupational Therapy in Mental Health","volume":"37 1","pages":"224 - 239"},"PeriodicalIF":0.7,"publicationDate":"2021-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0164212X.2021.1916418","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43567280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-17DOI: 10.1080/0164212X.2021.1908925
Alexandra Thompson, Madison I. Fugard, Bonnie Kirsh
Abstract The purpose of this paper is threefold: firstly, to provide a brief overview of current practice in workplace mental health and introduce an emerging role for occupational therapy in this field (i.e., practicing at the organizational level where “clients” are workplaces or organizations, and not individual workers); secondly, to present the findings from a small qualitative study which describes this emerging role from the perspectives of occupational therapists who have worked in this area; and thirdly, to provide suggestions for future work which could advance this emerging role for occupational therapy world-wide. KEY MESSAGES Previous research suggests that there is an increasing interest among employers to address workplace mental health through organizational initiatives and that occupational therapists are beginning to consult on the topic. Occupational therapists in our small qualitative study described their role in organizational workplace mental health as one which involves adopting a business lens, practicing in an organization-centred manner, and focusing on population health promotion. Suggestions for future work to advance this emerging role include identifying the fundamental elements of the business lens, investigating models and frameworks to guide organization-centred practice, evaluating the short-, medium-, and long-term outcomes of interventions, exploring the fit between an occupational perspective and workplace mental health, and examining the impact of COVID-19 on current practice.
{"title":"Organizational Workplace Mental Health: An Emerging Role for Occupational Therapy","authors":"Alexandra Thompson, Madison I. Fugard, Bonnie Kirsh","doi":"10.1080/0164212X.2021.1908925","DOIUrl":"https://doi.org/10.1080/0164212X.2021.1908925","url":null,"abstract":"Abstract The purpose of this paper is threefold: firstly, to provide a brief overview of current practice in workplace mental health and introduce an emerging role for occupational therapy in this field (i.e., practicing at the organizational level where “clients” are workplaces or organizations, and not individual workers); secondly, to present the findings from a small qualitative study which describes this emerging role from the perspectives of occupational therapists who have worked in this area; and thirdly, to provide suggestions for future work which could advance this emerging role for occupational therapy world-wide. KEY MESSAGES Previous research suggests that there is an increasing interest among employers to address workplace mental health through organizational initiatives and that occupational therapists are beginning to consult on the topic. Occupational therapists in our small qualitative study described their role in organizational workplace mental health as one which involves adopting a business lens, practicing in an organization-centred manner, and focusing on population health promotion. Suggestions for future work to advance this emerging role include identifying the fundamental elements of the business lens, investigating models and frameworks to guide organization-centred practice, evaluating the short-, medium-, and long-term outcomes of interventions, exploring the fit between an occupational perspective and workplace mental health, and examining the impact of COVID-19 on current practice.","PeriodicalId":44781,"journal":{"name":"Occupational Therapy in Mental Health","volume":"37 1","pages":"240 - 263"},"PeriodicalIF":0.7,"publicationDate":"2021-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0164212X.2021.1908925","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45803312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-22DOI: 10.1080/0164212X.2021.1899097
Victoria G. Wilburn, Hannah B. Stoll, A. Chase, Kelly Moring, Ashley C Rohr
Abstract The purpose of this paper is to provide a program description and supporting data to demonstrate that occupation-based interventions can be implemented in a recovery high school. An occupational therapist was a co-facilitator in a 60-minute 11-week group with a convenience sample of 12th grade students (n = 3) in a substance use recovery high school. This paper details the evidence-based interventions utilized during each phase of the group program including narrative interviewing, reflective listening, goal setting, identity exploration, and occupational engagement. Participant attendance and satisfaction are reported, and methods of program assessment are described. This program description can be used to inform future research evaluating program efficacy.
