Daily Time Use as a Measure of Community Adjustment for Persons Served By Assertive Community Treatment Teams

Abstract

The activity patterns of ACT clients were not consistent with those associated with community adjustment, health, and well-being. Occupational therapists working in ACT are in a good position to contribute to the literature regarding occupational performance and mental illness and to lead ACT teams in discussions and practices that may promote health through activity.

Does employment alter the course and outcome of schizophrenia and other severe mental illnesses? A systematic review of longitudinal research

“…Employment could also serve a protective function, rather than a rehabilitative one. Unemployed people with major mental disorder may grow accustomed to irregular sleeping patterns and other harmful routines (Krupa et al, 2003;Minato and Zemke, 2004;Eklund et al, 2010). (2000) 18-month RCT comparing two vocational models conducted in the USA (Drake et al, 1996) …”

“…Negative outcomes often observed among people with psychiatric illness, including early school or work dropout, stigma, disability enrollment, poverty, and passive time use, lead mental health professionals to identify these persons as vulnerable to the stressors of employment (Hayes and Halford, 1996;Krupa et al, 2003;Eklund et al, 2010). Yet the field awaits a systematic examination of available evidence regarding whether employment has a positive or negative influence on the course and outcome of severe mental illnesses (e.g., schizophrenia, bipolar, and major depressive disorder).…”

Outcomes identified and prioritised by consumers of Partners in Recovery: a consumer-led study

“…The lack of meaningful activities and the social isolation faced by individuals with severe and persistent mental illness is well documented [30][31][32][33][34]. At intake, CANSAS items of Daily activity and Company were each rated as "unmet needs" for over 50% of PIR consumers [11].…”

Time use among individuals with persistent mental illness: Identifying risk factors for imbalance in daily activities

“…Recent studies [6,7,12,20] have revealed that people with PMI sleep a lot during a 24-hour period, and long periods spent sleeping have been shown to be associated with lower levels of health, mastery, quality of life and social interaction [9]. The findings in this latter study indicated that the daily rhythm of some individuals sometimes became imbalanced, and those who turned their daily rhythm around [sleeping during the day-time and being active at night], or had a daily rhythm characterised by low levels of activity, seemed to have lower perceived levels of mastery and social interaction than two other groups, identified as a high-activity group and a balanced group.…”