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Implementation of occupational therapy within early intervention in psychosis services: Results from a national survey.
Thomas, Elizabeth C; Read, Halley; Neumann, Nuriya; Zagorac, Sarah; Taylor, Caitlin; Kramer, Ilyse; Fisher, Ruth Marie; De Angelis, Tina.
Afiliación
  • Thomas EC; College of Public Health, Temple University, Philadelphia, Pennsylvania, USA.
  • Read H; School of Occupational Therapy, Pacific University, Hillsboro, Oregon, USA.
  • Neumann N; Kickstart, Pathways Community Services, San Diego, California, USA.
  • Zagorac S; Horizon House, Inc, Indianapolis, Indiana, USA.
  • Taylor C; College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • Kramer I; College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • Fisher RM; Horizon House, Inc, Indianapolis, Indiana, USA.
  • De Angelis T; College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Early Interv Psychiatry ; 17(7): 652-661, 2023 07.
Article en En | MEDLINE | ID: mdl-36192371
AIM: Occupational therapy plays an important role in fostering community participation in areas such as education, employment, leisure, and social relationships, yet its added value within early intervention in psychosis services, especially in the United States, remains poorly understood. The purpose of this research was to conduct a national survey of early intervention in psychosis programs to: (1) understand the role and unique contributions of occupational therapists to early intervention teams, and (2) identify barriers and supports to the implementation of occupational therapy services within these programs. METHODS: Fifty-one senior leaders from U.S.-based early intervention in psychosis programs participated in the national survey. The survey consisted of a series of closed and open-ended questions related to program staffing, the presence of specific services that fall within the occupational therapy scope of practice, and implementation barriers and supports. RESULTS: Despite there being strong interest in employing occupational therapists, a small proportion of programs (31%) reported having them on staff. Occupational therapists supported clients across multiple life areas and were significantly more likely than other team members to promote daily living activities (e.g., cooking) and to address sensory processing needs and challenges. Implementation was influenced by environmental/organizational and staff factors; the primary barrier was funding. CONCLUSIONS: Findings support the role occupational therapists may play in facilitating the community participation of clients of early intervention services, but significant barriers to implementation of occupational therapy services remain. Additional research is needed to further identify the impact of occupational therapy services within the early intervention model.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Psicóticos / Terapia Ocupacional Tipo de estudio: Prognostic_studies Aspecto: Implementation_research Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Early Interv Psychiatry Asunto de la revista: PSIQUIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Australia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Psicóticos / Terapia Ocupacional Tipo de estudio: Prognostic_studies Aspecto: Implementation_research Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Early Interv Psychiatry Asunto de la revista: PSIQUIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Australia