{"title":"Strategies to Occupations in Recovering Youth Enrolled in a Recovery High School","authors":"Victoria G. Wilburn, Hannah B. Stoll, A. Chase, Kelly Moring, Ashley C Rohr","doi":"10.1080/0164212X.2021.1899097","DOIUrl":"https://doi.org/10.1080/0164212X.2021.1899097","url":null,"abstract":"Abstract The purpose of this paper is to provide a program description and supporting data to demonstrate that occupation-based interventions can be implemented in a recovery high school. An occupational therapist was a co-facilitator in a 60-minute 11-week group with a convenience sample of 12th grade students (n = 3) in a substance use recovery high school. This paper details the evidence-based interventions utilized during each phase of the group program including narrative interviewing, reflective listening, goal setting, identity exploration, and occupational engagement. Participant attendance and satisfaction are reported, and methods of program assessment are described. This program description can be used to inform future research evaluating program efficacy.","PeriodicalId":44781,"journal":{"name":"Occupational Therapy in Mental Health","volume":"37 1","pages":"357 - 369"},"PeriodicalIF":0.7,"publicationDate":"2021-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0164212X.2021.1899097","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48622265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-17DOI: 10.1080/0164212X.2021.1881022
W. Schultz-Krohn, E. Winter, Carina Mena, A. Roozeboom, L. Vu
Abstract This phenomenological, qualitative, pilot investigation gained insight into the lived experience of mothers, living in an emergency homeless shelter, who participated in a twice weekly occupational therapy leisure craft group. This research applied the constructs of the Person-Environment-Occupation theoretical model along with concepts from occupational justice to provide occupational therapy services to an underserved population. Information was obtained using semi-structured interviews to explore what meaning was derived from participating in these occupational therapy group craft sessions. Informants verified content from existing literature regarding benefits of leisure participation and added the importance of creating an opportunity for self-care when faced with homelessness.
{"title":"The Lived Experience of Mothers Who Are Homeless and Participated in an Occupational Therapy Leisure Craft Group","authors":"W. Schultz-Krohn, E. Winter, Carina Mena, A. Roozeboom, L. Vu","doi":"10.1080/0164212X.2021.1881022","DOIUrl":"https://doi.org/10.1080/0164212X.2021.1881022","url":null,"abstract":"Abstract This phenomenological, qualitative, pilot investigation gained insight into the lived experience of mothers, living in an emergency homeless shelter, who participated in a twice weekly occupational therapy leisure craft group. This research applied the constructs of the Person-Environment-Occupation theoretical model along with concepts from occupational justice to provide occupational therapy services to an underserved population. Information was obtained using semi-structured interviews to explore what meaning was derived from participating in these occupational therapy group craft sessions. Informants verified content from existing literature regarding benefits of leisure participation and added the importance of creating an opportunity for self-care when faced with homelessness.","PeriodicalId":44781,"journal":{"name":"Occupational Therapy in Mental Health","volume":"37 1","pages":"107 - 129"},"PeriodicalIF":0.7,"publicationDate":"2021-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0164212X.2021.1881022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45181456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-15DOI: 10.1080/0164212X.2021.1877592
Jennifer Gardner, M. Swarbrick, Sarah Dennis, Monica Franklin, Melinda Pricken, Kellie Palmer
Abstract The purpose of this study was to explore sleep habits and routines in individuals (N = 52) with mental and/or substance-use disorders attending community wellness centers. Outcome measures included Pittsburgh Sleep Quality Index (PSQI), a researcher developed survey to analyze habits and routines and its effect on sleep, and semi-structured interviews. Results showed 78.6% of participants had poor sleep as per PSQI. Facilitators of sleep included turning off lights, listening to music, and taking a bath/shower, while barriers included taking a nap, smoking, and using the phone. The findings can guide assessment and intervention for sleep preparation and participation.
{"title":"Sleep Habits and Routines of Individuals Diagnosed with Mental and/or Substance-Use Disorders","authors":"Jennifer Gardner, M. Swarbrick, Sarah Dennis, Monica Franklin, Melinda Pricken, Kellie Palmer","doi":"10.1080/0164212X.2021.1877592","DOIUrl":"https://doi.org/10.1080/0164212X.2021.1877592","url":null,"abstract":"Abstract The purpose of this study was to explore sleep habits and routines in individuals (N = 52) with mental and/or substance-use disorders attending community wellness centers. Outcome measures included Pittsburgh Sleep Quality Index (PSQI), a researcher developed survey to analyze habits and routines and its effect on sleep, and semi-structured interviews. Results showed 78.6% of participants had poor sleep as per PSQI. Facilitators of sleep included turning off lights, listening to music, and taking a bath/shower, while barriers included taking a nap, smoking, and using the phone. The findings can guide assessment and intervention for sleep preparation and participation.","PeriodicalId":44781,"journal":{"name":"Occupational Therapy in Mental Health","volume":"37 1","pages":"158 - 177"},"PeriodicalIF":0.7,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0164212X.2021.1877592","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45992224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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