A client‐centred, occupation‐based occupational therapy programme for adults with psychiatric diagnoses

Abstract

The purpose of this study was to assess the effectiveness of a client-centred, occupation-based occupational therapy programme for individuals with psychiatric diagnoses. The study took place in a college campus. A pre-test/post-test design was used. There were 38 participants which included college students and community members who desired to attend college, work and/or address life skill goals. The Canadian Occupational Performance Measure (COPM) was used as a pre- and post-test measure. Goals were based on problems identified in the COPM, reflected academic, vocational, life skill, and leisure goals, and were systematically addressed weekly through activities developed by the participant and a graduate occupational therapy student who acted as a mentor. The Participant Overall Satisfaction Scale was completed by each participant. A case study was used to describe the programme in more depth. The results support that the client-centred, occupation-based occupational therapy programme increased client scores on satisfaction and performance of occupational performance problems identified on the COPM. Further research is recommended to explore how client-centred occupational therapy programmes can be effective in improving academic, vocational and life skill goals.

Client perception of a client-centered and occupation-based intervention for at-risk youth

“…An occupation-based practice uses occupation throughout the OT therapeutic process of assessment, intervention, and measurement of outcome (6). Client-centered and occupation-based are an inter-reliant approach in OT that has yielded greater client satisfaction and success in occupational performance (7)(8)(9).…”

Occupation-based intervention in hand injury rehabilitation: Experiences of occupational therapists in Malaysia

“…A study in adult clients with mental illness found that OBI increases occupational performance and satisfaction (17). OBI is also effective in minimizing the decline in leisure and ADLs engagement (18).…”

O uso da Medida Canadense de Desempenho Ocupacional em estudos brasileiros: uma revisão sistemática

“…Outros estudos analisaram a clientela com transtornos psiquiátricos, evidenciando que, embora seja um desafio, o COPM pode ser aplicado satisfatoriamente, sendo importante analisar as diferenças entre os julgamentos dos clientes e o desempenho real, bem como avaliar a viabilidade da Prática Clínica Centrada no Cliente (PAN et al, 2003;SCHINDLER, 2010). Entende-se que embora possa haver divergências entre o que é percebido pelo terapeuta e o que é exposto pelo cliente, a abordagem é realizada baseada na perspectiva do que é significativo para o sujeito.…”