Occupational Therapy Interventions in Mental Health: A Literature Review in Search of Evidence

A growing body of literature sheds light on occupational therapy (OT) interventions and outcomes in adult mental health. Although this research has not developed to the point where a systematic review is warranted, a synthesis of these findings is needed. This article provides an overview of OT interventions in adult mental health and their documented outcomes. Fifty peer-reviewed intervention studies targeting adults with mental illness were reviewed. Seven categories of interventions emerged: employment/education; psychoeducation; creative occupations/activity; time use/occupational balance; skills/habit development; group/family approaches; and animal-assisted therapy. Further research involving rigorous designs is needed to establish a solid evidence base for OT interventions in adult mental health.     

Children's use of verbal collaterals in DRL performance

This study examines the effects of a verbal collateral (counting) on a series of three differential reinforcement of low rates of response (DRL) tasks with progressively longer interresponse time requirements (DRL-2, DRL-6 and DRL-12). Forty-eight 10-year-old children, divided according to sex and conceptual tempo (fast-inaccurate vs. slow-accurate) participated in DRL training, half of them being instructed to count aloud between responses. Counting was found to be related to faster learning of all the tasks and to greater efficiency in obtaining reinforcement in most cases. It also eliminated differences due to sex and conceptual tempo except in DRL-12. However, it had the disadvantage of causing inexact temporal discrimination. The results were replicated in a group of 8-year-old subjects performing the same tasks.     

Food, mood, and attitude: reducing risk for eating disorders in college women.

Food, Mood, and Attitude (FMA) is a CD-ROM prevention program developed to decrease risk for eating disorders in college women. Female 1st-year students (N = 240) were randomly assigned to the intervention (FMA) or control group. Equal numbers of students at risk and of low risk for developing an eating disorder were assigned to each condition. Participants in the FMA condition improved on all measures relative to controls. Significant 3-way interactions (Time x Condition x Risk Status) were found on measures of internalization of sociocultural attitudes about thinness, shape concerns, and weight concerns, indicating that at-risk participants in the intervention group improved to a greater extent than did low-risk participants. At follow-up, significantly fewer women in the FMA group reported overeating and excessive exercise relative to controls.