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An occupational perspective of youth positive mental health: A critical review / Samantha Hall in The British Journal of Occupational Therapy, Volume 78 numéro 5 (Mai 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 276-285 Titre : An occupational perspective of youth positive mental health: A critical review Type de document : texte imprimé Auteurs : Samantha Hall, Auteur ; Carol McKinstry, Auteur ; Nerida Hyett, Auteur Année de publication : 2015 Article en page(s) : p. 276-285 Langues : Anglais (eng) Mots-clés : Positive mental health  Youth  Occupation  CMOP-E Résumé : Introduction The experience of youth positive mental health has attracted limited research interest, despite healthcare shifting to a preventative approach, promoting health and wellbeing rather than focusing on illness. The aim of this critical review was to develop an understanding of youth positive mental health from an occupational perspective. Method Eight databases were searched and findings from each of the 11 relevant studies were critically reviewed and analysed using the Canadian Model of Occupational Performance and Engagement (CMOP-E). The three core elements of the CMOP-E were used as themes: personal factors, environment and occupation. Findings Each of the core components of the CMOP-E were identified as influencing youth positive mental health. The importance of supportive social environments and social occupations were particularly prevalent. Deeper understandings of the influence spirituality and institutional environments have on positive mental health for youth are required. Conclusion Youth positive mental health is a complex concept and requires the consideration of personal, environmental and occupational factors. Gaps identified included limited evidence of how young people engaged in mental health services perceive positive mental health. To gain a deeper understanding of positive youth mental health, future En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35947 [article] An occupational perspective of youth positive mental health: A critical review [texte imprimé] / Samantha Hall, Auteur ; Carol McKinstry, Auteur ; Nerida Hyett, Auteur . - 2015 . - p. 276-285. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 276-285 Mots-clés : Positive mental health  Youth  Occupation  CMOP-E Résumé : Introduction The experience of youth positive mental health has attracted limited research interest, despite healthcare shifting to a preventative approach, promoting health and wellbeing rather than focusing on illness. The aim of this critical review was to develop an understanding of youth positive mental health from an occupational perspective. Method Eight databases were searched and findings from each of the 11 relevant studies were critically reviewed and analysed using the Canadian Model of Occupational Performance and Engagement (CMOP-E). The three core elements of the CMOP-E were used as themes: personal factors, environment and occupation. Findings Each of the core components of the CMOP-E were identified as influencing youth positive mental health. The importance of supportive social environments and social occupations were particularly prevalent. Deeper understandings of the influence spirituality and institutional environments have on positive mental health for youth are required. Conclusion Youth positive mental health is a complex concept and requires the consideration of personal, environmental and occupational factors. Gaps identified included limited evidence of how young people engaged in mental health services perceive positive mental health. To gain a deeper understanding of positive youth mental health, future En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35947

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Implementing evidence-based supported employment in Sussex for people with severe mental illness / Rhonda Van Veggel in The British Journal of Occupational Therapy, Volume 78 numéro 5 (Mai 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 286-294 Titre : Implementing evidence-based supported employment in Sussex for people with severe mental illness Type de document : texte imprimé Auteurs : Rhonda Van Veggel, Auteur ; Geoff Waghorn, Auteur ; Shannon Dias, Auteur Année de publication : 2015 Article en page(s) : p. 286-294 Langues : Anglais (eng) Mots-clés : Severe mental illness  Employment  Vocational rehabilitation  Evidence-based practice Résumé : Introduction The aim of this research was to evaluate a large-scale implementation of evidence-based supported employment for people with severe mental illness, at 17 locations throughout Sussex, England. Method A parallel group observational design was used to evaluate an implementation of the individual placement and support approach to supported employment. Three sites provided both a comparison pre-individual placement and support cohort (n = 140), and a new post-individual placement and support cohort (n = 107) as part of the individual placement and support implementation (n = 446). All individual placement and support sites involved community mental health teams forming partnerships with Southdown Supported Employment to co-locate an employment specialist into each mental health team. The primary outcome was the proportion of participants commencing competitive employment during the follow-up period. Results The new individual placement and support sites attained higher fidelity with respect to individual