Bridging the transition from homelessness: Developing an occupational therapy framework

Marshall, Carrie Anne; Cooke, Abrial; Gewurtz, Rebecca; Barbic, Skye; Roy, Laurence; Ross, Caitlin; Becker, Alyssa; Lysaght, Rosemary; Kirsh, Bonnie

doi:10.1080/11038128.2021.1962970

Cited by 6 publications

(7 citation statements)

References 43 publications

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“…Intersectoral collaboration is often mentioned in the literature found. The collaboration between mental healthcare, physical care, and social service sectors was found in four qualitative papers ( 45 , 46 , 48 , 49 ) and in one scoping review ( 54 ). In addition, collaboration between the government and the mental health sector was found in three qualitative studies ( 45 , 59 , 60 ) and one quantitative paper ( 40 ).…”

Section: Resultsmentioning

confidence: 99%

“…Another important aspect of health is cognitive functioning, which was found in two papers. One qualitative study mentioned that cognitive and physical health conditions might impact individuals’ ability to function in their daily lives during and after homelessness ( 48 ). In addition, one cross-sectional paper found that homebodies reported significantly poorer cognitive function than venturers ( 64 ).…”

Section: Resultsmentioning

confidence: 99%

“…Human rights and destigmatization contribute to promoting full citizenship and are addressed in six papers ( 3 , 29 , 48 , 53 , 63 , 82 ). One quantitative paper found that staffing intensity was negatively associated with human rights ( 82 ).…”

Section: Resultsmentioning

confidence: 99%

“…According to one qualitative paper ( 68 ) and two expert papers ( 53 , 63 ), mental health services should develop dedicated programs for recovery. Also, three qualitative papers ( 48 , 49 , 77 ) focus on gaining and regaining skills for more independent living in vivo . Moreover, two expert papers mention that signpost self-care options ( 52 ) and recovery colleges can contribute to the recovery of daily life ( 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…In addition, two papers with a qualitative design emphasize adding an occupational therapist to a multidisciplinary team (44,50). Finally, seven papers show the value of peer support to multidisciplinary teams; of which these seven papers, there are three reviews (29)(30)(31), three qualitative papers (47,48,51), and one expert paper (53).…”

Section: Multidisciplinary Teamsmentioning

confidence: 99%

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Current insights of community mental healthcare for people with severe mental illness: A scoping review

et al. 2023

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BackgroundFor the last four decades, there has been a shift in mental healthcare toward more rehabilitation and following a more humanistic and comprehensive vision on recovery for persons with severe mental illness (SMI). Consequently, many community-based mental healthcare programs and services have been developed internationally. Currently, community mental healthcare is still under development, with a focus on further inclusion of persons with enduring mental health problems. In this review, we aim to provide a comprehensive overview of existing and upcoming community mental healthcare approaches to discover the current vision on the ingredients of community mental healthcare.MethodsWe conducted a scoping review by systematically searching four databases, supplemented with the results of Research Rabbit, a hand-search in reference lists and 10 volumes of two leading journals. We included studies on adults with SMI focusing on stimulating independent living, integrated care, recovery, and social inclusion published in English between January 2011 and December 2022 in peer-reviewed journals.ResultsThe search resulted in 56 papers that met the inclusion criteria. Thematic analysis revealed ingredients in 12 areas: multidisciplinary teams; collaboration within and outside the organization; attention to several aspects of health; supporting full citizenship; attention to the recovery of daily life; collaboration with the social network; tailored support; well-trained staff; using digital technologies; housing and living environment; sustainable policies and funding; and reciprocity in relationships.ConclusionWe found 12 areas of ingredients, including some innovative topics about reciprocity and sustainable policies and funding. There is much attention to individual ingredients for good community-based mental healthcare, but very little is known about their integration and implementation in contemporary, fragmented mental healthcare services. For future studies, we recommend more empirical research on community mental healthcare, as well as further investigation(s) from the social service perspective, and solid research on general terminology about SMI and outpatient support.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Multidisciplinary Teamsmentioning

confidence: 99%

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Current insights of community mental healthcare for people with severe mental illness: A scoping review

et al. 2023

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Competencies for occupational therapy practice in homelessness: A Delphi study

Marshall

Cooke

Gewurtz

et al. 2021

Scandinavian Journal of Occupational Therapy

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Interdisciplinary rehabilitation for the transition out of homelessness with a traumatic brain injury

Lam,

Hurwitz,

Ngankam

et al. 2024

BMJ Case Rep

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People experiencing homelessness (PEH) face higher rates of traumatic brain injury (TBI), which is associated with greater unmet healthcare and social needs and increased difficulty transitioning out of homelessness. While efforts have emerged to address this TBI disparity via screening, staff training and case management, gaps exist in the delivery of evidence-based TBI rehabilitation to PEH. This case report describes the delivery of interdisciplinary TBI rehabilitation to a male patient experiencing homelessness within a US context. Physical medicine and rehabilitation and occupational therapy focused on managing cognitive and chronic pain symptoms to improve daily life function across community settings (ie, outdoors, shelter, the transition to stable housing). After 4 months, the patient demonstrated improved daily life function with changes in objective measurements and housing status from unsheltered homelessness to housed. This case demonstrates the feasibility of delivering equitable TBI rehabilitation to PEH to mitigate health and housing disparities.

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Bridging the transition from homelessness: Developing an occupational therapy framework

Cited by 6 publications

References 43 publications

Current insights of community mental healthcare for people with severe mental illness: A scoping review

Current insights of community mental healthcare for people with severe mental illness: A scoping review

Competencies for occupational therapy practice in homelessness: A Delphi study

Interdisciplinary rehabilitation for the transition out of homelessness with a traumatic brain injury

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