Cunningham Miranda Jane, Slade Anita
a School of Health and Human Sciences, Plymouth University , Plymouth , UK.
b Centre for Patient Reported Outcomes Research (CPROR), Institute of Applied Health Research, University of Birmingham , Birmingham , UK.
Scand J Occup Ther. 2019 Jan;26(1):19-32. doi: 10.1080/11038128.2017.1304572. Epub 2017 Mar 21.
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.
对于职业治疗师而言，从事与无家可归者相关的工作是一个不断发展的实践领域，然而，关于无家可归者的生活经历和职业参与的文献却很有限。研究目的：探讨无家可归男性在露宿街头或居住在收容所时如何参与日常活动的生活经历。方法：从居住在英国一家无家可归者收容所的五名男性那里收集数据。数据收集包括半结构化访谈和摄影日记。使用解释现象学分析对数据进行分析。结果：参与者描述了他们露宿街头时职业参与的经历，包括从事生存性活动、看似平常的活动的重要性以及超越生存性活动。无家可归者收容所为职业参与提供了机会，而这些男性以独特的方式看待这些机会。这些男性描述了参与新活动和重新参与熟悉活动的益处。职业不公是贯穿参与者经历的一个共同主题。结论：本研究突出了“无家可归”参与者职业参与的多样性以及不同个体如何体验职业适应。意义：本研究进一步加深了对“生存性活动”概念的理解以及社区资源对促进无家可归者职业参与的重要性的理解。