placement and support principles and practices (mean 97 of 125) than the pre-individual placement and support sites (mean 77 of 125). Significantly more individual placement and support participants commenced competitive employment than pre-individual placement and support participants (24.9% vs 14.3%). Individual placement and support participants experienced less delay before commencing their first job (153 vs 371 days), and when employed, worked more hours per week (24.3 vs 15.4 hours). Conclusion This implementation of individual placement and support in Sussex improved on the previous vocational services. Although progress is encouraging there is much room for improvement. More resources appear needed to support programme development, specifically to strengthen site-level management, training, technical support, fidelity assessment, programme monitoring, and outcome evaluation. En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35948 [article] Implementing evidence-based supported employment in Sussex for people with severe mental illness [texte imprimé] / Rhonda Van Veggel, Auteur ; Geoff Waghorn, Auteur ; Shannon Dias, Auteur . - 2015 . - p. 286-294. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 286-294 Mots-clés : Severe mental illness  Employment  Vocational rehabilitation  Evidence-based practice Résumé : Introduction The aim of this research was to evaluate a large-scale implementation of evidence-based supported employment for people with severe mental illness, at 17 locations throughout Sussex, England. Method A parallel group observational design was used to evaluate an implementation of the individual placement and support approach to supported employment. Three sites provided both a comparison pre-individual placement and support cohort (n = 140), and a new post-individual placement and support cohort (n = 107) as part of the individual placement and support implementation (n = 446). All individual placement and support sites involved community mental health teams forming partnerships with Southdown Supported Employment to co-locate an employment specialist into each mental health team. The primary outcome was the proportion of participants commencing competitive employment during the follow-up period. Results The new individual placement and support sites attained higher fidelity with respect to individual placement and support principles and practices (mean 97 of 125) than the pre-individual placement and support sites (mean 77 of 125). Significantly more individual placement and support participants commenced competitive employment than pre-individual placement and support participants (24.9% vs 14.3%). Individual placement and support participants experienced less delay before commencing their first job (153 vs 371 days), and when employed, worked more hours per week (24.3 vs 15.4 hours). Conclusion This implementation of individual placement and support in Sussex improved on the previous vocational services. Although progress is encouraging there is much room for improvement. More resources appear needed to support programme development, specifically to strengthen site-level management, training, technical support, fidelity assessment, programme monitoring, and outcome evaluation. En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35948

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Implications of DSM-5 for recognising adults with developmental coordination disorder (DCD) / Catherine Purcell in The British Journal of Occupational Therapy, Volume 78 numéro 5 (Mai 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 295-302 Titre : Implications of DSM-5 for recognising adults with developmental coordination disorder (DCD) Type de document : texte imprimé Auteurs : Catherine Purcell, Auteur ; Sally Scott-Roberts, Auteur ; Amanda Kirby, Auteur Année de publication : 2015 Article en page(s) : p. 295-302 Langues : Anglais (eng) Mots-clés : Developmental coordination disorder (DCD)  Adults DSM-5 Résumé : Introduction The latest edition of the Diagnostic and Statistical Manual of Mental Disorders has attempted to recognise the pervasiveness of developmental coordination disorder across the lifespan. However, it falls short at describing the non-motoric symptomology such as executive functioning, social, emotional and psychiatric difficulties commonly reported in adults. Consequently, at the point of entry the self-reported functional difficulties of an adult with developmental coordination disorder may not be immediately associated with an underlying deficit within a motor domain, potentially resulting in inappropriate referrals. Method This study aimed to explore the reasons why 16 adults without a previous diagnosis of developmental coordination disorder referred themselves for a clinical assessment and consider whether their significant motor difficulties would be apparent. Results The primary self-reported concerns related to executive functioning difficulties, activities of daily living, changes in routine and social interaction and engagement. The least common self-reported concerns included gross motor skills. Conclusion Practitioners at the point of entry need to be mindful that adults with significant motor difficulties may not identify motor difficulties as their primary concern. It is, therefore, important to include screening for motor difficulties and for a future clinical landscape to comprise a referral pathway to adult neurodevelopmental clinics incorporating multidisciplinary teams. En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35949 [article] Implications of DSM-5 for recognising adults with developmental coordination disorder (DCD) [texte imprimé] / Catherine Purcell, Auteur ; Sally Scott-Roberts, Auteur ; Amanda Kirby, Auteur . - 2015 . - p. 295-302. