Thomas Elizabeth C, Hefron Nuriya, Zagorac Sarah, Hewlett Ashley, Wenzel Ruth Marie, Kramer Ilyse, Walker Lauren, Read Halley
Department of Social and Behavioral Sciences, College of Public Health, Temple University, 1700 N Broad St., Philadelphia, PA, 19121, USA.
Stanford University, Stanford, CA, USA.
Community Ment Health J. 2025 Jan;61(1):50-54. doi: 10.1007/s10597-024-01324-0. Epub 2024 Jul 25.
The purpose of this program evaluation was to examine preliminary outcomes associated with a novel stepdown program for clients of early intervention in psychosis services ("Step Up") that featured occupational therapy (OT) as a critical treatment component. Clients participated in Step Up for at least 6 months and were administered pre-post assessments of clinician-rated performance of daily living activities and self-perceived performance and satisfaction with daily occupational functioning. Paired samples Wilcoxon tests were used to compare outcomes across the two time points. Data from 23 participants of Step Up were analyzed. Clinician-rated performance of daily living (especially in the areas of money and time management and leisure engagement) and client-rated performance and satisfaction with daily occupational functioning improved significantly over time. Results demonstrate the promise of programs such as Step Up that capitalize on OT and promote functional outcomes during the transition from early intervention.
本项目评估的目的是检验与一项针对精神病早期干预服务（“提升计划”）的新型逐步下调计划相关的初步结果，该计划以职业治疗（OT）作为关键治疗组成部分。客户参与“提升计划”至少6个月，并接受了关于临床医生评定的日常生活活动表现以及自我感知的日常职业功能表现和满意度的前后评估。采用配对样本Wilcoxon检验来比较两个时间点的结果。对来自“提升计划”的23名参与者的数据进行了分析。随着时间的推移，临床医生评定的日常生活表现（特别是在金钱和时间管理以及休闲参与方面）以及客户评定的日常职业功能表现和满意度有显著改善。结果表明，像“提升计划”这样利用职业治疗并在从早期干预过渡期间促进功能结果的计划具有前景。
