This pilot study of Action Over Inertia has shown evidence of efficacy and clinical utility.

Background. People who are diagnosed with posttraumatic stress disorder (PTSD) can experience disruptions in their daily occupations. Occupational therapists may assist clients with PTSD to reengage in meaningful occupations. Purpose. This scoping review aims to identify and describe the ways occupational therapy addresses PTSD in clinical practice. Method. Scholarly databases were searched for documents relating to occupational therapy and PTSD. Two reviewers independently applied selection criteria and systematically extracted information. Data were extracted and synthesized in a narrative format. Findings. Fifty sources met inclusion criteria and three major themes were identified: recognizing trauma within specific populations, PTSD's impact on a range of occupations, and occupational therapy's response to PTSD. Implications. Occupational therapists are working in multidisciplinary teams to reduce the impact of PTSD on the daily occupations of their clients. More effectiveness studies are required to understand the outcomes of occupational therapy interventions for clients with PTSD. Abré gé Description. Les personnes ayant un diagnostic de trouble de stress post-traumatique (TSPT) peuvent vivre une perturbation de leurs occupations quotidiennes. Les ergothérapeutes peuvent aider les clients ayant un TSPT à recommencer à participer à des occupations signifiantes. But. Cet examen de la portée vise à identifier et décrire les façons dont l'ergothérapie aborde le TSPT en pratique clinique. Mé thodologie. Une recension des bases de données de la documentation en ergothérapie a été effectuée pour repérer des documents concernant l'ergothérapie et le TSPT. Deux évaluateurs ont appliqué les critères de sélection de manière indépendante et ont systématiquement extrait de l'information. Les données ont été extraites et synthétisées sous une forme narrative. Ré sultats. Cinquante sources répondaient aux critères de sélection et trois principaux thèmes ont été identifiés: reconnaître le traumatisme au sein de populations spécifiques; le TSPT a un impact sur un éventail d'occupations; et les interventions proposées en ergothérapie pour le TSPT. Consé quences. Les ergothérapeutes travaillent dans des équipes multidisciplinaires pour réduire l'impact des TSPT sur les occupations quotidiennes de leurs clients. D'autres études de l'efficacité sont requises pour mieux comprendre les résultats des interventions ergothérapiques pour les clients ayant un TSPT.

Public safety personnel (PSP), including correctional officers, firefighters, paramedics, and police officers, have higher rates of mental health conditions than other types of workers. This scoping review maps the impact of organizational factors on PSP mental health, reviewing applicable English language primary studies from 2000–2021. JBI methodology for scoping reviews was followed. After screening, 97 primary studies remained for analysis. Police officers (n = 48) were the most frequent population studied. Correctional officers (n = 27) and paramedics (n = 27) were the second most frequently identified population, followed by career firefighters (n = 20). Lack of supervisor support was the most frequently cited negative organizational factor (n = 23), followed by negative workplace culture (n = 21), and lack of co-worker support (n = 14). Co-worker support (n = 10) was the most frequently identified positive organizational factor, followed by supervisor support (n = 8) and positive workplace culture (n = 5). This scoping review is the first to map organizational factors and their impact on PSP mental health across public safety organizations. The results of this review can inform discussions related to organizational factors, and their relationship to operational and personal factors, to assist in considering which factors are the most impactful on mental health, and which are most amenable to change.

Experiencing work-related trauma can negatively impact coping abilities and daily life participation. Occupational therapists (OTs) often provide health services to workers who have experienced trauma, including military members, veterans, and public safety personnel. The Occupational Therapy Trauma Intervention Framework (OTTIF) is a novel clinical reasoning framework that matches a client's level of readiness to engage with a spectrum of evidence-based OT approaches. Using surveys at two time points, evaluation of therapist experiences of using the OTTIF elicited positive feedback that suggests the OTTIF provides a useful occupation-centred framework for evidence-informed occupational therapy practice with clients who have experienced trauma.

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