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 295-302 Mots-clés : Developmental coordination disorder (DCD)  Adults DSM-5 Résumé : Introduction The latest edition of the Diagnostic and Statistical Manual of Mental Disorders has attempted to recognise the pervasiveness of developmental coordination disorder across the lifespan. However, it falls short at describing the non-motoric symptomology such as executive functioning, social, emotional and psychiatric difficulties commonly reported in adults. Consequently, at the point of entry the self-reported functional difficulties of an adult with developmental coordination disorder may not be immediately associated with an underlying deficit within a motor domain, potentially resulting in inappropriate referrals. Method This study aimed to explore the reasons why 16 adults without a previous diagnosis of developmental coordination disorder referred themselves for a clinical assessment and consider whether their significant motor difficulties would be apparent. Results The primary self-reported concerns related to executive functioning difficulties, activities of daily living, changes in routine and social interaction and engagement. The least common self-reported concerns included gross motor skills. Conclusion Practitioners at the point of entry need to be mindful that adults with significant motor difficulties may not identify motor difficulties as their primary concern. It is, therefore, important to include screening for motor difficulties and for a future clinical landscape to comprise a referral pathway to adult neurodevelopmental clinics incorporating multidisciplinary teams. En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35949

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Occupations and personal projects: A comparison of the concepts / Caroline Arcand-Dusseault in The British Journal of Occupational Therapy, Volume 78 numéro 5 (Mai 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 303-310 Titre : Occupations and personal projects: A comparison of the concepts Type de document : texte imprimé Auteurs : Caroline Arcand-Dusseault, Auteur ; Mary Egan, Auteur Année de publication : 2015 Article en page(s) : p. 303-310 Langues : Anglais (eng) Mots-clés : Occupational therapy  Models  Theoretical Résumé : Introduction The concept of personal projects has been used in occupational therapy research to understand occupation better. However, no clear distinction has been made between personal projects and occupations. An argumentative review was carried out to determine if the concepts of occupation, as outlined in the Canadian Model of Occupational Performance and Engagement and the Person Environment Occupation Model and personal projects are interchangeable. Method Definitions of each concept and seven points of comparison were identified through reading and discussion of key material related to: framework and origins; association with health and well-being; consideration of the environment; individualized and self-directed nature; consideration of aspects of the person; categories; and balance. Findings Occupation and personal projects represent similar concepts when they refer to concrete and time-limited activities. More abstract and extended personal projects may be broken down into more concrete, shorter-term occupations. Differences were noted with respect to consideration of the environment, aspects of the person, categories and balance. Conclusion Differences in the way the environment, aspects of the person, categories and balance are considered in personal projects may provide helpful insights for occupational therapists as they attempt to practice in a client-centered, strengths-based manner with a focus on occupation. En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35952 [article] Occupations and personal projects: A comparison of the concepts [texte imprimé] / Caroline Arcand-Dusseault, Auteur ; Mary Egan, Auteur . - 2015 . - p. 303-310. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 303-310 Mots-clés : Occupational therapy  Models  Theoretical Résumé : Introduction The concept of personal projects has been used in occupational therapy research to understand occupation better. However, no clear distinction has been made between personal projects and occupations. An argumentative review was carried out to determine if the concepts of occupation, as outlined in the Canadian Model of Occupational Performance and Engagement and the Person Environment Occupation Model and personal projects are interchangeable. Method Definitions of each concept and seven points of comparison were identified through reading and discussion of key material related to: framework and origins; association with health and well-being; consideration of the environment; individualized and self-directed nature; consideration of aspects of the person; categories; and balance. Findings Occupation and personal projects represent similar concepts when they refer to concrete and time-limited activities. More abstract and extended personal projects may be broken down into more concrete, shorter-term occupations. Differences were noted with respect to consideration of the environment, aspects of the person, categories and balance. Conclusion Differences in the way the environment, aspects of the person, categories and balance are considered in personal projects may provide helpful insights for occupational therapists as they attempt to practice in a client-centered, strengths-based manner with a focus on occupation. En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35952

