- Browse by Subject
Browsing by Subject "occupation-based"
Now showing 1 - 4 of 4
Results Per Page
Sort Options
Item Comparing Narrative-Informed Occupational Therapy in Adult Outpatient Mental Health to Treatment as Usual: A Quasi-Experimental Feasibility Study with Preliminary Treatment Outcomes(Taylor & Francis, 2021) Wasmuth, Sally; Wilburn, Victoria G.; Hamm, Jay A.; Chase, Anthony; Occupational Therapy, School of Health and Human SciencesThis paper describes implementation of narrative-informed occupation-based service delivery in outpatient community mental health that addresses (1) the need for outcome data on occupational therapy in this setting, (2) an ongoing mental health provider shortage, and (3) a need for innovative approaches to supporting mental health. We found a significant improvement from baseline to post-intervention in occupational participation. Dose of occupational therapy was significantly related to improvements in roles, habits, values, long-term goals, social environment, and readiness for change. This study supports future, larger effectiveness studies of narrative-informed occupation-based intervention delivered by occupational therapists in outpatient community mental health.Item Intersections of occupational participation and borderline personality disorder: A grounded theory approach(Taylor and Francis, 2020-01) Wasmuth, Sally; Mokol, Emily; Szymaszek, Karolina; Gaerke, Kyra-Jo; Manspeaker, Trevor; Lysaker, Paul; Tommasi, Marco; Occupational Therapy, School of Health and Human SciencesBorderline personality disorder (BPD) is characterized by intense emotions, self-harm, unstable self-image, and risky behaviors, which impede wellness and interfere with occupational participation. However, literature on occupational participation of people with BPD is scarce and has mostly focused on women. This study explores and elucidates intersections of occupational participation and BPD in a sample of mostly male veterans in order to identify potential ways occupational therapists and other health professionals can support wellbeing for this population. Grounded theory analysis was conducted on data collected using the Indiana Psychiatric Illness Interview (IPII), a semi-structured interview designed to elicit illness personal narratives. Analysis yielded three main themes—influencing environment, internal experience, and occupation—and several subthemes including being abused, arising problems, feeling neglected, feeling victimized, escape, self-segregating, positive change, participating/engaging, and substance abuse. Occupations both influenced and were influenced by the environment and internal experiences. Environments appeared to influence internal experience, but internal experiences did not influence environments directly. Rather, internal experiences impacted a person’s occupations which, in turn, impacted their environments. Participants’ occupational lives revealed, as expected, several subthemes depicting negative and/or isolating experiences. However, participants’ occupations directly impacted both their environmental contexts and internal experiences, suggesting occupational performance may be a powerful mechanism of change for this population. Findings offer promise that occupational therapists could facilitate health-promoting occupational participation which, in turn, may result in more positive and health-promoting environments and internal experiences.Item Occupation-Based Group Interventions Impacting Social Participation For Autistic Children and Adolescents: A Rapid Systematic Review(2022-05) Oleshchuk, Oksana; Legue, Anna; Gibbons, Molly; Banks, Riley; Chase, Tony; Department of Occupational Therapy, School of Health and Human SciencesThis rapid systematic review examines the literature on effective group interventions targeting social participation in autistic children and adolescents. Autistic youth often receive occupational therapy with social participation being a distinct targeted outcome. However, recent advocacy has introduced a need for reducing social skills training in favor of client-centered social participation, which can be done through the lens of occupational therapy’s unique core values. This review provides an overview and analysis of 20 studies that addressed a wide range of occupation-based group interventions in the areas of art, play, physical activity, school-based, and social skills group training (SSGT). Findings reveal moderate strength of evidence for the use of occupation-based group interventions in enhancing social participation in autistic children and adolescents, limited mostly by lack of blinding in studies. This review supports the use of group occupation-based interventions which can widen, inform, and guide the intervention approaches for occupational therapy practitioners working with this population.Item Occupational Therapy's Role in Hand Therapy: Approaches and Perspectives(2021-04) Shelton, Hayley; Albright, Megan; Department of Occupational Therapy, School of Health and Human Sciences; Roscetti, SallyHand therapy is a practice area within occupational therapy. Occupational therapists have a unique skillset in which they are able to treat patients with upper extremity musculoskeletal injuries while realizing that each patient is an occupational being. The purpose of this capstone was to identify reasons occupational therapy practitioners lacked occupation-based interventions in treatment sessions, search the literature to find the best way to implement occupation-based interventions, and for the capstone student to utilize the findings from the research to provide the best possible patient care. Research suggests a combination of the biomechanical frame of reference and occupation focused frame of reference is the best approach to patient care in hand therapy. However, having the skillset to do that comes after months of experience. This capstone student identified the ways having a capstone in hand therapy in addition to a level II fieldwork in hand therapy advanced their skillset past that of an entry level practitioner. The capstone student implemented occupation-based interventions into treatment sessions and utilized advanced skills, such as provocative testing, to advance their skills beyond a level II fieldwork student. The student then created a table outlining the differences between a fieldwork student and a capstone student for future students and practitioners to use as a reference. Keywords: hand therapy, occupational therapy, occupation-based, capstone student, advanced clinical skill