Wasmuth Sally, Wilburn Victoria G, Hamm Jay A, Chase Anthony
Indiana University School of Health and Human Sciences, Department of Occupational Therapy, 1140 W. Michigan Street, Indianapolis, IN 46202.
Sandra Eskenazi Mental Health Center, Eskenazi Health, Indianapolis, IN 46202, United States College of Pharmacy, Purdue University, West Lafayette, IN 47907.
Occup Ther Ment Health. 2021;37(1):56-71. doi: 10.1080/0164212x.2020.1845276. Epub 2020 Nov 21.
This paper describes implementation of a narrative-informed occupation-based service in an outpatient community mental health setting that addressed several gaps, including 1) the need for outcome data on occupational therapy in this setting; 2) an ongoing mental health provider shortage; and 3) a need for innovative approaches to supporting mental health. We found a significant improvement from baseline to post-intervention in occupational participation, and dose of occupational therapy was significantly related to improvements in the areas of roles, habits, values, long-term goals, social environment, and readiness for change. This study suggests future, larger effectiveness studies of narrative-informed occupation-based interventions delivered by occupational therapists in outpatient community mental health are warranted.
本文描述了在门诊社区心理健康环境中实施的一种基于叙事的职业服务，该服务填补了几个空白，包括：1）该环境下对职业治疗结果数据的需求；2）心理健康服务提供者持续短缺；3）需要创新方法来支持心理健康。我们发现从基线到干预后职业参与有显著改善，并且职业治疗的剂量与角色、习惯、价值观、长期目标、社会环境和改变准备等方面的改善显著相关。本研究表明，未来有必要对职业治疗师在门诊社区心理健康中提供的基于叙事的职业干预进行更大规模的有效性研究。