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The impact of colorectal cancer on leisure participation: A narrative study / Sarah Shipp in The British Journal of Occupational Therapy, Volume 78 numéro 5 (Mai 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 311-319 Titre : The impact of colorectal cancer on leisure participation: A narrative study Type de document : texte imprimé Auteurs : Sarah Shipp, Auteur ; Carol McKinstry, Auteur ; Elizabeth Pearson, Auteur Année de publication : 2015 Article en page(s) : p. 311-319 Langues : Anglais (eng) Mots-clés : Oncology  Quality of life  Qualitative research Résumé : Introduction The prevalence of cancer is increasing and, with enhanced early detection and treatment, survival rates have also improved. During cancer treatment and survivorship, occupational participation is significantly impacted, with leisure affected. This field has attracted limited research interest however, particularly involving men with colorectal cancer. Symptoms including cancer-related fatigue and pain may reduce ability to engage in usual leisure occupations. Method A qualitative narrative study was conducted to enhance understanding of leisure participation during and following cancer treatment. In-depth interviews were undertaken with four men with colorectal cancer attending for review at a specialist cancer centre. Audio-recorded interview data were transcribed verbatim and thematically analysed. Results All men interviewed reported significant disruption to their usual leisure occupations. Participants described participating in passive leisure occupations during treatment over more active or community-based occupations due to challenges such as having a colostomy bag and fatigue. The men described generally returning to their chosen leisure occupations and the significance this held for their wellbeing. Conclusion Given the impact of colorectal cancer on participation in leisure occupations for men, occupational therapists can assist these men to either resume previous leisure occupations or commence alternative leisure occupations to improve their quality of life. En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35953 [article] The impact of colorectal cancer on leisure participation: A narrative study [texte imprimé] / Sarah Shipp, Auteur ; Carol McKinstry, Auteur ; Elizabeth Pearson, Auteur . - 2015 . - p. 311-319. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 311-319 Mots-clés : Oncology  Quality of life  Qualitative research Résumé : Introduction The prevalence of cancer is increasing and, with enhanced early detection and treatment, survival rates have also improved. During cancer treatment and survivorship, occupational participation is significantly impacted, with leisure affected. This field has attracted limited research interest however, particularly involving men with colorectal cancer. Symptoms including cancer-related fatigue and pain may reduce ability to engage in usual leisure occupations. Method A qualitative narrative study was conducted to enhance understanding of leisure participation during and following cancer treatment. In-depth interviews were undertaken with four men with colorectal cancer attending for review at a specialist cancer centre. Audio-recorded interview data were transcribed verbatim and thematically analysed. Results All men interviewed reported significant disruption to their usual leisure occupations. Participants described participating in passive leisure occupations during treatment over more active or community-based occupations due to challenges such as having a colostomy bag and fatigue. The men described generally returning to their chosen leisure occupations and the significance this held for their wellbeing. Conclusion Given the impact of colorectal cancer on participation in leisure occupations for men, occupational therapists can assist these men to either resume previous leisure occupations or commence alternative leisure occupations to improve their quality of life. En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35953

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Alcohol use amongst older adults: Knowledge and beliefs of occupational therapists working in physical health care settings / Fiona MACLEAN in The British Journal of Occupational Therapy, Volume 78 numéro 5 (Mai 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 320-330 Titre : Alcohol use amongst older adults: Knowledge and beliefs of occupational therapists working in physical health care settings Type de document : texte imprimé Auteurs : Fiona MACLEAN, Auteur ; Jan GILL, Auteur ; Fiona O'MAY, Auteur Année de publication : 2015 Article en page(s) : p. 320-330 Langues : Anglais (eng) Mots-clés : Theory  Assessment  Education : Alcohol use  Older people  Physical health care Résumé : Introduction There is little discussion in the United Kingdom occupational therapy literature surrounding the topic of older people and alcohol, despite the growing prevalence of alcohol-related health problems in older adults resulting from an ageing population and changing patterns of consumption. Occupational therapists