Occupational therapists in community mental health teams for older people in England: Findings from a five-year research programme / Michele Abendstern in The British Journal of Occupational Therapy, Vol.80 Issue 1 (Janvier 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 1 (Janvier 2017) . - p. 20-29 Titre : Occupational therapists in community mental health teams for older people in England: Findings from a five-year research programme Type de document : texte imprimé Auteurs : Michele Abendstern ; Sue Tucker ; Mark Wilberforce ; [et al...] Année de publication : 2017 Article en page(s) : p. 20-29 Langues : Anglais (eng) Mots-clés : santé mentale  psychiatrie  personne âgée  ergothérapie Résumé : This English study is the first to focus on the contribution of occupational therapists to the work of community mental health teams for older people. Method A mixed methods study comprising: a national survey of community mental health team managers; caseload audit; qualitative interviews; and a practitioner survey provided information on team membership and functions, user characteristics, accounts of occupational therapists’ roles and experiences, and work characteristics. Findings Occupational therapists worked mainly with people with dementia and were involved in both generic and specialist tasks, with the latter focusing largely on maintaining functionality. They had found ways to balance their roles for the benefit of the team without loss of professional identity. Some differences of opinion between clinical leads and occupational therapists were reported. Stress levels among occupational therapists were similar to those of professional colleagues. Conclusion Some findings contrast with earlier studies of community mental health teams for working-age adults, offering new insights into the nature of the occupational therapists’ experiences. To ensure that occupational therapists in these settings are able to contribute effectively, a shared understanding of their role is required between them and their clinical leads. Permalink : ./index.php?lvl=notice_display&id=47784 [article] Occupational therapists in community mental health teams for older people in England: Findings from a five-year research programme [texte imprimé] / Michele Abendstern ; Sue Tucker ; Mark Wilberforce ; [et al...] . - 2017 . - p. 20-29. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 1 (Janvier 2017) . - p. 20-29 Mots-clés : santé mentale  psychiatrie  personne âgée  ergothérapie Résumé : This English study is the first to focus on the contribution of occupational therapists to the work of community mental health teams for older people. Method A mixed methods study comprising: a national survey of community mental health team managers; caseload audit; qualitative interviews; and a practitioner survey provided information on team membership and functions, user characteristics, accounts of occupational therapists’ roles and experiences, and work characteristics. Findings Occupational therapists worked mainly with people with dementia and were involved in both generic and specialist tasks, with the latter focusing largely on maintaining functionality. They had found ways to balance their roles for the benefit of the team without loss of professional identity. Some differences of opinion between clinical leads and occupational therapists were reported. Stress levels among occupational therapists were similar to those of professional colleagues. Conclusion Some findings contrast with earlier studies of community mental health teams for working-age adults, offering new insights into the nature of the occupational therapists’ experiences. To ensure that occupational therapists in these settings are able to contribute effectively, a shared understanding of their role is required between them and their clinical leads. Permalink : ./index.php?lvl=notice_display&id=47784

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Occupational therapy roles and responsibilities: Development of a standardised measure of time use for staff working with adults in community settings / Jane Hughes in The British Journal of Occupational Therapy, Vol.79 N°6 (June 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 336-344 Titre : Occupational therapy roles and responsibilities: Development of a standardised measure of time use for staff working with adults in community settings Type de document : texte imprimé Auteurs : Jane Hughes ; Mark Wilberforce ; Eileen Symonds ; [et al...] Année de publication : 2016 Article en page(s) : p. 336-344 Langues : Anglais (eng) Mots-clés : ergothérapie  soin communautaire  soin social  organisation Résumé : Introduction This paper documents the development of a diary schedule to describe the work of occupational therapists of all grades, across a range of adult care groups and community health and social care settings, to permit comparison between them and over time. Method Two sources of information were used to develop the schedule: findings from five focus groups with occupational therapists (46 participants) and analysis of previous research on staff time use undertaken by the Personal Social Services Research Unit at the University of Manchester. It was piloted and evaluated by scrutiny of the schedules, a group interview with participants and meetings with managers. Results Practitioners identified almost 200 activities in their day-to-day work. These were categorised into three principal activity themes: direct care, indirect care and team or service development. The pilot study revealed ease of completion and discernible differences between settings and activities together with suggestions for improvement to the schedule regarding the description of activities and the accompanying guidance. Conclusion A diary schedule and common activity list, covering the full breadth of occupational therapy practice in adult community care, was developed. Whilst its utility in an organisation employing practitioners in multiple settings was demonstrated its wider applicability is unproven. Permalink : ./index.php?lvl=notice_display&id=45770 [article] Occupational therapy roles and responsibilities: Development of a standardised measure of time use for staff working with adults in community settings [texte imprimé] / Jane Hughes ; Mark Wilberforce ; Eileen Symonds ; [et al...] . - 2016 . - p. 336-344. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 336-344 Mots-clés : ergothérapie  soin communautaire  soin social  organisation Résumé : Introduction This paper documents the development of a diary schedule to describe the work of occupational therapists of all grades, across a range of adult care groups and community health and social care settings, to permit comparison between them and over time. Method Two sources of information were used to develop the schedule: findings from five focus groups with occupational therapists (46 participants) and analysis of previous research on staff time use undertaken by the Personal Social Services Research Unit at the University of Manchester. It was piloted and evaluated by scrutiny of the schedules, a group interview with participants and meetings with managers. Results Practitioners identified almost 200 activities in their day-to-day work. These were categorised into three principal activity themes: direct care, indirect care and team or service development. The pilot study revealed ease of completion and discernible differences between settings and activities together with suggestions for improvement to the schedule regarding the description of activities and the accompanying guidance. Conclusion A diary schedule and common activity list, covering the full breadth of occupational therapy practice in adult community care, was developed. Whilst its utility in an organisation employing practitioners in multiple settings was demonstrated its wider applicability is unproven. Permalink : ./index.php?lvl=notice_display&id=45770

