An Occupational Therapy Intervention Service to Hostels for Homeless People: An Overview

Parmenter, Vanessa; Fieldhouse, Jon; Barham, Ruth

doi:10.4276/030802213x13679275042807

Cited by 7 publications

(10 citation statements)

References 7 publications

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“…Occupational therapy services for individuals experiencing homelessness primarily have occurred within shelter settings or as an adjunct to care in hospital based practice [23,24]. However, the chaotic environment of the shelter or inconsistency of shelter staff can affect the regularity of participation.…”

Section: Literature Reviewmentioning

confidence: 99%

Integrated Care: Provider referrer perceptions of occupational therapy services for homeless adults in an integrated primary care setting

Merryman

Synovec

2020

WOR

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BACKGROUND: Occupational therapists have a long history of addressing community performance and participation challenges faced by individuals with complex, chronic conditions, including those with serious mental illnesses (SMI) and cognitive issues that present with a traumatic brain injury (TBI). Healthcare reform has shifted incentives to support practices that promote successful community life for people with complex medical conditions. Community based care models emphasizing integrated primary care, such as Federally Qualified Health Centers (FQHC) are emerging, and a generalist role for occupational therapy is being defined. Those with complex comorbid conditions such as mental illness, substance abuse and traumatic brain injury are at risk for negative health outcomes that are further compounded by homelessness. There is a critical need to understand effective treatment options for this population to reduce the negative effects of chronic health conditions. As occupational therapists further define a role serving traditional clients in less traditional settings, such as the FQHC, it is helpful to explore the perceptions of the utility of OT services on the part of provider referrers. OBJECTIVE: This study explored provider referrer perceptions of a new occupational therapy service for homeless adults in an FQHC to assist effective allocation of scarce resources. METHODS: Twelve provider referrers at an FQHC were interviewed regarding their perception of the role and utility of occupational therapy in this setting. Interviews were then coded for themes. RESULTS: Providers identified the unique value of occupational therapy, emphasizing critical information gleaned from the performance-based assessment of functional cognition, and the positive impact on team interactions and subsequent care decisions. CONCLUSION: Occupational therapy provides a distinct perspective on client performance in FQHC settings indicating benefit for inclusion of services.

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Section: Literature Reviewmentioning

confidence: 99%

Integrated Care: Provider referrer perceptions of occupational therapy services for homeless adults in an integrated primary care setting

Merryman

Synovec

2020

WOR

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“…Occupational therapy services for individuals experiencing homelessness primarily have been provided in shelter settings or as an adjunct to care in hospital-based practice (Parmenter et al, 2013;Roy et al, 2017). The chaotic environment of the shelter, or the inconsistency of shelter staff, however, can affect the regularity of participation.…”

Section: Occupational Therapy and Integrated Primary Carementioning

confidence: 99%

Occupational Therapy in Integrated Primary Care: Addressing the Needs of Individuals Experiencing Homelessness

Synovec¹,

Merryman²,

Brusca³

2020

The Open Journal of Occupational Therapy

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Background: Current health care policy supports occupational therapy services with individuals experiencing homelessness in primary care settings. Research on the impact of interventions is needed to support this emerging practice area. Method: : A retrospective, descriptive study was completed following the initiation of full-time occupational therapy services in an integrated primary setting and Federally Qualified Health Center (FQHC) for clients experiencing homelessness. This study evaluated: (a) percentage of referred clients who engaged in ongoing intervention; (b) diagnostic demographics of those referred; (c) functional goal types and frequency; (d) a comparison of preintervention Canadian Occupational Performance Measure (COPM) scores with postintervention scores. Results: : Analysis of data revealed clients referred for occupational therapy services present with complex co-morbidities. t tests for matched pairs (p < .05) revealed that participants had a statistically significant improvement in COPM performance scores (69%) and in COPM satisfaction scores (73%) between baseline and postintervention. Diagnostic subgroups had a similar rate of improvement. Analysis of client identified COPM goals revealed a high rate of instrumental activity of daily living focused goals. Conclusion: : Integration of full-time occupational therapy services into FQHC settings increases client access to functional-based rehabilitation services that address physical and behavioral health. Individuals experiencing homelessness demonstrate improvement toward functional goals using client-centered goal setting processes and interventions. Comments The authors report no potential conflicts of interest.

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“…Working with homeless people has been a developing area of practice for occupational therapists (16,17,18,19). There is a small but growing occupational therapy literature base relating to homelessness including discussion around appropriate occupational therapy interventions with homeless people (17,20,21,22,23). Other literature focuses on the experience of occupational therapists working with this population (16,19).…”

Section: Occupational Perspective On Homelessnessmentioning

confidence: 99%

Exploring the lived experience of homelessness from an occupational perspective

Cunningham

Slade

2017

Scandinavian Journal of Occupational Therapy

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Working in homelessness is a growing area of practice for occupational therapists, however, there is limited literature on the lived experiences of homelessness and occupational engagement Study aim: To explore the lived experience of homeless men in relation to how they engaged in day-to-day occupations when sleeping rough or hostel dwelling Methods: Data were gathered from five men residing in a homeless hostel in the UK. Data collection included semi-structured interviews and photographic diaries. Data were analyzed using Interpretative Phenomenological Analysis Results: Participants described their experiences of occupational engagement whilst sleeping on the streets which included engaging in survival occupations, the significance of apparently ordinary occupations and moving beyond survival occupations. The homeless hostel provided opportunities for occupational engagement that the men perceived in an idiosyncratic manner. The men described benefits of engaging in novel occupations and reengaging in known occupations. Occupational injustices were a common theme that occurred throughout participants experiences Conclusion: This study has highlighted the diversity of occupational engagement for 'roofless' or 'houseless' participants and how different individuals experience occupational adaption Significance: This study has furthered understandings of the concept of 'survival occupations' and the importance of community resources to facilitate occupational engagement whilst homeless.

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An Occupational Therapy Intervention Service to Hostels for Homeless People: An Overview

Cited by 7 publications

References 7 publications

Integrated Care: Provider referrer perceptions of occupational therapy services for homeless adults in an integrated primary care setting

Integrated Care: Provider referrer perceptions of occupational therapy services for homeless adults in an integrated primary care setting

Occupational Therapy in Integrated Primary Care: Addressing the Needs of Individuals Experiencing Homelessness

Exploring the lived experience of homelessness from an occupational perspective

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