in physical health care settings are likely to work with older people whose drinking pattern may not be alcohol dependent, but may put their physical or psychological health at risk. Method A survey methodology was employed using open and closed questions, recruiting occupational therapists (band 5 to 9) (n = 122) working with older people (65+ years) in physical health care settings across all, except one, National Health Service Regional Health Boards in Scotland. Results Responses highlight gaps in occupational therapists’ knowledge around alternative ‘safe limits’ of alcohol intake for older people. Belief in professional role was evident, but the perception was that this was not supported by undergraduate education. Occupation focused theory and assessment were not prioritized when considering alcohol in the older adult. Conclusion This study has highlighted a need to develop pre- and post-qualification education for occupational therapists, to enhance understanding of theory, assessment and knowledge of alcohol with older adults in physical health care settings. En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35954 [article] Alcohol use amongst older adults: Knowledge and beliefs of occupational therapists working in physical health care settings [texte imprimé] / Fiona MACLEAN, Auteur ; Jan GILL, Auteur ; Fiona O'MAY, Auteur . - 2015 . - p. 320-330. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 320-330 Mots-clés : Theory  Assessment  Education : Alcohol use  Older people  Physical health care Résumé : Introduction There is little discussion in the United Kingdom occupational therapy literature surrounding the topic of older people and alcohol, despite the growing prevalence of alcohol-related health problems in older adults resulting from an ageing population and changing patterns of consumption. Occupational therapists in physical health care settings are likely to work with older people whose drinking pattern may not be alcohol dependent, but may put their physical or psychological health at risk. Method A survey methodology was employed using open and closed questions, recruiting occupational therapists (band 5 to 9) (n = 122) working with older people (65+ years) in physical health care settings across all, except one, National Health Service Regional Health Boards in Scotland. Results Responses highlight gaps in occupational therapists’ knowledge around alternative ‘safe limits’ of alcohol intake for older people. Belief in professional role was evident, but the perception was that this was not supported by undergraduate education. Occupation focused theory and assessment were not prioritized when considering alcohol in the older adult. Conclusion This study has highlighted a need to develop pre- and post-qualification education for occupational therapists, to enhance understanding of theory, assessment and knowledge of alcohol with older adults in physical health care settings. En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35954

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Evaluation in everyday occupational therapy practice: Should we be thinking about treatment fidelity? / Jenna Breckenridge in The British Journal of Occupational Therapy, Volume 78 numéro 5 (Mai 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 331-333 Titre : Evaluation in everyday occupational therapy practice: Should we be thinking about treatment fidelity? Type de document : texte imprimé Auteurs : Jenna Breckenridge, Auteur ; Derek Jones, Auteur Année de publication : 2015 Article en page(s) : p. 331-333 Langues : Anglais (eng) Mots-clés : Treatment fidelity  Evaluation  Evidence-based practice Résumé : Evaluation is a core component of the occupational therapy process. To draw meaningful conclusions about the effectiveness of occupational therapy practice, it is essential that therapists consider not only what outcomes are achieved, but also reflect on how interventions are delivered. We suggest that incorporating the concept of ‘treatment fidelity’ into clinical practice offers therapists a means of differentiating between interventions and demonstrating clearer links between occupational therapy practice and successful client outcomes. In so doing, practitioners can highlight more explicitly the unique contribution of occupational therapy interventions. En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35955 [article] Evaluation in everyday occupational therapy practice: Should we be thinking about treatment fidelity? [texte imprimé] / Jenna Breckenridge, Auteur ; Derek Jones, Auteur . - 2015 . - p. 331-333. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 331-333 Mots-clés : Treatment fidelity  Evaluation  Evidence-based practice Résumé : Evaluation is a core component of the occupational therapy process. To draw meaningful conclusions about the effectiveness of occupational therapy practice, it is essential that therapists consider not only what outcomes are achieved, but also reflect on how interventions are delivered. We suggest that incorporating the concept of ‘treatment fidelity’ into clinical practice offers therapists a means of differentiating between interventions and demonstrating clearer links between occupational therapy practice and successful client outcomes. In so doing, practitioners can highlight more explicitly the unique contribution of occupational therapy interventions. En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35955

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