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通过街头干预推进职业正义:一项案例研究,考察在面对无家可归和监禁问题时增加有意义参与度的策略。

Advancing occupational justice through street-based intervention: A case study examining strategies for increasing meaningful engagement in the face of homelessness and incarceration.

作者信息

Kannenberg Kathleen, Conley Michelle

机构信息

Harborview Medical Center, Seattle, WA, USA.

Evergreen Treatment Services, REACH, Seattle, WA, USA.

出版信息

Work. 2020;65(2):303-310. doi: 10.3233/WOR-203082.

DOI:10.3233/WOR-203082
PMID:32007974
Abstract

BACKGROUND

Approximately 2.2 million people are incarcerated in the United States, a disproportionate number of whom are African American, experience behavioral health conditions and are poor. Various federal and regional policies, compounded by stigma, keep the formerly incarcerated disenfranchised by restricting access to housing, employment and community engagement.

OBJECTIVE

This case study highlights how public health crises of one large county led to the piloting of a multidisciplinary team to improve quality of life outcomes for those frequently arrested.

METHODS

Occupational therapy was integrated into an interdisciplinary team developed to promote community integration among participants.

RESULTS

Occupational therapy aided the client in overcoming barriers of community engagement while increasing skills for independent living.

CONCLUSION

By highlighting evidence-based interventions and multidisciplinary approaches, the case study illustrates the complexity of need among this population and how occupational therapy contributes to housing stability, behavioral health management, occupational engagement and quality of life.

摘要

背景

美国约有220万人被监禁,其中不成比例的人数为非裔美国人,他们有行为健康问题且贫困。各种联邦和地区政策,再加上耻辱感,通过限制获得住房、就业和社区参与的机会,使曾经被监禁的人继续被剥夺公民权。

目的

本案例研究突出了一个大县的公共卫生危机如何促使试点成立一个多学科团队,以改善那些经常被捕者的生活质量结果。

方法

职业治疗被纳入一个为促进参与者融入社区而组建的跨学科团队。

结果

职业治疗帮助服务对象克服社区参与障碍,同时提高独立生活技能。

结论

通过突出循证干预措施和多学科方法,该案例研究说明了这一人群需求的复杂性,以及职业治疗如何有助于住房稳定、行为健康管理、职业参与和生活质量。

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