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Occupational therapy roles and responsibilities: Evidence from a pilot study of time use in an integrated health and social care trust / Mark Wilberforce in The British Journal of Occupational Therapy, Vol.79 N°7 (July 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°7 (July 2016) . - p. 409-416 Titre : Occupational therapy roles and responsibilities: Evidence from a pilot study of time use in an integrated health and social care trust Type de document : texte imprimé Auteurs : Mark Wilberforce ; Jane Hughes ; Ian Bowns ; [et al...] Année de publication : 2016 Article en page(s) : p. 409-416 Langues : Anglais (eng) Mots-clés : ergothérapie  santé  aide social  soin Résumé : Introduction Occupational therapists undertake a broad spectrum of activities, yet no mechanism exists to record how working time is distributed across them. This is a hindrance to research, evaluation and evidence-based practice. Method A new diary schedule was piloted by 151 qualified and assistant-grade practitioners working in multiple adult health and social care settings in an integrated NHS and social care trust in England. Time use relating to 37 occupational therapy tasks was recorded in 30 minute intervals for one week. Results Almost 5000 hours of activity were recorded. For the average working week, 39% of time was spent in direct care with clients, 31% involved undertaking indirect casework such as liaison and administration, whilst a further 22% was in team/service activity. Only modest differences were observed between qualified and assistant-grade respondents, whilst occupational therapists in traditional social care roles spent significantly longer in liaison and administrative duties. Individual tasks capturing ‘therapeutic activity’ accounted for just 10% of practitioner time. Conclusion The new diary tool is a viable data collection instrument to evaluate practice and the impact of service redesign. However, further work is needed to evaluate its measurement properties in more detail. Permalink : ./index.php?lvl=notice_display&id=45779 [article] Occupational therapy roles and responsibilities: Evidence from a pilot study of time use in an integrated health and social care trust [texte imprimé] / Mark Wilberforce ; Jane Hughes ; Ian Bowns ; [et al...] . - 2016 . - p. 409-416. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°7 (July 2016) . - p. 409-416 Mots-clés : ergothérapie  santé  aide social  soin Résumé : Introduction Occupational therapists undertake a broad spectrum of activities, yet no mechanism exists to record how working time is distributed across them. This is a hindrance to research, evaluation and evidence-based practice. Method A new diary schedule was piloted by 151 qualified and assistant-grade practitioners working in multiple adult health and social care settings in an integrated NHS and social care trust in England. Time use relating to 37 occupational therapy tasks was recorded in 30 minute intervals for one week. Results Almost 5000 hours of activity were recorded. For the average working week, 39% of time was spent in direct care with clients, 31% involved undertaking indirect casework such as liaison and administration, whilst a further 22% was in team/service activity. Only modest differences were observed between qualified and assistant-grade respondents, whilst occupational therapists in traditional social care roles spent significantly longer in liaison and administrative duties. Individual tasks capturing ‘therapeutic activity’ accounted for just 10% of practitioner time. Conclusion The new diary tool is a viable data collection instrument to evaluate practice and the impact of service redesign. However, further work is needed to evaluate its measurement properties in more detail. Permalink : ./index.php?lvl=notice_display&id=45779

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