Occupational therapy interventions in mental health: a scoping review of recent evidence

2019 ◽  
Vol 26 (9) ◽  
pp. 1-21 ◽  
Author(s):  
Kirsten Schultz Petersen ◽  
Siv Therese Bogevik Bjørkedal ◽  
Anne Marie Torsting ◽  
Lene Falgaard Eplov
Keyword(s):  
Mental Health ◽  
Occupational Therapy ◽  
Scoping Review ◽  
Supported Employment ◽  
Occupational Therapists ◽  
High Quality ◽  
Level Of Evidence ◽  
The Matrix ◽  
Therapy Interventions ◽  
Occupational Therapy Interventions

Background/AimsStudies investigating the effect of occupational therapy in mental health are few. This scoping review aims to identify, present and assess studies that have investigated the effect of occupation- and activity-based/focused interventions performed by occupational therapists in mental health.MethodsThe scoping review involved searching six databases, covering articles from 2003 to 2018. ‘The Matrix Method’ was used to describe and synthesise the content of the included studies. The Oxford Level of Evidence was used to rank the evidence, and The Critical Appraisal Skills Programme was used to assess the quality of the study.ResultsA total of 21 original studies and 4 systematic reviews were included in this review. Interventions, approaches, programmes, training, and activities such as cooking, artwork, crafts, pottery, sports, calligraphy, horticulture, and music, organised individually or in groups, were investigated in the included studies. Individualised occupational therapy showed clinically significant improvements in social functioning and cognition, promising results were found on supported employment and education.ConclusionsFew high-quality studies that have investigated the effect of occupation-and activity-based/focused interventions performed by occupational therapists in mental health were found. This scoping review highlights the importance of future high quality studies to support evidence-based practice within mental health occupational therapy.

Barriers and facilitators of participation in intervention research by mental health occupational therapists

2017 ◽  
Vol 80 (9) ◽  
pp. 568-572 ◽  
Author(s):  
Mary Birken ◽  
Elyse Couch ◽  
Mary Morley
Keyword(s):  
Mental Health ◽  
Clinical Trials ◽  
Community Mental Health ◽  
Occupational Therapy ◽  
Online Survey ◽  
Outcome Measurement ◽  
Occupational Therapists ◽  
Intervention Research ◽  
Therapy Interventions ◽  
Occupational Therapy Interventions

Statement of context Occupational therapists in clinical practice are required to deliver interventions within clinical trials to demonstrate the effectiveness of occupational therapy interventions. Challenges to participation in intervention research by occupational therapists working in community mental health have been identified and require further investigation. Critical reflection on practice A cross-sectional online survey of occupational therapists working in mental health was used, and obtained a 50% ( n = 144) response rate. Limited time, large generic caseloads, and lack of skills and experience in research were identified barriers to participation in occupational therapy intervention research. Occupational therapists had limited dedicated time to carry out occupational therapy interventions and outcome measurement was limited. Implications for practice Occupational therapy roles need to be regained in adult community mental health alongside routine outcome measurement. This will enable occupational therapy interventions to contribute to community mental health services and support participation in clinical trials of occupational therapy interventions.

Occupational therapy and posttraumatic stress disorder: A scoping review

2019 ◽  
Vol 86 (2) ◽  
pp. 148-157 ◽  
Author(s):  
Megan M. Edgelow ◽  
Megan M. MacPherson ◽  
Faye Arnaly ◽  
Linna Tam-Seto ◽  
Heidi A. Cramm
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Occupational Therapy ◽  
Posttraumatic Stress ◽  
Scoping Review ◽  
Stress Disorder ◽  
Occupational Therapists ◽  
Multidisciplinary Teams ◽  
Therapy Interventions ◽  
Occupational Therapy Interventions ◽  
The Impact

