No abstract

Introduction: The purpose of this study was to assess the effectiveness of a housing transition program for homeless shelter residents with chronic mental illness and substance use. Method: A two-group controlled study design was used to assess the program, with 10 participants in an intervention group and 10 in a control group. Goal attainment scaling and quality of life ratings were used pre-and post-intervention to determine if a statistically significant difference existed between groups at post-intervention. Results: A statistically significant difference existed between intervention and control group goal attainment scaling scores (U ¼ 9.50, p < .03, d ¼ 1.34), and on quality of life scores (U ¼ 10.50, p < .04, d ¼ 1.30) at post-intervention. At a 6-month follow-up, 57.14% of intervention group participants had transitioned into supportive housing, while only 25% of control group participants had transitioned. Conclusion: Findings suggest that intervention participants made greater progress toward desired housing goals and reported higher quality of life ratings than controls at post-intervention. This study provides support for the effectiveness of a housing program for homeless adults with chronic mental illness and substance use histories to achieve housing goals and higher quality of life ratings.

OBJECTIVE.We examined the effect of a motor-based role-play intervention on the social skills of adolescents with high-functioning autism.METHOD. An ABA multiple-baseline design with three 3-mo phases occurring over 12 mo was used with 7 participants. Frequency of targeted verbal and nonverbal behaviors was tallied in each phase. Frequency data were analyzed using repeated-measures analyses of variance with post hoc comparisons to examine differences in targeted behaviors over the three phases.

The purpose of the authors in this pilot study was to assess the effects of an occupational therapy role-playing intervention for adolescents with Asperger's syndrome. An ABA multiple baseline single-subject design across participants was used with three adolescents to determine if a six-week intervention could increase targeted social behaviors. Data were collected over baseline, intervention, and probe phases. Three methods of analysis were used: visual inspection of graphed data, paired t tests, and a three standard deviation-band approach. Findings demonstrated that all three participants were able to increase the frequency of targeted social skill use from baseline to intervention and maintain this level at a one month probe. Differences between baseline and intervention phases for each participant reached statistical significance. Through this study the authors offer preliminary evidence that an occupational therapy role-playing intervention that is both client centered and graded can increase targeted social skill use in three adolescents with Asperger's syndrome.

This study investigates the utility of an occupational therapy assessment of executive and performance functioning and indicators of community adjustment among adults with histories of homelessness and substance abuse. A sample of 60 individuals living in a supported housing programme was interviewed about community living experiences and was assessed using the Executive Function Performance Test (EFPT). A descriptive and correlational study design was used. Measurable levels of cognitive and task impairment were documented, in older adults, non-US citizens and those diagnosed with cognitive impairments. Those who had completed a supported education/employment programme (Total EFPT t = -2.83, 0.008) performed better as did those who were employed (Total EFPT t = -2.33, 0.03), met regularly with their case managers (cooking t = -2.07, 0.04), had hobbies (paying bills r = -0.31, 0.02) and had longer periods of abstinence (organization/planning t = -3.59, 0.001). Limitations of the study include the unanticipated need by the clients for additional translation services. Future directions include a randomized controlled intervention study using the EFPT. An implication of this study for occupational therapists working with homeless clients who abuse substances is the importance of assessing and treating their cognitive impairments as well as providing these services within housing first agencies.