Curtin Jade, Hitch Danielle
Faculty of Health, School of Health and Social Development, Occupational Therapy, Deakin University, Geelong, VIC, Australia.
North Western Mental Health, Melbourne, VIC, Australia.
Work. 2018;59(4):607-616. doi: 10.3233/WOR-182701.
Some people who have a mental illness may require vocational rehabilitation and support to assist their participation in activity and employment. The WORKS is a vocational rehabilitation group intervention program, co-facilitated by Peer-Support Workers and Occupational Therapists. These facilitators provide support and guidance to people with a mental illness through practical activities and goal development.
This study aimed to explore the lived experiences and perceptions of facilitators of The WORKS.
The Integrating Theory, Evidence and Action (ITEA) method was used in this study, employing a phenomenological approach. Facilitators of The WORKS at a metropolitan Australian mental health service were purposively sampled, and four participated in semi-structured interviews. Data was transcribed verbatim and member checked, before being coded and analysed with reference to the Model of Human Occupation.
Five themes emerged from the data; Consumer Growth [Volition], Facilitator's Occupational Identity [Volition], Role of Facilitators [Habituation], Workload of Facilitators [Performance Capacity], and Adaptation of The WORKS Resources [Performance Capacity].
All participants perceived benefits related to The WORKS however discussed a co-facilitation power imbalance between facilitators. Therefore, more development is needed around the co-facilitation relationship between Occupational Therapists and Peer-Support Workers.
一些患有精神疾病的人可能需要职业康复和支持，以帮助他们参与活动和就业。“工作项目”（The WORKS）是一项职业康复团体干预计划，由同伴支持工作者和职业治疗师共同推动实施。这些推动者通过实践活动和目标设定，为患有精神疾病的人提供支持和指导。
本研究旨在探索“工作项目”推动者的生活经历和看法。
本研究采用整合理论、证据与行动（ITEA）方法，运用现象学方法。对澳大利亚一个大都市心理健康服务机构的“工作项目”推动者进行了有目的抽样，其中四人参与了半结构化访谈。数据逐字转录并进行成员核对，然后参照人类职业模型进行编码和分析。
数据中出现了五个主题；消费者成长[意志]、推动者的职业身份[意志]、推动者的角色[习惯化]、推动者的工作量[执行能力]以及“工作项目”资源的适应性[执行能力]。
所有参与者都认为“工作项目”有好处，但也讨论了推动者之间共同推动时的权力不平衡问题。因此，需要围绕职业治疗师和同伴支持工作者之间的共同推动关系进行更多的发展。
