Patel S, Barnes M A, Jaegers L A
Tufts University, Medford, MA, USA.
Saint Louis University, MO, USA.
OTJR (Thorofare N J). 2025 Apr;45(2):264-276. doi: 10.1177/15394492241268850. Epub 2024 Sep 18.
Scant evidence exists regarding occupational therapy in carceral settings. Exploring perspectives and experiences to understand current practices is needed. To explore how occupational therapy practitioners (OTPs) navigate evaluation, interventions, and role delineation. Qualitative study using phenomenological and hermeneutic approaches Data gathered through semistructured interviews with seven OTPs with average experience of 16 months, representing six states and four practice settings. Themes were identified by two independent coders who analyzed the data with consensus by third researcher. Four themes emerged: managing contextual challenges, interpersonal professional relationships, evidence-informed services, and client-focused care. Practitioners applied various frames of reference, utilized self-report and observation evaluation methods, and implemented holistic direct and indirect interventions. Understanding and supporting the value of therapeutic relationships, activity/occupational performance analysis, and foci of occupational therapy (OT) domains and processes that emphasize indirect roles can further define and highlight the distinctive nature of OT within carceral settings.
关于监狱环境中的职业治疗，现有证据不足。需要探索相关观点和经验以了解当前的做法。旨在探讨职业治疗从业者（OTP）如何进行评估、干预和角色界定。采用现象学和诠释学方法的定性研究 通过对7名OTP进行半结构化访谈收集数据，这些OTP平均有16个月的工作经验，代表6个州和4种执业环境。由两名独立编码员确定主题，第三名研究人员对数据进行分析并达成共识。出现了四个主题：应对环境挑战、人际专业关系、循证服务和以客户为中心的护理。从业者应用了各种参考框架，采用自我报告和观察评估方法，并实施了整体直接和间接干预措施。理解并支持治疗关系、活动/职业表现分析以及强调间接作用的职业治疗（OT）领域和过程的重点，能够进一步界定并突出监狱环境中OT的独特性质。
