Tryssenaar J, Jones E J, Lee D
School of Rehabilitation Science, McMaster University, Hamilton, ON.
Can J Occup Ther. 1999 Oct;66(4):188-96. doi: 10.1177/000841749906600406.
Practice in shelters for people who are homeless is an exciting and challenging opportunity for occupational therapists. However, there is a paucity of knowledge about the occupational performance needs of this population. In the present study, 25 persons at a shelter were interviewed using the Canadian Occupational Performance Measure (COPM). Data were analyzed using both qualitative and quantitative methods. Several major themes emerged including spirituality, "we want what everyone wants", choosing satisfaction, diverse health concerns, power of relationships, the importance of environment to well-being, and poverty. Altruism in the midst of adversity and individuality were minor themes. Instrumental activities of daily living, such as access to employment, financial management, housing, and recreation, were reported as more important than basic activities of daily living. Participants and interviewers also responded to general questions regarding the use of the COPM in the assessment process. The COPM was found to be useful for assessing the occupational performance needs of this population, but should be augmented by inquiry about environmental concerns, relationships, housing, and spirituality.
为无家可归者提供庇护所的实践，对职业治疗师来说是一个令人兴奋且具有挑战性的机会。然而，对于这一人群的职业表现需求，我们所知甚少。在本研究中，使用加拿大职业表现测量量表（COPM）对一家庇护所的25人进行了访谈。采用定性和定量方法对数据进行了分析。出现了几个主要主题，包括灵性、“我们想要的和每个人一样”、选择满意度、各种健康问题、人际关系的力量、环境对幸福感的重要性以及贫困。逆境中的利他主义和个性是次要主题。据报告，日常生活的工具性活动，如就业机会、财务管理、住房和娱乐，比日常生活的基本活动更为重要。参与者和访谈者还回答了有关在评估过程中使用COPM的一般性问题。发现COPM对于评估这一人群的职业表现需求很有用，但应通过询问环境问题、人际关系、住房和灵性来加以补充。
