Occupational Therapy & Physiotherapy Department, Faculty of Health Sciences & Veterinary Medicine, University of Namibia, Windhoek, Khomas, Namibia
Division of Occupational Therapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, Western Cape, South Africa.
BMJ Open. 2022 May 9;12(5):e059211. doi: 10.1136/bmjopen-2021-059211.
To synthesise research published on vocational rehabilitation (VR) interventions offered in institutions, by occupational therapists, to mental health service users (MHSUs) with chronic mental illness, in low-income to upper-middle-income countries (L-UMIC).
This scoping review used Arksey and O'Malley's methodological framework, the Preferred Reporting Items for Systematic Reviews extension for Scoping Reviews and Joanna Briggs scoping review guidelines.
We searched PsycInfo, EBSCOhost, HINARI, Google Scholar, Medline, CINAHL, PubMed, Cochrane Library, Scopus, Science Direct and Wiley online library between 15 July and 31 August 2021.
Sources, published in English between 2011 and 2021, on institution-based VR in occupational therapy for MHSUs who had chronic mental illness in L-UMIC were included. We included primary studies of any design.
Three reviewers used Mendeley to manage identified references, Rayyan for abstract and full-text screening and Microsoft Excel for data extraction. Data were sifted and sorted by key categories and themes.
895 sources were identified, and their title and abstracts reviewed. 207 sources were included for full-text screening. 12 articles from 4 countries (South Africa, India, Brazil and Kenya) were finally included. Types of VR intervention included supported employment, case management and prevocational skills training. Client centeredness, support and empowerment were the key VR principles identified. Teaching of illness self-management, job analysis and matching, job coaching, trial placement, and vocational guidance and counselling were the main intervention strategies reported.
VR intervention in institutions for MHSUs in L-UMIC revealed the multidimensional uniqueness of individual MHSU's vocational ability, needs and contexts. The interventions allowed client-centred approaches that offer support and empowerment beyond the boundaries of the institutions. Occupational therapists offering VR need to expand their interventions beyond their institutions to contexts where MHSUs are working or intending to work.
综合研究发表在职业康复（VR）干预机构，由职业治疗师，为精神卫生服务使用者（MHSUs）与慢性精神疾病，在低收入到中上收入国家（L-UMIC）。
本范围综述使用了 Arksey 和 O'Malley 的方法学框架、系统综述扩展的首选报告项目和 Joanna Briggs 范围综述指南。
我们在 2021 年 7 月 15 日至 8 月 31 日期间，在 PsycInfo、EBSCOhost、HINARI、Google Scholar、Medline、CINAHL、PubMed、Cochrane 图书馆、Scopus、Science Direct 和 Wiley 在线图书馆进行了搜索。
来源，发表在 2011 年至 2021 年期间，以职业治疗为基础的机构 VR 为 MHSUs 谁有慢性精神疾病在 L-UMIC 包括在内。我们包括任何设计的主要研究。
三名审查员使用 Mendeley 管理已识别的参考文献，Rayyan 进行摘要和全文筛选，以及 Microsoft Excel 进行数据提取。数据按关键类别和主题进行筛选和排序。
确定了 895 个来源，并对其标题和摘要进行了审查。207 个来源进行了全文筛选。最终包括来自 4 个国家（南非、印度、巴西和肯尼亚）的 12 篇文章。VR 干预类型包括支持性就业、个案管理和职业前技能培训。以客户为中心、支持和授权是确定的关键 VR 原则。报告的主要干预策略包括疾病自我管理教学、工作分析和匹配、工作指导、试工和职业指导与咨询。
L-UMIC 中为 MHSUs 提供的机构 VR 干预揭示了个别 MHSU 职业能力、需求和背景的多维独特性。这些干预措施允许以客户为中心的方法，在机构之外提供支持和授权。提供 VR 的职业治疗师需要将他们的干预措施从机构扩展到 MHSUs 工作或打算工作的环境中。
