Occupational Therapy Student Experiences and Transformations During Fieldwork in Mental Health Settings

The purpose of this study is to better understand the transformative experiences of occupational therapy students during fieldwork. In occupational therapy education, fieldwork provides students with an in-depth experience in the field. Thirty-one students submitted narratives following completion of Level II fieldwork in a mental health setting. Concepts from transformative learning theory guided the analysis. The themes that emerged were: (1) understanding clients with mental illness; (2) understanding occupation and occupational therapy; (3) feeling like a professional; and (4) changing as a person. The results highlight the importance of understanding the transformative process and fieldwork in mental health settings.     

Beyond Hopelessness

Abstract

The researchers conducted a needs assessment survey of practicing school-based occupational therapists to determine the incidence of grief within existing caseloads, current awareness of the issue, related concerns, and willingness or resistance to address grief in the intervention environment. The survey was administered to a representative sample of 150 school-based therapists throughout the state of Ohio. Fifty-six therapists responded with usable data.

The results suggest that the students who are currently on occupational therapy (OT) caseloads face a large number of grief issues. Although a majority of therapists reported addressing grief issues, only a small percentage typically do so for a variety of reasons. The school therapists offered a number of explanations for the limited follow-through on this issue. These findings support the profession's recent efforts to further establish occupational therapy as a well-recognized and respected provider of interventions to address the mental health and psychosocial needs of children in school settings.     

Standard Scores for the Bay Area Functional Performance Evaluation Task Oriented Assessment

This paper presents normative data for the Bay Area Functional Performance Evaluation Task Oriented Assessment using a sample of 266 patients drawn from five psychiatric in-patient hospitals in Western New York and Canada. Use of the means, standard deviations and standard scores is discussed and related to treatment planning.     

Exploring Sensory Integrative Treatment in Chronic Schizophrenia

An investigation of the efficacy of sensory integrative treatment of the psychiatric status and physical functioning of patients with chronic schizophrenia is reported. Patients were involved in sequenced sensory integrative treatment over a seventeen week period. Significant improvement was found in scores of the NOSIE-30 as well as on some of the usual idicators of sensory integrative status: thumb-finger opposition, diadochokinesis, eye pursuits and balance. Length of treatment time was linearly related to amount of improvement.     

Unique Eyes and Different Windows of Opportunity

Abstract

The writer discusses her personal experiences of being a consumer of mental health services and, at the same time, working as a mental health professional. She includes the challenges and benefits of this experience, as well as the “sparks, pushes, and bumps” of this dual role. Also included are current and future trends of mental health recovery, suggested to be the key to wellness for consumers.     

Developing Roles and Skills in Community-Living Adults With Severe and Persistent Mental Illness

People with severe and persistent mental illness often experience a disruption in the development of social roles, and the skills within these roles. Role Development, a set of guidelines for practice, is an intervention to develop roles and skills. The purpose of this study was to continue to examine the efficacy of this intervention. Ten people attending two community mental health programs participated in evaluation and treatment based on Role Development. Quantitative pretest and posttest measures were used. Qualitative components were incorporated to get a sense of the experience involved in developing roles and skills. Quantitative results indicated statistical significance (p < .05) in the development of roles and skills. Qualitative data revealed multiple trends experienced by the participants. This study contributes to the evidenced-based knowledge regarding development of roles and skills for persons living with severe and persistent mental illness.     

Spiritual Spontaneity

Abstract

Parent-child and parent-adolescent activity groups and parent-child occupation-based intervention meet different mental health needs and provide a different service than what is typically offered in a psychiatric setting. These interventions are designed to promote and/or develop positive interactions and engagement between parents and children in co-occupations.     

Daily Occupations and Adaptation to Daily Life Described by Women Suffering from Borderline Personality Disorder

Clients suffering from Borderline Personality Disorder have significant impairments in relation to health. Despite this, their occupational status is rarely described. The aim of this study was to examine how women with Borderline Personality Disorder describe their daily occupations and adaptation to daily life. The study included nine participants. The data were collected using a semi-structured interview and were analyzed using content analysis.

Theme: Having few organized daily activities and poor personal causation prevent changes in adaptation to daily life. Two categories: performance and self-image, and four subcategories: competent or incompetent to perform, positive self-image, and lack of self-image were identified.     

Evaluating OVal-9, An Instrument for Detecting Experiences of Value in Daily Occupations

The drastic increase of psychosocial ill health may point to the fact that current lifestyles produce longer lives, but with increased chronic disorders rather than greater health. Focus on current lifestyles, that is, on peoples' daily environments, are thereby warranted to develop models and methods for tracing health promoting factors inherent in people's daily participation and experiences. This study tests the content validity of OVal-9, an instrument based on the new concept; Occupational Value, among a sample of experts, students and clients. The result shows a good ability to assess the value that people experience in their daily occupations. We are convinced that measuring Occupational Value might be of importance in developing future strategies for intervention and prevention needed for the increasing incidence of mental ill-health.     

Voices from the Street: How Structural and Individual Factors Influence Homelessness

This study compared structural and individual factors related to persons who are homeless and how these factors affected their ability to utilize and benefit from available services. A qualitative case study design was used to conduct in-depth interviews with two participants receiving hospice care in a residence for the homeless. Results support previous findings that chronic homelessness is the result of multiple structural and individual factors that occur over time. Contrary to the literature on chronic homelessness, however, both participants were unique in their history of employment and strong desire to work, despite having limited work skills. Responses from both participants underscored the value of daily structure and meaningful occupation in residential addiction treatment.