Background. People who are diagnosed with posttraumatic stress disorder (PTSD) can experience disruptions in their daily occupations. Occupational therapists may assist clients with PTSD to reengage in meaningful occupations. Purpose. This scoping review aims to identify and describe the ways occupational therapy addresses PTSD in clinical practice. Method. Scholarly databases were searched for documents relating to occupational therapy and PTSD. Two reviewers independently applied selection criteria and systematically extracted information. Data were extracted and synthesized in a narrative format. Findings. Fifty sources met inclusion criteria and three major themes were identified: recognizing trauma within specific populations, PTSD’s impact on a range of occupations, and occupational therapy’s response to PTSD. Implications. Occupational therapists are working in multidisciplinary teams to reduce the impact of PTSD on the daily occupations of their clients. More effectiveness studies are required to understand the outcomes of occupational therapy interventions for clients with PTSD.

Generic and Specialist Occupational Therapy Casework in Community Mental Health Teams

2003 ◽  
Vol 66 (3) ◽  
pp. 101-109 ◽  
Author(s):  
Priscilla A Harries ◽  
Ken Gilhooly
Keyword(s):  
Mental Health ◽  
Cluster Analysis ◽  
Community Mental Health ◽  
Occupational Therapy ◽  
Work Satisfaction ◽  
Occupational Therapists ◽  
Team Members ◽  
Specific Policy ◽  
Therapy Interventions ◽  
Occupational Therapy Interventions

The aim of this research was to conduct a cluster analysis on data from 40 community mental health occupational therapists to determine if subgroups of therapists had differing referral prioritisation policies. A Ward's cluster analysis showed four clusters to be present. These four subgroups of occupational therapists were found to differ according to several factors: the percentage of role dedicated to specialist occupational therapy or generic work, satisfaction with the balance in these roles, the number of hours worked, the number of professionally trained team members and the presence of referral prioritisation policies. The subgroups were named the aspiring specialists, the satisfied specialists, the satisfied genericists and the chameleons (those not set in applying a consistent or specific policy). The policies that led to mainly generic working gave greatest importance to clients who were potentially violent or at risk of suicide. The policies that led to more of an occupational therapy role gave particular importance to the reason for referral and the client's diagnosis. The College of Occupational Therapists has recommended that the majority of casework should be focused on specialist occupational therapy interventions (Craik et al 1998): most of the participants in this study were not meeting this recommendation. Although some aspired to being more specialist, the pressures to work generically may have been affecting referral policies.

scholarly journals Occupational Therapy Interventions in Adults with Multiple Sclerosis or Amyotrophic Lateral Sclerosis: A Scoping Review

2021 ◽  
Vol 18 (4) ◽  
pp. 1432
Author(s):  
Luis De-Bernardi-Ojuel ◽  
Laura Torres-Collado ◽  
Manuela García-de-la-Hera
Keyword(s):  
Multiple Sclerosis ◽  
Amyotrophic Lateral Sclerosis ◽  
Occupational Therapy ◽  
Scoping Review ◽  
Adult Population ◽  
Falls Prevention ◽  
Targeted Interventions ◽  
Therapy Interventions ◽  
Occupational Therapy Interventions ◽  
Lateral Sclerosis

This scoping review aims to describe occupational therapy interventions carried out with multiple sclerosis (MS) and amyotrophic lateral sclerosis (ALS) patients in occupational therapy. A peer review of the literature was conducted in different databases: Pubmed, Scopus, Web of Science and Embase, and in some occupational therapy journals. A search of the literature published was carried out before December 2019. The inclusion criteria were as follows: (1) articles evaluating the intervention of occupational therapy in MS or ALS including experimental, randomized, nonrandomized and exploratory studies; (2) written in English or Spanish; (3) adult population (over 18 years old). The initial search identified 836 articles of which we included 32 divided into four areas of intervention: fatigue-targeted interventions, cognitive interventions, physical interventions and others. Only 16 studies were carried out exclusively by occupational therapists. Most occupational therapy interventions are aimed at fatigue and physical rehabilitation. The majority of the studies in our review included MS patients, with little representation from the ALS population. These interventions have shown an improvement in perceived fatigue, manual dexterity, falls prevention and improvement in cognitive aspects such as memory, communication, depression and quality of life in the MS and ALS populations.

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