Department of Occupational Therapy, Tokyo Metropolitan University, Tokyo 116-8551, Japan.
Department of Occupational Therapy, Chiang Mai University, Chiang Mai 50200, Thailand.
Occup Ther Int. 2021 Jul 13;2021:6695052. doi: 10.1155/2021/6695052. eCollection 2021.
Depression in adulthood decreases social participation in the workplace, family, and community, which further results in decreased work performance and cessation and social isolation. There is a high statistic of outpatient consultation and readmission of Thais with depression, yet the mental health support for remission in community life and social participation remains limited and unclear. Further, due to the lack of mental health professional resources, particularly occupational therapists, there is much to be known regarding how such therapists work to support the development of social participation in Thai adults with depression.
This research was aimed at understanding the process of how occupational therapists work to redevelop the social participation of community-dwelling Thai adults with depression.
The grounded theory methodology was used in this study. Data were collected through interviews and nonparticipatory observations of 14 participants who had experience providing mental health care in community services. The constant comparative analysis method was employed.
Three concepts illustrated a proactive community occupational therapy service for depression (PCOTS-D), namely, integrating depression care in community occupational therapy service (COTS), supporting meaningful participation, and forming collaborative networks. The PCOTS-D supported the reconnection of social participation by leading from proactive depression care service to COTS and then working to support meaningful participation toward the patient's self-management and building collaborative networks with inter- and intraprofessional teams simultaneously.
The PCOTS-D presented a holistic view of working with community-dwelling Thai adults with depression by considering the importance of the community and researchers' network to redevelop social participation, promote health and recovery, build teams in depression care, and encourage research evidence to enhance the supportive advocacy policy for Thai people with depression.
成年人的抑郁会减少他们在工作场所、家庭和社区的社交参与，这进一步导致工作表现下降以及社会孤立。泰国人因抑郁而门诊咨询和再次入院的比例很高，但社区生活和社会参与的精神健康支持仍然有限且不明确。此外，由于缺乏心理健康专业资源，特别是职业治疗师，我们还需要了解职业治疗师如何支持泰国成年抑郁症患者的社会参与发展。
本研究旨在了解职业治疗师如何重新发展社区居住的泰国成年抑郁症患者的社会参与的过程。
本研究采用扎根理论方法。通过对 14 名有社区服务精神卫生保健经验的参与者的访谈和非参与式观察收集数据。采用恒定性比较分析方法。
三个概念说明了针对社区居住的泰国成年抑郁症患者的积极主动的社区职业治疗服务（PCOTS-D），即整合社区职业治疗服务中的抑郁症护理、支持有意义的参与以及建立合作网络。PCOTS-D 通过从积极主动的抑郁症护理服务到 COTS 引领，支持有意义的参与，从而支持患者的自我管理，并与跨专业团队建立合作网络，重新连接社会参与。
PCOTS-D 通过考虑社区和研究人员网络在重新发展社会参与、促进健康和康复、建立抑郁症护理团队以及鼓励研究证据方面的重要性，为与社区居住的泰国成年抑郁症患者合作提供了一个整体视角，以支持倡导泰国抑郁症患者的政策。
